Chapter 4: Public Health Nursing

"The organized efforts of society to keep people healthy and prevent injury, illness, and premature death" is the definition of which term?

a) Public health nursing

b) Public health

c) Social determinants of health

d) Vaccination campaigns

B

What is the mission of the Public Health Agency of Canada?

a) To apply international research and development to Canada's public health programs

b) To strengthen intergovernmental collaboration on public health

c) To facilitate national approaches to public health policy and planning

d) To promote and protect the health of Canadians through leadership, partnership, innovation, and action in public health

D

What was the significance of the Public Health Agency Act (2006)?

a) It confirmed the agency as a legal entity and appointed a chief public health officer

b) It served as a central point for sharing Canada's expertise in health promotion

c) It helped to increase the lifespan of all Canadians through various initiatives

d) It helped to secure funding for chronic diseases and illness and injury prevention

A

What type of community health nurse applies public health science, the principles of primary health care, nursing science, and the social sciences to promote, protect, and preserve the health of populations?

a) Outpost nurse

b) Forensic nurse

c) Public health nurse

d) Occupational health nurse

C

The first public health activities in Canada occurred in 1831 with the arrival of immigrants to Upper Canada who had contracted which disease?

a) Tuberculosis

b) Spanish influenza

c) Cholera

d) The black plague

C

One of the first types of public health legislation in Canada provided detailed regulations for which of the following?

a) Personal and environmental cleanliness

b) Water and sanitation pipeline initiatives

c) Mandatory vaccination of school children

d) Water fluoridation initiatives

A

When were the responsibilities for health and social welfare matters delegated to the provinces?

a) After World War I

b) After World War II

c) After the British North American Act

d) After Canadian confederation

D

In what year and in what province was the first Public Health Act passed?

a) In Ontario in 1884

b) In Saskatchewan in 1910

c) In British Columbia in 1896

d) In Manitoba in 1927

A

Which statement provides the best definition of ethics?

a) Universally held theory on how the world evolved

b) A set of rules that apply only to health professionals used in the practice setting

c) Values, norms, moral principles, virtues, and traditions that guide human conduct

d) A specialized area of philosophy

C

What is the primary concern for Stephanie, a nurse who uses a feminist bioethics approach to shape her practice?

a) Interdependence between people

b) A focus on women's ethical issues

c) The illegal use of power in health care

d) A behaviour/lifestyle perspective

A

Jack, 14 years old, presents in the community health nurse's office requesting an initial immunization series. His parents have never immunized him because they do not believe in immunization. The parents did not sign his immunization consent form sent home through school. What does this situation present for the nurse?

a) Something that never happens in Canada

b) An issue for feminist decision-making

c) An ethical dilemma

d) A course of action that is easily decided and recognized

C

What is an example of social control?

a) Smoking cessation program

b) Influenza immunization clinics

c) Request to stay at home when ill with the flu

d) Seatbelt law

D

Which scenario illustrates the principle of reciprocity for ethical decision-making about public health interventions?

a) All stakeholders are involved in developing policy on how to manage a particular infectious disease.

b) An individual is committed under the Mental Health Act to protect and prevent harm to others.

c) A person exposed to a communicable disease is provided instructions on how to quarantine at home.

d) The public health department is providing financial compensation to a person who is quarantined.

D

What does the concept of social justice assume?

a) There is a limit to collective action.

b) All societies experience broad, systematic oppression and inequities.

c) The individual is valued over the collective.

d) It is better to benefit the few than disadvantage the many.

B

Which statement by the nurse is from the perspective of the social production of disease framework?

a) "The client is in prostitution to financially provide for her children and now she has genital herpes."

b) "Getting a sexually transmitted infection is a consequence of the client's promiscuous lifestyle."

c) "The human immunodeficiency virus (HIV) is responsible for the client's HIV infection."

d) "The sex trade worker chose to have unprotected sex because the client would pay her more."

A

Which situation has recently undergone medicalization?

a) Menopause

b) Breast cancer

c) Homosexuality

d) Hyperthyroidism

A

A nurse makes a connection that a group who has HIV/AIDS is also subject to racial discrimination. What framework is the nurse practising?

a) Lifestyle

b) Social production of disease

c) Biomedical model of disease

d) Traditional

B

Jenny, 24 years old, stays at home to look after her children. She has limited job skills and financial resources. Her male partner, Randy, smokes around her children. He is also verbally abusive to Jenny. Jenny knows that second- hand smoke is dangerous to the health of her family and she has encouraged Randy to quit or smoke outside. She is thinking about contacting a women's resource centre. What would assist the nurse in working with Jenny's family?

a) Implementing a health protection order

b) Providing Jenny with more written handouts on second-hand smoke

c) Having another nurse tell Jenny to leave her partner

d) Utilizing a framework that situates choice as relational autonomy

D

Which community health practice setting involves personal identity, security, and privacy?

a) The mobile health van

b) A health centre

c) A drop-in clinic

d) The home

D

What must be considered when nurses assist clients to make informed choices?

a) The benefits of the intervention but not the risks

b) Legally binding paper work

c) The exchange of information and respect for the individual's autonomy

d) Individualism, but not collectivism

C

Melanie is a nurse doing home visits. What must she recognize as she builds relationships with her clients?

a) Sharing her attitudes, beliefs, and values regarding health

b) The client's attitudes, beliefs, and values regarding health

c) Fairness and reciprocity

d) Maintaining a distant and clinical boundary

B

Who should develop an advanced directive?

a) A physician working in the palliative care setting

b) A person who is terminally ill and needs one to clearly spell out how his or her estate will be divided

c) An individual who wants to stipulate what medical treatments he or she will accept or reject

d) A nurse working with a client who is incapable of making choices

C

Which statement reflects the Community Health Nurses Association of Canada's (2003) description of empowerment?

a) A professional process in which communities are allowed to become self-directed

b) A static process that provides people with power

c) A nurse-driven process whereby people are given what they need

d) A process where people and communities move toward increased control

D

Which Canadian Community Health Nursing Standard of Practice is being used when advocating for appropriate resource allocation?

a) Facilitating access and equity

b) Practice setting safety

c) Empowering communities

d) Maintaining professional boundaries

A

What nursing action best demonstrates professional responsibility and accountability?

a) Respecting a client's wishes to not inform her boyfriend that she has gonorrhea

b) Keeping confidential a client's repeated statements that she wants to kill her husband

c) Documenting home visit notes in a timely and thorough manner

d) Protecting the identity of a child who reveals that she has been abused

C

What term describes the way that nurses approach their practice and reflect on their ethical commitment to their clients and colleagues?

a) Committed ethics

b) Situation autonomy

c) Empowering a community

d) Everyday ethics

D

What statement is congruent with capacity building?

a) Equitable sharing of rights, roles, and responsibilities among institutions and individuals

b) Just or fair treatment of all individuals, including equitable access to meet health needs

c) Democracy and civil rights defining a social state in which all have equal rights

d) Strengthening of individual and institutional core skills, capabilities, and knowledge

D

What health issues have been linked to the oppression of LGTB persons?

a) Schizophrenia and suicide

b) Homelessness and influenza

c) Depression and substance abuse

d) Sexually transmitted infections and pregnancy

C

Kennedy is lobbying his co-workers to change the nursing intake form to have more gender-neutral language, such as "Do you live with a partner?" instead of "Are you married, divorced, or single?" What standard of practice is the nurse trying to uphold?

a) Professional responsibility and accountability

b) Facilitating access and equity

c) Building individual/community capacity

d) Promoting health

B

What activity would help Kennedy to increase his competence in providing care to individuals from the LGTB population?

a) Ask a lesbian how to better provide care to this population

b) Ask colleagues to share strategies for working with this group

c) Read targeted health research

d) Look on the Internet for information

C

Anne-Marie, a recent nursing graduate, is really enjoying developing relationships with her clients. Anne-Marie tells her mentor that she works hard to meet the needs of her clients and has been using the strategy of meeting one client for coffee in the afternoons. How should the mentor respond to Anne-Marie?

a) "Tell me more about how this strategy is assisting you to meet your needs."

b) "It sounds like the nurse-client relationship has moved into a personal relationship."

c) "I use a more distant and clinical approach with my client relationships."

d) "This is a great nursing strategy that you should share with the rest of the nurses."

B