Community Sample - 1

Health Promotion Involves

A. Ensuring people have a chance to improve their health through a variety of facilitated activities

B. Telling people what they should eat and why they need to be physically active

C. CHNs outreaching to individuals who may not have access to healthcare services

D. All of the above

D. All of the above

A client with Type 1 diabetes has recently developed a complex wound on his foot. The client seeks the care of the local emergency department to manage the infected wound. This type of care is an example of:

A. Public Health Care.

B. Primary Health Care.

C. Primary Care.

D. Intersectional Care.

C. Primary Care.

Critical Social Theory is known as a theory that

A. Considers social and economic forces resulting in power differential in society.

B. Centrally examines the role of gender in producing health inequities.

C. Socially constructs knowledge and experience of health and illness.

D. Emerged out of the Feminist Movement in the 1970s.

A. Considers social and economic forces resulting in power differential in society.

While working with a local agency to deliver a series of workshops to various local groups of women, the community health nurse was successful in facilitating knowledge, awareness, and consciousness raising related to intimate partner violence. The groups felt empowered and educated about the matter. The nurse's efforts are an example of

A. Disease prevention.

B. Acute intervention.

C. Social marketing.

D. Health promotion.

D. Health promotion.

The World Health Organization (WHO) identified 8 essential components of primary health care. Which of the following are two of the 8 components:

A. Acute Care and Therapy.

B. Indigenous Reconciliation and Immunization.

C. Maternal/Child Health Care and Access to Essential Medication.

D. Promotion of Food Supply and Sensitivity to LGBTQ2S+ needs.

C. Maternal/Child Health Care and Access to Essential Medication.

Which of the following are 3 examples of the Social Determinants of Health (SDOH):

A. Income, education, and social support networks.

B. Gender, poverty, and income.

C. Social status, education, and disease likelihood.

D. Health services, genetics, and empowerment.

A. Income, education, and social support networks.

The concept of "Upstream" refers to:

A. Looking at social and economic structures to address health issues.

B. Band-aid solutions.

C. Focusing on marginalized communities.

D. Disease prevention.

A. Looking at social and economic structures to address health issues.

The community health nurse assists a team of health professionals and volunteers to set up a safe injection site for people who use drugs. This initiative is an example of:

A. Population health promotion.

B. Harm reduction.

C. Primary prevention.

D. Community assessment.

B. Harm reduction.

A repeat client visits the community health centre for cellulitis (skin infection) related to injection drug use. The physician and nurse provide the client with health education related to the risks of drug use, assert the importance of making healthy choices to prevent future infections, and offer the client various addiction treatment options that the client can select from. The approach taken by the physician and nurse represents:

A. Advocacy and activism.

B. Ideology of choice.

C. Harm prevention.

D. Sustainable support.

B. Ideology of choice.

A nurse is working with the school-aged population during the prepathogenesis period. What primary prevention activity would promote the health of this population?

A. Case finding children who may have been exposed to a teacher with hepatitis A

B. Teaching handwashing and respiratory hygiene

C. Providing antimicrobials for newly diagnosed contacts

D. Advocating for testing of sexually transmitted infections (STIs) at a school-based clinic

B. Teaching handwashing and respiratory hygiene

What was the most likely causes of death in the 1900s?

a. Influenza

b. Heart disease

c. Bubonic plague

d. Diarrhea

a. Influenza

What change had the most influence on the decline in communicable diseases?

a. Improvements in nutrition, sanitation, and living conditions

b. Free medical care and low-cost prescriptions

c. Dissemination of germ theories and access to hospitals

d. Development of vaccines and blood tests

a. Improvements in nutrition, sanitation, and living conditions

What is a nurse today likely to encounter while working with clients with tuberculosis (TB)?

a. Increased compliance with chemoprophylaxis

b. Healthy young adults with the disease

c. Multi-drug-resistant strains

d. Easily cured infection with antibiotics

c. Multi-drug-resistant strains

A nurse is concerned about a recent outbreak of measles in a group of migrant workers. How would the nurse explain the concept of an outbreak to a new staff member?

a. The disease spreads and affects a large number of the population worldwide

b. Exposure to a specific stressor or cause is most likely to bring on the disease

c. It is a steady presence of a disease in a defined geographical area

d. New cases of a disease are more than the normal occurrence during a given time period

d. New cases of a disease are more than the normal occurrence during a given time period

A nurse is planning a primary prevention measure for the school-aged population against a communicable disease. What strategy best fits this goal?

a. Case finding children who may have been exposed to a teacher with hepatitis A

b. Counselling families about ways to treat head lice

c. Working toward achieving high immunization rates for hepatitis B

d. Administering tuberculosis (TB) medications to children with the disease

c. Working toward achieving high immunization rates for hepatitis B

What is the key to controlling the number of people that become infected with an organism?

a. Preventing the transmission of communicable diseases

b. Timely screening for communicable diseases

c. Effectively treating communicable diseases

d. Recognizing the signs and symptoms of communicable diseases

a. Preventing the transmission of communicable diseases

When must community health nurses complete notifiable disease reports?

a. For a fixed list of communicable diseases determined by the WHO

b. For all communicable diseases in their community

c. For communicable diseases mandated by the federal level

d. For specific communicable diseases that must be reported to local health officials

d. For specific communicable diseases that must be reported to local health officials

What agency in Canada is responsible for collating all the notifiable communicable disease reports?

a. Centers for Disease Control (CDC)

b. Public Health Agency of Canada (PHAC)

c. Health Canada

d. World Health Organization (WHO), Canadian branch

b. Public Health Agency of Canada (PHAC)

After 2003, SARS was added to the list of diseases that people can be quarantined for in Canada. What does it mean to be quarantined?

a. Restriction of a well person who has been exposed to an infectious agent

b. The time that a person is able to spread the disease over a two-week period

c. Separation of an infectious person for a period of time to reduce the transmission of disease

d. A specific time period that the communicable disease can be transmitted

a. Restriction of a well person who has been exposed to an infectious agent

A nurse is screening clients at a local health centre for tuberculosis after a recent outbreak in Vancouver. Which client response would constitute an immediate quarantine and notification of the local public health department?

a. Has travelled within the last 10 days to Ontario and has nausea and vomiting

b. Has been in contact with a health care worker from Vancouver and has a chronic gastrointestinal upset

c. Has been in contact with a person with active tuberculosis in the last 5 weeks

d. Has not travelled to an area of tuberculosis in the last 10 days but has a temperature of 37.5°C

c. Has been in contact with a person with active tuberculosis in the last 5 weeks

Which diseases would require a nurse in Canada to complete a notifiable disease report?

a. Chickenpox, pediculosis, scarlet fever, smallpox

b. AIDS, measles, pertussis, tuberculosis

c. Chlamydia, hepatitis B, rhinovirus, smallpox

d. Botulism, hantavirus, mumps, roseola

b. AIDS, measles, pertussis, tuberculosis

At a public health travel clinic, Jasper states that he will be going to work in a developing country. Which waterborne communicable diseases does Jasper need to be vaccinated against?

a. Yellow fever and malaria

b. Rabies and rubella

c. Hepatitis A and B

d. Cholera and typhoid

d. Cholera and typhoid

How long have communicable diseases been identified as a part of human life?

a. From the early 13th century

b. Since the mid-1800s

c. As long as people have lived in cities

d. As long as history has been recorded

d. As long as history has been recorded

What was the first recorded worldwide threat from a communicable disease?

a. Bubonic plague

b. Scarlet fever

c. Influenza epidemic of 1918

d. Smallpox

a. Bubonic plague

Which is an example of passive surveillance?

a. A family doctor reporting a positive case of West Nile virus to a local health authority

b. Sentinel systems to identify disease occurrence in the community when individuals present with suggestive symptoms

c. The Influenza-Like Illness (ILI) screening tool used in emergency rooms

d. Absenteeism data related to influenza from all schools in the community

a. A family doctor reporting a positive case of West Nile virus to a local health authority (p. 241)

Which population is at a higher risk for transmitting drug-resistant infections to others?

a. Inmates

b. Elderly admitted to hospital

c. School-aged children

d. People with prolonged illnesses

d. People with prolonged illnesses

William is a Grade 9 student in British Coloumbia. The nurse has determined that William is up to date on his childhood. What vaccines will William receive today from the nurse?

a. Varicella (Var), haemophilus influenza type b, and hepatitis B (HB)

b. Diptheria, tetanus, pertussis, and polio (DTaP-IPV)

c. Diptheria, tetanus, polio, and haemophilus influenza type b (Hib)

d. meningococcal Conjugate (Strains A, C, Y, W135)

d. meningococcal Conjugate (Strains A, C, Y, W135)

What is the purpose of the integrated Public Health Information System (iPHIS)?

a. Reporting system that allows jurisdictions within a province to communicate disease patterns

b. A system developed by the Centers for Disease Control (CDC) to link Canada and the United States

c. Electronic system to communicate outbreaks of respiratory or enteric illnesses interprovincially

d. An internationally linked computer system for communicating

a. Reporting system that allows jurisdictions within a province to communicate disease patterns

19. What does it mean if invasive meningococcal disease (IMD) is endemic?

a. There is a steady presence of the disease in a defined geographic area or population group

b. The new cases of the disease exceed the normal occurrence during a given period of time

c. The occurrence of the disease is higher than what would be expected normally

d. The disease spreads and affects a large number of populations worldwide

a. There is a steady presence of the disease in a defined geographic area or population group (p.241)

Which of the following classification of communicable diseases represents the public health programs classification?

a. Bacterial, cardiovascular, human

b. Air borne, parasitic, diarrheal

c. Respiratory, zoonotic, water borne

d. Vaccine preventable, perinatal, viral

c. Respiratory, zoonotic, water borne

What is an example of a nursing activity that will provide passive immunity to the client?

a. Provide a seasonal influenza vaccine

b. Administer hepatitis B immune globulin (HBIG)

c. Give the mumps, measles, and rubella (MMR) immunization

d. Facilitate the administration of a one-time chemoprophylaxis agent to a vulnerable host

b. Administer hepatitis B immune globulin (HBIG)

The public health department has been alerted to a potential outbreak of hepatitis A after eight people who attended a wedding in Mexico have tested positive for the hepatitis A IgM. The public health nurse is now involved in contact tracing. The nurse is interviewing the infected individuals regarding contacts they were exposed to during the incubation of the disease. What is the most likely mode of transmission of the pathogen in this scenario?

a. Drinking water contaminated with the bacteria

b. Ingestion of non-cooked food contaminated by infectious food handlers

c. Direct contact with respiratory droplets from nose or throat of the infected person

d. The bite of an infected mosquito

b. Ingestion of non-cooked food contaminated by infectious food handlers

The public health department has been alerted to a potential outbreak of hepatitis A after eight people who attended a wedding in Mexico have tested positive for salmonellosis. What is the incubation period for salmonellosis?

a. 15 to 50 days

b. 6 to 9 hours

c. 12 to 36 hours

d. 60 to 90 days

c. 12 to 36 hours

Which term is used to describe the collection of data utilizing screening tools, interviews, and sentinel systems to identify disease occurrence in the community when individuals present with suggestive symptoms?

a. Active surveillance

b. Contact tracing

c. Notifiable disease list

d. Passive screening

a. Active surveillance

A public health nurse has identified a client who has had contact with an infectious individual who has been diagnosed with active tuberculosis. What term is used to describe the amount of time the client has spent with the infectious individual?

a. Incubation period

b. Degree of exposure

c. Mode of transmission

d. Control measure

b. Degree of exposure (p.241)

What is essential for nurses to have in order to respond effectively in a disaster situation across different communities?

a. Some information on disaster planning

b. Recognition that each disaster is similar

c. Specific expertise in emergency management

d. An effective disaster plan

c. Specific expertise in emergency management

What statement is correct as it relates to natural disasters?

a. Their impacts can sometimes be mitigated

b. They always happen quickly

c. They include infectious diseases

d. They are predictable

a. Their impacts can sometimes be mitigated

Using the Canadian Disaster Database, what is the most common disaster in Canada?

a. Fuel spills

b. Tsunamis

c. Tornadoes

d. Cold waves

a. Fuel spills

The Canadian government adopted NIMS in 2004 as a framework for all levels of government in Canada to develop emergency response plans. What does NIMS stand for and who developed it?

a. National and International Model for Security, United Kingdom

b. National Incident Management System, United States

c. Natural Incident Modelling Sphere, Canada

d. National Information and Military System, United Nations

b. National Incident Management System, United States

Which of the following Canadian disasters claimed the most lives?

a. 1998 Peggy's Cove, Nova Scotia, aircraft crash

b. 1918-1925 across Canada, Spanish influenza

c. 1927 Newfoundland, hurricane

d. 2003 Toronto, Ontario, SARS

b. 1918-1925 across Canada, Spanish influenza

In Canada, at what level of government are emergency management and preparedness responses initiated?

a. Coordinated through Emergency Management Agency

b. Provincial/territorial

c. Federal

d. Municipal

d. Municipal

Using the Incident Management System, what is an example of an operations function during a pandemic influenza?

a. Conducts mass immunization of the general public

b. Identifies objectives and develops action plans

c. Procures supplies and physical space

d. Ensures that purchasing of supplies is completed in a timely manner

a. Conducts mass immunization of the general public

What would be an example of a technological man-made disaster?

a. The 2001 anthrax-contaminated letters sent to news media offices

b. The 2010 eruption of the volcano in Iceland

c. Hurricane Katrina levee failure in 2005

d. Peggy's Cove airline crash in 1998

d. Peggy's Cove airline crash in 1998

What is an example of an activity that a nurse would undertake in Phase II of the Jennings Model?

a. Assess victims of a disaster for serious mental illness

b. Coordinate community services to assist residents in their personal recovery

c. Provide the public with information on how to make a disaster survival kit

d. Implement infection control measures during the recovery operation

a. Assess victims of a disaster for serious mental illness

The Public Health Agency of Canada devised criteria for the order in which the public would receive the H1N1 flu vaccine during the pandemic. What principle was used in responding to this situation?

a. Medical triage

b. Surge capacity

c. Public health triage

d. Public health surge interventions

c. Public health triage

What is the name of the organization that provides assistance to countries in disaster planning and has policies that condemn violations of human rights commonly seen during and after a disaster?

a. World Bank

b. International Council of Nurses - ICN

c. International Union of Health Promotion and Education - IUHPE

d. Public Health Agency of Canada - PHAC

a. World Bank

The listeriosis outbreak in 2008 linked to deli meats produced at a Maple Leaf plant in Ontario was a significant public health event. How what this situation dealt with?

a. School children were told not to bring deli meats to school

b. Supermarkets were asked to pull all deli meats off shelves

c. The management of food-borne outbreaks were improved

d. Doctors' offices were asked to follow news stories

c. The management of food-borne outbreaks were improved

What term refers to "the study of the occurrence and distribution of health-related states or events in specified populations"?

A.Nosology

B.Epidemiology

C.Susceptibility

D.Biologic plausibility

B.Epidemiology