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Health Promotion: Families and Communities Flashcards | StudBud
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Health Promotion: Families and Communities
Health Promotion: Families and Communities
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1
The shift from hospital to community-based services in Canada during the 1980s was primarily due to:
The focus on expanding programs from 1940-1970
Rising hospital costs and early discharge policies
The establishment of the VON by Lady Aberdeen
The introduction of the medical model
2
What is the main goal of the "Blueprint for Action" for community health nursing (CHNC 2011)?
To protect the health of Canadians and inform CHN practice
To focus solely on educational preparation without professional development
To limit nursing leadership development
To reduce the scope of practice for community health nurses
3
What is considered a community asset?
The number of healthcare professionals residing within the community.
Only the financial resources available within a community.
Exclusively the physical structures such as hospitals and clinics.
Anything of value that can improve the life of a community
4
Which statement best describes the continuum of care for older adults?
It ranges from health promotion to home care and assisted living
It exclusively focuses on acute care settings.
It includes only home care and home support services.
It suggests adults should primarily rely on self-care without assistance.
5
Gerontology is defined as:
The specialized study of the processes of growing old.
The process of aging and its complications.
The rehabilitation practices for the elderly.
The treatment of diseases in older adults.
6
Which of the options below represents an intra-sectoral linkage?
A community health nurse collaborating with the ministry of housing
A community health nurse collaborating with a midwife
A community health nurse collaborating with the ministry of finance
A community health nurse collaborating with the ministry of education
7
What term describes an approach that involves self-reflection and a commitment to respecting cultural beliefs?
Cultural Safety
Cultural Humility
Cultural Imposition
Cultural Competence
8
What is a key component of Canada's Suicide Prevention Framework?
Focusing solely on medication as the primary treatment for mental illness.
Encouraging self-management of illness without professional intervention.
Ensuring timely access to quality mental health and substance use services
Reducing the number of mental health professionals in rural areas.
9
What was the impact of the residential schools on Indigenous communities?
Improved educational outcomes for Indigenous children.
Strengthened Indigenous languages and cultures.
Generation and intergenerational trauma.
Increased economic prosperity among Indigenous peoples.
10
Identifying community assets involves asking key questions. Which of the following is NOT one of those questions?
"What do we want to accomplish?"
"How can we minimize community participation in this project?"
"What is the size of our community?"
"How much money is at our disposal?"
11
The LEARNS model in Health Education includes all the following interactions EXCEPT:
Reinforce health literacy.
Negate the client’s personal experiences and knowledge.
Strengthen self-management via links to community.
Listen to the client.
12
Who is recognized as Canada's first nurse, with the CNA granting its most prestigious award in her name?
A Grey Nun
Lady Aberdeen
Sisterhood of New France
Jeanne Mance
13
What is considered a primary source of evidence for Community Health Nurses (CHNs)?
Unverified online forums and social media posts.
Research and experience, including quantitative and qualitative studies.
Popular media and entertainment sources.
Advice from family and friends.
14
What is Environmental Injustice?
The legal system governing environmental policy.
The inequitable exposure of minority populations to environmental hazards.
The equitable distribution of environmental benefits within society.
Justice in allocating resources for environmental conservation.
15
What is one of the barriers to health care access for homeless people?
Homeless people prefer alternative medicine.
Patient mistrust of providers.
A lack of health care facilities in urban areas.
Too many available health care options, leading to confusion.
16
You are caring for a stroke pt. Your focus is to improve mobility to prevent ulcers. What level of prevention is this?
Tertiary
Secondary
Primary
Primordial
17
The Ottawa Charter for Health Promotion, defined by WHO in 1986, emphasizes health a
Only the absence of disease
Mainly a personal responsibility
A goal to be achieved above all else
A resource for everyday living
18
What does the Health Belief Model consider as influential in an individual’s health-related change?
Perceived susceptibility to health problems and benefits of health action.
The individual's age and gender exclusively.
Only the historical health data of the individual's family.
The person’s social status and wealth only.
19
What is the foundation of Strengths Based Nursing (SBN)?
A philosophy to guide nursing, seeing the world through a lens of strengths
A technique for reducing hospital stay durations.
A new model for administrative healthcare management.
A method for diagnosing patients more effectively.
20
What is essential for nurses working in rural Canada to understand and prioritize?
Cultural safety, respect for culture, and engagement in mutual learning
The need for urban-centric healthcare policies only
The focus solely on technological advancements in healthcare
The elimination of all traditional practices in favor of modern medicine
21
Which of the following is NOT listed as a challenge facing clients?
Accessing community resources and managing chronic conditions.
Early discharge and complicated treatment plans.
Making informed decisions and maintaining a healthy lifestyle.
Having too much information and not knowing what to do with it.
22
Health promotion is described as a process that enables people to:
Ignore social determinants of health
Increase control over and to improve their health
Solely focus on curing diseases
Depend entirely on healthcare professionals for wellness
23
How is "Indigenous" defined?
As referring to the original peoples of a land and their descendants.
Only as a legal classification under Canadian federal law.
As a term interchangeable with "Aboriginal," "Native," or "Indian."
As a colonial term used to describe First Nations, Métis, and Inuit peoples
24
What is a key strategy in controlling for exposure to environmental hazards?
Engineering controls such as ventilation, and isolating the hazard.
Avoiding any form of preventive measures to assess workers' resilience.
Increasing the use of hazardous materials to build immunity.
Relying solely on PPE without any other safety measures.
25
What characterizes a disaster?
Sudden, unpredictable, and can have multiple causes
Exclusively economic crisis
Natural causes only
Predictability and limited impact
26
What is a significant factor contributing to the ↑ incidence of postpartum depression among immigrant and refugee women?
High levels of employment opportunities.
Inadequate social support, poverty, and demanding gender roles.
Overabundance of cultural safe care programs.
Excessive healthcare support.
27
A client states that she does not wish to vaccinate her newborn daughter. The appropriate nursing response would be
Tell me about some reasons you wish not to vaccinate
There are numerous studies that confirm the importance of vaccinations
Here are some pamphlets on the importance of vaccinations
Not vaccinating your child is bad for her health and is dangerous to others
28
What does the Mental Health Act of 2010 provide?
Humane and just care while protecting society and the individual from harm.
A blueprint for mental health awareness campaigns.
Guidelines for the physical restraint of individuals with mental illness.
A framework for the criminalization of mental illness.
29
What values underlie SBN?
Strict adherence to medical protocols without patient input.
Prioritizing the healthcare system's needs over the patient's unique needs.
Focusing solely on physical recovery without considering emotional states.
Health and healing, and acknowledging subjective experience.
30
Which is the best tool to understand the strength of a relationship between the family and their larger community
Ecomap
Windshield Survery
Genogram
Meta-analysis
31
Portability in the Canada Health Act is a principle that emphasizes:
Healthcare should be administered by a public authority
Everyone should have the same access to healthcare service
The health insurance plan of a province must cover all in-hospital services
If you move provinces, you should still be able to receive healthcare
32
In the development of a logic model, what are the two planning stages mentioned?
Policy development and legislative action.
Community assessment and situational analysis.
CAT and SOLO
Budget planning and resource allocation.
33
What is the first step in the program-planning, implementation, and evaluation cycle?
Monitor and evaluate.
Analyze and interpret results of the monitoring and evaluation process.
Design and implement the program.
Conducting a situational analysis or community assessment.
34
What does reproductive justice aim to achieve?
Focusing solely on the biological aspects of reproduction.
Reducing the availability of contraceptive methods.
The complete well-being of women
Limiting women's choices regarding their reproductive rights.
35
What is the focus of Primary Health-Care Reform?
Solely on increasing the number of doctors
Reducing the role of nurses and nurse practitioners
Privatizing healthcare services
Shifting from individual health provider to teams of health providers
36
What is mental health described as?
A state where an individual is free from any psychological disorders.
The absence of mental illness symptoms.
Capacity to act and feel in ways that enhance life and face challenges
Only the presence of positive emotions and thoughts.
37
Which of the following is not listed as a Canadian Community Health Nurses Standard of Practice (2019)?
Health isolation
Professional responsibility and accountability
Health maintenance, restoration, and palliation
Health promotion
38
In the context of community levels of practice, what is the focus of family nursing?
Facilitating understanding of family roles, communication, health promotion
Working exclusively at a societal level to change laws and policies
Directing interventions solely towards individual health behavior change
Changing knowledge and practices of individuals only
39
What is the primary focus of community/public health nursing?
Focusing on tertiary care and rehabilitation services
Providing treatment after diseases have been diagnosed
Increasing the health of individuals and the community, focusing on SDOH
Working exclusively within hospital settings to promote community health
40
What are the "Indigenous Determinants of Health"?
Factors related solely to individual lifestyle choices.
Environmental determinants.
Surface determinants, Core Determinants, and Root Determinants.
Only genetic and biological factors.
41
What is a significant challenge facing the aging population in Ontario?
Projected rises in incidence rates for conditions such as dementia.
Decrease in the number of older adults due to emigration.
A significant decrease in the demand for long-term care.
A decline in chronic illness among the elderly.
42
What is the primary principle behind the Housing First approach to ending homelessness?
Housing is provided only after individuals complete a rehab program.
Housing is contingent upon readiness or compliance, such as sobriety.
People are better able to move forward if they are first housed.
Only those who are employed are eligible for housing.
43
Which report emphasized the role of broad socio-environmental and political determinants of health?
Lalonde Report
Epp Report
Ottawa Charter
Declaration of Alma-Ata
44
Which of the following best describes the approach of SBN compared to the Medical Model?
Paternalistic, with the healthcare provider making all decisions.
Holistic, focusing on health-promoting experiences.
Solely fixated on eliminating symptoms without considering wellbeing.
Disease-oriented and fixing.
45
How does SBN view the relationship between deficits and strengths?
Deficits and strengths co-exist.
Strengths completely replace deficits in the care process.
Deficits are ignored in favor of highlighting only strengths.
The focus on strengths leads to the elimination of deficits.
46
Which framework does the WHO use to evaluate and control environmental factors affecting well-being?
The DPSEEA Framework
The Biomedical Health Framework
The Ecological Health Model
The Social Determinants of Health Model
47
What does the "Every Woman Every Child" UN initiative (2010) aim to improve?
Global vaccination rates.
Financing and policy for maternal, infant, and child health.
International adoption processes.
Worldwide educational standards for women and children.
48
Which approach is most effective in promoting self-efficacy related to making healthy food choices?
Taking them to a grocery store to practice selecting healthy food
Consulting a physiotherapist
Referring them to a support group?
Positive feedback about how well they are doing
49
What is the primary goal of a Strengths-based Approach to Family/Community Nursing Care?
To diagnose and treat familial diseases using a standardized approach
To enforce a nurse's perspective of health and well-being on the family
To discover the perso or community's strengths using interpersonal skills
To prioritize the nurse's assessment tools over the family
50
What is the main difference between gender and sex?
There is no significant difference between gender and sex.
Sex is a choice made by individuals, while gender is assigned at birth.
Gender is a legal classification, while sex is not.
Gender is socially constructed, while sex is based on biological character
51
What does the concept of colonization refer to?
Process by which Indigenous peoples adopted European customs and languages.
Process of establishing colonies and settlements, exerting power.
Voluntary relocation of Indigenous peoples to designated reserves.
Exchange of culture and resources between Indigenous peoples and settlers.
52
Which definition of homelessness refers to individuals whose accommodation is temporary or lacks security of tenure?
At risk of homelessness.
Provisionally accommodated.
Unsheltered or absolutely homeless.
Emergency sheltered.
53
Empowerment is described as a social process that involves which of the following?
Enhancing the capacity of individuals to make choices
Limiting access to health resources and information.
Promoting dependence on external aid for solving community health issues.
Decreasing community involvement in health decision-making.
54
What does "Risk Factors" refer to?
Non-modifiable genetic traits
Only environmental factors that cannot be changed
Conditions over which individuals have complete control
Behavior patterns that can lead to poor health and are modifiable
55
The Canada Health Act, established to ensure access to healthcare for Canadians, includes how many pillars?
Four
Six
Three
Five
56
What influences a nurse's culture?
The nurse's personal experiences and preferences alone.
Only the educational background of the nurse.
External societal and cultural pressures.
Personal beliefs as well as nursing’s professional values.
57
What is a significant concern regarding women's health?
Women's health movements have eliminated all biases against women.
Women's health issues are limited to reproductive health only.
It includes everything that impacts women, not just reproductive health.
Women have lesser health concerns compared to men.
58
Which of the following is NOT a key component of Health Education Programs?
Forcing individuals to change their lifestyle and behaviors.
Behavior changes improving health outcomes.
Enhancing individuals’ abilities to make positive lifestyle changes.
Supporting social and political actions to improve community health.
59
What role do Occupational Health Nurses (OHNs) play in the workplace?
Provide legal advice on occupational safety.
Focus exclusively on physical rehabilitation of injured workers.
Conduct only administrative tasks related to health and safety.
Apply the practice of nursing to workers to maintain their well-being.
60
How is culture described in the context of nursing and health care?
Only as the biological differences between various ethnic groups.
As a fixed set of traditions and customs that remain unchanged over time.
As an irrelevant factor in the nursing practice.
As socially constructed, where norms are learned through socialization.
61
What were the primary causes of homelessness in Canada?
post-war adjustments
global economic crisis
reduced investment in affordable housing, economic shifts, etc
urban development
62
What role do Community Health Nurses (CHNs) play in addressing the vulnerabilities of childhood?
Developing programs that foster the growth and development of children.
Limiting their work to only medical interventions.
Encouraging families to avoid healthcare services.
Promoting self-treatment and care without professional guidance.
63
What is evidence-informed practice previously known as?
Traditional nursing practices.
Intuitive nursing practices.
Evidence-based nursing.
Evidence-based decision-making.
64
What does applying a gender lens in health promotion involve?
Ignoring the differences between different genders.
Focusing exclusively on women's health issues.
Assessing the differential impact of interventions on LGBTQ2S+ individuals.
Applying the same health strategies for all regardless of gender.
65
What is the primary focus of nursing empowerment in caring for older adults?
Discouraging older adults from participating in their care planning.
Enhancing capacity to make health-related choices.
Limiting access to information and healthcare options.
Encouraging dependence on healthcare services.
66
What are the three steps to getting prepared for an emergency as outlined in the presentation?
Identify hazards, create a contact list, practice evacuation.
Call emergency services, wait for help, follow instructions.
Know the risks, make a plan, make an emergency kit
Secure the house, stockpile food, learn survival skills.
67
Which act is NOT listed as part of the nurse's role in emergency and disaster preparedness?
Emergency Preparedness Act
Emergencies Act
Public Safety Act
Emergency Management Act
68
Who is recognized as the 'Father of Medicare' in Canada?
Stephen Harper
Tommy Douglas
Jean Chrétien
Pierre Trudeau
69
Which of the following best defines the concept of "statement of intent" of a health policy?
A declaration of the objectives of a healthcare policy
A detailed plan outlining the implementation of specific medical treatments
An evaluation of the financial implications of healthcare policies.
A statistical analysis of the current health status of the population.
70
When providing teaching about emergency preparedness for a home escape plan, community health would include all except
elect a person who lives near you to relay messages
Prepare a meeting place away from your home
Develop a home escape plan for your pets
Put an inventory for household possessions in your safety deposit box
71
What is a meta-analysis?
An in-depth study of a single subject or group.
A method focused on contrasting and combining results from various studies.
A preliminary research study to test the feasibility of a larger study.
A research method that primarily uses observation without intervention.
72
Health Education is defined as:
A series of unrelated learning experiences for community members.
Planned learning experiences that provide information and skills for health
An approach used solely for children and adolescents in school settings.
A process limited to clinical settings for patient treatment.
73
Asset-Based Community Development (ABCD) is characterized by what outcome?
Limiting community development to government-led initiatives.
Focusing only on the deficits and needs within a community.
Creating dependency on external resources for community development.
Creating a circle of sustainable community action through strengths.
74
How is gender defined?
A personal choice that can be changed at any time.
Socially contructed roles behaviours etc that society considers appropriate
Only the external appearance of an individual.
The biological characteristics that define men and women.
75
What is the City of London's top hazard?
Hazardous material incident (transportation incident)
Critical infrastructure failure
Explosion/fire
Tornado
76
Which of the following is NOT listed as a category of emergencies?
Supernatural
Technological
Human Caused
Natural
77
Which group is identified as having the largest affected age range for mental illness?
Seniors over 65 years.
Individuals between ages 10-29 years.
Infants and toddlers.
Middle-aged adults from 30-49 years.
78
The concept of "family" as defined by RNAO in 2002, includes:
Whomever the person defines as being family
Only parents and their biological children
Only those related by blood or marriage
79
Using a strength-based care lens, who is the expert in client’s health? The
The client and the home health nurse
Client
Home health nurse
Physician
80
Which theory views relationships as non-linear, always interacting but diverse and changing?
Intersectionality Theory
Complexity Science Theory
Postcolonial Theory
Feminist Theory
81
What does the Calgary Assessment Model focus on when assessing families?
Family structure, development, and function
The family's genetic predispositions
Only the family's medical history
Primarily the socioeconomic status of the family
82
What is emphasized by the Recovery Model of Rehabilitation?
That living with mental illness necessarily leads to a diminished life.
That recovery is not possible for individuals living with mental illness.
That mental illness should be treated only through institutional care.
Recovery is a process, and individuals are central in their own care.
83
How is childbirth viewed in the context of reclaiming the normalcy of pregnancy and birth?
As an outdated practice that should be entirely managed by professionals.
As a normal process that has been medicalized.
As an illness that requires extensive medical intervention.
Solely as a surgical procedure requiring hospitalization.
84
Primary health care is:
Provider-directed
Focused solely on the cure of health problems
Wellness-oriented
Illness-oriented
85
Which developmental screening tool is used to assess the development of children aged 1 month to 5 and a half years?
Child Behavior Checklist (CBCL)
Ages and Stages Questionnaire (ASQ-3)
Denver Developmental Screening Test II
Bayley Scales of Infant Development
86
What is the
three-step conversation framework
that can assist a CHN in addressing domestic violence in the workplace?
See, Name, Check
Assess, Advise, Arrange
Ask, Validate, Refer
Listen, Empathize, Support
87
Which concept is a nurse exploring when they are measuring the death rate of individuals who have contracted COVID-19?
Disease Mortality
Disease Morbidity
Disease Susceptibility
Disease Occurrence
88
Which of the following is a component of a logic model?
Inputs only.
Assumptions and External factors only.
Goal, Inputs, Activities, Audience, Outputs, and Outcomes.
Outputs only
89
What does a logic model provide in the context of program planning and evaluation?
Legal documentation for public health policies.
A detailed budget plan for the program.
A scheduling tool for community health nurses.
A representation of a program showing relationships in program components.
90
Which of the following is a key component of the Jennings Disaster Nursing Management Model?
Knowledge of models for disaster management
Economic recovery
Psychological support
Political advocacy
91
Which of the following research methods involves gathering data using techniques including interviews and focus groups?
Randomized Controlled Trials
Qualitative
Quantitative
Mixed Methods
92
What role does a Community Health Nurse (CHN) play in capacity building?
Discourages community participation in health planning.
Works independently of the community to implement health programs.
Acts as a catalyst to help resolve issues and educates community members.
Focuses solely on clinical interventions without engaging the community.
93
Indigenous perspectives on community health nursing:
Have no impact on community health nursing practices
Are recognized and incorporated in addressing health inequities
Are only recently being phased out of community health nursing
Were always a central part of early theories
94
Why are assessment tools/models and frameworks used in nursing?
To promote collection of data using clinical and critical inquiry skills
To standardize nursing care across all contexts
To focus exclusively on emotional aspects of care
To substitute for interpersonal skills and human interaction
95
What is Epidemiology?
The analysis of historical events and their impacts on the modern world.
The study of psychological patterns and behaviors in society.
The study of distribution of health-related events in specified populations
The study of the chemical processes occurring within living organisms.
96
What characterizes a healthy community?
Sources of access to food,water, shelter, income, safe work, and recreation
Access to entertainment and luxury services
High rates of employment only
A focus exclusively on physical health without regard for social justice
97
What does the concept of "Cultural Safety" require from healthcare professionals?
How practices and etc. can perpetuate marginalizing conditions and inequity
Promotion of a cultural perspective as better in healthcare environments.
Avoidance of any discussions around culture and its impact on health care.
A focus on maintaining the cultural status quo within healthcare settings.
98
What are barriers to nurses' understanding of culture?
The biomedical Eurocentric foundation of nursing practice.
Too much emphasis on societal structures at the expense of individual care.
The overemphasis on traditional practices.
The absence of clinical knowledge and skills among nurses.
99
The Five “I’s” that can adversely affect the aging experience include all of the following EXCEPT:
Immobility.
Intellectual impairment.
Incontinence.
Independence.
