Deck 5: Population-Based Health Care Practice

Question 1

Which nursing leader is known as one of the first to employ a population-focused practice using aggregated statistics as population-based indices and outcome measures?

A) Christina Mitchell
B) Florence Nightingale
C) Lawrence Green
D) Ethel Johns

Answer 1

Florence Nightingale

Question 2

Mrs. Wilson is a 60-year-old woman who is obese with high blood-pressure and joint pain due to osteoarthritis. Movement and walking can be very painful; therefore, exercise is not done or, if it is done, is done very minimally. Mrs. Wilson admits to drinking and smoking to cope with the pain and states she has been drinking and smoking more because the pain is getting worse. Mrs. Wilson tells you she lives alone and does not like cooking for herself, so she buys a lot of frozen dinners. The nurse knows that Mrs. Wilson's health is at risk. What modifiable risk factors can be changed?

A) obesity and high blood pressure
B) malnutrition, smoking, and drinking
C) smoking, drinking, and lack of exercise
D) smoking, drinking, lack of exercise, and improper nutrition

Answer 2

smoking, drinking, lack of exercise, and improper nutrition

Question 3

Which of the following is a goal of population-based health?

A) to maintain access to health care services
B) to maintain quality of health care services
C) to reduce health care disparities
D) to increase health care delivery costs

Answer 3

to reduce health care disparities

Question 4

Which organization led the international community in 1978 to declare a commitment to advancing "health for all people of the world?"

A) United Nations
B) Pan American Health Organization
C) World Health Organization
D) The City of Ottawa

Question 5

Which term refers to the state of the health of a community?

A) social health
B) demographic health
C) population health
D) national health

Question 6

Activities related to toileting, bathing, grooming, hygiene, feeding, dressing, and mobility are called ___________.

A) activities of daily living
B) routine activities of daily living
C) instrumental activities of daily living
D) routine instrumental activities of daily living

Question 7

Which of the following is used in population-based nursing practice to assess, diagnose, plan, implement, and evaluate nursing practice?

A) NANDA
B) comorbidities nursing assessment
C) nursing process
D) population assessment

Question 8

Functional health status is the ability to care for oneself and meet one's human's needs.

Question 9

Which of the following practices do community health nurses consider to be a fundamental aspect of public health practice?

A) wound care
B) prenatal care and postnatal home visits
C) social activism and community collaboration
D) STD follow-up

Question 10

Which of the following resulted from a 1986 World Health Organization conference and still provides an international blueprint for health promotion?

A) Alma-Ata Declaration
B) Declaration of Montevideo
C) the Jakarta Proceedings
D) the Ottawa Charter

Question 11

What is the model developed by Lawrence Green for planning and evaluating population-based health programs?

A) Community Planning Model
B) Population Health Model
C) Precede-Proceed Model
D) Nursing Process

Question 12

Functional health status is the combined ability to be independent in ADLs and in IADLs.

Question 13

Which one of the following organizations has the stated goal of directing and coordinating authority for health within the United Nations systems by providing leadership on global health matters?

A) Canadian Nurses Association (CNA)
B) World Health Organization (WHO)
C) Canadian government
D) Public Health Agency of Canada (PHAC)

Question 14

Despite the fact that there is universal health care in Canada, there are many vulnerable population groups in Canada who are at a higher risk for ___________.

A) discrimination
B) health status disparities
C) lack of government support
D) lack of financial support

Question 15

The social and environmental factors that impact health are collectively referred to by which of the following terms?

A) population health
B) health status
C) genetics
D) determinants of health

Question 16

Which of the following terms refers to the variables that increase or decrease the probability of illness or death?

A) health determinants
B) health disparities
C) vulnerable population groups
D) health risk factors

Question 17

Which one of the following examples is considered the most serious threat to health?

A) lack of adequate food
B) violence
C) contaminated water supply
D) poverty

Question 18

Which one of the following declarations or charters states that the prerequisites for health include peace, food, social relations, and empowerment of women?

A) Alma-Ata Declaration
B) Declaration of Montevideo
C) the Jakarta Declaration
D) the Ottawa Charter

Question 19

What is the term that describes the level of health of an individual, family, group, population, or community?

A) instrumental activities of daily living
B) functional health status
C) health status
D) health-related quality of life

Question 20

What is the name of the federal agency in Canada that oversees federal efforts to prevent and control disease and promote health?

A) Public Health Agency of Canada
B) Health Canada
C) Department of Health and Social Services
D) Canadian Institute of Health Research

Question 21

Which of the following initiatives is one of the five strategies for health promotion set out in the Ottawa Charter?

A) educate more doctors
B) increase spending on health
C) increase health budgets
D) strengthen community action

Question 22

What is the term for health risk factors that can be changed?

Question 23

Aboriginal Health Access Centres are similar to Community Health Centres but are Aboriginal, community-led primary health care organizations. Summarize how the Aboriginal Health Access Centre is centred uniquely on the health and wellness of the Aboriginal community.

Question 24

The nurse has reinforced teaching with her client about the modifiable and non-modifiable risk factors related to high blood pressure. Which of the following statements by the client would indicate a correct understanding of the teaching session that the nurse provided? (Select all that apply.)

A) "I should watch the fat content in the food that I eat."
B) "I should stop smoking."
C) "I should start an exercise regime."
D) "I can do this next month when I get back from holidays."

Question 25

Define the acronym IADL, and provide four examples.

Question 26

In relation to community health, what does CHC refer to?

A) Community Health Counsellor
B) Community Health Centre
C) Civic Homeless Cooperative
D) Community Housing Centre

Question 27

Vulnerable population groups that are already under serviced and have a lower socioeconomic status are also at risk in the urban physical environments in which they live. The Canadian Population Health Initiative (2011) identified which one the following factors as being harmful to the health of an already vulnerable population?

A) noise and pollution factors
B) air pollution and heat extremes
C) water quality and heat extremes
D) noise and air pollution

Question 28

The nurse has contributed to a staff education service about the new Aboriginal Health and Wellness Centre that is opening up in their city. Which of the following statements by staff members demonstrate that they have captured the true essence and understanding of this new centre. (Select all that apply.)

A) The acronym for Aboriginal Health Access Centres is AHAC.
B) There will be a combination of traditional healing, cultural, and health promotional programs at this centre.
C) All community health centres are the same.
D) This centre services only Aboriginal communities.

Question 29

Activities related to home management and shopping needs are called ___________.

A) activities of daily living
B) routine activities of daily living
C) instrumental activities of daily living
D) routine instrumental activities of daily living

Question 30

Identify the association in Ontario that is the voice for community-governed primary health care.

A) Association of Public Health
B) Association of Integrated Health Networks in Ontario
C) Association of Community Health Centres
D) Association of Ontario's Health Centres
Indicate one or more answer choices that best complete the statement or answer the question.

Question 31

Define the acronym ADL, and provide four examples of them.

Question 32

Mr. Jones is a 60-year-old man. He states he never exercises and he is 50 pounds overweight. He smokes a package of cigarettes a day. He also drinks a 40 oz. bottle of vodka a day. Mr. Jones refuses to go to the doctor and he has high blood pressure that he refuses to take medication for. Mr. Jones' health is at risk for illness/disease or death. List Mr. Jones' four modifiable risk factors.

Question 33

What is the term for health risk factors that cannot be changed?