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Stanhope QuizzesChapter 1, 2, 3 - ANS 401 module 1 CHN'ing
What is an example of Tertiary prevention?
a) Intervention that aims to interrupt the course of disease
b) A process of empowering people to increase control
c) Seeking to detect disease early in its progression
d) Measures taken to prevent the occurrence of disease - ANS a
Tertiary prevention is a type of intervention that begins once the disease has become obvious; the aim is
to interrupt the course of the disease, reduce the amount of disability that might occur, and begin
rehabilitation, for example, speech therapy and physiotherapy for a client recovering from a stroke.
The CHN who considers the Determinants of Health and other relevant economic, sociopolitical, and
environmental factors that might affect health is using which approach(es)?
Select all that apply.
a) Downstream thinking
b) Macroscopic focus
c) Microscopic focus
d) Upstream thinking - ANS b, d
Whereas downstream thinking focuses on the individual, upstream thinking looks beyond the individual
to take a macroscopic, big-picture population focus. When working with clients, CHNs using upstream
,thinking would consider the Determinants of Health and other relevant economic, sociopolitical, and
environmental factors that may influence the health of the client.
Climate change is an example of which one of the following?
a) A determinant of health
b) A transnational health issue
c) A social justice issue
d) An international health issue - ANS d
Climate change affects all people worldwide. It is a global health concern because it will impact the
health needs of the people on the entire planet.
What aims to reduce health inequalities among population groups through the use of protection,
prevention, and promotion strategies?
a) Determinants of Health
b) Downstream thinking
c) Population health
d) Primary care - ANS c
The aim of a population health approach is to improve the health of the population and reduce health
inequalities among groups within the population. A population health approach embraces the full range
of protection, prevention, and promotion strategies.
The CHN who advocates for safe playground equipment on school property is demonstrating recognition
of which perspectives?
,a) Advocacy is necessary to champion the purchase of expensive equipment.
b) Healthy child development requires exposure to structured physical play.
c) The human-built environment directly affects the health of children.
d) School boards are primarily concerned about academic matters. - ANS c
Physical environments refer to human-built environments, such as playgrounds, and are health-
determining factors that relate to outcomes such as disability and death.
What is included among the nine Determinants of Health outlined in the population health promotion
model?
a) Culture
b) Gender
c) Genetics
d) Language - ANS c
The nine determinants identified in the population health promotion model are income and social
status, social support network, education, working conditions, physical environment, biology and
genetics, personal health practices and coping skills, health child development, and health services.
Within the context of primary health care, which term refers to ensuring fairness and equity in health
services so that everyone has equal access to health care?
a) Distributive justice
b) Beneficence
c) Global health
d) Social justice - ANS d
, Taking action for social justice means attempting to reduce system-wide differences that disadvantage
certain groups and prevent equal access to Determinants of Health and to health care services.
Disease prevention, health protection, health maintenance, and palliation are distinct parts of which of
the Canadian Community Health Nursing Standards of Practice?
a) Building individual and community capacity
b) Building relationships
c) Facilitating access and equity
d) Promoting health - ANS d
CHNs promote health using the following strategies: health promotion, disease prevention and health
protection, health maintenance, restoration, and palliation.
What was established in 2004 to support a sustainable health care system in Canada?
a) Health Canada
b) Community Health Nurses of Canada
c) Canadian Institutes of Health Research
d) Public Health Agency of Canada - ANS d
The Public Health Agency of Canada was established in 2004 to revitalize the public health system in
Canada. This new agency is led by a Chief Public Health Officer, who communicates important public
health issues in an annual report.
Which is a social determinant of health?
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