Chapter 14

Question 1

Which of the following represents a challenge when gathering background statistical population-based information on specific minority aggregates?

a. Cultural bias is always present.
b. There are many social and political impacts of colonization.
c. It is difficult to find comparative health information for small communities.
d. Statistics Canada does not collect data on specific minority aggregates.

Answer 1

c. It is difficult to find comparative health information for small communities.

Question 2

Which one of the following groups has the highest life expectancy?

a. Inuit males
b. Inuit females
c. First nations, Métis, and Inuit males
d. First nations, Métis , and Inuit females

Answer 2

d. First nations, Métis , and Inuit females

Question 3

Which of the following demonstrates the second phase of application of the community health nursing process?

a. Assessing the cultural norms
d. Determining the needs of the community
c. Developing a 6-week wellness program
d. Supervising a fitness class at the local YWCA or YMCA

Answer 3

c. Developing a 6-week wellness program

1.	Assessment – “Let’s figure out what’s wrong.”
2.	Planning – “Let’s plan to fix it. Eventually.”
3.	Implementation – “Let’s actually do something, I guess.”
4.	Evaluation – “Did any of this even work?”

Developing a wellness program demonstrates the second phase (planning). Assessing cultural norms and determining the needs of the community are parts of the first phase (assessment); actually participating in an intervention for wellness demonstrates the third phase (action).

Question 4

Which of the following demonstrates the third phase of application of the community health nursing process?

a. Assessing the cultural norms
b. Determining the needs of the community
c. Developing a 6-week wellness program
d. Supervising a fitness class at the local YWCA or YMCA

Answer 4

d. Supervising a fitness class at the local YWCA or YMCA

Question 5

Which of the following demonstrates the first phase of application of the community health nursing process?

a. Participating in a health promotion lecture
b. Determining the needs of the community
c. Developing a 6-week wellness program
d. Supervising a fitness class at the local YWCA or YMCA

Answer 5

b. Determining the needs of the community

Question 6

Which of the following demonstrates the final phase of application of the community health nursing process?

a. Presenting feedback about a 6-week fitness class
b. Determining the needs of the community
c. Developing a 6-week wellness program
d. Supervising a fitness class at the local YWCA or YMCA

Answer 6

a. Presenting feedback about a 6-week fitness class

Question 7

Whenever possible, population-based practice focuses on which level of prevention?

a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Individual prevention

Answer 7

a. Primary prevention

Question 8

Which one of the following is a feature of community capacity building?

a. Asking why
b. Assessing the status quo
c. Obtaining sustainable financial resources
d. Ensuring government is involved at all levels of planning.

Answer 8

a. Asking why

In the context of capacity building, “asking why” is basically the first step in the sacred ritual of not doing things just because that’s how they’ve always been done. It helps people:
• Challenge assumptions (like the assumption that the meeting needs to be three hours long).
• Identify root causes (why is everyone sick? Oh, the water’s brown. Cool, glad we asked).
• Encourage participation (people love answering questions — especially rhetorical ones).
• Get people thinking critically instead of just nodding politely while nothing changes.

Question 9

Developing a communication strategy to keep community members informed is an example of which of the following components of community capacity building?

a. Skill development
b. Partnership building
c. Documentation or progress
d. Establishing a planning team group

Answer 9

b. Partnership building

The commonly accepted core components (or “concepts,” if you insist) of community capacity building generally include:
1. Participation – Getting people involved, not just the same three loud ones.
2. Leadership – Ideally someone besides a retired dentist with a megaphone.
3. Partnership building – Your correct answer above! Includes communication and collaboration so people stop working in silos like emotionally distant coworkers.
4. Resource mobilization – AKA figuring out how to pay for stuff without holding a bake sale every weekend.
5. Skill development – Teaching people to do useful things instead of just hoping someone else knows Excel.
6. Critical thinking / Asking why – Already discussed. Vital for identifying bad ideas before implementing them.
7. Sense of community – So it doesn’t just feel like a bunch of strangers trapped in a town hall meeting.
8. Sustainability – Making sure the work doesn’t evaporate the moment someone retires.
9. Understanding community context – Knowing the difference between a struggling neighborhood and a place that just really hates outsiders.
10. Communication – The magical art of making sure people know what’s happening without needing to summon a psychic.