Test Bank For Canadian Community As Partner
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Theory & Multidisciplinary Practice 5th Edition By
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d Ardene R. Vollman
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Prose1 Stuvia d
,https://www.stuvia.com/user/Prose1
Chapter 1, Population Health Promotion: Essentials and Es-
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sence of Practice
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1. The 20th century saw numerous improvements in the health status of people in
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the developed world. This was primarily attributable to what phenomenon?
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A. Steady declines in the rate of tobacco consumption
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B. The development of vaccines against many communicable diseases
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C. Eradication of microorganisms responsible for infectious diseases d d d d d d
D. Government policies that prioritized health promotion over disease d d d d d d d
treatment
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ANS: B d
Rationale: Health status gains in the developed world during the 20th century
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were a result of (1) advances in knowledge about the causes of disease, (2)
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development of new technologies and pharmaceuticals to treat and cure many
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diseases, (3) creation of vaccines and environmental solutions to prevent
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disease transmission and acquisition, and (4) innovations in surveillance
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techniques to measure health status.
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PTS: 1 DIF: Easy REF: Page and Header: 3, Introduction d d d d
OBJ: 1
d d NAT: Client Needs: Health Promotion and Maintenance d d d d d d
TOP: Chapter 1: Population Health Promotion: Essentials and Essence of
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Practice
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KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Understand
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2. What document is recognized as laying the foundation for the transition in the
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focus of Canadian health policy from disease to health?
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A. The Ottawa Charter for Health Promotion
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B. The Epp Framework (A Framework for Health Promotion)
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C. The WHO Declaration of Alma-Ata
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D. The Lalonde Report (A New Perspectives on the Health of Canadians)
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d ANS: Dd
Rationale: The publication in 1974 of the Lalonde Report (A New Perspective on
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the Health of Canadians) heralded a change in the focus of health on disease to a
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focus on health. The Ottawa Charter, the WHO Declaration, and the Epp
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Framework were each subsequent to the Lalonde Report.
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PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report d OBJ: 1 d d d d d
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
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TOP: Chapter 1: Population Health Promotion: Essentials and Essence of
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Practice
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KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Understand
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,https://www.stuvia.com/user/Prose1
3. The Lalonde Report of 1974 is recognized as one of the seminal publications
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that has shaped the character and direction of public health policy in Canada.
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What change in policy is attributed to the Lalonde Report?
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A. A shift from collective responsibility for the health of Canadians to an
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individual focus
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B. A change in focus from the treatment of illness to the promotion of health
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C. A change from private funding for health to a combination of provincial and
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federal funding
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D. A recognition of the importance of determinants of health
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d ANS: B d
Rationale: The Lalonde Report is credited with initiating a change in the policy
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from a focus on disease to a focus on health. The report did not promote a
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change in funding, a change to individual responsibility, or a formal recognition of
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the determinants of health.
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PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1
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NAT: Client Needs: Safe and Effective Care Environment: Management of Care
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TOP: Chapter 1: Population Health Promotion: Essentials and Essence of
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Practice
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KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Understand
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4. The publication of the World Health Organization’s Declaration of Alma-Ata is
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acknowledged to be a key event in the development of contemporary public
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health policy. The Declaration prioritized:
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A. collaboration among individuals and health care providers to impact health d d d d d d d d d
decisions.
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B. increased funding for the education of nurses, physicians, and allied health
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workers in member nations.
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C. cooperation between developed nations and developing nations to eradicate d d d d d d d d
global health inequities.
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D. the removal of class-based barriers to health decision making.
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ANS: A d
Rationale: The Declaration of Alma-Ata called for health providers to work with
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people to assist them in making decisions about their health and how to meet
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health challenges in ways that are affordable, acceptable, and sustainable in the
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long term. It did not specifically prioritize education funding, international
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cooperation, or the removal of class-based barriers to health.
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PTS: 1 DIF: Easy
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1d d d d d d
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
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TOP: Chapter 1: Population Health Promotion: Essentials and Essence of
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Practice
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KEY: Integrated Process: Nursing Process
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, https://www.stuvia.com/user/Prose1
BLM: Cognitive Level: Understand
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5. A public health worker is participating in the creation of a health promotion
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initiative that aims to address many of the poor health outcomes in a city’s
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homeless population. The success or failure of this initiative is likely to depend
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on what factor?
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A. Accessibility and the perceived credibility of the planned initiative d d d d d d d d
B. The provision of incentives and immediate benefits for participants in the
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program
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C. Providing safe and supportive housing for homeless people before d d d d d d d d
addressing their health needs
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D. Redressing the disparities based on gender, socioeconomic status, and d d d d d d d d
education
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ANS: A d
Rationale: The Declaration of Alma-Ata called for health providers to work with
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people to assist them in making decisions about their health and how to meet
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health challenges in ways that are affordable, acceptable, and sustainable in the
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long term. In facing the health challenges posed by homelessness, it is
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imperative that programs, policies, and interventions ensure accessibility by the
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members of this population. As well, it is necessary to present initiatives in a way
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that promotes their credibility. Short-term benefits are not a prerequisite and
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the resolution of disparities and lack of housing need not precede health
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promotion.
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PTS: 1 DIF: Moderate
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 d d d d d d
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
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TOP: Chapter 1: Population Health Promotion: Essentials and Essence of
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Practice
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KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Analyze
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6. Which issue is recognized as being inadequately addressed by current Canadian
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health policy?
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A. Canadians are not aware of the impact that their behaviours have on their d d d d d d d d d d d d
health status.
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B. Utilization of the health care system is insufficient to ensure the health of d d d d d d d d d d d d
the population.
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C. Members of disadvantaged groups are less healthy than other Canadians. d d d d d d d d d
D. The interests of the health care industry are at odds with the long-term
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health of Canadians.
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ANS: C d