Multidisciplinary Practice 5th edition By Ardene R. Vollman
, Chapter 1, Population Health Promotion: Essentials and
Es- sence of Practice
1. The 20th century saw numerous improvements in the health status of
people in the developed world. This was primarily attributable to wha
t phenomenon?
A. Steady declines in the rate of tobacco consumption
B. The development of vaccines against many communicable diseases
C. Eradication of microorganisms responsible for infectious diseases
D. Government policies that prioritized health promotion over di
sease treatment
ANS: B
Rationale: Health status gains in the developed world during the 20th
century were a result of (1) advances in knowledge about the caus
es of disease, (2) development of new technologies and pharmaceutica
ls to treat and cure many diseases, (3) creation of vaccines and envi
ronmental solutions to prevent disease transmission and acquisition, a
nd (4) innovations in surveillance techniques to measure health status
.
PTS: 1 DIF: Easy REF:
Page and Header: 3, Introduction OBJ: 1
NAT: Client Needs: Health Promotion and Maintenance TOP: C
hapter 1: Population Health Promotion: Essentials and Essence of Prac
tice
KEY: Integrated Process: Nursing Proces
s BLM: Cognitive Level: Understand
2. What document is recognized as laying the foundation for the transiti
on in the focus of Canadian health policy from disease to health?
A. The Ottawa Charter for Health Promotion
B. The Epp Framework (A Framework for Health Promotion)
C. The WHO Declaration of Alma-Ata
D. The Lalonde Report (A New Perspectives on the Health of C
anadians) ANS: D
Rationale: The publication in 1974 of the Lalonde Report (A New Persp
ective on the Health of Canadians) heralded a change in the focus of
health on disease to a focus on health. The Ottawa Charter, the WH
O Declaration, and the Epp Framework were each subsequent to the L
alonde Report.
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management
of Care TOP: Chapter 1: Population Health Promotion: Essentials and
,Essence of Practice
KEY: Integrated Process: Nursing Proces
s BLM: Cognitive Level: Understand
, 3. The\ Lalonde\ Report\ of\ 1974\ is\ recognized\ as\ one\ of\ the\ seminal\ pu\b
lications\ that\ has\ shaped\ the\ character\ and\ direction\ of\ public\ healt\h
\ policy\ in\ Canada.\ What\ change\ in\ policy\ is\ attributed\ to\ the\ Lalon\de
\ Report?
A. A\ shift\ from\ collective\ responsibility\ for\ the\ health\ of\ Canadia\
ns\ to\ an\ individual\ focus
B. A\ change\ in\ focus\ from\ the\ treatment\ of\ illness\ to\ the\ promotion\ of\ he\
alth
C. A\ change\ from\ private\ funding\ for\ health\ to\ a\ combination\ of\ provi\
ncial\ and\ federal\ funding
D. A\ recognition\ of\ the\ importance\ of\ determinants\ of\
health\ ANS:\ B
Rationale:\ The\ Lalonde\ Report\ is\ credited\ with\ initiating\ a\ change\ in\ t\h
e\ policy\ from\ a\ focus\ on\ disease\ to\ a\ focus\ on\ health.\ The\ report\ d\id
\ not\ promote\ a\ change\ in\ funding,\ a\ change\ to\ individual\ responsibilit\y,
\ or\ a\ formal\ recognition\ of\ the\ determinants\ of\ health.
PTS: 1 DIF: Easy
REF:\ \ Page\ and\ Header:\ 5,\ The\ Lalonde\ Report OBJ:\ \ 1
NAT:\ \ Client\ Needs:\ Safe\ and\ Effective\ Care\ Environment:\ Management\
of\Care\ TOP:\ Chapter\ 1:\ Population\ Health\ Promotion:\ Essentials\ and\Essen
ce\ of\ Practice
KEY:\ \ Integrated\ Process:\ Nursing\ Proces\
s\ BLM:\ Cognitive\ Level:\ Understand
4. The\ publication\ of\ the\ World\ Health\ Organization’s\ Declaration\ of\ Alm\
a-
Ata\ is\ acknowledged\ to\ be\ a\ key\ event\ in\ the\ development\ of\ cont\e
mporary\ public\ health\ policy.\ The\ Declaration\ prioritized:
A. collaboration\ among\ individuals\ and\ health\ care\ providers\ to\ impact\h
ealth\ decisions.
B. increased\ funding\ for\ the\ education\ of\ nurses,\ physicians,\ and\ allie\
d\ health\ workers\ in\ member\ nations.
C. cooperation\ between\ developed\ nations\ and\ developing\ nations\ to\ era\di
cate\ global\ health\ inequities.
D. the\ removal\ of\ class-based\ barriers\ to\ health\ decision\ making.
ANS: A
Rationale:\ The\ Declaration\ of\ Alma-
Ata\ called\ for\ health\ providers\ to\ work\ with\ people\ to\ assist\ them\ in\
making\ decisions\ about\ their\ health\ and\ how\ to\ meet\ health\ challenge
\ s\ in\ ways\ that\ are\ affordable,\ acceptable,\ and\ sustainable\ in\ the\ long
\term.\ It\ did\ not\ specifically\ prioritize\ education\ funding,\ international\ c\
ooperation,\ or\ the\ removal\ of\ class-based\ barriers\ to\ health.
PTS: 1 DIF: Easy
REF:\ \ Page\ and\ Header:\ 5,\ Declaration\ of\ Alma-Ata\ \ OBJ:\ \ 1
NAT:\ \ Client\ Needs:\ Safe\ and\ Effective\ Care\ Environment:\ Management\
of\Care\ TOP:\ Chapter\ 1:\ Population\ Health\ Promotion:\ Essentials\ and\Essen
ce\ of\ Practice
KEY:\ \ Integrated\ Process:\ Nursing\ Process