Test Bank for Canadian Community as Partner Theory &
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 peopl
e in the developed world. This was primarily attributable to what phenom
enon?
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 disea
se treatment
ANS: B
Rationale: Health status gains in the developed world during the 20th cent
ury were a result of (1) advances in knowledge about the causes of disea
se, (2) development of new technologies and pharmaceuticals to treat and
cure many diseases, (3) creation of vaccines and environmental solutions t
o prevent disease transmission and acquisition, and (4) innovations in sur
veillance 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: Chapt
er 1: Population Health Promotion: Essentials and Essence of Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand
2. What document is recognized as laying the foundation for the transition 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
Canadi ans) ANS: D
Rationale: The publication in 1974 of the Lalonde Report (A New Perspective
on the Health of Canadians) heralded a change in the focus of health on di
sease to a focus on health. The Ottawa Charter, the WHO Declaration, and
the Epp Framework were each subsequent to the Lalonde 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 C
are TOP: Chapter 1: Population Health Promotion: Essentials and Essence
of Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand
,3. The Lalonde Report of 1974 is recognized as one of the seminal publicati
ons that has shaped the character and direction of public health policy in
Canada. What change in policy is attributed to the Lalonde Report?
A. A shift from collective responsibility for the health of Canadians
to an individual focus
B. A change in focus from the treatment of illness to the promotion of health
C. A change from private funding for health to a combination of provincial
and federal funding
D. A recognition of the importance of determinants of
he alth ANS: B
Rationale: The Lalonde Report is credited with initiating a change in the pol
icy from a focus on disease to a focus on health. The report did not promo
te a change in funding, a change to individual responsibility, or a formal rec
ognition 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 C
are TOP: Chapter 1: Population Health Promotion: Essentials and Essence
of Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand
4. The publication of the World Health Organization’s Declaration of Alma-
Ata is acknowledged to be a key event in the development of contempor
ary public health policy. The Declaration prioritized:
A. collaboration among individuals and health care providers to impact hea
lth decisions.
B. increased funding for the education of nurses, physicians, and allied hea
lth workers in member nations.
C. cooperation between developed nations and developing nations to eradica
te 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 makin
g decisions about their health and how to meet health challenges in ways t
hat are affordable, acceptable, and sustainable in the long term. It did not
specifically prioritize education funding, international cooperation, or the re
moval 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 C
are TOP: Chapter 1: Population Health Promotion: Essentials and Essence
of Practice
KEY: Integrated Process: Nursing Process
, BLM:’ ’ Cognitive’ Level:’ Understand
5. A’ public’ health’ worker’ is’ participating’ in’ the’ creation’ of’ a’ health’ promotio’n’ i
nitiative’ that’ aims’ to’ address’ many’ of’ the’ poor’ health’ outcomes’ in’ a’ ci’ty’s’ ho
meless’ population.’The’success’ or’failure’of’this’initiative’ is’likely’to’depend’on’w
hat’factor?
A. Accessibility’ and’ the’ perceived’ credibility’ of’ the’ planned’ initiative
B. The’provision’of’incentives’and’immediate’benefits’for’ participants’in’t’he’p
rogram
C. Providing’safe’and’supportive’housing’for’homeless’people’befo’re’a
ddressing’their’health’needs
D. Redressing’the’disparities’based’on’gender,’socioeconomic’status,’a’nd’
education
ANS: A
Rationale:’ The’ Declaration’ of’ Alma-
Ata’ called’ for’ health’ providers’ to’ work’ with’ people’ to’ assist’ them’ in’ makin’g’ d
ecisions’ about’ their’ health’ and’ how’ to’ meet’ health’ challenges’ in’ ways’ t’hat’ are
’ affordable,’ acceptable,’ and’ sustainable’ in’ the’ long’ term.’ In’ facing’ t’he’ health’
challenges’ posed’ by’ homelessness,’ it’ is’ imperative’ that’ programs
,’policies,’and’interventions’ensure’accessibility’by’the’ members’ of’ this’ pop’ulati
on.’ As’ well,’ it’ is’ necessary’ to’ present’ initiatives’ in’ a’ way’ that’ promote’s’their’cr
edibility.’Short-
term’ benefits’ are’ not’ a’ prerequisite’ and’ the’ resolution’ of’ disparities’ and’ la’ck’
of’ housing’ need’ not’ precede’ health’ promotion.
PTS: 1 DIF: Moderate
REF: Page’ and’ Header:’ 5,’ Declaration’ of’ Alma-Ata OBJ: 1
NAT:
Client’Needs:’Safe’and’Effective’Care’Environment:’Management’of’C’are’
TOP:’ Chapter’ 1:’ Population’ Health’ Promotion:’ Essentials’ and’ Essence’of’Practi
ce
KEY:
Integrated’Process:’Nursing’Process’
BLM:’Cognitive’Level:’Analyze
6. Which’issue’is’recognized’as’being’inadequately’addressed’by’current’Canadi’an’h
ealth’policy?
A. Canadians’are’ not’aware’ of’the’ impact’that’ their’behaviours’ have’ on’t’heir’
health’status.
B. Utilization’ of’ the’ health’ care’ system’ is’ insufficient’ to’ ensure’ the’ healt’h’o
f’the’population.
C. Members’ of’ disadvantaged’ groups’ are’ less’ healthy’ than’ other’ Canadians.
D. The’ interests’ of’ the’ health’ care’ industry’ are’ at’ odds’ with’ the’ long-
term’health’of’Canadians.
ANS:’ C
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 peopl
e in the developed world. This was primarily attributable to what phenom
enon?
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 disea
se treatment
ANS: B
Rationale: Health status gains in the developed world during the 20th cent
ury were a result of (1) advances in knowledge about the causes of disea
se, (2) development of new technologies and pharmaceuticals to treat and
cure many diseases, (3) creation of vaccines and environmental solutions t
o prevent disease transmission and acquisition, and (4) innovations in sur
veillance 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: Chapt
er 1: Population Health Promotion: Essentials and Essence of Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand
2. What document is recognized as laying the foundation for the transition 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
Canadi ans) ANS: D
Rationale: The publication in 1974 of the Lalonde Report (A New Perspective
on the Health of Canadians) heralded a change in the focus of health on di
sease to a focus on health. The Ottawa Charter, the WHO Declaration, and
the Epp Framework were each subsequent to the Lalonde 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 C
are TOP: Chapter 1: Population Health Promotion: Essentials and Essence
of Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand
,3. The Lalonde Report of 1974 is recognized as one of the seminal publicati
ons that has shaped the character and direction of public health policy in
Canada. What change in policy is attributed to the Lalonde Report?
A. A shift from collective responsibility for the health of Canadians
to an individual focus
B. A change in focus from the treatment of illness to the promotion of health
C. A change from private funding for health to a combination of provincial
and federal funding
D. A recognition of the importance of determinants of
he alth ANS: B
Rationale: The Lalonde Report is credited with initiating a change in the pol
icy from a focus on disease to a focus on health. The report did not promo
te a change in funding, a change to individual responsibility, or a formal rec
ognition 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 C
are TOP: Chapter 1: Population Health Promotion: Essentials and Essence
of Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand
4. The publication of the World Health Organization’s Declaration of Alma-
Ata is acknowledged to be a key event in the development of contempor
ary public health policy. The Declaration prioritized:
A. collaboration among individuals and health care providers to impact hea
lth decisions.
B. increased funding for the education of nurses, physicians, and allied hea
lth workers in member nations.
C. cooperation between developed nations and developing nations to eradica
te 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 makin
g decisions about their health and how to meet health challenges in ways t
hat are affordable, acceptable, and sustainable in the long term. It did not
specifically prioritize education funding, international cooperation, or the re
moval 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 C
are TOP: Chapter 1: Population Health Promotion: Essentials and Essence
of Practice
KEY: Integrated Process: Nursing Process
, BLM:’ ’ Cognitive’ Level:’ Understand
5. A’ public’ health’ worker’ is’ participating’ in’ the’ creation’ of’ a’ health’ promotio’n’ i
nitiative’ that’ aims’ to’ address’ many’ of’ the’ poor’ health’ outcomes’ in’ a’ ci’ty’s’ ho
meless’ population.’The’success’ or’failure’of’this’initiative’ is’likely’to’depend’on’w
hat’factor?
A. Accessibility’ and’ the’ perceived’ credibility’ of’ the’ planned’ initiative
B. The’provision’of’incentives’and’immediate’benefits’for’ participants’in’t’he’p
rogram
C. Providing’safe’and’supportive’housing’for’homeless’people’befo’re’a
ddressing’their’health’needs
D. Redressing’the’disparities’based’on’gender,’socioeconomic’status,’a’nd’
education
ANS: A
Rationale:’ The’ Declaration’ of’ Alma-
Ata’ called’ for’ health’ providers’ to’ work’ with’ people’ to’ assist’ them’ in’ makin’g’ d
ecisions’ about’ their’ health’ and’ how’ to’ meet’ health’ challenges’ in’ ways’ t’hat’ are
’ affordable,’ acceptable,’ and’ sustainable’ in’ the’ long’ term.’ In’ facing’ t’he’ health’
challenges’ posed’ by’ homelessness,’ it’ is’ imperative’ that’ programs
,’policies,’and’interventions’ensure’accessibility’by’the’ members’ of’ this’ pop’ulati
on.’ As’ well,’ it’ is’ necessary’ to’ present’ initiatives’ in’ a’ way’ that’ promote’s’their’cr
edibility.’Short-
term’ benefits’ are’ not’ a’ prerequisite’ and’ the’ resolution’ of’ disparities’ and’ la’ck’
of’ housing’ need’ not’ precede’ health’ promotion.
PTS: 1 DIF: Moderate
REF: Page’ and’ Header:’ 5,’ Declaration’ of’ Alma-Ata OBJ: 1
NAT:
Client’Needs:’Safe’and’Effective’Care’Environment:’Management’of’C’are’
TOP:’ Chapter’ 1:’ Population’ Health’ Promotion:’ Essentials’ and’ Essence’of’Practi
ce
KEY:
Integrated’Process:’Nursing’Process’
BLM:’Cognitive’Level:’Analyze
6. Which’issue’is’recognized’as’being’inadequately’addressed’by’current’Canadi’an’h
ealth’policy?
A. Canadians’are’ not’aware’ of’the’ impact’that’ their’behaviours’ have’ on’t’heir’
health’status.
B. Utilization’ of’ the’ health’ care’ system’ is’ insufficient’ to’ ensure’ the’ healt’h’o
f’the’population.
C. Members’ of’ disadvantaged’ groups’ are’ less’ healthy’ than’ other’ Canadians.
D. The’ interests’ of’ the’ health’ care’ industry’ are’ at’ odds’ with’ the’ long-
term’health’of’Canadians.
ANS:’ C
