ert5thrteditionrtByrtArdenertR.rtVollman
, Chapterrt1,rtPopulationrtHealthrtPromotion:rtEssentialsrtandrtEs-
rtsencertofrtPractice
1. Thert20thrtcenturyrtsawrtnumerousrtimprovementsrtinrttherthealthrtstatusrtofrtpeopl
ertinrtthertdevelopedrtworld.rtThisrtwasrtprimarilyrtattributablerttortwhatrtphenom
enon?
A. Steadyrtdeclinesrtinrtthertratertofrttobaccortconsumption
B. Thertdevelopmentrtofrtvaccinesrtagainstrtmanyrtcommunicablertdiseases
C. Eradicationrtofrtmicroorganismsrtresponsiblertforrtinfectiousrtdiseases
D. Governmentrtpoliciesrtthatrtprioritizedrthealthrtpromotionrtoverrtdisea
serttreatment
ANS:r t B
Rationale:rtHealthrtstatusrtgainsrtinrtthertdevelopedrtworldrtduringrtthert20thrtcent
uryrtwerertartresultrtofrt(1)rtadvancesrtinrtknowledgertaboutrtthertcausesrtofrtdisea
se,rt(2)rtdevelopmentrtofrtnewrttechnologiesrtandrtpharmaceuticalsrttorttreatrtandrt
curertmanyrtdiseases,rt(3)rtcreationrtofrtvaccinesrtandrtenvironmentalrtsolutionsrtt
ortpreventrtdiseaserttransmissionrtandrtacquisition,rtandrt(4)rtinnovationsrtinrtsur
veillancerttechniquesrttortmeasurerthealthrtstatus.
PTS: 1 DIF: Easy REF:
PagertandrtHeader:rt3,rtIntroductionrtOBJ:r t 1
NAT:r t ClientrtNeeds:rtHealthrtPromotionrtandrtMaintenancertTOP:r t Chapt
errt1:rtPopulationrtHealthrtPromotion:rtEssentialsrtandrtEssencertofrtPractice
KEY:r t IntegratedrtProcess:rtNursingrtProcessrt
BLM:rtCognitivertLevel:rtUnderstand
2. Whatrtdocumentrtisrtrecognizedrtasrtlayingrtthertfoundationrtforrttherttransitionrtinrt
thertfocusrtofrtCanadianrthealthrtpolicyrtfromrtdiseaserttorthealth?
A. ThertOttawartCharterrtforrtHealthrtPromotion
B. ThertEpprtFrameworkrt(ArtFrameworkrtforrtHealthrtPromotion)
C. ThertWHOrtDeclarationrtofrtAlma-Ata
D. ThertLalondertReportrt(ArtNewrtPerspectivesrtonrtthertHealthrtofrtCanadi
ans)rtANS:rtD
Rationale:rtThertpublicationrtinrt1974rtofrtthertLalondertReportrt(ArtNewrtPerspective
rtonrtthertHealthrtofrtCanadians)rtheraldedrtartchangertinrtthertfocusrtofrthealthrtonrtdi
seaserttortartfocusrtonrthealth.rtThertOttawartCharter,rtthertWHOrtDeclaration,rtandrt
thertEpprtFrameworkrtwererteachrtsubsequentrttortthertLalondertReport.
PTS: 1 DIF: Easy
REF: PagertandrtHeader:rt5,rtThertLalondertReport OBJ: 1
NAT:r t ClientrtNeeds:rtSafertandrtEffectivertCarertEnvironment:rtManagementrtofrtC
arertTOP:r t Chapterrt1:rtPopulationrtHealthrtPromotion:rtEssentialsrtandrtEssencert
ofrtPractice
KEY:r t IntegratedrtProcess:rtNursingrtProcessrt
BLM:rtCognitivertLevel:rtUnderstand
,3. ThertLalondertReportrtofrt1974rtisrtrecognizedrtasrtonertofrtthertseminalrtpublicati
onsrtthatrthasrtshapedrtthertcharacterrtandrtdirectionrtofrtpublicrthealthrtpolicyrtinrt
Canada.rtWhatrtchangertinrtpolicyrtisrtattributedrttortthertLalondertReport?
A. ArtshiftrtfromrtcollectivertresponsibilityrtforrttherthealthrtofrtCanadiansrtto
rtanrtindividualrtfocus
B. Artchangertinrtfocusrtfromrttherttreatmentrtofrtillnessrttortthertpromotionrtofrthealth
C. Artchangertfromrtprivatertfundingrtforrthealthrttortartcombinationrtofrtprovincialrt
andrtfederalrtfunding
D. Artrecognitionrtofrtthertimportancertofrtdeterminantsrtofrthe
althrtANS:rtB
Rationale:rtThertLalondertReportrtisrtcreditedrtwithrtinitiatingrtartchangertinrtthertpol
icyrtfromrtartfocusrtonrtdiseaserttortartfocusrtonrthealth.rtThertreportrtdidrtnotrtpromo
tertartchangertinrtfunding,rtartchangerttortindividualrtresponsibility,rtorrtartformalrtreco
gnitionrtofrtthertdeterminantsrtofrthealth.
PTS: 1 DIF: Easy
REF: PagertandrtHeader:rt5,rtThertLalondertReport OBJ: 1
NAT:r t ClientrtNeeds:rtSafertandrtEffectivertCarertEnvironment:rtManagementrtofrtC
arertTOP:r t Chapterrt1:rtPopulationrtHealthrtPromotion:rtEssentialsrtandrtEssencert
ofrtPractice
KEY:r t IntegratedrtProcess:rtNursingrtProcessrt
BLM:rtCognitivertLevel:rtUnderstand
4. ThertpublicationrtofrtthertWorldrtHealthrtOrganization’srtDeclarationrtofrtAlma-
Atartisrtacknowledgedrttortbertartkeyrteventrtinrtthertdevelopmentrtofrtcontempor
aryrtpublicrthealthrtpolicy.rtThertDeclarationrtprioritized:
A. collaborationrtamongrtindividualsrtandrthealthrtcarertprovidersrttortimpactrthea
lthrtdecisions.
B. increasedrtfundingrtforrttherteducationrtofrtnurses,rtphysicians,rtandrtalliedrthea
lthrtworkersrtinrtmemberrtnations.
C. cooperationrtbetweenrtdevelopedrtnationsrtandrtdevelopingrtnationsrttorteradica
tertglobalrthealthrtinequities.
D. thertremovalrtofrtclass-basedrtbarriersrttorthealthrtdecisionrtmaking.
ANS:r t A
Rationale:rtThertDeclarationrtofrtAlma-
Atartcalledrtforrthealthrtprovidersrttortworkrtwithrtpeoplerttortassistrtthemrtinrtmaking
rtdecisionsrtaboutrttheirrthealthrtandrthowrttortmeetrthealthrtchallengesrtinrtwaysrtth
atrtarertaffordable,rtacceptable,rtandrtsustainablertinrtthertlongrtterm.rtItrtdidrtnotrts
pecificallyrtprioritizerteducationrtfunding,rtinternationalrtcooperation,rtorrtthertrem
ovalrtofrtclass-basedrtbarriersrttorthealth.
PTS: 1 DIF: Easy
REF: PagertandrtHeader:rt5,rtDeclarationrtofrtAlma-Ata OBJ: 1
NAT:r t ClientrtNeeds:rtSafertandrtEffectivertCarertEnvironment:rtManagementrtofrtC
arertTOP:r t Chapterrt1:rtPopulationrtHealthrtPromotion:rtEssentialsrtandrtEssencert
ofrtPractice
KEY:r t IntegratedrtProcess:rtNursingrtProcess
, BLM:r t CognitivertLevel:rtUnderstand
5. Artpublicrthealthrtworkerrtisrtparticipatingrtinrtthertcreationrtofrtarthealthrtpromotio
nrtinitiativertthatrtaimsrttortaddressrtmanyrtofrtthertpoorrthealthrtoutcomesrtinrtartci
ty’srthomelessrtpopulation.rtThertsuccessrtorrtfailurertofrtthisrtinitiativertisrtlikelyrttor
tdependrtonrtwhatrtfactor?
A. Accessibilityrtandrtthertperceivedrtcredibilityrtofrtthertplannedrtinitiative
B. Thertprovisionrtofrtincentivesrtandrtimmediatertbenefitsrtforrtparticipantsrtinrtt
hertprogram
C. Providingrtsafertandrtsupportiverthousingrtforrthomelessrtpeoplertbefo
rertaddressingrttheirrthealthrtneeds
D. Redressingrtthertdisparitiesrtbasedrtonrtgender,rtsocioeconomicrtstatus,rta
ndrteducation
ANS:r t A
Rationale:rtThertDeclarationrtofrtAlma-
Atartcalledrtforrthealthrtprovidersrttortworkrtwithrtpeoplerttortassistrtthemrtinrtmakin
grtdecisionsrtaboutrttheirrthealthrtandrthowrttortmeetrthealthrtchallengesrtinrtwaysrtt
hatrtarertaffordable,rtacceptable,rtandrtsustainablertinrtthertlongrtterm.rtInrtfacingrtt
herthealthrtchallengesrtposedrtbyrthomelessness,rtitrtisrtimperativertthatrtprograms
,rtpolicies,rtandrtinterventionsrtensurertaccessibilityrtbyrtthertmembersrtofrtthisrtpopu
lation.rtAsrtwell,rtitrtisrtnecessaryrttortpresentrtinitiativesrtinrtartwayrtthatrtpromotesr
ttheirrtcredibility.rtShort-
termrtbenefitsrtarertnotrtartprerequisitertandrtthertresolutionrtofrtdisparitiesrtandrtla
ckrtofrthousingrtneedrtnotrtprecederthealthrtpromotion.
PTS: 1 DIF: Moderate
REF: PagertandrtHeader:rt5,rtDeclarationrtofrtAlma-Ata OBJ: 1
NAT:r t ClientrtNeeds:rtSafertandrtEffectivertCarertEnvironment:rtManagementrtofrtC
arertTOP:r t Chapterrt1:rtPopulationrtHealthrtPromotion:rtEssentialsrtandrtEssencert
ofrtPractice
KEY:r t IntegratedrtProcess:rtNursingrtProcessrt
BLM:rtCognitivertLevel:rtAnalyze
6. WhichrtissuertisrtrecognizedrtasrtbeingrtinadequatelyrtaddressedrtbyrtcurrentrtCanadi
anrthealthrtpolicy?
A. Canadiansrtarertnotrtawarertofrtthertimpactrtthatrttheirrtbehavioursrthavertonrtt
heirrthealthrtstatus.
B. Utilizationrtofrttherthealthrtcarertsystemrtisrtinsufficientrttortensurerttherthealt
hrtofrtthertpopulation.
C. MembersrtofrtdisadvantagedrtgroupsrtarertlessrthealthyrtthanrtotherrtCanadians.
D. Thertinterestsrtofrttherthealthrtcarertindustryrtarertatrtoddsrtwithrtthertlong-
termrthealthrtofrtCanadians.
ANS:rtC