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