, Chapter 1, Population Health Promotion: Essentials and Es- dt dt dt dt dt dt dt
sence of Practice
dt dt dt
1. The 20th century saw numerous improvements in the health status of people in th
dt dt dt dt dt dt dt dt dt dt dt dt dt
e developed world. This was primarily attributable to what phenomenon?
dt dt dt dt dt dt dt dt dt
A. Steady declines in the rate of tobacco consumption dt dt dt dt dt dt dt
B. The development of vaccines against many communicable diseases
dt dt dt dt dt dt dt
C. Eradication of microorganisms responsible for infectious diseases dt dt dt dt dt dt
D. Government policies that prioritized health promotion over disease t dt dt dt dt dt dt dt dt
reatment
ANS: B d t
Rationale: Health status gains in the developed world during the 20th century w
dt dt dt dt dt dt dt dt dt dt dt dt
ere a result of (1) advances in knowledge about the causes of disease, (2) devel
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
opment of new technologies and pharmaceuticals to treat and cure many diseas
dt dt dt dt dt dt dt dt dt dt dt
es, (3) creation of vaccines and environmental solutions to prevent disease tran
dt dt dt dt dt dt dt dt dt dt dt
smission and acquisition, and (4) innovations in surveillance techniques to mea
dt dt dt dt dt dt dt dt dt dt
sure health status. dt dt
PTS: 1 DIF: Easy REF:
Page and Header: 3, Introduction OBJ: 1 dt dt dt dt dt d t
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1
d t dt dt dt dt dt dt d t dt
: Population Health Promotion: Essentials and Essence of Practice
dt dt dt dt dt dt dt dt
KEY: Integrated Process: Nursing Process BL
d t dt dt dt dt
M: Cognitive Level: Understand
dt dt dt
2. What document is recognized as laying the foundation for the transition in the fo
dt dt dt dt dt dt dt dt dt dt dt dt dt
cus of Canadian health policy from disease to health?
dt dt dt dt dt dt dt dt
A. The Ottawa Charter for Health Promotion
dt dt dt dt dt
B. The Epp Framework (A Framework for Health Promotion)
dt dt dt dt dt dt dt
C. The WHO Declaration of Alma-Ata dt dt dt dt
D. The Lalonde Report (A New Perspectives on the Health of Canadians)
dt dt dt dt dt dt dt dt dt dt dt
ANS: D dt
Rationale: The publication in 1974 of the Lalonde Report (A New Perspective on th
dt dt dt dt dt dt dt dt dt dt dt dt dt
e Health of Canadians) heralded a change in the focus of health on disease to a fo
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
cus on health. The Ottawa Charter, the WHO Declaration, and the Epp Framewor
dt dt dt dt dt dt dt dt dt dt dt dt
k were each subsequent to the Lalonde Report.
dt dt dt dt dt dt dt
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1
dt dt dt dt dt dt
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
d t dt dt dt dt dt dt dt dt dt dt
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
d t dt dt dt dt dt dt dt dt dt
KEY: Integrated Process: Nursing Process BL
d t dt dt dt dt
M: Cognitive Level: Understand
dt dt dt
,3. The Lalonde Report of 1974 is recognized as one of the seminal publications th
dt dt dt dt dt dt dt dt dt dt dt dt dt
at has shaped the character and direction of public health policy in Canada. Wh
dt dt dt dt dt dt dt dt dt dt dt dt dt
at change in policy is attributed to the Lalonde Report?
dt dt dt dt dt dt dt dt dt
A. A shift from collective responsibility for the health of Canadians to an i
dt dt dt dt dt dt dt dt dt dt dt dt
ndividual focus dt
B. A change in focus from the treatment of illness to the promotion of health
dt dt dt dt dt dt dt dt dt dt dt dt dt
C. A change from private funding for health to a combination of provincial and fe
dt dt dt dt dt dt dt dt dt dt dt dt dt
deral funding dt
D. A recognition of the importance of determinants of health
dt dt dt dt dt dt dt dt dt
ANS: B dt
Rationale: The Lalonde Report is credited with initiating a change in the policy fro
dt dt dt dt dt dt dt dt dt dt dt dt dt
m a focus on disease to a focus on health. The report did not promote a change in
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
funding, a change to individual responsibility, or a formal recognition of the deter
dt dt dt dt dt dt dt dt dt dt dt dt dt
minants of health. dt dt
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1 dt dt dt dt dt dt
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
d t dt dt dt dt dt dt dt dt dt dt
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
d t dt dt dt dt dt dt dt dt dt
KEY: Integrated Process: Nursing Process BL
d t dt dt dt dt
M: Cognitive Level: Understand
dt dt dt
4. The publication of the World Health Organization’s Declaration of Alma-
dt dt dt dt dt dt dt dt dt
Ata is acknowledged to be a key event in the development of contemporary p
dt dt dt dt dt dt dt dt dt dt dt dt dt
ublic health policy. The Declaration prioritized:
dt dt dt dt dt
A. collaboration among individuals and health care providers to impact health d dt dt dt dt dt dt dt dt dt dt
ecisions.
B. increased funding for the education of nurses, physicians, and allied health w dt dt dt dt dt dt dt dt dt dt dt
orkers in member nations. dt dt dt
C. cooperation between developed nations and developing nations to eradicate g dt dt dt dt dt dt dt dt dt
lobal health inequities. dt dt
D. the removal of class-based barriers to health decision making.
dt dt dt dt dt dt dt dt
ANS: A d t
Rationale: The Declaration of Alma- dt dt dt dt
Ata called for health providers to work with people to assist them in making decisi
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ons about their health and how to meet health challenges in ways that are afford
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
able, acceptable, and sustainable in the long term. It did not specifically prioritiz
dt dt dt dt dt dt dt dt dt dt dt dt
e education funding, international cooperation, or the removal of class-
dt dt dt dt dt dt dt dt dt
based barriers to health. dt dt dt
PTS: 1 DIF: Easy
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 dt dt dt dt dt dt
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
d t dt dt dt dt dt dt dt dt dt dt
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
d t dt dt dt dt dt dt dt dt dt
KEY: Integrated Process: Nursing Process
d t dt dt dt
, BLM: Cognitive Level: Understandd t dt dt
5. A public health worker is participating in the creation of a health promotion initi
dt dt dt dt dt dt dt dt dt dt dt dt dt
ative that aims to address many of the poor health outcomes in a city’s homele
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ss population. The success or failure of this initiative is likely to depend on what f
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
actor?
A. Accessibility and the perceived credibility of the planned initiative dt dt dt dt dt dt dt dt
B. The provision of incentives and immediate benefits for participants in the pr
dt dt dt dt dt dt dt dt dt dt dt
ogram
C. Providing safe and supportive housing for homeless people before a dt dt dt dt dt dt dt dt dt
ddressing their health needs dt dt dt
D. Redressing the disparities based on gender, socioeconomic status, and e dt dt dt dt dt dt dt dt dt
ducation
ANS: A d t
Rationale: The Declaration of Alma- dt dt dt dt
Ata called for health providers to work with people to assist them in making decis
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ions about their health and how to meet health challenges in ways that are afford
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
able, acceptable, and sustainable in the long term. In facing the health challenge
dt dt dt dt dt dt dt dt dt dt dt dt
s posed by homelessness, it is imperative that programs, policies, and interventio
dt dt dt dt dt dt dt dt dt dt dt
ns ensure accessibility by the members of this population. As well, it is necessary
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
to present initiatives in a way that promotes their credibility. Short-
dt dt dt dt dt dt dt dt dt dt
term benefits are not a prerequisite and the resolution of disparities and lack of h
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ousing need not precede health promotion. dt dt dt dt dt
PTS: 1 DIF: Moderate
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 dt dt dt dt dt dt
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
d t dt dt dt dt dt dt dt dt dt dt
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
d t dt dt dt dt dt dt dt dt dt
KEY: Integrated Process: Nursing Process BL
d t dt dt dt dt
M: Cognitive Level: Analyze
dt dt dt
6. Which issue is recognized as being inadequately addressed by current Canadian h
dt dt dt dt dt dt dt dt dt dt dt
ealth policy? dt
A. Canadians are not aware of the impact that their behaviours have on their h dt dt dt dt dt dt dt dt dt dt dt dt dt
ealth status. dt
B. Utilization of the health care system is insufficient to ensure the health of th
dt dt dt dt dt dt dt dt dt dt dt dt dt
e population.
dt
C. Members of disadvantaged groups are less healthy than other Canadians. dt dt dt dt dt dt dt dt dt
D. The interests of the health care industry are at odds with the long-
dt dt dt dt dt dt dt dt dt dt dt dt
term health of Canadians. dt dt dt
ANS: C dt
sence of Practice
dt dt dt
1. The 20th century saw numerous improvements in the health status of people in th
dt dt dt dt dt dt dt dt dt dt dt dt dt
e developed world. This was primarily attributable to what phenomenon?
dt dt dt dt dt dt dt dt dt
A. Steady declines in the rate of tobacco consumption dt dt dt dt dt dt dt
B. The development of vaccines against many communicable diseases
dt dt dt dt dt dt dt
C. Eradication of microorganisms responsible for infectious diseases dt dt dt dt dt dt
D. Government policies that prioritized health promotion over disease t dt dt dt dt dt dt dt dt
reatment
ANS: B d t
Rationale: Health status gains in the developed world during the 20th century w
dt dt dt dt dt dt dt dt dt dt dt dt
ere a result of (1) advances in knowledge about the causes of disease, (2) devel
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
opment of new technologies and pharmaceuticals to treat and cure many diseas
dt dt dt dt dt dt dt dt dt dt dt
es, (3) creation of vaccines and environmental solutions to prevent disease tran
dt dt dt dt dt dt dt dt dt dt dt
smission and acquisition, and (4) innovations in surveillance techniques to mea
dt dt dt dt dt dt dt dt dt dt
sure health status. dt dt
PTS: 1 DIF: Easy REF:
Page and Header: 3, Introduction OBJ: 1 dt dt dt dt dt d t
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1
d t dt dt dt dt dt dt d t dt
: Population Health Promotion: Essentials and Essence of Practice
dt dt dt dt dt dt dt dt
KEY: Integrated Process: Nursing Process BL
d t dt dt dt dt
M: Cognitive Level: Understand
dt dt dt
2. What document is recognized as laying the foundation for the transition in the fo
dt dt dt dt dt dt dt dt dt dt dt dt dt
cus of Canadian health policy from disease to health?
dt dt dt dt dt dt dt dt
A. The Ottawa Charter for Health Promotion
dt dt dt dt dt
B. The Epp Framework (A Framework for Health Promotion)
dt dt dt dt dt dt dt
C. The WHO Declaration of Alma-Ata dt dt dt dt
D. The Lalonde Report (A New Perspectives on the Health of Canadians)
dt dt dt dt dt dt dt dt dt dt dt
ANS: D dt
Rationale: The publication in 1974 of the Lalonde Report (A New Perspective on th
dt dt dt dt dt dt dt dt dt dt dt dt dt
e Health of Canadians) heralded a change in the focus of health on disease to a fo
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
cus on health. The Ottawa Charter, the WHO Declaration, and the Epp Framewor
dt dt dt dt dt dt dt dt dt dt dt dt
k were each subsequent to the Lalonde Report.
dt dt dt dt dt dt dt
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1
dt dt dt dt dt dt
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
d t dt dt dt dt dt dt dt dt dt dt
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
d t dt dt dt dt dt dt dt dt dt
KEY: Integrated Process: Nursing Process BL
d t dt dt dt dt
M: Cognitive Level: Understand
dt dt dt
,3. The Lalonde Report of 1974 is recognized as one of the seminal publications th
dt dt dt dt dt dt dt dt dt dt dt dt dt
at has shaped the character and direction of public health policy in Canada. Wh
dt dt dt dt dt dt dt dt dt dt dt dt dt
at change in policy is attributed to the Lalonde Report?
dt dt dt dt dt dt dt dt dt
A. A shift from collective responsibility for the health of Canadians to an i
dt dt dt dt dt dt dt dt dt dt dt dt
ndividual focus dt
B. A change in focus from the treatment of illness to the promotion of health
dt dt dt dt dt dt dt dt dt dt dt dt dt
C. A change from private funding for health to a combination of provincial and fe
dt dt dt dt dt dt dt dt dt dt dt dt dt
deral funding dt
D. A recognition of the importance of determinants of health
dt dt dt dt dt dt dt dt dt
ANS: B dt
Rationale: The Lalonde Report is credited with initiating a change in the policy fro
dt dt dt dt dt dt dt dt dt dt dt dt dt
m a focus on disease to a focus on health. The report did not promote a change in
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
funding, a change to individual responsibility, or a formal recognition of the deter
dt dt dt dt dt dt dt dt dt dt dt dt dt
minants of health. dt dt
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1 dt dt dt dt dt dt
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
d t dt dt dt dt dt dt dt dt dt dt
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
d t dt dt dt dt dt dt dt dt dt
KEY: Integrated Process: Nursing Process BL
d t dt dt dt dt
M: Cognitive Level: Understand
dt dt dt
4. The publication of the World Health Organization’s Declaration of Alma-
dt dt dt dt dt dt dt dt dt
Ata is acknowledged to be a key event in the development of contemporary p
dt dt dt dt dt dt dt dt dt dt dt dt dt
ublic health policy. The Declaration prioritized:
dt dt dt dt dt
A. collaboration among individuals and health care providers to impact health d dt dt dt dt dt dt dt dt dt dt
ecisions.
B. increased funding for the education of nurses, physicians, and allied health w dt dt dt dt dt dt dt dt dt dt dt
orkers in member nations. dt dt dt
C. cooperation between developed nations and developing nations to eradicate g dt dt dt dt dt dt dt dt dt
lobal health inequities. dt dt
D. the removal of class-based barriers to health decision making.
dt dt dt dt dt dt dt dt
ANS: A d t
Rationale: The Declaration of Alma- dt dt dt dt
Ata called for health providers to work with people to assist them in making decisi
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ons about their health and how to meet health challenges in ways that are afford
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
able, acceptable, and sustainable in the long term. It did not specifically prioritiz
dt dt dt dt dt dt dt dt dt dt dt dt
e education funding, international cooperation, or the removal of class-
dt dt dt dt dt dt dt dt dt
based barriers to health. dt dt dt
PTS: 1 DIF: Easy
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 dt dt dt dt dt dt
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
d t dt dt dt dt dt dt dt dt dt dt
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
d t dt dt dt dt dt dt dt dt dt
KEY: Integrated Process: Nursing Process
d t dt dt dt
, BLM: Cognitive Level: Understandd t dt dt
5. A public health worker is participating in the creation of a health promotion initi
dt dt dt dt dt dt dt dt dt dt dt dt dt
ative that aims to address many of the poor health outcomes in a city’s homele
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ss population. The success or failure of this initiative is likely to depend on what f
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
actor?
A. Accessibility and the perceived credibility of the planned initiative dt dt dt dt dt dt dt dt
B. The provision of incentives and immediate benefits for participants in the pr
dt dt dt dt dt dt dt dt dt dt dt
ogram
C. Providing safe and supportive housing for homeless people before a dt dt dt dt dt dt dt dt dt
ddressing their health needs dt dt dt
D. Redressing the disparities based on gender, socioeconomic status, and e dt dt dt dt dt dt dt dt dt
ducation
ANS: A d t
Rationale: The Declaration of Alma- dt dt dt dt
Ata called for health providers to work with people to assist them in making decis
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ions about their health and how to meet health challenges in ways that are afford
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
able, acceptable, and sustainable in the long term. In facing the health challenge
dt dt dt dt dt dt dt dt dt dt dt dt
s posed by homelessness, it is imperative that programs, policies, and interventio
dt dt dt dt dt dt dt dt dt dt dt
ns ensure accessibility by the members of this population. As well, it is necessary
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
to present initiatives in a way that promotes their credibility. Short-
dt dt dt dt dt dt dt dt dt dt
term benefits are not a prerequisite and the resolution of disparities and lack of h
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ousing need not precede health promotion. dt dt dt dt dt
PTS: 1 DIF: Moderate
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 dt dt dt dt dt dt
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
d t dt dt dt dt dt dt dt dt dt dt
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
d t dt dt dt dt dt dt dt dt dt
KEY: Integrated Process: Nursing Process BL
d t dt dt dt dt
M: Cognitive Level: Analyze
dt dt dt
6. Which issue is recognized as being inadequately addressed by current Canadian h
dt dt dt dt dt dt dt dt dt dt dt
ealth policy? dt
A. Canadians are not aware of the impact that their behaviours have on their h dt dt dt dt dt dt dt dt dt dt dt dt dt
ealth status. dt
B. Utilization of the health care system is insufficient to ensure the health of th
dt dt dt dt dt dt dt dt dt dt dt dt dt
e population.
dt
C. Members of disadvantaged groups are less healthy than other Canadians. dt dt dt dt dt dt dt dt dt
D. The interests of the health care industry are at odds with the long-
dt dt dt dt dt dt dt dt dt dt dt dt
term health of Canadians. dt dt dt
ANS: C dt