, Chapter1,PopulationHealthPromotion:EssentialsandEs-
sence of Practice s& s&
1. The 20th centurysawnumerousimprovements in the healthstatusofpeopleinthe de
d* d* d* d* d* s& s&
veloped world. This was primarily attributable to what phenomenon?
s& s& d* s& s& s& s& s&
A. Steadydeclinesintherateoftobaccoconsumption s
& s
&
B. The developmentofvaccines againstmanycommunicable diseases
d* d* d*
C. Eradicationofmicroorganisms responsibleforinfectiousdiseases d*
D. Governmentpoliciesthatprioritizedhealth promotionoverdiseasetr e d* s& s&
atment
ANS: B
Rationale:Healthstatusgainsin thedeveloped worldduringthe 20thcenturywe r e a
s
& s
& s
& s
& s& s
& s& s
& s
& s
& s
& s
& s& s& s& s&
resultof(1) advances in knowledge about the causes of disease, (2) develop m ent of
s
& s
& s& s& s& s& s& s& s& s& s& s& s& s& d* s&
new technologies and pharmaceuticals to treatand cure many diseases, ( 3) creatio
s& s& s& s& s& s
& s& s& s& s& s& s&
nofvaccinesandenvironmentalsolutions toprevent diseasetransmiss ion and acq
s
& s
& s
& s
& s
& d* s
& d* s
& s& s& s&
uisition, and (4) innovations in surveillance techniques to measure he alth status.
s& s& s& s
& s& s& s& s& s& s& s&
PTS: 1 DIF: Easy REF:
PageandHeader:3,IntroductionOBJ: s
&
1
NAT:
s&
Client Needs:HealthPromotionandMaintenanceTOP: Chapter1: P d* s & s& s
opulation Health Promotion: Essentials and Essence of Practice
& s& s& s& s& s& s& s&
KEY:
IntegratedProcess:NursingProcess BL d* d*s
&M: Cognitive Level: Understand
s& s& s&
2. Whatdocument isrecognizedaslayingthefoundationforthetransitioninthefoc u xs& s&
s of Canadian health policy from disease to health?
s& s& s& s& s& s& s& s&
A. The OttawaCharterfor HealthPromotion
d* s&
B. The Epp Framework (AFrameworkforHealthPromotion)
d* d* d*
C. The WHODeclarationofAlma-Ata d*
D. The Lalonde Report (A NewPerspectives on the Health of Canadians) A
s& s& s& s
& s
& s& s& s& s& s
& s& s&
NS:D s
&
Rationale:The publicationin1974 ofthe Lalonde Report (A NewPerspective on the He
s
& s
& s
& s
& s& s
& s& s& d* s& s& s& s& s&
althofCanadians)heraldedachangeinthefocus ofhealthondiseaseto afocus o n healt
s
& s
& s
& s
& s
& s
& s
& s
& d* s
& s
& s
& s
& d* s
& s& s& s&
h. The Ottawa Charter, the WHO Declaration, and the Epp Framework wer e each su
s& s& s& s& s& s& s& s& s& s& d* s& s& s&
bsequent to the Lalonde Report. s& s& s& s&
PTS: 1 DIF: Easy
REF: PageandHeader:5,TheLalondeReport OBJ:
1 NAT: s&
Client Needs:SafeandEffectiveCare Environment:Management ofCareTO P:
d* d* d* s &
Chapter1:PopulationHealthPromotion:EssentialsandEssence ofPractice KEY: IntegratedPr
s
& s
& s
& s
& s
& s
& s
& s
& s
& s& s&
ocess:NursingProcess BL s&
M:CognitiveLevel:Understand
s
& s
& s&
,3. The Lalonde Report of 1974 is recognized as one of the seminal publications tha t h
s& s& s& s& s& d* s& s& s& s& s& s& d* s& s&
as shaped the character and direction of public healthpolicy in Canada. What c h a
s& s& s& s& s& s& s& d* s& s& s& s & d* s&
nge in policy is attributed to the Lalonde Report?
s& s& s& s& s& s& s& s&
A. Ashift fromcollective responsibilityforthehealthofCanadianstoanind ivi
d* d* s& s&
dualfocus s
&
B. Achangeinfocusfromthetreatment ofillnesstothepromotionofhealth
s
& s
& d* s& s
&
C. A change from privatefundingforhealthto acombination ofprovincialandfed era
d* d* d* d* d* s& s
&lfunding
s
&
D. A recognition of the importance of determinants of health A
s& s& s& s& s& s& s& s& s&
s& NS:B s
&
Rationale: The Lalonde Report is credited with initiating a change in the policy fro m
s& s& s& s& d* s& s& s& s& s& s& s& s& s & s&
afocusondiseasetoafocusonhealth.The report didnotpromote achange infu nding, s& s& s& d* s & s&
achange to individualresponsibility,oraformalrecognitionofthe determina nts of he
d* d* d* s& s& s& s&
alth.
PTS: 1 DIF: Easy
s&s & s & s &
REF: PageandHeader:5,TheLalondeReport OBJ:
1 NAT: s&
Client Needs:SafeandEffectiveCare Environment:Management ofCareTO P:
d* d* d* s &
Chapter1:PopulationHealthPromotion:EssentialsandEssence ofPractice KEY: IntegratedPr
s
& s
& s
& s
& s
& s
& s
& s
& s
& s& s&
ocess:NursingProcess BL s&
M:CognitiveLevel:Understand
s
& s
& s&
4. ThepublicationoftheWorldHealthOrganization’sDeclarationofAlma- s
&
Atais acknowledgedtobe akeyeventinthedevelopment ofcontemporarypub lic
d* d* s
& d* s& s&
health policy. The Declaration prioritized:
s& s& s& s&
A. collaborationamongindividuals andhealthcare providerstoimpact health de ci xv s& d* s
& d* s& s& s&
sions.
B. increasedfundingfortheeducation ofnurses,physicians,andalliedhealthwo rk d* s& s&
ers in member nations.
s& s& s&
C. cooperationbetweendevelopednationsanddevelopingnations to eradicategl o s
& d* d* s& s&
bal health inequities.
s& s&
D. theremovalofclass-basedbarrierstohealthdecision making. d*
ANS: A
Rationale:TheDeclarationofAlma- s
&
Atacalledforhealthproviderstowork withpeople toassisttheminmakingdecisio nsa d* d* s
& s
& s& s&
bout theirhealthandhowtomeet healthchallengesinwaysthat areaffordabl e,acce
d* d* d* s& s
& s
ptable,andsustainableinthelongterm.Itdidnotspecificallyprioritizeed ucation f un
& s
& s
& s
& s
& s
& s
& s
& s
& s
& s
& s
& s& s& s&
ding, international cooperation, or the removal of class-
s& s& s& s& s& s& s&
basedbarrierstohealth. s& s
&
PTS: 1 DIF: Easy
REF: PageandHeader:5,DeclarationofAlma-Ata OBJ:
1 NAT: s&
Client Needs:SafeandEffectiveCare Environment:Management ofCare TO P:
d* d* d* d* s &
Chapter1:PopulationHealthPromotion:EssentialsandEssence ofPractice KEY: IntegratedPr
s
& s
& s
& s
& s
& s
& s
& s
& s
& s& s&
ocess:NursingProcess
, BLM: CognitiveLevel:Understand
5. Apublichealthworkerisparticipatinginthe creationofahealthpromotioninitiat ive s& s & s&
that aims to addressmanyofthe poorhealthoutcomesina city’s homeless p opulati
s& s& s& s& s& d* d* s & s&
on.Thesuccess orfailureofthis initiativeislikelytodependonwhat factor
d* d* s
& d*
?
A. Accessibilityandthe perceived credibilityofthe plannedinitiative s& d* d*
B. The provisionofincentives andimmediate benefits forparticipants inthepro g
d* s& d* d* s& s& s&
ram
C. Providing safe andsupportivehousingforhomeless peoplebeforead d
d* d* d* s
& s& s&
ressing their health needs
s& s& s&
D. Redressingthedisparitiesbasedongender,socioeconomic status,anded *
d xv s& s&
ucation
ANS: A
Rationale: The Declaration of Alma- s
& s& s& s&
Atacalledforhealthprovidersto work withpeople toassisttheminmakingdecisio ns d* d* d* s& s&
abouttheirhealthandhowtomeet healthchallengesinwaysthat areaffordabl e,acc d* s
& d* s
& s& s
& s&
eptable,andsustainable inthe longterm.Infacingthehealthchallengespo sedbyh o
s
& s
& d* s
& d* s
& s
& s
& s
& s& s&
melessness,it isimperativethatprograms,policies,andinterventions en sure acces
d* d* s& d* s&
sibilitybythemembersofthispopulation.As well,it isnecessaryto pres ent initiatives d* d* d* s& s& s&
in a way that promotes their credibility. Short-
s& s& s& s& s& s& s&
termbenefits arenotaprerequisite andtheresolutionofdisparitiesandlack ofho usi
d* s
& d* d* s& s&
ng need not precede health promotion.
s& s& s& s& s&
PTS: 1 DIF: Moderate
REF: PageandHeader:5,DeclarationofAlma-Ata OBJ:
1 NAT: s&
Client Needs:SafeandEffectiveCare Environment:Management ofCare TO P:
d* d* d* d* s &
Chapter1:PopulationHealthPromotion:EssentialsandEssence ofPractice KEY: IntegratedPr
s
& s
& s
& s
& s
& s
& s
& s
& s
& s& s&
ocess:NursingProcess BL s&
M:CognitiveLevel:Analyze
s
& s
& s&
6. Whichissue is recognizedas beinginadequatelyaddressedbycurrentCanadianhe alt
d* d* d* s
& s& s&
hpolicy?
A. Canadiansarenot aware oftheimpact that theirbehaviours have ontheirhea lth
s
& d* d* d* d* d* d* s& s&
status.
B. Utilizationofthe healthcaresystemisinsufficient toensurethehealthofthe po
d* s
& d* s& s&
pulation.
C. Membersofdisadvantagedgroups arelesshealthythanotherCanadians. d*
D. Theinterestsofthehealthcareindustryareat odds withthelong- d* s&
term health of Canadians.
s& s& s&
ANS:C
sence of Practice s& s&
1. The 20th centurysawnumerousimprovements in the healthstatusofpeopleinthe de
d* d* d* d* d* s& s&
veloped world. This was primarily attributable to what phenomenon?
s& s& d* s& s& s& s& s&
A. Steadydeclinesintherateoftobaccoconsumption s
& s
&
B. The developmentofvaccines againstmanycommunicable diseases
d* d* d*
C. Eradicationofmicroorganisms responsibleforinfectiousdiseases d*
D. Governmentpoliciesthatprioritizedhealth promotionoverdiseasetr e d* s& s&
atment
ANS: B
Rationale:Healthstatusgainsin thedeveloped worldduringthe 20thcenturywe r e a
s
& s
& s
& s
& s& s
& s& s
& s
& s
& s
& s
& s& s& s& s&
resultof(1) advances in knowledge about the causes of disease, (2) develop m ent of
s
& s
& s& s& s& s& s& s& s& s& s& s& s& s& d* s&
new technologies and pharmaceuticals to treatand cure many diseases, ( 3) creatio
s& s& s& s& s& s
& s& s& s& s& s& s&
nofvaccinesandenvironmentalsolutions toprevent diseasetransmiss ion and acq
s
& s
& s
& s
& s
& d* s
& d* s
& s& s& s&
uisition, and (4) innovations in surveillance techniques to measure he alth status.
s& s& s& s
& s& s& s& s& s& s& s&
PTS: 1 DIF: Easy REF:
PageandHeader:3,IntroductionOBJ: s
&
1
NAT:
s&
Client Needs:HealthPromotionandMaintenanceTOP: Chapter1: P d* s & s& s
opulation Health Promotion: Essentials and Essence of Practice
& s& s& s& s& s& s& s&
KEY:
IntegratedProcess:NursingProcess BL d* d*s
&M: Cognitive Level: Understand
s& s& s&
2. Whatdocument isrecognizedaslayingthefoundationforthetransitioninthefoc u xs& s&
s of Canadian health policy from disease to health?
s& s& s& s& s& s& s& s&
A. The OttawaCharterfor HealthPromotion
d* s&
B. The Epp Framework (AFrameworkforHealthPromotion)
d* d* d*
C. The WHODeclarationofAlma-Ata d*
D. The Lalonde Report (A NewPerspectives on the Health of Canadians) A
s& s& s& s
& s
& s& s& s& s& s
& s& s&
NS:D s
&
Rationale:The publicationin1974 ofthe Lalonde Report (A NewPerspective on the He
s
& s
& s
& s
& s& s
& s& s& d* s& s& s& s& s&
althofCanadians)heraldedachangeinthefocus ofhealthondiseaseto afocus o n healt
s
& s
& s
& s
& s
& s
& s
& s
& d* s
& s
& s
& s
& d* s
& s& s& s&
h. The Ottawa Charter, the WHO Declaration, and the Epp Framework wer e each su
s& s& s& s& s& s& s& s& s& s& d* s& s& s&
bsequent to the Lalonde Report. s& s& s& s&
PTS: 1 DIF: Easy
REF: PageandHeader:5,TheLalondeReport OBJ:
1 NAT: s&
Client Needs:SafeandEffectiveCare Environment:Management ofCareTO P:
d* d* d* s &
Chapter1:PopulationHealthPromotion:EssentialsandEssence ofPractice KEY: IntegratedPr
s
& s
& s
& s
& s
& s
& s
& s
& s
& s& s&
ocess:NursingProcess BL s&
M:CognitiveLevel:Understand
s
& s
& s&
,3. The Lalonde Report of 1974 is recognized as one of the seminal publications tha t h
s& s& s& s& s& d* s& s& s& s& s& s& d* s& s&
as shaped the character and direction of public healthpolicy in Canada. What c h a
s& s& s& s& s& s& s& d* s& s& s& s & d* s&
nge in policy is attributed to the Lalonde Report?
s& s& s& s& s& s& s& s&
A. Ashift fromcollective responsibilityforthehealthofCanadianstoanind ivi
d* d* s& s&
dualfocus s
&
B. Achangeinfocusfromthetreatment ofillnesstothepromotionofhealth
s
& s
& d* s& s
&
C. A change from privatefundingforhealthto acombination ofprovincialandfed era
d* d* d* d* d* s& s
&lfunding
s
&
D. A recognition of the importance of determinants of health A
s& s& s& s& s& s& s& s& s&
s& NS:B s
&
Rationale: The Lalonde Report is credited with initiating a change in the policy fro m
s& s& s& s& d* s& s& s& s& s& s& s& s& s & s&
afocusondiseasetoafocusonhealth.The report didnotpromote achange infu nding, s& s& s& d* s & s&
achange to individualresponsibility,oraformalrecognitionofthe determina nts of he
d* d* d* s& s& s& s&
alth.
PTS: 1 DIF: Easy
s&s & s & s &
REF: PageandHeader:5,TheLalondeReport OBJ:
1 NAT: s&
Client Needs:SafeandEffectiveCare Environment:Management ofCareTO P:
d* d* d* s &
Chapter1:PopulationHealthPromotion:EssentialsandEssence ofPractice KEY: IntegratedPr
s
& s
& s
& s
& s
& s
& s
& s
& s
& s& s&
ocess:NursingProcess BL s&
M:CognitiveLevel:Understand
s
& s
& s&
4. ThepublicationoftheWorldHealthOrganization’sDeclarationofAlma- s
&
Atais acknowledgedtobe akeyeventinthedevelopment ofcontemporarypub lic
d* d* s
& d* s& s&
health policy. The Declaration prioritized:
s& s& s& s&
A. collaborationamongindividuals andhealthcare providerstoimpact health de ci xv s& d* s
& d* s& s& s&
sions.
B. increasedfundingfortheeducation ofnurses,physicians,andalliedhealthwo rk d* s& s&
ers in member nations.
s& s& s&
C. cooperationbetweendevelopednationsanddevelopingnations to eradicategl o s
& d* d* s& s&
bal health inequities.
s& s&
D. theremovalofclass-basedbarrierstohealthdecision making. d*
ANS: A
Rationale:TheDeclarationofAlma- s
&
Atacalledforhealthproviderstowork withpeople toassisttheminmakingdecisio nsa d* d* s
& s
& s& s&
bout theirhealthandhowtomeet healthchallengesinwaysthat areaffordabl e,acce
d* d* d* s& s
& s
ptable,andsustainableinthelongterm.Itdidnotspecificallyprioritizeed ucation f un
& s
& s
& s
& s
& s
& s
& s
& s
& s
& s
& s
& s& s& s&
ding, international cooperation, or the removal of class-
s& s& s& s& s& s& s&
basedbarrierstohealth. s& s
&
PTS: 1 DIF: Easy
REF: PageandHeader:5,DeclarationofAlma-Ata OBJ:
1 NAT: s&
Client Needs:SafeandEffectiveCare Environment:Management ofCare TO P:
d* d* d* d* s &
Chapter1:PopulationHealthPromotion:EssentialsandEssence ofPractice KEY: IntegratedPr
s
& s
& s
& s
& s
& s
& s
& s
& s
& s& s&
ocess:NursingProcess
, BLM: CognitiveLevel:Understand
5. Apublichealthworkerisparticipatinginthe creationofahealthpromotioninitiat ive s& s & s&
that aims to addressmanyofthe poorhealthoutcomesina city’s homeless p opulati
s& s& s& s& s& d* d* s & s&
on.Thesuccess orfailureofthis initiativeislikelytodependonwhat factor
d* d* s
& d*
?
A. Accessibilityandthe perceived credibilityofthe plannedinitiative s& d* d*
B. The provisionofincentives andimmediate benefits forparticipants inthepro g
d* s& d* d* s& s& s&
ram
C. Providing safe andsupportivehousingforhomeless peoplebeforead d
d* d* d* s
& s& s&
ressing their health needs
s& s& s&
D. Redressingthedisparitiesbasedongender,socioeconomic status,anded *
d xv s& s&
ucation
ANS: A
Rationale: The Declaration of Alma- s
& s& s& s&
Atacalledforhealthprovidersto work withpeople toassisttheminmakingdecisio ns d* d* d* s& s&
abouttheirhealthandhowtomeet healthchallengesinwaysthat areaffordabl e,acc d* s
& d* s
& s& s
& s&
eptable,andsustainable inthe longterm.Infacingthehealthchallengespo sedbyh o
s
& s
& d* s
& d* s
& s
& s
& s
& s& s&
melessness,it isimperativethatprograms,policies,andinterventions en sure acces
d* d* s& d* s&
sibilitybythemembersofthispopulation.As well,it isnecessaryto pres ent initiatives d* d* d* s& s& s&
in a way that promotes their credibility. Short-
s& s& s& s& s& s& s&
termbenefits arenotaprerequisite andtheresolutionofdisparitiesandlack ofho usi
d* s
& d* d* s& s&
ng need not precede health promotion.
s& s& s& s& s&
PTS: 1 DIF: Moderate
REF: PageandHeader:5,DeclarationofAlma-Ata OBJ:
1 NAT: s&
Client Needs:SafeandEffectiveCare Environment:Management ofCare TO P:
d* d* d* d* s &
Chapter1:PopulationHealthPromotion:EssentialsandEssence ofPractice KEY: IntegratedPr
s
& s
& s
& s
& s
& s
& s
& s
& s
& s& s&
ocess:NursingProcess BL s&
M:CognitiveLevel:Analyze
s
& s
& s&
6. Whichissue is recognizedas beinginadequatelyaddressedbycurrentCanadianhe alt
d* d* d* s
& s& s&
hpolicy?
A. Canadiansarenot aware oftheimpact that theirbehaviours have ontheirhea lth
s
& d* d* d* d* d* d* s& s&
status.
B. Utilizationofthe healthcaresystemisinsufficient toensurethehealthofthe po
d* s
& d* s& s&
pulation.
C. Membersofdisadvantagedgroups arelesshealthythanotherCanadians. d*
D. Theinterestsofthehealthcareindustryareat odds withthelong- d* s&
term health of Canadians.
s& s& s&
ANS:C
