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