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