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