Test Bank for Canadian Community as Partner Theory & Multidisciplinary Practice
5th edition
by Ardene R. Vollman
All Chapters| Expert Verified Answers with Rationales | Graded A+
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Chapter 1, Population Health Promotion: Essentials and Essence 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
CORRECT ANSWER: 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) CORRECT ANSWER: 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
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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 CORRECT ANSWER: 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.
CORRECT ANSWER: 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
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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
CORRECT ANSWER: 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.
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