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