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 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
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D. Government policies that prioritized health promotion over diseas
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e treatment
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ANS: w w 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
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techniques to measure health status.
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PTS: 1 DIF: Easy REF:
Page and Header: 3, Introduction OBJ: 1 ww ww ww ww ww w w
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?
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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 Canadia
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ns) ANS: D ww ww
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 dise
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ase to a focus on health. The Ottawa Charter, the WHO Declaration, and the
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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 ww OBJ: 1ww ww ww ww ww
NAT: Client Needs: Safe and Effective Care Environment: Management of Ca
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re TOP: Chapter 1: Population Health Promotion: Essentials and Essence of
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Practice
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 publicatio
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ns that has shaped the character and direction of public health policy in Can
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ada. 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 an
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d federal funding
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D. A recognition of the importance of determinants of heal
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th ANS: B
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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 ww OBJ: 1 ww ww ww ww ww
NAT: Client Needs: Safe and Effective Care Environment: Management of Ca
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re TOP: Chapter 1: Population Health Promotion: Essentials and Essence of
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Practice
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 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.
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D. the removal of class-based barriers to health decision making.
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ANS: w w A
Rationale: The Declaration of Alma- ww ww ww ww
Ata called for health providers to work with people to assist them in making
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decisions about their health and how to meet health challenges in ways that
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are affordable, acceptable, and sustainable in the long term. It did not specif
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ically prioritize education funding, international cooperation, or the removal o
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f class-based barriers to health.
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PTS: 1 DIF: Easy
REF: Page and Header: 5, Declaration of Alma-Ata wwOBJ: 1 ww ww ww ww ww
NAT: Client Needs: Safe and Effective Care Environment: Management of Ca
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re TOP: Chapter 1: Population Health Promotion: Essentials and Essence of
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Practice
KEY: Integrated Process: Nursing Process
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