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