, Chapter 1, Population Health Promotion: Essentials and Es- zl zl zl zl zl zl zl
sence of Practice
zl zl zl
1. The 20th century saw numerous improvements in the health status of people in the
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
developed world. This was primarily attributable to what phenomenon? zl zl zl zl zl zl zl zl
A. Steady declines in the rate of tobacco consumption zl zl zl zl zl zl zl
B. The development of vaccines against many communicable diseases
zl zl zl zl zl zl zl
C. Eradication of microorganisms responsible for infectious diseases zl zl zl zl zl zl
D. Government policies that prioritized health promotion over disease tr zl zl zl zl zl zl zl zl
eatment
ANS: B z l
Rationale: Health status gains in the developed world during the 20th century wezl zl zl zl zl zl zl zl zl zl zl zl
re a result of (1) advances in knowledge about the causes of disease, (2) develop
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ment of new technologies and pharmaceuticals to treat and cure many diseases, (
zl zl zl zl zl zl zl zl zl zl zl zl
3) creation of vaccines and environmental solutions to prevent disease transmiss
zl zl zl zl zl zl zl zl zl zl
ion and acquisition, and (4) innovations in surveillance techniques to measure he
zl zl zl zl zl zl zl zl zl zl zl
alth status. zl
PTS: 1 DIF: Easy REF:
Page and Header: 3, Introduction OBJ: 1 zl zl zl zl zl z l
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1: z l zl zl zl zl zl zl z l zl zl
Population Health Promotion: Essentials and Essence of Practice zl zl zl zl zl zl zl
KEY: Integrated Process: Nursing Process BL
z l zl zl zl zl
M: Cognitive Level: Understand
zl zl zl
2. What document is recognized as laying the foundation for the transition in the foc
zl zl zl zl zl zl zl zl zl zl zl zl zl
us of Canadian health policy from disease to health?
zl zl zl zl zl zl zl zl
A. The Ottawa Charter for Health Promotion zl zl zl zl zl
B. The Epp Framework (A Framework for Health Promotion)
zl zl zl zl zl zl zl
C. The WHO Declaration of Alma-Ata zl zl zl zl
D. The Lalonde Report (A New Perspectives on the Health of Canadians) A
zl zl zl zl zl zl zl zl zl zl zl
NS: D zl
Rationale: The publication in 1974 of the Lalonde Report (A New Perspective on the
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
Health of Canadians) heralded a change in the focus of health on disease to a focus
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
on health. The Ottawa Charter, the WHO Declaration, and the Epp Framework wer
zl zl zl zl zl zl zl zl zl zl zl zl
e each subsequent to the Lalonde Report.
zl zl zl zl zl zl
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1 zl zl zl zl zl zl
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TO
z l zl zl zl zl zl zl zl zl zl zl
P: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
z l zl zl zl zl zl zl zl zl zl
KEY: Integrated Process: Nursing Process BL
z l zl zl zl zl
M: Cognitive Level: Understand
zl zl zl
,3. The Lalonde Report of 1974 is recognized as one of the seminal publications tha
zl zl zl zl zl zl zl zl zl zl zl zl zl
t has shaped the character and direction of public health policy in Canada. What c
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
hange in policy is attributed to the Lalonde Report?
zl zl zl zl zl zl zl zl
A. A shift from collective responsibility for the health of Canadians to an ind
zl zl zl zl zl zl zl zl zl zl zl zl
ividual focus zl
B. A change in focus from the treatment of illness to the promotion of health
zl zl zl zl zl zl zl zl zl zl zl zl zl
C. A change from private funding for health to a combination of provincial and fed
zl zl zl zl zl zl zl zl zl zl zl zl zl
eral funding zl
D. A recognition of the importance of determinants of health A
zl zl zl zl zl zl zl zl zl
NS: B zl
Rationale: The Lalonde Report is credited with initiating a change in the policy fro
zl zl zl zl zl zl zl zl zl zl zl zl zl
m a focus on disease to a focus on health. The report did not promote a change in f
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
unding, a change to individual responsibility, or a formal recognition of the determi
zl zl zl zl zl zl zl zl zl zl zl zl
nants of health. zl zl
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1 zl zl zl zl zl zl
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TO
z l zl zl zl zl zl zl zl zl zl zl
P: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
z l zl zl zl zl zl zl zl zl zl
KEY: Integrated Process: Nursing Process BL
z l zl zl zl zl
M: Cognitive Level: Understand
zl zl zl
4. The publication of the World Health Organization’s Declaration of Alma-
zl zl zl zl zl zl zl zl zl
Ata is acknowledged to be a key event in the development of contemporary pub
zl zl zl zl zl zl zl zl zl zl zl zl zl
lic health policy. The Declaration prioritized:
zl zl zl zl zl
A. collaboration among individuals and health care providers to impact health de zl zl zl zl zl zl zl zl zl zl
cisions.
B. increased funding for the education of nurses, physicians, and allied health wo zl zl zl zl zl zl zl zl zl zl zl
rkers in member nations. zl zl zl
C. cooperation between developed nations and developing nations to eradicate gl zl zl zl zl zl zl zl zl zl
obal health inequities.
zl zl
D. the removal of class-based barriers to health decision making.
zl zl zl zl zl zl zl zl
ANS: A z l
Rationale: The Declaration of Alma- zl zl zl zl
Ata called for health providers to work with people to assist them in making decisio
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ns about their health and how to meet health challenges in ways that are affordabl
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
e, acceptable, and sustainable in the long term. It did not specifically prioritize ed
zl zl zl zl zl zl zl zl zl zl zl zl zl
ucation funding, international cooperation, or the removal of class-
zl zl zl zl zl zl zl zl
based barriers to health. zl zl zl
PTS: 1 DIF: Easy
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 zl zl zl zl zl zl
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TO
z l zl zl zl zl zl zl zl zl zl zl
P: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
z l zl zl zl zl zl zl zl zl zl
KEY: Integrated Process: Nursing Process
z l zl zl zl
, BLM: Cognitive Level: Understand z l zl zl
5. A public health worker is participating in the creation of a health promotion initiat
zl zl zl zl zl zl zl zl zl zl zl zl zl
ive that aims to address many of the poor health outcomes in a city’s homeless p
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
opulation. The success or failure of this initiative is likely to depend on what factor
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
?
A. Accessibility and the perceived credibility of the planned initiative zl zl zl zl zl zl zl zl
B. The provision of incentives and immediate benefits for participants in the pro
zl zl zl zl zl zl zl zl zl zl zl
gram
C. Providing safe and supportive housing for homeless people before ad zl zl zl zl zl zl zl zl zl
dressing their health needs zl zl zl
D. Redressing the disparities based on gender, socioeconomic status, and ed zl zl zl zl zl zl zl zl zl
ucation
ANS: A z l
Rationale: The Declaration of Alma- zl zl zl zl
Ata called for health providers to work with people to assist them in making decisio
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ns about their health and how to meet health challenges in ways that are affordabl
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
e, acceptable, and sustainable in the long term. In facing the health challenges po
zl zl zl zl zl zl zl zl zl zl zl zl zl
sed by homelessness, it is imperative that programs, policies, and interventions en
zl zl zl zl zl zl zl zl zl zl zl
sure accessibility by the members of this population. As well, it is necessary to pres
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ent initiatives in a way that promotes their credibility. Short-
zl zl zl zl zl zl zl zl zl
term benefits are not a prerequisite and the resolution of disparities and lack of ho
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
using need not precede health promotion.
zl zl zl zl zl
PTS: 1 DIF: Moderate
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 zl zl zl zl zl zl
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TO
z l zl zl zl zl zl zl zl zl zl zl
P: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
z l zl zl zl zl zl zl zl zl zl
KEY: Integrated Process: Nursing Process BL
z l zl zl zl zl
M: Cognitive Level: Analyze
zl zl zl
6. Which issue is recognized as being inadequately addressed by current Canadian he
zl zl zl zl zl zl zl zl zl zl zl
alth policy? zl
A. Canadians are not aware of the impact that their behaviours have on their hea zl zl zl zl zl zl zl zl zl zl zl zl zl
lth status.
zl
B. Utilization of the health care system is insufficient to ensure the health of the zl zl zl zl zl zl zl zl zl zl zl zl zl zl
population.
C. Members of disadvantaged groups are less healthy than other Canadians. zl zl zl zl zl zl zl zl zl
D. The interests of the health care industry are at odds with the long-
zl zl zl zl zl zl zl zl zl zl zl zl
term health of Canadians. zl zl zl
ANS: C zl
sence of Practice
zl zl zl
1. The 20th century saw numerous improvements in the health status of people in the
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
developed world. This was primarily attributable to what phenomenon? zl zl zl zl zl zl zl zl
A. Steady declines in the rate of tobacco consumption zl zl zl zl zl zl zl
B. The development of vaccines against many communicable diseases
zl zl zl zl zl zl zl
C. Eradication of microorganisms responsible for infectious diseases zl zl zl zl zl zl
D. Government policies that prioritized health promotion over disease tr zl zl zl zl zl zl zl zl
eatment
ANS: B z l
Rationale: Health status gains in the developed world during the 20th century wezl zl zl zl zl zl zl zl zl zl zl zl
re a result of (1) advances in knowledge about the causes of disease, (2) develop
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ment of new technologies and pharmaceuticals to treat and cure many diseases, (
zl zl zl zl zl zl zl zl zl zl zl zl
3) creation of vaccines and environmental solutions to prevent disease transmiss
zl zl zl zl zl zl zl zl zl zl
ion and acquisition, and (4) innovations in surveillance techniques to measure he
zl zl zl zl zl zl zl zl zl zl zl
alth status. zl
PTS: 1 DIF: Easy REF:
Page and Header: 3, Introduction OBJ: 1 zl zl zl zl zl z l
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1: z l zl zl zl zl zl zl z l zl zl
Population Health Promotion: Essentials and Essence of Practice zl zl zl zl zl zl zl
KEY: Integrated Process: Nursing Process BL
z l zl zl zl zl
M: Cognitive Level: Understand
zl zl zl
2. What document is recognized as laying the foundation for the transition in the foc
zl zl zl zl zl zl zl zl zl zl zl zl zl
us of Canadian health policy from disease to health?
zl zl zl zl zl zl zl zl
A. The Ottawa Charter for Health Promotion zl zl zl zl zl
B. The Epp Framework (A Framework for Health Promotion)
zl zl zl zl zl zl zl
C. The WHO Declaration of Alma-Ata zl zl zl zl
D. The Lalonde Report (A New Perspectives on the Health of Canadians) A
zl zl zl zl zl zl zl zl zl zl zl
NS: D zl
Rationale: The publication in 1974 of the Lalonde Report (A New Perspective on the
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
Health of Canadians) heralded a change in the focus of health on disease to a focus
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
on health. The Ottawa Charter, the WHO Declaration, and the Epp Framework wer
zl zl zl zl zl zl zl zl zl zl zl zl
e each subsequent to the Lalonde Report.
zl zl zl zl zl zl
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1 zl zl zl zl zl zl
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TO
z l zl zl zl zl zl zl zl zl zl zl
P: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
z l zl zl zl zl zl zl zl zl zl
KEY: Integrated Process: Nursing Process BL
z l zl zl zl zl
M: Cognitive Level: Understand
zl zl zl
,3. The Lalonde Report of 1974 is recognized as one of the seminal publications tha
zl zl zl zl zl zl zl zl zl zl zl zl zl
t has shaped the character and direction of public health policy in Canada. What c
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
hange in policy is attributed to the Lalonde Report?
zl zl zl zl zl zl zl zl
A. A shift from collective responsibility for the health of Canadians to an ind
zl zl zl zl zl zl zl zl zl zl zl zl
ividual focus zl
B. A change in focus from the treatment of illness to the promotion of health
zl zl zl zl zl zl zl zl zl zl zl zl zl
C. A change from private funding for health to a combination of provincial and fed
zl zl zl zl zl zl zl zl zl zl zl zl zl
eral funding zl
D. A recognition of the importance of determinants of health A
zl zl zl zl zl zl zl zl zl
NS: B zl
Rationale: The Lalonde Report is credited with initiating a change in the policy fro
zl zl zl zl zl zl zl zl zl zl zl zl zl
m a focus on disease to a focus on health. The report did not promote a change in f
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
unding, a change to individual responsibility, or a formal recognition of the determi
zl zl zl zl zl zl zl zl zl zl zl zl
nants of health. zl zl
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1 zl zl zl zl zl zl
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TO
z l zl zl zl zl zl zl zl zl zl zl
P: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
z l zl zl zl zl zl zl zl zl zl
KEY: Integrated Process: Nursing Process BL
z l zl zl zl zl
M: Cognitive Level: Understand
zl zl zl
4. The publication of the World Health Organization’s Declaration of Alma-
zl zl zl zl zl zl zl zl zl
Ata is acknowledged to be a key event in the development of contemporary pub
zl zl zl zl zl zl zl zl zl zl zl zl zl
lic health policy. The Declaration prioritized:
zl zl zl zl zl
A. collaboration among individuals and health care providers to impact health de zl zl zl zl zl zl zl zl zl zl
cisions.
B. increased funding for the education of nurses, physicians, and allied health wo zl zl zl zl zl zl zl zl zl zl zl
rkers in member nations. zl zl zl
C. cooperation between developed nations and developing nations to eradicate gl zl zl zl zl zl zl zl zl zl
obal health inequities.
zl zl
D. the removal of class-based barriers to health decision making.
zl zl zl zl zl zl zl zl
ANS: A z l
Rationale: The Declaration of Alma- zl zl zl zl
Ata called for health providers to work with people to assist them in making decisio
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ns about their health and how to meet health challenges in ways that are affordabl
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
e, acceptable, and sustainable in the long term. It did not specifically prioritize ed
zl zl zl zl zl zl zl zl zl zl zl zl zl
ucation funding, international cooperation, or the removal of class-
zl zl zl zl zl zl zl zl
based barriers to health. zl zl zl
PTS: 1 DIF: Easy
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 zl zl zl zl zl zl
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TO
z l zl zl zl zl zl zl zl zl zl zl
P: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
z l zl zl zl zl zl zl zl zl zl
KEY: Integrated Process: Nursing Process
z l zl zl zl
, BLM: Cognitive Level: Understand z l zl zl
5. A public health worker is participating in the creation of a health promotion initiat
zl zl zl zl zl zl zl zl zl zl zl zl zl
ive that aims to address many of the poor health outcomes in a city’s homeless p
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
opulation. The success or failure of this initiative is likely to depend on what factor
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
?
A. Accessibility and the perceived credibility of the planned initiative zl zl zl zl zl zl zl zl
B. The provision of incentives and immediate benefits for participants in the pro
zl zl zl zl zl zl zl zl zl zl zl
gram
C. Providing safe and supportive housing for homeless people before ad zl zl zl zl zl zl zl zl zl
dressing their health needs zl zl zl
D. Redressing the disparities based on gender, socioeconomic status, and ed zl zl zl zl zl zl zl zl zl
ucation
ANS: A z l
Rationale: The Declaration of Alma- zl zl zl zl
Ata called for health providers to work with people to assist them in making decisio
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ns about their health and how to meet health challenges in ways that are affordabl
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
e, acceptable, and sustainable in the long term. In facing the health challenges po
zl zl zl zl zl zl zl zl zl zl zl zl zl
sed by homelessness, it is imperative that programs, policies, and interventions en
zl zl zl zl zl zl zl zl zl zl zl
sure accessibility by the members of this population. As well, it is necessary to pres
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ent initiatives in a way that promotes their credibility. Short-
zl zl zl zl zl zl zl zl zl
term benefits are not a prerequisite and the resolution of disparities and lack of ho
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
using need not precede health promotion.
zl zl zl zl zl
PTS: 1 DIF: Moderate
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 zl zl zl zl zl zl
NAT: Client Needs: Safe and Effective Care Environment: Management of Care TO
z l zl zl zl zl zl zl zl zl zl zl
P: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
z l zl zl zl zl zl zl zl zl zl
KEY: Integrated Process: Nursing Process BL
z l zl zl zl zl
M: Cognitive Level: Analyze
zl zl zl
6. Which issue is recognized as being inadequately addressed by current Canadian he
zl zl zl zl zl zl zl zl zl zl zl
alth policy? zl
A. Canadians are not aware of the impact that their behaviours have on their hea zl zl zl zl zl zl zl zl zl zl zl zl zl
lth status.
zl
B. Utilization of the health care system is insufficient to ensure the health of the zl zl zl zl zl zl zl zl zl zl zl zl zl zl
population.
C. Members of disadvantaged groups are less healthy than other Canadians. zl zl zl zl zl zl zl zl zl
D. The interests of the health care industry are at odds with the long-
zl zl zl zl zl zl zl zl zl zl zl zl
term health of Canadians. zl zl zl
ANS: C zl
