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