Denise M. Seabert
Test Bank
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Chapter: Chapter 01 - Quiz
Multiple Choice
1. The beginning of government’s major involvement in social issues, including health, was marked
by:
A) the Social Security Act of 1935.
B) the establishment of Medicare in 1965.
C) U.S. involvement in World War II.
D) the Hill-Burton Act in 1946.
Ans: A
Complexity: Moderate
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: The Social Security Act of 1935 marked the beginning of the government’s major
involvement in social issues, including health. This legislation provided substantial support for state
health departments and their programs, such as maternal and child health and sanitary facilities.
2. The first professional preparation program for health educators began during which period of the
twentieth century?
A) Reform phase
B) The 1920s
C) World War II
D) Period of social engineering
Ans: B
Complexity: Difficult
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: Thomas D. Wood, MD, began the first professional preparation program for health
education specialists at Columbia University in 1922.
3. The Shattuck report marked the beginning of the:
A) health resource development period.
B) eighteenth century.
C) modern era of public health.
D) implementation of Healthy People 2030 efforts.
Ans: C
Copyright © 2026
,McKenzie’s An Introduction to Community and Public Health, Eleventh Edition
Denise M. Seabert
Test Bank
Complexity: Difficult
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: Although some of the recommendations contained within the Shattuck report took years to
implement, the significance of Shattuck’s report is such that 1850 is a key date in American public
health; it marks the beginning of the modern era of public health.
4. Actions that society takes collectively to ensure that the conditions in which people can be healthy
can occur is termed:
A) public health.
B) community health.
C) health.
D) population health.
Ans: A
Complexity: Moderate
Ahead: Introduction
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: The Institute of Medicine (IOM) defined public health in 1988 in its landmark report The
Future of Public Health as “what we as a society do collectively to assure the conditions in which
people can be healthy.”
5. Twenty-first century American community health concerns include:
A) lifestyle diseases.
B) environmental problems.
C) healthcare delivery.
D) All of these are correct.
Ans: D
Complexity: Moderate
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: The four leading causes of death as we enter the third decade of the twenty-first century
can be attributed to lifestyle factors. Millions of Americans live in communities with unsafe air and
water and exposure to solid waste. High national healthcare expenditures continue to be an issue that
needs to be addressed.
6. The goal of the Hill-Burton Act in 1946 was to enhance the quality of:
A) hospitals.
B) health departments.
C) Medicare.
D) the military.
Ans: A
Complexity: Difficult
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: The Hill-Burton Act sought to improve the distribution of medical care and to enhance the
quality of hospitals.
Copyright © 2026
,McKenzie’s An Introduction to Community and Public Health, Eleventh Edition
Denise M. Seabert
Test Bank
7. Which of the following is not one of the ten great public health achievements worldwide from 2001-
2010?
A) Malaria prevention and control
B) Reduction in alcohol use disorder and other drug addictions
C) Tuberculosis control
D) Increased awareness and response for improving global road safety
Ans: B
Complexity: Difficult
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: While great progress was made in many areas of public health worldwide, addiction rates
have not declined significantly and some addiction rates have increased.
True/False
1. True or False? Physical factors affecting community health include geography, community size,
and industrial development.
Ans: True
Complexity: Easy
Ahead: Introduction
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: A community’s altitude, latitude, climate, population, and industrial development influence
the types of health problems its populace faces and the resources available to manage them.
2. True or False? Government health agencies began being created as a response to epidemics and
mounting health problems in the latter part of the eighteenth century.
Ans: True
Complexity: Moderate
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: The Marine Hospital Service (forerunner to the U.S. Public Health Service) was founded in
1798. By 1799, several of America’s largest cities had municipal boards of health.
3. True or False? The leading causes of death in the United States today are communicable
diseases.
Ans: False
Complexity: Moderate
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: The leading causes of death in the United States today are chronic illnesses. The four
leading causes of death are heart disease, cancer, unintentional injuries, and chronic lower
respiratory diseases.
4. True or False? A community is a group of people who have common characteristics.
Ans: True
Copyright © 2026
, McKenzie’s An Introduction to Community and Public Health, Eleventh Edition
Denise M. Seabert
Test Bank
Complexity: Easy
Ahead: Introduction
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: A community is defined as a collective body of individuals identified by common
characteristics such as geography, interests, experiences, concerns, or values.
5. True or False? There has been no evidence of community health activities dating back over 1,000
years.
Ans: False
Complexity: Easy
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: Excavations at sites dating from about 2000 BCE have uncovered archaeological evidence
of community health activities.
6. True or False? Upton Sinclair’s book The Jungle drew attention to the plight of immigrants in the
meatpacking industry.
Ans: True
Complexity: Moderate
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: The Jungle inspired greater governmental regulation of the food industry and a reform
movement that involved social, moral, and health issues.
7. True or False? Individuals with lower socioeconomic status have poorer health status.
Ans: True
Complexity: Easy
Ahead: A History of Community and Public Health
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: Individuals in lower socioeconomic status groups, regardless of other characteristics, have
poorer health status.
8. True or False? Choosing to eat wisely, wearing a seat belt, and visiting the physician are examples
of community/public health activities.
Ans: False
Complexity: Moderate
Ahead: Introduction
Subject: Chapter 1
Title: Community and Public Health: Yesterday, Today, and Tomorrow
Feedback: These activities are an example of personal health activities; they may be preventive or
curative in nature at the individual level but are not aimed at protecting or improving the health of a
population or community.
9. True or False? Dr. Edward Jenner successfully demonstrated the process of vaccination as a
protection against smallpox in the twentieth century.
Copyright © 2026