, Chapter 1, Population Health Promotion: Essentials and Es- br br br br br br br
sence of Practice
br br br
1. The 20th century saw numerous improvements in the health status of people in t
br br br br br br br br br br br br br
he developed world. This was primarily attributable to what phenomenon?
br br br br br br br br br
A. Steady declines in the rate of tobacco consumption br br br br br br br
B. The development of vaccines against many communicable diseases
br br br br br br br
C. Eradication of microorganisms responsible for infectious diseases br br br br br br
D. Government policies that prioritized health promotion over disease t br br br br br br br br
reatment
ANS: B b r
Rationale: Health status gains in the developed world during the 20th century
br br br br br br br br br br br br
were a result of (1) advances in knowledge about the causes of disease, (2) de
br br br br br br br br br br br br br br
velopment of new technologies and pharmaceuticals to treat and cure many dise
br br br br br br br br br br br
ases, (3) creation of vaccines and environmental solutions to prevent disease tr
br br br br br br br br br br br
ansmission and acquisition, and (4) innovations in surveillance techniques to m
br br br br br br br br br br
easure health status. br br
PTS: 1 DIF: Easy REF:
Page and Header: 3, Introduction OBJ: 1 br br br br br b r
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1 b r br br br br br br b r br
: Population Health Promotion: Essentials and Essence of Practice
br br br br br br br br
KEY: Integrated Process: Nursing Process BL
b r br br br br
M: Cognitive Level: Understand
br br br
2. What document is recognized as laying the foundation for the transition in the fo
br br br br br br br br br br br br br
cus of Canadian health policy from disease to health?
br br br br br br br br
A. The Ottawa Charter for Health Promotion
br br br br br
B. The Epp Framework (A Framework for Health Promotion)
br br br br br br br
C. The WHO Declaration of Alma-Ata br br br br
D. The Lalonde Report (A New Perspectives on the Health of Canadians)
br br br br br br br br br br br
ANS: D br
Rationale: The publication in 1974 of the Lalonde Report (A New Perspective on t
br br br br br br br br br br br br br
he Health of Canadians) heralded a change in the focus of health on disease to a f
br br br br br br br br br br br br br br br br
ocus on health. The Ottawa Charter, the WHO Declaration, and the Epp Framewo
br br br br br br br br br br br br
rk were each subsequent to the Lalonde Report.
br br br br br br br
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1 br br br br br br
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
b r br br br br br br br br br br
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
b r br br br br br br br br br
KEY: Integrated Process: Nursing Process BL
b r br br br br
M: Cognitive Level: Understand
br br br
,3. The Lalonde Report of 1974 is recognized as one of the seminal publications th
br br br br br br br br br br br br br
at has shaped the character and direction of public health policy in Canada. Wh
br br br br br br br br br br br br br
at change in policy is attributed to the Lalonde Report?
br br br br br br br br br
A. A shift from collective responsibility for the health of Canadians to an i
br br br br br br br br br br br br
ndividual focus br
B. A change in focus from the treatment of illness to the promotion of health
br br br br br br br br br br br br br
C. A change from private funding for health to a combination of provincial and fe
br br br br br br br br br br br br br
deral funding br
D. A recognition of the importance of determinants of health
br br br br br br br br br
ANS: B br
Rationale: The Lalonde Report is credited with initiating a change in the policy fr
br br br br br br br br br br br br br
om a focus on disease to a focus on health. The report did not promote a change
br br br br br br br br br br br br br br br br br
in funding, a change to individual responsibility, or a formal recognition of the det
br br br br br br br br br br br br br
erminants of health. br br
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report brOBJ: 1 br br br br br
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
b r br br br br br br br br br br
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
b r br br br br br br br br br
KEY: Integrated Process: Nursing Process BL
b r br br br br
M: Cognitive Level: Understand
br br br
4. The publication of the World Health Organization’s Declaration of Alma-
br br br br br br br br br
Ata is acknowledged to be a key event in the development of contemporary p
br br br br br br br br br br br br br
ublic health policy. The Declaration prioritized:
br br br br br
A. collaboration among individuals and health care providers to impact health d br br br br br br br br br br
ecisions.
B. increased funding for the education of nurses, physicians, and allied health w
br br br br br br br br br br br
orkers in member nations. br br br
C. cooperation between developed nations and developing nations to eradicate g br br br br br br br br br
lobal health inequities.
br br
D. the removal of class-based barriers to health decision making.
br br br br br br br br
ANS: A b r
Rationale: The Declaration of Alma- br br br br
Ata called for health providers to work with people to assist them in making decis
br br br br br br br br br br br br br br
ions about their health and how to meet health challenges in ways that are affor
br br br br br br br br br br br br br br
dable, acceptable, and sustainable in the long term. It did not specifically prioriti
br br br br br br br br br br br br
ze education funding, international cooperation, or the removal of class-
br br br br br br br br br
based barriers to health. br br br
PTS: 1 DIF: Easy
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1
br br br br br br
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
b r br br br br br br br br br br
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
b r br br br br br br br br br
KEY: Integrated Process: Nursing Process
b r br br br
, BLM: Cognitive Level: Understand
b r br br
5. A public health worker is participating in the creation of a health promotion initi
br br br br br br br br br br br br br
ative that aims to address many of the poor health outcomes in a city’s homele
br br br br br br br br br br br br br br
ss population. The success or failure of this initiative is likely to depend on what f
br br br br br br br br br br br br br br br
actor?
A. Accessibility and the perceived credibility of the planned initiative br br br br br br br br
B. The provision of incentives and immediate benefits for participants in the p
br br br br br br br br br br br
rogram
C. Providing safe and supportive housing for homeless people before a br br br br br br br br br
ddressing their health needs br br br
D. Redressing the disparities based on gender, socioeconomic status, and e br br br br br br br br br
ducation
ANS: A b r
Rationale: The Declaration of Alma- br br br br
Ata called for health providers to work with people to assist them in making decis
br br br br br br br br br br br br br br
ions about their health and how to meet health challenges in ways that are affor
br br br br br br br br br br br br br br
dable, acceptable, and sustainable in the long term. In facing the health challeng
br br br br br br br br br br br br
es posed by homelessness, it is imperative that programs, policies, and interventi
br br br br br br br br br br br
ons ensure accessibility by the members of this population. As well, it is necessar
br br br br br br br br br br br br br
y to present initiatives in a way that promotes their credibility. Short-
br br br br br br br br br br br
term benefits are not a prerequisite and the resolution of disparities and lack of h
br br br br br br br br br br br br br br
ousing need not precede health promotion.
br br br br br
PTS: 1 DIF: Moderate
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 br br br br br br
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
b r br br br br br br br br br br
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
b r br br br br br br br br br
KEY: Integrated Process: Nursing Process BL
b r br br br br
M: Cognitive Level: Analyze
br br br
6. Which issue is recognized as being inadequately addressed by current Canadian h
br br br br br br br br br br br
ealth policy? br
A. Canadians are not aware of the impact that their behaviours have on their h br br br br br br br br br br br br br
ealth status. br
B. Utilization of the health care system is insufficient to ensure the health of t
br br br br br br br br br br br br br
he population.
br
C. Members of disadvantaged groups are less healthy than other Canadians.
br br br br br br br br br
D. The interests of the health care industry are at odds with the long-
br br br br br br br br br br br br
term health of Canadians.
br br br
ANS: C br
sence of Practice
br br br
1. The 20th century saw numerous improvements in the health status of people in t
br br br br br br br br br br br br br
he developed world. This was primarily attributable to what phenomenon?
br br br br br br br br br
A. Steady declines in the rate of tobacco consumption br br br br br br br
B. The development of vaccines against many communicable diseases
br br br br br br br
C. Eradication of microorganisms responsible for infectious diseases br br br br br br
D. Government policies that prioritized health promotion over disease t br br br br br br br br
reatment
ANS: B b r
Rationale: Health status gains in the developed world during the 20th century
br br br br br br br br br br br br
were a result of (1) advances in knowledge about the causes of disease, (2) de
br br br br br br br br br br br br br br
velopment of new technologies and pharmaceuticals to treat and cure many dise
br br br br br br br br br br br
ases, (3) creation of vaccines and environmental solutions to prevent disease tr
br br br br br br br br br br br
ansmission and acquisition, and (4) innovations in surveillance techniques to m
br br br br br br br br br br
easure health status. br br
PTS: 1 DIF: Easy REF:
Page and Header: 3, Introduction OBJ: 1 br br br br br b r
NAT: Client Needs: Health Promotion and Maintenance TOP: Chapter 1 b r br br br br br br b r br
: Population Health Promotion: Essentials and Essence of Practice
br br br br br br br br
KEY: Integrated Process: Nursing Process BL
b r br br br br
M: Cognitive Level: Understand
br br br
2. What document is recognized as laying the foundation for the transition in the fo
br br br br br br br br br br br br br
cus of Canadian health policy from disease to health?
br br br br br br br br
A. The Ottawa Charter for Health Promotion
br br br br br
B. The Epp Framework (A Framework for Health Promotion)
br br br br br br br
C. The WHO Declaration of Alma-Ata br br br br
D. The Lalonde Report (A New Perspectives on the Health of Canadians)
br br br br br br br br br br br
ANS: D br
Rationale: The publication in 1974 of the Lalonde Report (A New Perspective on t
br br br br br br br br br br br br br
he Health of Canadians) heralded a change in the focus of health on disease to a f
br br br br br br br br br br br br br br br br
ocus on health. The Ottawa Charter, the WHO Declaration, and the Epp Framewo
br br br br br br br br br br br br
rk were each subsequent to the Lalonde Report.
br br br br br br br
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report OBJ: 1 br br br br br br
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
b r br br br br br br br br br br
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
b r br br br br br br br br br
KEY: Integrated Process: Nursing Process BL
b r br br br br
M: Cognitive Level: Understand
br br br
,3. The Lalonde Report of 1974 is recognized as one of the seminal publications th
br br br br br br br br br br br br br
at has shaped the character and direction of public health policy in Canada. Wh
br br br br br br br br br br br br br
at change in policy is attributed to the Lalonde Report?
br br br br br br br br br
A. A shift from collective responsibility for the health of Canadians to an i
br br br br br br br br br br br br
ndividual focus br
B. A change in focus from the treatment of illness to the promotion of health
br br br br br br br br br br br br br
C. A change from private funding for health to a combination of provincial and fe
br br br br br br br br br br br br br
deral funding br
D. A recognition of the importance of determinants of health
br br br br br br br br br
ANS: B br
Rationale: The Lalonde Report is credited with initiating a change in the policy fr
br br br br br br br br br br br br br
om a focus on disease to a focus on health. The report did not promote a change
br br br br br br br br br br br br br br br br br
in funding, a change to individual responsibility, or a formal recognition of the det
br br br br br br br br br br br br br
erminants of health. br br
PTS: 1 DIF: Easy
REF: Page and Header: 5, The Lalonde Report brOBJ: 1 br br br br br
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
b r br br br br br br br br br br
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
b r br br br br br br br br br
KEY: Integrated Process: Nursing Process BL
b r br br br br
M: Cognitive Level: Understand
br br br
4. The publication of the World Health Organization’s Declaration of Alma-
br br br br br br br br br
Ata is acknowledged to be a key event in the development of contemporary p
br br br br br br br br br br br br br
ublic health policy. The Declaration prioritized:
br br br br br
A. collaboration among individuals and health care providers to impact health d br br br br br br br br br br
ecisions.
B. increased funding for the education of nurses, physicians, and allied health w
br br br br br br br br br br br
orkers in member nations. br br br
C. cooperation between developed nations and developing nations to eradicate g br br br br br br br br br
lobal health inequities.
br br
D. the removal of class-based barriers to health decision making.
br br br br br br br br
ANS: A b r
Rationale: The Declaration of Alma- br br br br
Ata called for health providers to work with people to assist them in making decis
br br br br br br br br br br br br br br
ions about their health and how to meet health challenges in ways that are affor
br br br br br br br br br br br br br br
dable, acceptable, and sustainable in the long term. It did not specifically prioriti
br br br br br br br br br br br br
ze education funding, international cooperation, or the removal of class-
br br br br br br br br br
based barriers to health. br br br
PTS: 1 DIF: Easy
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1
br br br br br br
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
b r br br br br br br br br br br
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
b r br br br br br br br br br
KEY: Integrated Process: Nursing Process
b r br br br
, BLM: Cognitive Level: Understand
b r br br
5. A public health worker is participating in the creation of a health promotion initi
br br br br br br br br br br br br br
ative that aims to address many of the poor health outcomes in a city’s homele
br br br br br br br br br br br br br br
ss population. The success or failure of this initiative is likely to depend on what f
br br br br br br br br br br br br br br br
actor?
A. Accessibility and the perceived credibility of the planned initiative br br br br br br br br
B. The provision of incentives and immediate benefits for participants in the p
br br br br br br br br br br br
rogram
C. Providing safe and supportive housing for homeless people before a br br br br br br br br br
ddressing their health needs br br br
D. Redressing the disparities based on gender, socioeconomic status, and e br br br br br br br br br
ducation
ANS: A b r
Rationale: The Declaration of Alma- br br br br
Ata called for health providers to work with people to assist them in making decis
br br br br br br br br br br br br br br
ions about their health and how to meet health challenges in ways that are affor
br br br br br br br br br br br br br br
dable, acceptable, and sustainable in the long term. In facing the health challeng
br br br br br br br br br br br br
es posed by homelessness, it is imperative that programs, policies, and interventi
br br br br br br br br br br br
ons ensure accessibility by the members of this population. As well, it is necessar
br br br br br br br br br br br br br
y to present initiatives in a way that promotes their credibility. Short-
br br br br br br br br br br br
term benefits are not a prerequisite and the resolution of disparities and lack of h
br br br br br br br br br br br br br br
ousing need not precede health promotion.
br br br br br
PTS: 1 DIF: Moderate
REF: Page and Header: 5, Declaration of Alma-Ata OBJ: 1 br br br br br br
NAT: Client Needs: Safe and Effective Care Environment: Management of Care T
b r br br br br br br br br br br
OP: Chapter 1: Population Health Promotion: Essentials and Essence of Practice
b r br br br br br br br br br
KEY: Integrated Process: Nursing Process BL
b r br br br br
M: Cognitive Level: Analyze
br br br
6. Which issue is recognized as being inadequately addressed by current Canadian h
br br br br br br br br br br br
ealth policy? br
A. Canadians are not aware of the impact that their behaviours have on their h br br br br br br br br br br br br br
ealth status. br
B. Utilization of the health care system is insufficient to ensure the health of t
br br br br br br br br br br br br br
he population.
br
C. Members of disadvantaged groups are less healthy than other Canadians.
br br br br br br br br br
D. The interests of the health care industry are at odds with the long-
br br br br br br br br br br br br
term health of Canadians.
br br br
ANS: C br
