Question 1

What is the focus of the definition of health in the Ottawa Charter on Health Promotion?&#10;A)Health is an outcome.&#10;B)Enjoying life is more important than the need to maintain one's health.&#10;C)Health is incorporated into one's activities of daily living.&#10;D)Health is a way to maintain a stable environment.

Accepted Answer

The perspective taken in this text is based on the Ottawa Charter definition of health: "to reach a state of complete physical, mental and social well-being, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment." Therefore, the World Health Organization (WHO) identified health as a resource for everyday living, i.e., taking a holistic approach that includes physical, social, and personal capabilities, with health being viewed positively.When using this definition, health is no longer viewed as an outcome (or a state to be reached); rather, health is incorporated into one's activities of daily living.Today, Health Canada continues to apply the Ottawa Charter definition of health.The view of health as a resource proposes that communities and individuals use this resource to manage and even change their environments.

Question 2

Which one of the following is the most important ingredient for effective community development?&#10;A)Adequate funding&#10;B)Appropriate location for the services provided&#10;C)Community participation&#10;D)Professional expertise

Accepted Answer

Community participation is absolutely essential to community development.The most effective changes come with active participation by the people who live in the community.Community development is a process whereby community members identify health concerns impacting their community that require the development of capacity-building skills to bring about a realization of the needed change, with the goal of a secure and healthy community that benefits all community members.

Question 3

Which of the following accurately describes an appropriate starting point for the application of a population health approach?&#10;A)Emergency life-saving care&#10;B)The determinants of health&#10;C)Health promotion models&#10;D)Risk management

Accepted Answer

The population health approach has, as its starting point, a focus on the determinants of health.Other starting points are also discussed but are not included in the above answer choices.

Question 4

The Canadian Community Health Nursing Standards of Practice identifies a community health nurse (CHN)'s role as advocate in creating public policy, as supporter of community action to influence public policy, and as instrument for societal change.Which one of the following is an example of a healthy public policy?

A)Immunizations
B)Behaviour change
C)Marketing materials
D)Crib/bed safety initiatives for infants and young children

Accepted Answer

Examples of a healthy public policy include crib/bed safety for infants and young children, restraint use in long-term-care institutions, seatbelt use for populations, and a tobacco ban in communities.

Question 5

Which report focused on the introduction of the &#34;health field concept&#34; with its four domains?&#10;A)Epp Report&#10;B)Black Report&#10;C)Lalonde Report&#10;D)WHO Commission Report on Social Determinants

Accepted Answer

The Lalonde Report focused on the introduction of the health field concept with four domains: human biology, lifestyle, environment, and health care system as determinants of health.

Question 6

In his document entitled Achieving Health for All: A Framework for Health Promotion, Epp supported a community and policy focus in health promotion.Which one of the following did he recommend?&#10;A)Cooperating fully with the WHO member nations in implementing the plan internationally&#10;B)Denying that the goal of health is socially and economically productive lives for all citizens&#10;C)Taking actions that foster public participation&#10;D)Focusing primarily on disease prevention and health promotion in selected areas

Accepted Answer

Epp's framework supported a community and policy focus in health promotion through fostering public participation (e.g., heart-healthy physical activity promotion initiatives), strengthening community health services (e.g., increasing community mental health services), and coordinating healthy public policy (e.g., a nationwide ban on the sale and use of baby walkers).

Question 7

Using the Community Mobilization Framework and the three health promotion community mobilization approaches, which element should be addressed first within the framework's social planning component?&#10;A)Shifting power relationships&#10;B)Problem solving at the community level&#10;C)Community participation&#10;D)Community social concerns

Accepted Answer

The Community Mobilization Framework identifies the following three health promotion community mobilization approaches to bring about community change: 1) social planning (problem solving at the community level to deal with physical, mental, and social health concerns in the community), which is described as a task-oriented strategy that includes a health care professional as the "expert leader"; 2) locality development (community participation and cooperation to deal with community health concerns, with a focus on process, consensus, and community self-help), with the health care professional as facilitator; and 3) social action (a process with the focus on shifting power relationships and resources so that change occurs to the benefit of the disadvantaged in the community).

Question 8

How is the contemplation stage for changing behaviour different from the precontemplation stage for changing behaviour?&#10;A)During the contemplation stage, the client does not yet intend to change his or her behaviour within the next 6 months.&#10;B)During the contemplation stage, there is a lack of readiness to change behaviour.&#10;C)During the precontemplation stage, there is a readiness to change behaviour.&#10;D)During the contemplation stage, the client is thinking about changing behaviour within the next 6 months.

Accepted Answer

In the precontemplation stage, an individual is not considering a change in behaviour within the next 6 months; there is no readiness for change.However, in the contemplation stage, an individual is starting to think about a change in behaviour within the next 6 months.

Question 9

Which of the following main ideas was Lalonde highlighting in his report entitled A New Perspective in the Health of Canadians (1974)?&#10;A)Access to health care and cost and quality of health care&#10;B)Appropriate legislation to control health care organizations&#10;C)The influence of biology, environment, and lifestyle on good health&#10;D)Accessibility and health promotion

Accepted Answer

The Lalonde Report initiated a shift, especially in Canada, from a primarily biomedical view of disease and health to consideration of certain aspects of health promotion.The Lalonde Report increased the awareness of human biology, environment, and lifestyle as determinants of health and, therefore, as influencers of health.He urged improvements in the environment, increased knowledge in human biology, and modifications of self-imposed risks arising from individual health choices and related behaviours to increase the population health status of Canadians.

Question 10

What is the most important feature of the Diffusion of Innovation Theory?&#10;A)It avoids high-cost treatments and suggests cheaper alternatives.&#10;B)It gives members incentives to use only network providers.&#10;C)It shows that individuals adopt innovations at different rates.&#10;D)It advocates working with geographically based communities.

Accepted Answer

This theory shows that individuals adopt innovations at different rates.

Question 11

Which one of the following is perhaps the most helpful idea among the unlimited suggestions for how to improve health care in Canadian communities?&#10;A)Increasing funding and personnel to advance new pharmaceutical interventions&#10;B)Increasing funding for further research into the most effective medical interventions&#10;C)Increasing technological advances to constantly improve surgical survival rates&#10;D)Involving communities in their health care and encouraging their participation in decisions about health care

Accepted Answer

The answer of Which one of the following is perhaps...

Question 12

What is the basis for the difference between health promotion and health protection?&#10;A)The assurance of the highest possible quality in care&#10;B)The motivation to change behaviour&#10;C)Delivery of care by a group of health care providers&#10;D)The achievements of social marketing campaigns

Accepted Answer

The answer of What is the basis for the difference...

Question 13

What is the focus of health promotion in Canada?&#10;A)Achieving consensus on community health needs&#10;B)Developing a population approach based on the determinants of health&#10;C)Dictating interventions that match the government's identified priorities&#10;D)Promoting individual health status

Accepted Answer

The answer of What is the focus of health promotion...

Question 14

Which one of the following is an example of self-efficacy?&#10;A)Attending a walk-in clinic for health care&#10;B)Allowing others input into one's health decisions&#10;C)Paying for a fitness centre membership&#10;D)Making healthy food choices while grocery shopping

Accepted Answer

The answer of Which one of the following is an...

Deck 4: Health Promotion