Question 1

The Healthy Cities project was initiated in Europe at the World Health Organization. It began with the recognition that:

Accepted Answer

The Healthy Cities project was initiated in Europe at the World Health Organization in response to the growing trend of urbanization wherein more than half of the world's population was living in urban areas. The project aimed to promote health and well-being in these cities. Therefore, option B is the correct answer. Option A is incorrect because the project did not start with the belief that cities are unhealthy places to live in. Option C is incorrect because although citizens wanting control over their health may have been a motivating factor, it was not the primary reason for the project's initiation. Option D is also incorrect because the project was not specifically targeted towards immigrants and refugees with poor health.

Question 2

When the Healthy Cities concept was brought to the United States:

Accepted Answer

When the Healthy Cities concept was brought to the United States, instead of targeting cities, localities and smaller communities were targeted. This was done to account for the diversity of the American population and the fact that there may be different health priorities in different regions.

Question 3

Healthy Cities is based on which of the following premises?

Accepted Answer

Healthy Cities is based on the premise that communities can develop sustainable solutions to their own health problems when they have the opportunity to work together and identify locally defined issues. This approach emphasizes the importance of community involvement and empowerment rather than top-down approaches led by health professionals. Choices B and D are incorrect because they do not align with the principles of Healthy Cities. Choice C is partially correct, as health professionals can play a role in providing guidance and expertise, but they should not be the primary leaders of Healthy Cities initiatives.

Question 4

If a group wanted to investigate why there was a high death rate related to chronic obstructive pulmonary disease in their community, how could information be obtained?

Accepted Answer

The answer of If a group wanted to investigate why...

Question 5

When designing interventions and evaluating results of Healthy Municipalities and Cities, which of the following should be considered?

Accepted Answer

When designing interventions and evaluating results of Healthy Municipalities and Cities, the effectiveness of health services including delivery of preventive services should be considered. This focuses on the primary care and prevention aspect of healthcare, which is a central component of Healthy Municipalities and Cities. While all options may play a role, the effectiveness of health services is the central focus of this initiative.

Question 6

Part of the implementation of the Community Health Improvement Model involves performing a community assessment. The purpose of this is:

Accepted Answer

The purpose of a community assessment in the implementation of the Community Health Improvement Model is to provide the committee with a comprehensive understanding of the multitude of factors that influence the health status of the community's residents. This understanding will allow the committee to formulate interventions that effectively address the community's health needs. Option B is incorrect because a community assessment involves more than just surveying people's wants and needs. Option C is incorrect because special interest groups should not have undue influence on health policy. Option D is incorrect because a community assessment aims to provide a broad and comprehensive understanding of the community's health status and needs, rather than a narrow focus.

Question 7

The Community Health Improvement Model has many steps. These steps resemble:

Accepted Answer

The Community Health Improvement Model follows a similar process to the nursing process, which includes assessment, planning, implementation, and evaluation. While the other options listed may have some overlap, they do not directly align with the steps of the model.

Question 8

Media support for Healthy Communities and Cities is important because:

Accepted Answer

Media support can help to bring awareness and create buzz around healthy community initiatives. By showcasing the work and its impact, media can reach a wider audience and help to garner support from the community. This can also potentially attract resources and funding for the project. While people may watch a lot of television, it is not a compelling reason for why media support is important for healthy communities. And while local television stations may provide support, this is not always the case and other forms of media can also be important.

Question 9

There are three broad categories of social determinants. One is "social institutions." This refers to:

Accepted Answer

Social institutions refer to broader societal structures and systems, including cultural and religious institutions, economic systems, and political structures. This includes things like government policies, laws, and regulations that can have a significant impact on the social determinants of health. Neighborhoods, workplaces, towns, and cities are more closely related to the physical environment category of social determinants. Positions in the social hierarchy and conceptual frameworks are other categories of social determinants.

Question 10

The Community Health Promotion Model developed at the Indiana University School of Nursing has a nine-step process for implementing the Healthy Cities model. Which of the following is a step in the process?

Accepted Answer

The Community Health Promotion Model developed at the Indiana University School of Nursing has a nine-step process for implementing the Healthy Cities model. One of the steps is assessing the community to understand its needs and resources. Ensuring high technological access and restructuring public health policy may be necessary steps but are not specifically mentioned in this model. Soliciting the consent of every member of the community may be important, but it is not listed as a required step in this particular model.

Question 11

Building partnerships is an important part of the implementation process of the Community Health Improvement Model. This involves inviting interested persons to become active in the process. What are some important factors for active participation?

Accepted Answer

Active participation is most successful when individuals feel invested in the community and see the issues at hand as important. Assigning individuals to work groups and ensuring representation is important, but it is not sufficient for motivating active participation. Endorsed leadership can also be helpful, but it is not the most critical factor for participation.

Question 12

The continuance of the Healthy Communities and Cities movement depends on many factors that facilitate or impede the process. The process can be influenced by which of the following factors?

Accepted Answer

The answer of The continuance of the Healthy Communities and...

Question 13

The Healthy Cities Movement supports the idea that:

Accepted Answer

The Healthy Cities Movement emphasizes the importance of creating sustainable cities and communities that are both environmentally and socially sustainable. This involves a focus on policies and practices that support health and well-being, such as access to green spaces, healthy food options, and safe and accessible transportation. The movement recognizes that health is influenced by a range of social, economic, and environmental factors, and therefore requires a comprehensive and integrated approach to address them. Options B, C, and D are not accurate representations of the Healthy Cities Movement.

Question 14

The Community Health Improvement Model often asks nurses to be involved in the process by providing data relevant to community health services. Nurses can also be involved in:

Accepted Answer

Nurses can be involved in initiating, coordinating, and being a part of the research team conducting evaluation research.

Question 15

International cooperation is an important part of the Healthy Communities and City project because:

Accepted Answer

Health problems do not respect national boundaries and can easily spread across borders. Therefore, international cooperation is essential to effectively address public health issues that affect communities and cities worldwide. Collaborating and sharing information with different countries' health experts is essential to prevent, control, and treat complex diseases that affect various parts of the world. The Healthy Communities and City project recognizes the importance of international cooperation to tackle global health challenges.

Question 16

There are several phases of Healthy Cities and Communities Strategies. The Action Phase refers to:

Accepted Answer

The answer of There are several phases of Healthy Cities...

Question 17

Indiana and California have the longest history of the Health Communities and Cities in the United States. Six cities with diverse populations were initially involved in the project. Some of the actions taken were:

Accepted Answer

The actions taken by the Health Communities and Cities project include addressing problems of children, teen parents, and the homeless. B, C, and D are not mentioned as actions taken by the project in the given information.

Question 18

The models of community practice and assumptions professionals have about communities shape the implementation of the Health Communities and Cities process. There is a "ladder of participation" that emphasizes the lower levels, which are:

Accepted Answer

The lower levels of the "ladder of participation" involve approaches where professionals and experts plan and implement actions with minimal community input, such as therapy, information dissemination, and top-down participation.

Question 19

The wearing of seat belts is required in many communities. Children of a certain age must be restrained in a car seat or seat belt when riding in a car. This is an example of which of the following?

Accepted Answer

The requirement of seat belts and car seats for children is an example of healthy public policy, which is a policy that promotes health through laws, regulations, or other measures that are intended to support healthy behaviors or environments.

Question 20

The goal of The Healthy Cities Movement is to:

Accepted Answer

The Healthy Cities Movement aims to promote health on a political level, encouraging cities to prioritize the health and wellbeing of their residents. This includes initiatives such as creating healthy environments, promoting active lifestyles, and reducing social inequality in health outcomes. The other choices do not fully capture the goals of the movement.

Quiz 17: Health Promotion Through Healthy Communities and Cities