Question 1

Healthy Communities and Cities is based on which of the following premises?

Accepted Answer

A)   When people can work out their own locally defined health problems, they will find sustainable solutions to those problems.
B)   When the health of a community is improved, the focus will be on life expectancy rather than quality of life.
C)   When health professionals assume a leadership role, the health of the community will improve.
D)   When cities recruit enough health professionals to care for those needing medical care, the cities health will improve. A

Question 2

A nurse utilizes the Centers for Disease Control and Prevention's (CDC's) Healthy Communities Program. Which of the following factors does the nurse recognize that will influence the continuance of this program?

Accepted Answer

A)   Time
B)   Community participation
C)   Federal involvement
D)   Technology B

Question 3

A nurse is designing interventions and evaluating results of Healthy Municipalities and Cities. Which of the following considerations would be made by the nurse?

Accepted Answer

A)   Influence of individual actions
B)   Acute care hospital services in the community
C)   Social results and endorsement of law makers for policy changes
D)   Effectiveness of health services, including delivery of preventive services D

Question 4

What is the goal of the Healthy Communities and Cities initiative?

Accepted Answer

A)   Promoting health through community participation
B)   Reorganizing the current health care system
C)   Maximizing the cost-benefit ratio of health care
D)   Improving the quality of care in communities

Question 5

A nurse is implementing the steps of the Community Health Promotion Model. Which of the following does this most resemble?

Accepted Answer

A)   Collaboration process
B)   WHO's Ottawa Charter
C)   Nursing process
D)   CDC's monitoring program

Question 6

The Healthy Communities and Cities initiative supports what idea?

Accepted Answer

A)   Healthy cities and communities must be both environmentally and socially sustainable.
B)   Healthy public policy is the responsibility of elected officials.
C)   Physical environments cannot be changed; thus, strategies must be developed in order to cope with them.
D)   The World Health Organization (WHO)  is the primary source of information for cities.

Question 7

A nurse is implementing the Community Health Promotion Model. Which of the following underlying principles should the nurse use to facilitate active participation?

Accepted Answer

A)   Individuals should work in groups to complete necessary tasks.
B)   Individuals participating should represent all segments of the population.
C)   People will work together if they like the leadership.
D)   People will participate when they see the issues as worthy of their time.

Question 8

Wearing 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. Which of the following best describes what has happened in this community?

Accepted Answer

A)   Unilateral action of lawmakers
B)   Participation in health fairs
C)   Healthy public policy
D)   Media interest in protecting the public

Question 9

A nurse performs a community assessment as part of the Community Health Promotion Model. Which of the following best describes the rationale for this action?

Accepted Answer

A)   Becoming more acquainted with the multiple factors that influence health status
B)   Surveying the citizens in the community about their wants and needs
C)   Allowing special interest groups a voice in health policy
D)   Providing a narrow focus for the committee work

Question 10

A nurse is involved in implementing the Community Health Promotion Model. Which of the following best describes the action being taken by the nurse?

Accepted Answer

A)   Changing public policy
B)   Establishing a team to plan and coordinate the work
C)   Providing nursing diagnoses for the community
D)   Revising an objective for Healthy People 2020

Question 11

According to the Ottawa Charter for Health Promotion, which of the following are included in the areas for health promotion action? (Select all that apply.)

Accepted Answer

A)   Creating supportive environments
B)   Developing personal skills
C)   Building healthy public policy
D)   Reorienting health services
E)   Developing community partnerships

Question 12

A nurse was involved in the initial implementation of the Healthy Communities and Cities initiative in the United States. Which of the following problems would have most likely been addressed?

Accepted Answer

A)   Reduction to the amount of pollutants released into the environment
B)   Provision of fire and police protection
C)   Creation of a coalition to address health disparities
D)   Elimination of crime and violence from the community

Question 13

What principles were used in the creation of the Healthy Cities movement? (Select all that apply.)

Accepted Answer

A)   Primary care
B)   Equity in health promotion
C)   Community participation
D)   High technologic environments
E)   Relationship building

Question 14

A nurse is implementing interventions to improve the health of the community. Which of the following approaches would be taken by the nurse?

Accepted Answer

A)   A top-down approach with rational-empirical problem solving
B)   A top-down approach with community practice planned by experts
C)   A bottom-up approach with facilitation of communication
D)   A bottom-up approach with multisectoral planning and action for health

Question 15

What occurred when the Healthy Communities and Cities concept was brought to the United States?

Accepted Answer

A)   The cities chosen for the initial work were Los Angeles and New York City.
B)   Canada adopted the program at the same time for continuity across borders.
C)   The same strict guidelines that were implemented in Europe were used.
D)   Smaller communities and localities were targeted instead of large cities.

Question 16

A nurse is leading a team responsible for evaluating the health of a community using the Community Health Promotion Model. Based on this model, which of the following steps would you expect the nurse to complete?

Accepted Answer

A)   Ensuring high technological access before the plan can be implemented
B)   Soliciting the consent of every member of the community
C)   Assessing the community
D)   Restructuring the public health policy in the community

Question 17

A nurse uses the Community Health Promotion Model to address the problem of increasing teenage pregnancy rates in the community. Which of the following steps would be used by the nurse? (Select all that apply.)

Accepted Answer

A)   Identifying interest in the topic through use of community forums
B)   Building a partnership with parents of teenagers to address this problem
C)   Counseling teenagers about effective birth control methods
D)   Contacting other cities with similar problems and issues
E)   Referring teenagers to Planned Parenthood

Exam 16: Promoting Healthy Communities