Question 1

Compare and contrast a socio-environmental approach to health promotion with population health.

Accepted Answer

Socio-environmental approach
- focuses on addressing inequities in health experienced by disadvantaged and marginalized groups
- defines health in its broadest sense as a resource for everyday living
- identifies a wide range of strategies for change that emphasize individual and community empowerment
Population health
- is mostly concerned with the gradients in health status across all socioeconomic levels
- defines health in terms of traditional epidemiological "sickness" indicators
- focuses on identifying determinants of disease and death rather than on strategies for change

Question 2

What is an example of developing personal skills in health promotion?

Accepted Answer

A)   Reading professional journals
B)   Conducting parenting classes
C)   Supporting after-school programs
D)   Attending a conference B

Question 3

"The process of enabling people to increase control over and improve their health" is a definition of what concept?

Accepted Answer

A)   Health promotion
B)   Social change
C)   Social justice
D)   Empowerment A

Question 4

A new nurse wants to adopt Butterfield's approach to nursing practice.What will the nurse need to do?

Accepted Answer

A)   Think downstream
B)   Adopt a microscopic approach
C)   Rescue more clients
D)   Think upstream

Question 5

What does individual empowerment involve?

Accepted Answer

A)   Resource access
B)   Increased local action
C)   Stronger social networks
D)   Self-efficacy

Question 6

A nurse has instituted a parenting class for new mothers at the local community centre.What is the most significant problem with this program?

Accepted Answer

A)   This will create inequities as some mothers may not be able to attend.
B)   New mothers may not feel they need this type of assistance.
C)   These programs have been shown to not work.
D)   Classes should not discriminate against fathers.

Question 7

The Kostalanskys live in a low-income neighbourhood in Vancouver and have two children under 5 years.How likely are their children to experience overweight/obesity when compared to the general population?

Accepted Answer

A)   They are likely to be underweight,not overweight.
B)   Their risk is the same.
C)   They are more likely to be overweight.
D)   They are five times more likely to be overweight.

Question 8

What was the most important goal of health promotion in the 1980s?

Accepted Answer

A)   Social change
B)   Social justice
C)   Individual behaviour change
D)   Reduction in mortality rates

Question 9

Within public health nursing,what does critical caring theory aim to reincorporate?

Accepted Answer

A)   A social justice agenda
B)   Empowerment
C)   Developing personal skills
D)   Immunization

Question 10

What publication is widely recognized as marking the transition from medical and behavioural health determinants to a new socio-environmental health promotion approach?

Accepted Answer

A)   Alma Ata Declaration
B)   An article by Labonte
C)   Ottawa Charter
D)   Innocenti Declaration

Question 11

A nurse practises from a socio-ecological perspective.What would be a subsystem of the ecosystem the nurse would look at?

Accepted Answer

A)   Culture
B)   Education
C)   Lifestyle
D)   Food Security

Question 12

What group published Strategies for Population Health: Investing in the Health of Canadians?

Accepted Answer

A)   Federal,Provincial,Territorial Advisory Committee on Population Health
B)   British Columbia Public Health Nursing Advisory Committee
C)   World Health Organization
D)   Canadian Nurses Association

Question 13

What is a guideline for promoting community health nursing?

Accepted Answer

A)   Planning programs with other health care professionals
B)   Being patient
C)   Downstream thinking
D)   Assessing clients' needs and problems

Question 14

What concept is defined by "Where the needs of the many have priority over the needs of the individual"?

Accepted Answer

A)   The common good
B)   Primary health care
C)   Social justice
D)   Inequity balance

Question 15

A nurse is focusing specifically on addressing inequalities in health.From what perspective is the nurse practising?

Accepted Answer

A)   Empowerment
B)   Microscopic
C)   Critical social
D)   Biomedical

Question 16

In what decade did the birth of the modern era of health promotion as an organized and distinct multidisciplinary field occur?

Accepted Answer

A)   1950s
B)   1930s
C)   1970s
D)   1990s

Question 17

A conference in what Canadian city is widely recognized as having given birth to the worldwide movement to establish healthy cities/communities?

Accepted Answer

A)   Toronto
B)   Vancouver
C)   Montreal
D)   St.John's

Question 18

Which model was developed to explain why individuals do or do not take action to prevent disease?

Accepted Answer

A)   Disease Prevention Model
B)   Health Belief Model
C)   Population Health Promotion Model
D)   Health Equity Model

Question 19

What does the Population Health Promotion Model most closely reflect?

Accepted Answer

A)   Socio-environmental perspective
B)   Natural law perspective
C)   Social change perspective
D)   Biomedical perspective

Question 20

A nurse is participating in an active,involved process where the people,groups,and communities in the area are moving toward increased individual and community control,political efficacy,improved quality of community life,and social justice.What is the nurse working toward?

Accepted Answer

A)   A lifestyle approach
B)   Biomedical stability
C)   Community empowerment
D)   Developing a healthy city

Exam 6: Population Health Promotion Models and Strategies