Deck 16: Promoting Healthy Communities

Question 1

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?

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

Answer 1

Assessing the community

Question 2

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

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

Answer 2

Promoting health through community participation

Question 3

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?

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

Answer 3

Creation of a coalition to address health disparities

Question 4

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

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.

Question 5

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?

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

Question 6

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

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

Question 7

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.)

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

Question 8

The Healthy Communities and Cities initiative supports what idea?

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 9

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

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 10

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

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 11

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

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

Question 12

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?

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 13

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

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 14

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?

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

Question 15

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

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

Question 16

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

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 17

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.)

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