Deck 20: Promoting Health Through Healthy Communities and Cities

Question 1

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.

Answer 1

Smaller communities and localities were targeted instead of large cities.

Question 2

A nurse involved in the initial implementation of the Healthy Communities and Cities initiative in the United States would have likely addressed which problem?

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 2

Creation of a coalition to address health disparities

Question 3

The steps of the Community Health Promotion Model resemble the:

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

Answer 3

Nursing process

Question 4

When utilizing the Centers for Disease Control and Prevention's Healthy Communities Program,a nurse recognizes that a factor that will influence the continuance of this program is:

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

Question 5

When implementing the Community Health Promotion Model,which underlying principle should the nurse use in order 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 6

A nurse who is designing interventions and evaluating results of Healthy Municipalities and Cities should consider the:

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 7

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

A) When people have the opportunity to 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 8

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:

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

Question 9

According to the Ottawa Charter for Health Promotion,the areas for health promotion action include (select all that apply):

A) Creating supportive environments
B) Developing personal skills
C) Building healthy public policy
D) Reorienting health services
E) None of above

Question 10

Which approach should a nurse take when implementing interventions to improve the health of a community?

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 multi-sectoral planning and action for health

Question 11

The Healthy Communities and Cities initiative supports the idea that:

A) Healthy cities and communities must be both environmentally and socially sustainable.
B) Health 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 is the primary source of information for cities.

Question 12

The goal of the Healthy Communities and Cities initiative is to:

A) Promote health through community participation.
B) Reorganize the current health care system.
C) Maximize the cost-benefit ratio of health care.
D) Improve the quality of care in communities.

Question 13

What principle(s)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

Question 14

Why would a nurse perform a community assessment as part of the Community Health Promotion Model?

A) To become more acquainted with the multiple factors that influence health status
B) To survey the people in the community about their wants and needs
C) To allow special interest groups a say in health policy
D) To provide a narrow focus for the committee work

Question 15

Which nursing action demonstrates a nurse's involvement in the Community Health Promotion Model?

A) Changing public policy
B) Establishing a team to conduct evaluation research
C) Providing nursing diagnoses for the community
D) Revising an objective for Healthy People 2020

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 step 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

Question 17

When using the Community Health Promotion Model to address the problem of increasing teenage pregnancy rates in the community,the nurse would use which steps? Select all that apply.

A) Identifying interest by community forums
B) Building the partnership
C) Counseling teenagers about effective birth control methods
D) Contacting other cities with similar problems and issues