Chapter 4: Health Promotion Flashcards
- What is the focus of the definition of health in the Ottawa Charter on Health Promotion?
a. Health is an outcome.
b. Enjoying life is more important than the need to maintain one’s health.
c. Health is incorporated into one’s activities of daily living.
d. Health is a way to maintain a stable environment.
ANS: C
The Ottawa Charter definition of health is: “to reach a state of complete physical, mental and
social well-being, an individual or group must be able to identify and to realize aspirations, to
satisfy needs, and to change or cope with the environment.” When using this definition, health
is no longer viewed as an outcome (or a state to be reached); rather, health is incorporated into
one’s activities of daily living. The view of health as a resource proposes that communities
and individuals use this resource to manage and even change their environments.
- How is health promotion distinct from health protection?
a. A focus on the assurance of the highest possible quality in care
b. A concern with enabling increased control over determinants of health
c. The specific delivery of care by a group of health care providers
d. The particular achievements of social marketing campaigns
ANS: B
Whereas health protection focuses on maintenance and management of immediate health
risks, health promotion is concerned with enabling increased control over determinants of
health, thereby improving health outcomes.
- In his document entitled Achieving Health for All: A Framework for Health Promotion, Epp
supported a community and policy focus in health promotion. What did he recommend?
a. Cooperating fully with the WHO member nations in implementing the plan
internationally
b. Denying that the goal of health is socially and economically productive lives for all
citizens
c. Taking actions that foster public participation
d. Focusing primarily on disease prevention and health promotion in selected areas
ANS: C
Epp’s framework supported a community and policy focus in health promotion through
fostering public participation (e.g., heart-healthy physical activity promotion initiatives),
strengthening community health services (e.g., increasing community mental health services),
and coordinating healthy public policy (e.g., a nationwide ban on the sale and use of baby
walkers).
- What would describe an appropriate starting point for the application of a population health
approach?
a. Emergency life-saving care
b. The determinants of health
c. Health promotion models
d. Risk management
ANS: B
The population health approach has, as its starting point, a focus on the determinants of
health. Other starting points are also discussed but are not included in the above answer
choices
- How is the contemplation stage for changing behaviour different from the precontemplation
stage for changing behaviour?
a. During the contemplation stage, the client does not yet intend to change his or her
behaviour within the next 6 months.
b. During the contemplation stage, there is a lack of readiness to change behaviour.
c. During the precontemplation stage, there is a readiness to change behaviour.
d. During the contemplation stage, the client is thinking about changing behaviour
within the next 6 months
ANS: D
In the precontemplation stage, an individual is not considering a change in behaviour within
the next 6 months; there is no readiness for change. However, in the contemplation stage, an
individual is starting to think about a change in behaviour within the next 6 months.
- Which report focused on the introduction of the “health field concept” with its four domains?
a. Epp Report
b. Black Report
c. Lalonde Report
d. WHO Commission Report on Social Determinants
ANS: C
The Lalonde Report focused on the introduction of the health field concept with four domains:
human biology, lifestyle, environment, and health care system as determinants of health.
- What is the most important feature of the Diffusion of Innovation Theory?
a. It avoids high-cost treatments and suggests cheaper alternatives.
b. It gives members incentives to use only network providers.
c. It shows that individuals adopt innovations at different rates.
d. It advocates working with geographically based communities.
ANS: C
This theory shows that individuals adopt innovations at different rates.
- The Canadian Community Health Nursing Standards of Practice identifies a community
health nurse (CHN)’s role as advocate in creating public policy, as supporter of community
action to influence public policy, and as instrument for societal change. What is an example of
a healthy public policy?
a. Immunizations
b. Behaviour change
c. Marketing materials
d. Crib/bed safety initiatives for infants and young children
ANS: D
Examples of a healthy public policy include crib/bed safety for infants and young children,
restraint use in long-term-care institutions, seatbelt use for populations, and a tobacco ban in
communities.
- Using the Community Mobilization Framework and the three health promotion community
mobilization approaches, which element should be addressed first within the framework’s
social planning component?
a. Shifting power relationships
b. Problem solving at the community level
c. Community participation
d. Community social concerns
ANS: B
The Community Mobilization Framework identifies the following three health promotion
community mobilization approaches to bring about community change: 1) social planning
(problem solving at the community level to deal with physical, mental, and social health
concerns in the community), which is described as a task-oriented strategy that includes a
health care professional as the “expert leader”; 2) locality development (community
participation and cooperation to deal with community health concerns, with a focus on
process, consensus, and community self-help), with the health care professional as facilitator;
and 3) social action (a process with the focus on shifting power relationships and resources so
that change occurs to the benefit of the disadvantaged in the community).
- What is an example of self-efficacy?
a. Attending a walk-in clinic for health care
b. Allowing others’ input into one’s health decisions
c. Paying for a fitness centre membership
d. Making healthy food choices while grocery shopping
ANS: D
Self-efficacy refers to a belief that one can control one’s life and have the ability to carry out
actions required to prevent disease; a specific example is making healthy food choices while
grocery shopping.
- Which main idea did Lalonde highlight in his report entitled A New Perspective in the Health
of Canadians (1974)?
a. Access to health care and cost and quality of health care
b. Appropriate legislation to control health care organizations
c. The influence of biology, environment, and lifestyle on good health
d. Accessibility and health promotion
ANS: C
The Lalonde Report initiated a shift, especially in Canada, from a primarily biomedical view
of disease and health to consideration of certain aspects of health promotion. The Lalonde
Report increased the awareness of human biology, environment, and lifestyle as determinants
of health and, therefore, as influencers of health. Lalonde urged improvements in the
environment, increased knowledge in human biology, and modifications of self-imposed risks
arising from individual health choices and related behaviours to increase the population health
status of Canadians.
- What is perhaps the most helpful idea among the unlimited suggestions for how to improve
health care in Canadian communities?
a. Increasing funding and personnel to advance new pharmaceutical interventions
b. Increasing funding for further research into the most effective medical
interventions
c. Increasing technological advances to constantly improve surgical survival rates
d. Involving communities in their health care and encouraging their participation in
decisions about health care
ANS: D
The strategy of strengthening community action, as outlined in the Ottawa Charter, refers to
empowering communities. It involves engaging communities from the grassroots, or “bottom
up” (referred to as “locality development” as outlined by Rothman), so as to involve
community members in identifying health issues and planning and initiating interventions
specific to their communities. In this way, communities take ownership and have control over
health issues affecting them and the health of their members.
- Which one of the following is the most important ingredient for effective community
development?
a. Adequate funding
b. Appropriate location for the services provided
c. Community participation
d. Professional expertise
ANS: C
Community participation is absolutely essential to community development. The most
effective changes come with active participation by the people who live in the community.
Community development is a process whereby community members identify health concerns
impacting their community that require the development of capacity-building skills to bring
about a realization of the needed change, with the goal of a secure and healthy community that
benefits all community members.
- What is the focus of health promotion in Canada?
a. Achieving consensus on community health needs
b. Developing a population approach based on the determinants of health
c. Dictating interventions that match the government’s identified priorities
d. Promoting individual health status
ANS: B
In Canada, a population approach focusing on the determinants of health is the direction taken
in health promotion, in contrast to the focus on promotion of individual health in some other
countries, such as the United States
