Chapter 20: Promoting Health Through Healthy Communities and Cities

Chapter 20: Promoting Health Through Healthy Communities and Cities

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. 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.

 

 

ANS:   A

The goal of the Healthy Communities and Cities initiative is the promotion of health through community engagement and collaboration. This leads to addressing the health and quality of life for all through a process that includes diverse citizen participation, mobilization of all sections of the community, and community ownership. Reorganization of the current health care system, maximizing the cost-benefit ratio of health care, and improving the quality of care in communities are not part of the Healthy Communities and Cities initiative.

 

DIF:    Cognitive level: Understanding         REF:    p. 442

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

2. 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. 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

 

 

ANS:   C

Examples of healthy public policy are seat belt legislation, nonsmoking policies, and immunization policies for school-age children. Participation in health fairs involves providing health education and resources out in the community. Unilateral action of lawmakers does not demonstrate community involvement. Media interest does not create the legislation.

 

DIF:    Cognitive level: Applying                  REF:    p. 451

TOP:    Nursing process: Implementation

MSC:   NCLEX: Health Promotion and Maintenance

 

3. 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.

 

 

ANS:   D

The concept of Healthy Communities was used to incorporate localities that were not necessarily cities. The initial projects were Healthy Cities Indiana and the California Healthy Cities project. Healthy Communities and Cities operates in other parts of the world under different names and national networks have been developed among countries. There are not strict guidelines for implementation of this program.

 

DIF:    Cognitive level: Understanding         REF:    p. 443

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

4. The Healthy Communities and Cities initiative supports the idea that:

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.

 

 

ANS:   A

Healthy cities and communities must be both environmentally and socially sustainable through a strategy of primary care. Healthy public policy should involve collaboration at all levels. Supportive environments should be created. The WHO originally began this movement, but now sharing occurs among those participating in this initiative.

 

DIF:    Cognitive level: Understanding         REF:    p. 442

TOP:    Nursing process: Assessment

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care