Question 1

The Healthy Cities project was initiated in Europe at the World Health Organization. It began with the recognition that:
A) Cities are unhealthy places to live
B) Half of the world's population lives in urban areas.
C) Citizens want to have control over their health.
D) Urban areas attract many immigrants and refugees who have poor health.

Accepted Answer

The Healthy Cities project was initiated in Europe at the World Health Organization in response to the growing trend of urbanization wherein more than half of the world's population was living in urban areas. The project aimed to promote health and well-being in these cities. Therefore, option B is the correct answer. Option A is incorrect because the project did not start with the belief that cities are unhealthy places to live in. Option C is incorrect because although citizens wanting control over their health may have been a motivating factor, it was not the primary reason for the project's initiation. Option D is also incorrect because the project was not specifically targeted towards immigrants and refugees with poor health.

Question 2

When the Healthy 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) Instead of cities, localities and smaller communities were targeted.

Accepted Answer

When the Healthy Cities concept was brought to the United States, instead of targeting cities, localities and smaller communities were targeted. This was done to account for the diversity of the American population and the fact that there may be different health priorities in different regions.

Question 3

Healthy 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) Health of a community is enhanced by focusing on quantity rather than quality of life issues.
C) Health professionals should take a leadership role in providing direction for Healthy Cities projects.
D) Cities need enough health professionals to care for those needing medical care.

Accepted Answer

Healthy Cities is based on the premise that communities can develop sustainable solutions to their own health problems when they have the opportunity to work together and identify locally defined issues. This approach emphasizes the importance of community involvement and empowerment rather than top-down approaches led by health professionals. Choices B and D are incorrect because they do not align with the principles of Healthy Cities. Choice C is partially correct, as health professionals can play a role in providing guidance and expertise, but they should not be the primary leaders of Healthy Cities initiatives.

Question 4

If a group wanted to investigate why there was a high death rate related to chronic obstructive pulmonary disease in their community, how could information be obtained?
A) Consulting the Bureau of Statistics
B) Surveying citizens by going door-to-door
C) Looking at Morbidity and Morality Weekly Report
D) Gathering data from health care providers at the health department.

Accepted Answer

The answer of If a group wanted to investigate why...

Question 5

When designing interventions and evaluating results of Healthy Municipalities and Cities, which of the following should be considered?
A) Influence of individual action
B) Acute care hospital service
C) Social results and endorsement of law makers
D) Effectiveness of health services including delivery of preventive services

Accepted Answer

When designing interventions and evaluating results of Healthy Municipalities and Cities, the effectiveness of health services including delivery of preventive services should be considered. This focuses on the primary care and prevention aspect of healthcare, which is a central component of Healthy Municipalities and Cities. While all options may play a role, the effectiveness of health services is the central focus of this initiative.

Question 6

Part of the implementation of the Community Health Improvement Model involves performing a community assessment. The purpose of this is:
A) To allow the committee to become more acquainted with the multiple biological, behavioral, social, and physical factors that describe and influence health status of residence.
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.

Accepted Answer

The purpose of a community assessment in the implementation of the Community Health Improvement Model is to provide the committee with a comprehensive understanding of the multitude of factors that influence the health status of the community's residents. This understanding will allow the committee to formulate interventions that effectively address the community's health needs. Option B is incorrect because a community assessment involves more than just surveying people's wants and needs. Option C is incorrect because special interest groups should not have undue influence on health policy. Option D is incorrect because a community assessment aims to provide a broad and comprehensive understanding of the community's health status and needs, rather than a narrow focus.

Question 7

The Community Health Improvement Model has many steps. These steps resemble:
A) The US Constitution
B) The WHO policy and procedures
C) The nursing process
D) The CDC monitoring program

Accepted Answer

The Community Health Improvement Model follows a similar process to the nursing process, which includes assessment, planning, implementation, and evaluation. While the other options listed may have some overlap, they do not directly align with the steps of the model.

Question 8

Media support for Healthy Communities and Cities is important because:
A) People watch a lot of television.
B) Local television stations provide the support for projects.
C) The images of the work can reach the broader community.
D) Resources can be solicited in this manner.

Accepted Answer

Media support can help to bring awareness and create buzz around healthy community initiatives. By showcasing the work and its impact, media can reach a wider audience and help to garner support from the community. This can also potentially attract resources and funding for the project. While people may watch a lot of television, it is not a compelling reason for why media support is important for healthy communities. And while local television stations may provide support, this is not always the case and other forms of media can also be important.

Question 9

There are three broad categories of social determinants. One is "social institutions." This refers to:
A) Neighborhoods, workplaces, towns, and cities
B) Positions in the social hierarchy
C) Cultural and religious institutions, economic systems, and political structures
D) Conceptual frameworks

Accepted Answer

Social institutions refer to broader societal structures and systems, including cultural and religious institutions, economic systems, and political structures. This includes things like government policies, laws, and regulations that can have a significant impact on the social determinants of health. Neighborhoods, workplaces, towns, and cities are more closely related to the physical environment category of social determinants. Positions in the social hierarchy and conceptual frameworks are other categories of social determinants.

Question 10

The Community Health Promotion Model developed at the Indiana University School of Nursing has a nine-step process for implementing the Healthy Cities model. Which of the following is a step in the process?
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

Accepted Answer

The Community Health Promotion Model developed at the Indiana University School of Nursing has a nine-step process for implementing the Healthy Cities model. One of the steps is assessing the community to understand its needs and resources. Ensuring high technological access and restructuring public health policy may be necessary steps but are not specifically mentioned in this model. Soliciting the consent of every member of the community may be important, but it is not listed as a required step in this particular model.

Question 11

Building partnerships is an important part of the implementation process of the Community Health Improvement Model. This involves inviting interested persons to become active in the process. What are some important factors for active participation?
A) Individuals must be assigned to work groups for effective implementation.
B) The groups must represent all segments of the population.
C) People will only work together if they endorse the leadership.
D) People participate when they feel a sense of community and see the issues as worthy of their time.

Accepted Answer

Active participation is most successful when individuals feel invested in the community and see the issues at hand as important. Assigning individuals to work groups and ensuring representation is important, but it is not sufficient for motivating active participation. Endorsed leadership can also be helpful, but it is not the most critical factor for participation.

Question 12

The continuance of the Healthy Communities and Cities movement depends on many factors that facilitate or impede the process. The process can be influenced by which of the following factors?
A) Time
B) Community participation
C) Federal involvement
D) Technology

Accepted Answer

The answer of The continuance of the Healthy Communities and...

Question 13

The Healthy Cities Movement supports the idea that:
A) Healthy cities and communities must be both environmentally and socially sustainable.
B) Health public policy is in the hands of legislators.
C) Physical environments cannot be changed, so the community must develop strategies to cope with them.
D) The World Health Organization in Europe will be the primary source of information for cities.

Accepted Answer

The Healthy Cities Movement emphasizes the importance of creating sustainable cities and communities that are both environmentally and socially sustainable. This involves a focus on policies and practices that support health and well-being, such as access to green spaces, healthy food options, and safe and accessible transportation. The movement recognizes that health is influenced by a range of social, economic, and environmental factors, and therefore requires a comprehensive and integrated approach to address them. Options B, C, and D are not accurate representations of the Healthy Cities Movement.

Question 14

The Community Health Improvement Model often asks nurses to be involved in the process by providing data relevant to community health services. Nurses can also be involved in:
A) Changing public policy
B) Initiating, coordinating and being a part of the research team conducting evaluation research
C) Providing nursing diagnoses for the community
D) Rewriting the objectives for Healthy People 2010

Accepted Answer

Nurses can be involved in initiating, coordinating, and being a part of the research team conducting evaluation research.

Question 15

International cooperation is an important part of the Healthy Communities and City project because:
A) Many people travel to foreign countries.
B) Health problems transcend international borders.
C) Health experts live in many parts of the world.
D) The health care needs of all people are the same internationally.

Accepted Answer

Health problems do not respect national boundaries and can easily spread across borders. Therefore, international cooperation is essential to effectively address public health issues that affect communities and cities worldwide. Collaborating and sharing information with different countries' health experts is essential to prevent, control, and treat complex diseases that affect various parts of the world. The Healthy Communities and City project recognizes the importance of international cooperation to tackle global health challenges.

Question 16

There are several phases of Healthy Cities and Communities Strategies. The Action Phase refers to:
A) Developing a detailed work plan
B) Conducting a primary assessment of the community
C) Encouraging politicians and other decision makers to commit to community capacity building
D) Developing a strategic plan

Accepted Answer

The answer of There are several phases of Healthy Cities...

Question 17

Indiana and California have the longest history of the Health Communities and Cities in the United States. Six cities with diverse populations were initially involved in the project. Some of the actions taken were:
A) Addressing problems of children, teen parents, and the homeless
B) Providing fire and police protection
C) Creating no-fly zones over their areas
D) Eliminating crime and violence from their communities.

Accepted Answer

The actions taken by the Health Communities and Cities project include addressing problems of children, teen parents, and the homeless. B, C, and D are not mentioned as actions taken by the project in the given information.

Question 18

The models of community practice and assumptions professionals have about communities shape the implementation of the Health Communities and Cities process. There is a "ladder of participation" that emphasizes the lower levels, which are:
A) Locality development as a process-oriented model
B) Social planning stressing rational outcomes
C) Concrete actions to change the balance of power
D) Therapy, information, and participation in which community practice and action is planned by professionals and experts in a top-down approach

Accepted Answer

The lower levels of the "ladder of participation" involve approaches where professionals and experts plan and implement actions with minimal community input, such as therapy, information dissemination, and top-down participation.

Question 19

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

Accepted Answer

The requirement of seat belts and car seats for children is an example of healthy public policy, which is a policy that promotes health through laws, regulations, or other measures that are intended to support healthy behaviors or environments.

Question 20

The goal of The Healthy Cities Movement is to:
A) Put health promotion on the political agenda of cities
B) Reorganize the current health care system
C) Maximize the cost-benefit ratio of health care
D) Improve the quality of care in communities

Accepted Answer

The Healthy Cities Movement aims to promote health on a political level, encouraging cities to prioritize the health and wellbeing of their residents. This includes initiatives such as creating healthy environments, promoting active lifestyles, and reducing social inequality in health outcomes. The other choices do not fully capture the goals of the movement.

Quiz 17: Health Promotion Through Healthy Communities and Cities

The Healthy Cities project was initiated in Europe at the World Health Organization. It began with the recognition that:

When the Healthy Cities concept was brought to the United States:

Healthy Cities is based on which of the following premises?

If a group wanted to investigate why there was a high death rate related to chronic obstructive pulmonary disease in their community, how could information be obtained?

When designing interventions and evaluating results of Healthy Municipalities and Cities, which of the following should be considered?

Part of the implementation of the Community Health Improvement Model involves performing a community assessment. The purpose of this is:

The Community Health Improvement Model has many steps. These steps resemble:

Media support for Healthy Communities and Cities is important because:

There are three broad categories of social determinants. One is "social institutions." This refers to:

The Community Health Promotion Model developed at the Indiana University School of Nursing has a nine-step process for implementing the Healthy Cities model. Which of the following is a step in the process?

Building partnerships is an important part of the implementation process of the Community Health Improvement Model. This involves inviting interested persons to become active in the process. What are some important factors for active participation?

The continuance of the Healthy Communities and Cities movement depends on many factors that facilitate or impede the process. The process can be influenced by which of the following factors?

The Healthy Cities Movement supports the idea that:

The Community Health Improvement Model often asks nurses to be involved in the process by providing data relevant to community health services. Nurses can also be involved in:

International cooperation is an important part of the Healthy Communities and City project because:

There are several phases of Healthy Cities and Communities Strategies. The Action Phase refers to:

Indiana and California have the longest history of the Health Communities and Cities in the United States. Six cities with diverse populations were initially involved in the project. Some of the actions taken were:

The models of community practice and assumptions professionals have about communities shape the implementation of the Health Communities and Cities process. There is a "ladder of participation" that emphasizes the lower levels, which are:

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 which of the following?

The goal of The Healthy Cities Movement is to: