An Introduction to Community Health 7th Edition Test Bank

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Chapter: Chapter01True/False1.True or False? A community is a group of people who have common characteristics.Ans:TruePage:62.True or False? Choosing to eat wisely, regularly wearing a safety belt, and visiting thephysician are examples of community health activities.Ans:FalsePage:83.True or False? Physical factors affecting community health include geography, communitysize, and industrial development.Ans:TruePage:84.True or False? Politics and religion are examples of social and cultural factors affectingcommunity health.Ans:TruePage:105.True or False? There has been no evidence of community health activities dating back over

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1,000 years.Ans:FalsePage:126.True or False? Dr. Edward Jenner successfully demonstrated the process of vaccination as aprotection against smallpox in the 20thcentury.Ans:FalsePage:127.True or False? Government health agencies began being created as a response to epidemicsand mounting health problems in the later part of the 18thcentury.Ans:TruePage:138.True or False? The reform phase of public health was characterized by social movements toimprove health conditions in cities and in the workplace.Ans:TruePage:169.True or False? A time of great growth in health care facilities and providers describes thespiritual era of public health.Ans:FalsePage:1510.True or False? Upton Sinclair's book, “The Jungle,” drew attention to the plight ofimmigrants in the meat packing industry.

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Ans:TruePage:1611.True or False?Health care delivery is public health concern of the 21stcentury.Ans:TruePage:2012.True or False? Leading causes of death in the United States today are communicablediseases.Ans:FalsePage:2013.True or False? Disasters such as spills of toxic substances into the environment areconsidered natural disasters.Ans:FalsePage:2214.True or False? The ability of the health care system to prevent, protect against, quicklyrespond to, and recover from health emergencies defines medical preparedness.Ans:TruePage:2315.True or False? The World Health Organization (WHO) is a leader in world health planningfor the 21stcentury.Ans:True

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Page:25Multiple Choice16.Actions that society takes collectively to ensure that the conditions in which people can behealthy can occur definesA)public healthB)community healthC)healthD)population healthAns:APage:717.Eating wisely, wearing a safety belt, and visiting a physician are examples ofA)community health activitiesB)personal health activitiesC)physical factors affecting community healthD)social factors affecting community healthAns:BPage:818.In looking at factors affecting community health, community size is aA)social factorB)cultural factorC)physical factorD)political factorAns:CPage:9

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19.A rebirth of thinking about the nature of the world and humankind occurred during theA)middle agesB)renaissance and exploration eraC)twentieth centuryD)bacteriological period of public healthAns:BPage:1320.The beginning of government's major involvement in social issues, including health, wasmarked by theA)Social Security Act of 1935B)Establishment of Medicare in 1965C)United States involvement in World War IID)Hill-Burton Act in 1946Ans:APage:1721.Community health concern of the 21stcentury includeA)lifestyle diseasesB)environmental problemsC)health care deliveryD)all of the aboveAns:DPage:2022.Differences in health among different populations definesA)population healthB)health disparitiesC)lifestyle diseasesD)social engineeringAns:BPage:22

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23.Plans for improving global health challenges in the 21stcentury is guided byA)The United Nations Millennium DeclarationB)Healthy People 2020C)Ready or Not:Protecting the Public's Health from Disease, Disasters, and BioterrorismD)Health for AllAns:APage:2524.“The people of the city of Columbus,” “seniors in the church,” and “those on welfare,” areexamples ofA)public health systemsB)factors affecting community healthC)communitiesD)herd immunityAns:CPage:625.The first professional preparation program for health educators began during which periodof the twentieth century?A)Reform phaseB)The 1920sC)World War IID)Period of Social EngineeringAns:BPage:1726.The goal of the Hill-Burton Act in 1946 was to enhance the quality ofA)hospitalsB)health departmentsC)medicare

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D)the militaryAns:APage:1827.Communicable diseases remain a concern in the 21stcentury because they are the primarycause forA)death in the United StatesB)days missed from work and schoolC)environmental problemsD)health disparitiesAns:BPage:2128.The organization in the United States with the main responsibility for improving health isA)the Department of Health and Human ServicesB)the Department of Homeland SecurityC)the World Health OrganizationD)state departments of healthAns:APage:2929.John Snow's removal of a drinking water pump handle in 1854 in London, stopped aA)yellow fever epidemicB)cholera epidemicC)waterborne disease outbreakD)smallpox epidemicAns:BPage:1430.The Shattuck report marked the beginning of the

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A)health resource development periodB)eighteenth centuryC)modern era of public healthD)implementation of Healthy People 2020 effortsAns:CPage:14Short Answer31.List and explain three physical factors affecting community health.Ans:Geography-community health problems can be directly influenced by latitude, altitude,and climate.For instance, parasitic and infectious diseases are a leading community healthproblem in tropical climates.Community size-the larger the community, the greater its range ofhealth problems and the greater its number of health resources.Industrial development-maybring environmental pollution and occupational injuries and illnesses.Page:832.Explain how social norms may be a factor affecting community health.Ans:Social norms can be positive or negative and can change over time.In the 1960s, it wassocially acceptable to be a smoker, and smoking rates were much higher than today.Due tosmoking being socially unacceptable, smoking rates have declined, and smoking is banned inmany public places.Page:1033.Describe a community health practice in the earliest civilizations.Ans:Evidence of sewage disposal prior to 2000 B.C. was discovered in archeological findings.Page:13

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34.Explain at least two highlights of community health efforts during the Renaissance andExploration Period.Ans:A belief was established that disease was caused by environmental, not spiritual factors.Observation of the ill lead to more accurate descriptions of symptoms and outcomes of diseases.Page:1335.Describe a public health achievement resulting from Upton Sinclair's book, “The Jungle.”Ans:Attention was drawn to the unsafe working conditions of the meat packing industry,leading to greater governmental regulation of the food industry.Page:1636.Explain how President Eisenhower's heart attack in the 1950s was a major communityhealth event.Ans:It helped America focus on its Number 1 killer, heart disease.Additionally, thepresident's physician suggested exercising on a regular basis.Page:1837.Why does the United States see alcohol and other drug abuse in the 21stcentury as acommunity health concern?Ans:Abuse of legal and illegal drugs costs the country thousands of lives from unintentionalinjuries and violent crimes.Additionally, billions of dollars each year are spent on addressingsupply and demand issues and drug abuse.Page:2238.Provide at least two examples of progress stemming from the Health for All efforts.Ans:There is wider provision of safe water and sanitation facilities.National health serviceshave expanded.Page:25

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39.Describe two of the six points in the World Health Organization's Agenda.Ans:1. Strengthening health systems-For health improvement to operate as a poverty-reducingstrategy, health services much reach poor and underserved populations.2. Enhancing partnerships-WHO carries out its work with the support and collaboration of manypartners including United Nations' agencies and other international organizations.Page:2640.Explain the framework of Healthy People 2020.Ans:It includes a vision statement, a mission statement, four overarching goals, and numerousobjectives spread out over 42 different topic areas.Each topic is presented as a chapter.Eachchapter contains a concise goal statement that frames the purpose of the area.Page:27

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Chapter: Chapter02True/False1.Historically, communities have always taken aggressive actions to deal with health issues.Ans:FalsePage:342.Highly organized and developed resources in our national institutions and organizations canbe a hindrance for communities to respond effectively to their own problems.Ans:TruePage:343.Funding that comes from the federal government to the state government is referred to ashorizontal funding.Ans:FalsePage:344.The most widely recognized international health organization today is the United Nations.Ans:FalsePage:355.One of the World Health Organization's most noteworthy achievements was helping toeradicate smallpox.

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Ans:TruePage:376.The Department of Health and Human Services is the only entity under the federalgovernment that plays a role in our nation's health.Ans:FalsePage:397.The Administration for Children and Families is responsible for carrying out the provisionsof the Older Americans Act of 1965.Ans:FalsePage:428.The Superfund legislation was enacted to deal with the cleanup of hazardous substances inthe environment.Ans:TruePage:439.The National Institute for Occupational Safety and Health (NIOSH) is an institute under theNational Institutes of Health (NIH).Ans:FalsePage:4710.The core functions of public health are utilized by state health agencies.Ans:True

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Page:4811.Local health departments are responsible for restaurant inspections.Ans:TruePage:5012.The American Red Cross is classified as a quasi-governmental health organization.Ans:TruePage:5213.Voluntary health agencies were created in Europe.Ans:FalsePage:5414.Voluntary health agencies are usually supported by paid staff and volunteers.Ans:TruePage:5415.Philanthropic foundations spend most of their efforts on fundraising.Ans:FalsePage:57Multiple Choice

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16.Agencies that are funded primarily through tax dollars are referred to asA)governmental agenciesB)voluntary agenciesC)philanthropic foundationsD)professional associationsAns:APage:3517.The Secretary of Health and Human Services isA)elected by the general publicB)appointed by the presidentC)hired by a board of directorsD)appointed by the Centers for Disease ControlAns:BPage:4018.Which agency maintains records, analyzes disease trends, and publishes epidemiologicalreports on all types of diseases?A)National Institutes of Health (NIH)B)Agency for Healthcare Research and Quality (AHRQ)C)Centers for Disease Control and Prevention (CDC)D)Health Resources and Services Administration(HRSA)Ans:CPage:4319.Which agency is a leading medical research center, and the federal focal point for medicalresearch in the United States?A)National Institutes of Health (NIH)B)Agency for Healthcare Research and Quality (AHRQ)C)Centers for Disease Control and Prevention (CDC)

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D)Health Resources and Services Administration(HRSA)Ans:APage:4720.The power to arrest someone who refuses to undergo treatment for a communicable diseaselies withA)a community health nurseB)a member of the local board of healthC)a local health officerD)a scientist within the NIHAns:CPage:5121.The potential for school health programs to make a significant contribution to communityhealth is enormous becauseA)parents support all of the content presented in the coordinated school health programB)funding is substantial for the coordinated school health programC)students spend so much time in health classes while in schoolD)school attendance is required throughout the United StatesAns:DPage:5122.An example of a quasi-governmental health organization isA)the National Institutes of Health (NIH)B)a county health departmentC)the National Science FoundationD)the American Cancer SocietyAns:CPage:52

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