An Introduction to Community Health 7th Edition Test Bank
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Chapter: Chapter01 True/False 1. True or False? A community is a group of people who have common characteristics. Ans: True Page: 6 2. True or False? Choosing to eat wisely, regularly wearing a safety belt, and visiting the physician are examples of community health activities. Ans: False Page: 8 3. True or False? Physical factors affecting community health include geography, community size, and industrial development. Ans: True Page: 8 4. True or False? Politics and religion are examples of social and cultural factors affecting community health. Ans: True Page: 10 5. True or False? There has been no evidence of community health activities dating back over
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1,000 years. Ans: False Page: 12 6. True or False? Dr. Edward Jenner successfully demonstrated the process of vaccination as a protection against smallpox in the 20 th century. Ans: False Page: 12 7. True or False? Government health agencies began being created as a response to epidemics and mounting health problems in the later part of the 18 th century. Ans: True Page: 13 8. True or False? The reform phase of public health was characterized by social movements to improve health conditions in cities and in the workplace. Ans: True Page: 16 9. True or False? A time of great growth in health care facilities and providers describes the spiritual era of public health. Ans: False Page: 15 10. True or False? Upton Sinclair's book, “The Jungle,” drew attention to the plight of immigrants in the meat packing industry.
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Ans: True Page: 16 11. True or False? Health care delivery is public health concern of the 21 st century. Ans: True Page: 20 12. True or False? Leading causes of death in the United States today are communicable diseases. Ans: False Page: 20 13. True or False? Disasters such as spills of toxic substances into the environment are considered natural disasters. Ans: False Page: 22 14. True or False? The ability of the health care system to prevent, protect against, quickly respond to, and recover from health emergencies defines medical preparedness. Ans: True Page: 23 15. True or False? The World Health Organization (WHO) is a leader in world health planning for the 21 st century. Ans: True
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Page: 25 Multiple Choice 16. Actions that society takes collectively to ensure that the conditions in which people can be healthy can occur defines A) public health B) community health C) health D) population health Ans: A Page: 7 17. Eating wisely, wearing a safety belt, and visiting a physician are examples of A) community health activities B) personal health activities C) physical factors affecting community health D) social factors affecting community health Ans: B Page: 8 18. In looking at factors affecting community health, community size is a A) social factor B) cultural factor C) physical factor D) political factor Ans: C Page: 9
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19. A rebirth of thinking about the nature of the world and humankind occurred during the A) middle ages B) renaissance and exploration era C) twentieth century D) bacteriological period of public health Ans: B Page: 13 20. The beginning of government's major involvement in social issues, including health, was marked by the A) Social Security Act of 1935 B) Establishment of Medicare in 1965 C) United States involvement in World War II D) Hill - Burton Act in 1946 Ans: A Page: 17 21. Community health concern of the 21 st century include A) lifestyle diseases B) environmental problems C) health care delivery D) all of the above Ans: D Page: 20 22. Differences in health among different populations defines A) population health B) health disparities C) lifestyle diseases D) social engineering Ans: B Page: 22
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23. Plans for improving global health challenges in the 21 st century is guided by A) The United Nations Millennium Declaration B) Healthy People 2020 C) Ready or Not: Protecting the Public's Health from Disease, Disasters, and Bioterrorism D) Health for All Ans: A Page: 25 24. “ The people of the city of Columbus,” “seniors in the church,” and “those on welfare,” are examples of A) public health systems B) factors affecting community health C) communities D) herd immunity Ans: C Page: 6 25. The first professional preparation program for health educators began during which period of the twentieth century? A) Reform phase B) The 1920s C) World War II D) Period of Social Engineering Ans: B Page: 17 26. The goal of the Hill - Burton Act in 1946 was to enhance the quality of A) hospitals B) health departments C) medicare
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D) the military Ans: A Page: 18 27. Communicable diseases remain a concern in the 21 st century because they are the primary cause for A) death in the United States B) days missed from work and school C) environmental problems D) health disparities Ans: B Page: 21 28. The organization in the United States with the main responsibility for improving health is A) the Department of Health and Human Services B) the Department of Homeland Security C) the World Health Organization D) state departments of health Ans: A Page: 29 29. John Snow's removal of a drinking water pump handle in 1854 in London, stopped a A) yellow fever epidemic B) cholera epidemic C) waterborne disease outbreak D) smallpox epidemic Ans: B Page: 14 30. The Shattuck report marked the beginning of the
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A) health resource development period B) eighteenth century C) modern era of public health D) implementation of Healthy People 2020 efforts Ans: C Page: 14 Short Answer 31. 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 health problem in tropical climates. Community size - the larger the community, the greater its range of health problems and the greater its number of health resources. Industrial development - may bring environmental pollution and occupational injuries and illnesses. Page: 8 32. 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 was socially acceptable to be a smoker, and smoking rates were much higher than today. Due to smoking being socially unacceptable, smoking rates have declined, and smoking is banned in many public places. Page: 10 33. 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 and Exploration 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: 13 35. 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: 16 36. Explain how President Eisenhower's heart attack in the 1950s was a major community health event. Ans: It helped America focus on its Number 1 killer, heart disease. Additionally, the president's physician suggested exercising on a regular basis. Page: 18 37. Why does the United States see alcohol and other drug abuse in the 21 st century as a community health concern? Ans: Abuse of legal and illegal drugs costs the country thousands of lives from unintentional injuries and violent crimes. Additionally, billions of dollars each year are spent on addressing supply and demand issues and drug abuse. Page: 22 38. 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 services have 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 - reducing strategy, health services much reach poor and underserved populations. 2. Enhancing partnerships - WHO carries out its work with the support and collaboration of many partners including United Nations' agencies and other international organizations. Page: 26 40. Explain the framework of Healthy People 2020. Ans: It includes a vision statement, a mission statement, four overarching goals, and numerous objectives spread out over 42 different topic areas. Each topic is presented as a chapter. Each chapter contains a concise goal statement that frames the purpose of the area. Page: 27
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Chapter: Chapter02 True/False 1. Historically, communities have always taken aggressive actions to deal with health issues. Ans: False Page: 34 2. Highly organized and developed resources in our national institutions and organizations can be a hindrance for communities to respond effectively to their own problems. Ans: True Page: 34 3. Funding that comes from the federal government to the state government is referred to as horizontal funding. Ans: False Page: 34 4. The most widely recognized international health organization today is the United Nations. Ans: False Page: 35 5. One of the World Health Organization's most noteworthy achievements was helping to eradicate smallpox.
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Ans: True Page: 37 6. The Department of Health and Human Services is the only entity under the federal government that plays a role in our nation's health. Ans: False Page: 39 7. The Administration for Children and Families is responsible for carrying out the provisions of the Older Americans Act of 1965. Ans: False Page: 42 8. The Superfund legislation was enacted to deal with the cleanup of hazardous substances in the environment. Ans: True Page: 43 9. The National Institute for Occupational Safety and Health (NIOSH) is an institute under the National Institutes of Health (NIH). Ans: False Page: 47 10. The core functions of public health are utilized by state health agencies. Ans: True
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Page: 48 11. Local health departments are responsible for restaurant inspections. Ans: True Page: 50 12. The American Red Cross is classified as a quasi - governmental health organization. Ans: True Page: 52 13. Voluntary health agencies were created in Europe. Ans: False Page: 54 14. Voluntary health agencies are usually supported by paid staff and volunteers. Ans: True Page: 54 15. Philanthropic foundations spend most of their efforts on fundraising. Ans: False Page: 57 Multiple Choice
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16. Agencies that are funded primarily through tax dollars are referred to as A) governmental agencies B) voluntary agencies C) philanthropic foundations D) professional associations Ans: A Page: 35 17. The Secretary of Health and Human Services is A) elected by the general public B) appointed by the president C) hired by a board of directors D) appointed by the Centers for Disease Control Ans: B Page: 40 18. Which agency maintains records, analyzes disease trends, and publishes epidemiological reports 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: C Page: 43 19. Which agency is a leading medical research center, and the federal focal point for medical research 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: A Page: 47 20. The power to arrest someone who refuses to undergo treatment for a communicable disease lies with A) a community health nurse B) a member of the local board of health C) a local health officer D) a scientist within the NIH Ans: C Page: 51 21. The potential for school health programs to make a significant contribution to community health is enormous because A) parents support all of the content presented in the coordinated school health program B) funding is substantial for the coordinated school health program C) students spend so much time in health classes while in school D) school attendance is required throughout the United States Ans: D Page: 51 22. An example of a quasi - governmental health organization is A) the National Institutes of Health (NIH) B) a county health department C) the National Science Foundation D) the American Cancer Society Ans: C Page: 52
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