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Chapter 9 Planning for Community Change
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Chapter 9 Planning for Community Change
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Chapter 9 Planning for Community ChangeOrigin: Chapter 9- Planning for Community Change, 1
1. Which are recommendations made by the World Health Organization's Commission on
Social Determinants of Health (CSDH)? (Select all that apply.)
A) Improve conditions under which all people are born, grow, live, work, and age
B) Provide increased funding for research of genetic disorders
C) Ensure more equitable distribution of power, money, and resources
D) Instill a sense of personal responsibility for one's health in each person
E) Expand knowledge of the social determinants of health
Ans: A, C, E
Feedback:
The three overall recommendations of the CSDH are to: (1) improve the conditions
under which all people are born, grow, live, work, and age to minimum standards; (2)
ensure more equitable distribution of power, money, and resources; and (3) expand
knowledge of the social determinants of health and establish a system to measure and
monitor health inequity. Recommendations did not include providing increased funding
for research of genetic disorders or instilling a sense of personal responsibility for one's
health in each person.
Origin: Chapter 9- Planning for Community Change, 2
2. The nurse is in charge of a local community program that uses a logic model as a
planning and communication tool. Which key components are included in this model?
(Select all that apply.)
A) Milestones for completing a community health clinic
B) Plan to conduct cholesterol screenings
C) Need for a nurse practitioner to manage the clinic
D) Malaria prevention programs for developing nations
E) Possible locations for the health clinic
Ans: A, B, C, E
Feedback:
,A logic model for a community health program is a visual representation of the logic
behind the operation of the program—who will receive services (target population),
what will be done (activities), when it will happen (timeline), where, and why (program
theory). The logic model is a tool for both planning and communication. It helps the
community health nurse identify available and needed resources, plan the sequence and
timeframe for program implementation, develop a budget, and identify how results will
be measured. The logic model also functions to communicate to community leaders and
program staff how the program will operate and to demonstrate to key stakeholders and
decision makers who will approve or fund it how the program will achieve the desired
results. Malaria prevention programs for developing nations would not be included in a
local community program.
, Origin: Chapter 9- Planning for Community Change, 3
3. Which characterize health inequities? (Select all that apply.)
A) Necessary
B) Unfair
C) Resulting from social injustices
D) Avoidable
E) Natural
Ans: B, C, D
Feedback:
According to Falk-Rafael and Betker (2012), “Health disparities become health
inequities when they are unnecessary, unfair, and preventable resulting from social
injustices that become engrained in the fabric of society through its social, economic,
and political structures, laws, policies, and culture so as to become largely invisible.”
Health inequities are avoidable inequalities in health between groups of people within
countries and between countries and are not in any sense a natural phenomenon.
Origin: Chapter 9- Planning for Community Change, 4
4. Which changes in the environment (second level from the bottom of the health impact
pyramid) make the choice for a healthy behavior the default or easy choice? (Select all
that apply.)
A) Iodization of salt
B) Restrictions on smoking in public places
C) Community immunization programs
D) Changing food manufacturing to eliminate trans fats
E) Treatment of hypertension
Ans: A, B, D
Feedback:
At the second level from the bottom of the health impact pyramid are interventions that
change the environment or options available so that making the choice for a healthy
behavior is the “default” or easy choice whereas choosing a less healthy option would
require a person to spend more time, effort, or money. Examples include food and drug
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