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The CDC conducted a study in the late 1970s that examined premature death, which was then defined as any death prior to to A. Age 60; age 70 B. Age 65; age 75 C. Retirement ; life expectancy at birth D. Age 70; life expectancy at birth E. None ANSWERVV B. Age 65; age 75 When the spread of disease is slowed by a significant portion of the population expressing immunity agasinst the disease is called A. Mass immunity B. Active immunity C. Herd immunity D. Active immunization E. Passive immunization ANS WERV ¥ C. Herd immunity In most states , the following people are cligable to head a local health department cxeluding: A. Physicians and dentists B. Nurses C, Veterinarians D. Individuals with master degrees in public health A and B E, None ANSWERYV ¥ E. None With regard to the impact they have on the health of the community, what kind of factors do geography, the environment, community size, and industrial development represent? A, Physical B. Social C, Cultural D. Mental E. Vocational ANS WERV V A. Physical True or false? In 1850, Dr. Edward Jenner developed the smallpox vaccine. ANSWERV 4 Truc True or false? As the twentieth century began, life expectancy in the united States was still less then 50 years. ANSWERVV True True or false? The Medicare and Medicaid bills passed by Congress in 1965 were amendments to the Social Security Act of 1935. ANSWERV ¥ True True or false? Medicaid is a program that primarily assists in the payment of medical bills for the elderly,, ANSWERV ¥ False True or false? The 1970s, 1980s, and 1990s have been characterized by repeated attempts and failures to bring the costs of health care under control. ANSWERV ¥ True True or false? Leading causes of death in the United States today are communicable diseases. ANSWERV V¥ False All of the following are non governmental health agencies except: A. Voluntary and professional agencies B. Professional health organizations C. Philanthropic service agencies D. Religious when is and corporations E. None of the above ANSWERV ¥ E. None of the above At what level(s) do most voluntary health agencies exist? A. International, national, state, and local B. National, state, and local C. International and national D. State and local E, Local ANSWERV ¥ B. Natioinal, state, and local Which philanthropic foundation is known for ils support of health maintenance organizations and community health promotion? A. Rockefeller Foundation B. Robert Wood Johnson Foundation C. Henry J. Kaiser Family Foundation D. W.K. Kellogg Foundation E. Ford Foundation ANSWERV ¥ C. Ilenry J. Kaiser Family Foundation The primary reason for corporate America's interest in community health is: A. Lack of access to health care B. Minimize the cost of health care C. The mal-distribution of health care D. The concern for national health insurance F, Just A and C ANSWERV ¥ B. Minimize the cost of health care The first U.S.Census was ordered in for the purpose of apportioning representation to the House of Representatives. A. 1776 B. 1790 C. 1825 D. 1875 E. 1890 ANSWERVV B. 1790 Which groups have been especially useful in delivering health messages in the black American community: A. Service B. Voluntary health agencies C. Philanthropic foundations D. Religious E. All of the above are correct ANSWERV V D. Religious True or false? With an annual budget in excess of approximately $707 billion, the Department of Health and Human Services is the largest department in the federal government. ANSWERV ¥V True Truc or false? Most people think of public schools as governmental health organizations. ANSWERV V False D. Regular disease D. Epizootic disease ANSWERV V C. Endemic disease The term used to describe a widespread epidemic is: A. Epizoodemic B. Endemic C. Pandemic D. Epizootic E. None of the above ANSWERV V C. Pandemic All of the following are included in vital statistics except: A. Birth and deaths B. Notifiable diseases C. Marriages and divorces D. Infant deaths ANSWERV V B. Notifiable disease Crude death rates would be expected to be higher in a(n): A. Younger population B. Older population C. Population with evenly distributed ages D. Population with people of reproductive age E. None of the above are correct ANSWERV ¥ B. Older population The kind of rates that allow epidemiologists to compare disease experiences amoung populations with different age structures are: A. Proportionate mortality ratios B. Comparative rates C. Crude rates D. Age-adjusted rates E. Cause-specific mortality rates ANSWERY ¥ D. Age-adjusted rates Which of the following is (are) a reason(s) local health departments receive notification of only 35% of the cases of some communicable disease? A. Many physicians are not familiar with the requirement of reporting B. Clinics may not report each and every case of a disease C. Patients recover with or without treatment before a diagnosis is confirmed D. All of the above E. None if the above ANSWERV ¥ D. All of the above In which standardized measurement of health status does the death of a young person weigh more heavily than the death of an older person? A. Years of potential life lost B. Proportionate mortality ratio C. Life expectancy D. Disbility-adjusted life years E, Health-adjusted life expectancy ANSWERV V A. Years of potential life lost What type of epidemiological study is designed to answer the question regarding people, time, and place? A. Descriptive B. Analytical True or false? Morbitiy rates are the same as fatility rates. ANSWERV V False ‘True or false? Prevelance rates are useful for the study of chronic disease. ANSWERV / Truc True or false? Crude rates can be misleading when populations differ in age structure or some other attribute. ANSWERV ¥ True True or false? Case/control studies can calculate the incidence rate for the development of disease. ANSWERV V False True or false? The central feature of experimental/interventional studies is the investigatoir can control the intervention or variable of interest in studying a health problem. ANSWERVYV True Truc or false? A double blind trial refers to the research practice in which both the observer and subjects are kept ignorant of the treatment and control groups to which subjects are assigned. ANSWERV ¥ True Diseases or conditions in which symptoms continue longer than three months referred to as: A. Acute B. Communicable C. Chronic D. Noncommunicable E. None of the above ANSWERV ¥ C. Chronic is a "process through which communities are helped to identifiy common problems or goals, mobilize resources, and in other ways develop and implement strategies for reaching their goals they have collectively set." A. Community development B. Community organizing C. Community effectiveness D. Community planning E. None of the above are correct ANSWER¥ ¥ B. Community organizing If those who initiate community organization are members of the community, then the movement is referred to as being: A. Grass-roots B. Top-down initiated C. Outside-in initiated D. Bottom-down initiated E. None the the above are correct ANSWERV V A. Grass-roots An example of a community gatekepper A. A politician B. A teacher C. A member of the clergy D. All of the above ANSWERVV D. All of the above When organizing people to solve a community problem, it is best to begin with: A. Those causing the problem. B. A good group of vonulteers F. All of the above are correct ANSWERV ¥ B. Priority population The first procedural step in health program planning is: A. Setting appropraite goals and objectives B. Understanding the community C. Needs assessment D. Creating an intervention E, Evaluating results ANSWERV V¥ C. Needs assessment The importance of an unmet need, how changeable the need is, and whether adequate resources are available to deal with the problem are all helpful in the need. A. Explaining B. Prioritizing C. Validating D. Determining F. Examining ANSWERV ¥ B. Prioritizing Activities that will help the priority population meet the objectives and, in the process, achieve the program goals are referred to as: A. An intervention or treatment. B. A task force. C. A coalition. D. An association. E. All of the above are correct ANSWERV v A. An intervention of treatment begin(s) with the development of goals and objectives and is (are) conducted after implementation to determine the impact of the program on the target population. A. Process evaluation B. Summative evaluation C. Formative evaluation D. Standards of acceptability E. Categories of objectives ANSWERV ¥ B. Summative evaluation True or false? By knowing both the needs and assets of the community, organizers can work to identify the true problems of the community and utilize the assests as a source for dealing with the problems. ANSWERV ¥V Truc True or false? When prioritizing identified problems, it is important for general agreement or consensus to be used in order for ownership to take hold. ANSWERV V True True or false? Health education and health promotion are terms sometimes used interchangeably, even though they are not the same. ANSWERV V True A coordinated school health program should include all except: A. Comprehensive school health education and health services. B. Healthy school environment and school counseling. C. Psychological and social services, and employee health promotion. D. Physical education and school nutrituon services. E. A comprehensive marketing plan ANS WERV ¥ E. A comprehensive marketing plan A good health education curriculum provides: A. Learning objectives and learning activities B. Possible instructional resources C. Methods for assessment D. Standards E. All of the above ANSWERV V¥ E. All of the above Getting legisltion passed to implement a coordinated school health program in every school district is a complicated process and depends on a number of circumstances, including, but not limited to: A. Economics B. Social action C. Politics D. All of the above are correct E. None of the above ANSWERV ¥ D. All of the above are correct Which of the following is not a barrier to the implementation or a coordinated school health program? A. Lack of local administrative commitment B. Lack of adequately prepared teachers C. Lack of money/funds D. All of the above ANSWERVV D. All of the above The majority of the school-based health centers operating today are found in: A. Suburban areas. B. Rural areas. C. Urban areas. D. Both A and C E. None of the above are correct ANSWERV ¥ C. Urban areas Which agency is a leading medical research cneter, 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 form Disease Control and Prevention (CDC) D. Health Resources and Services Administration (HRSA) ANSWERV V A. National Institutes of Health (NTH) 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 ANSWERV ¥ C. The National Science Foundation The activities of philanthropic foundations are unique because A. They have so many staff members B. They have money to give away C. they are quai-governmental agencies D. The reduce health care costs ANSWERV ¥ B. They have money to give away Morbitity rates measure A, Birth B. Death C. Sickness D. Life expectancy ANSWERY V C. Sickness ‘True or false? When mapping community capacity, primary building blocks are the most accessible assets. ANSWERV ¥ True True or false? Those who the health promotion program is intended to serve are the priority population. ANSWERV V True True or false? A trial run of an intervention is a pilot test. ANSWERV V True ‘True or false? Evaluation that is done during the planning and implementing processes is summative evaluation, ANSWERV ¥ False An assumption one can make while organizing a community is: A. People have no capacity to deal with their own problems B. People have no ability or desire to change. C. Changes that are self-imposed have less value than imposed changes D. People should participate in making, adjusting, or controlling the major changes within their communities ANSWERV V D. People should participate in making, adjusting, or controlling the major changes within their communities A method of community organization that is often useful durning movements, such as the gay rights movement, is A. Locality development B. Social planning C. Social action D. Gatekeeping ANSWERV V C. Social action Implementing an intervention with a series of small groups instead of the entire population is A. Piolet testing B. Full implementation C. Phasing in D. Best practices ANSWERV ¥ C. Phasing in True or false? School districts in the United States are required to have a school health coordinator. ANSWERV V False The group whose primary role is to provide coordination of the various components of the Coordinated School Health Program is the A. School health council B. Health teachers C. School nurses D. School health coordinators ANSWERV V A. School health council True or false? Drugs, pesticidies, and food additives are examples of chemical agents. ANSWERVV True 
