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Community Health explores the principles and practices that underpin the health and well-being of populations within specific communities. The course examines key topics such as disease prevention, health promotion, epidemiology, environmental influences, health disparities, and the role of public health systems. Students will learn how to assess community needs, plan and implement interventions, and evaluate health programs, while considering cultural, social, and economic factors that affect health outcomes. Through case studies and practical projects, students gain skills for collaborating with local organizations and stakeholders to improve health at the community level.
Recommended Textbook
Community Nutrition in Action An Entrepreneurial Approach 6th Edition by Marie A. Boyle
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Q1) Differentiate between the terms "community nutrition" and "public health nutrition."
Answer: Community nutrition is the broader of the two terms and encompasses any nutrition program whose target is the community,regardless of the funding source.Public health nutrition refers to those community-based programs conducted by a government agency whose official mandate is the delivery of health services to the individuals living in a particular area.
Q2) Discuss the premise of the Healthy People initiative.
Answer: Healthy People is a set of goals and objectives with 10-year targets designed to guide national health promotion and disease prevention efforts to improve the health of all people in the U.S.For the past three decades,Healthy People has provided a framework for promoting health and avoiding preventable disease.
Q3) What are the three arenas of community nutrition?
Answer: People,policy,and programs.
Q4) Tertiary prevention aims to treat and rehabilitate people who have experienced an illness or injury.
A)True
B)False
Answer: True
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Q1) Discuss the contribution of the target population to community needs assessment planning and priority setting.
Answer: The target population forms the basis of the assessment.The choice of the target population is influenced by the initial perception about the nutritional problem,and may shift to be more inclusive during the data collection.Usually,though,the target population remains a constant over the course of the needs assessment.Interviews of members of the target population identified as key informants or stakeholders and observation of the population can provide useful qualitative data.
Q2) Define culture.How does one's culture influence his/her food intake and nutritional status?
Answer: Culture is defined as the integrated pattern of human knowledge,beliefs,and behaviors that are learned and transmitted to succeeding generations.Many of our food habits,attitudes,and practices arise from the traditions,customs,belief systems,technologies,values,and norms of the culture in which we live.
Q3) What environmental characteristics would be helpful to collect?
Answer: Answers will vary,but could include the following: Food systems;geography and climate;health systems;housing;recreation;and transportation systems.
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Q1) A cultural assessment of the target population is needed before data collection begins.
A)True
B)False
Answer: True
Q2) Which of the following is not an acceptable method of assessing the readability of surveys?
A) FOG Index
B) SMOG formula
C) Readability function within a word processing program
D) MOP formula
Answer: D
Q3) Jane has a decreased level of albumin in her blood.Which method of nutrition assessment was most likely used to determine this indicator of nutritional status?
A) Anthropometric
B) Biochemical
C) Clinical
D) Dietary
Answer: B

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Q1) Which of the following statements regarding evaluation is false?
A) Evaluation is fundamental to every step of community assessment and program planning.
B) The purpose and scope of an evaluation can vary from program to program.
C) Evaluation is necessary only at one point in time during the program.
D) Evaluation findings can alert policy makers to the need for expanding services.
Q2) Which of the following is an example of a Level III intervention?
A) Conducting a "heart smart" cooking program
B) Placing a higher tax on high-fat foods
C) Creating a website for issues related to women's health
D) Devising a media campaign to promote fruit and vegetable consumption
Q3) A description of the goals of the program as well as the program's target audience would be found the "Description of the Evaluation" section of an executive summary.
A)True
B)False
Q4) New research findings could trigger the program planning process.
A)True
B)False
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Q1) _____ refers to the fraction or proportion of a group having a disease or condition at a specific time.
A) Incidence
B) Prevalence
C) Specificity
D) Selectivity
Q2) Fetal death rate is the same as the infant mortality rate.
A)True
B)False
Q3) In the 1990s epidemiological studies established that women could reduce their risk of bearing a child with a neural tube birth defect by increasing their intake of folic acid.
A)True
B)False
Q4) Methods of assessing household food consumption include which of the following?
A) Records of food wasted, spoiled, or fed to pets
B) Records of number of meals eaten at home or away from the home
C) Per capita export data
D) Food disappearance data
Q5) Explain prevalence rates and how they differ from incidence rates.
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Q1) Lobbying is an ineffective method of communicating with elected officials.
A)True
B)False
Q2) The federal fiscal year runs from
A) January 1 to December 31.
B) July 1 to June 30.
C) September 1 to August 31.
D) October 1 to September 30.
Q3) The first step in the policy cycle is
A) formulation of alternatives.
B) policy implementation.
C) problem definition and agenda setting.
D) policy adoption.
Q4) Medical nutrition therapy is a service provided by a registered dietitian that includes counseling,nutrition support,and nutrition assessment and screening to improve people's health and quality of life.
A)True
B)False
Q5) Define a problem.Does this question illustrate a problem,and more specifically,a public problem?
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Health
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Q1) Food group plans promoted in the first half of the 20 century focused on limiting of key nutrients,such as fat and sodium.
A)True
B)False
Q2) Which of the following is not characteristic of the Dietary Guidelines for Americans?
A) They emphasize variety.
B) They include general guidelines for physical activity.
C) They emphasize calorie control.
D) They apply to a single meal or food.
Q3) The current edition of the Dietary Guidelines for Americans has _____ key recommendations that are grouped into _____ general topics.
A) 23, 18
B) 41, 23
C) 41, 18
D) 29, 4
Q4) What are some recommendations that you could include in your presentation that could assist the students in better following the dietary guidance system you presented?
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Q1) If public health approaches to address obesity are implemented,the obesity epidemic can be expected to follow a pattern similar to smoking rates,which A) dropped sharply.
B) rose sharply, then dropped gradually.
C) reached a plateau, then started to drop.
D) dropped and then rose again repeatedly.
Q2) Define overweight and obesity for adults.
Q3) Extremely obese is the same as obese.
A)True
B)False
Q4) Many of the policy initiatives address children rather than adults.Why?
Q5) Excessive body weight in children is associated with increased morbidity and mortality just as in adults.
A)True
B)False
Q6) Of these areas of improvement,which one area would you prioritize as first and why?
Q7) Discuss the tax-related pricing policies that have been proposed to address obesity.
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Q1) An advantage of the traditional fee-for-service insurance is unrestricted access to physicians,tests,hospitals,and treatments.
A)True
B)False
Q2) State the value of using medical nutrition therapy protocols to document client outcomes in various health care settings.
Q3) Enrolled Medicare medical nutrition therapy (MNT)providers are able to bill Medicare for MNT services provided for all of the following except
A) type 1 diabetes.
B) post-kidney transplants.
C) kidney disease requiring dialysis.
D) type 2 diabetes.
Q4) To determine the rating of a particular health care system,one must examine which of the following variables?
A) Access to health care
B) Cost of health care
C) Quality of health care
D) All of these need to be considered.
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Q1) Since 2000,there has been a gradual downward trend in the percentage of Americans living in poverty.
A)True
B)False
Q2) Currently,the benefit allotments for those participating in the Supplemental Nutrition Assistance Program are sufficient to meet the nutritional needs of the family.
A)True
B)False
Q3) Those living below the poverty threshold experience food insecurity and hunger at over 3 times the national average.
A)True
B)False
Q4) How would Sally's choices at the grocery affect her children's nutritional intake over time?
Q5) A lower assessed score on the Food Security Module of the Current Population Survey indicates higher food security.
A)True
B)False
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Q1) Identify the measures that are commonly taken to assess the nutrition status of pregnant women.
Q2) Genetics is probably the most significant factor affecting an infant's susceptibility to food allergies.
A)True
B)False
Q3) Over 90 percent of all Healthy Start families are African American,Hispanic,or Native Americans.
A)True
B)False
Q4) Explain the relationship of maternal weight gain to infant birthweight.
Q5) Soy formulas are preferred by most doctors.
A)True
B)False
Q6) Peer counseling has been shown to be an effective way to keep mothers breastfeeding.
A)True
B)False
Q7) What factors contribute to maternal and infant health?
Q8) What are the weight gain recommendations for pregnant women based on BMI? Page 13
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Q1) The prevalence of hunger in children is _____ times higher among racial and ethnic minorities.
A) 2
B) 3
C) 4
D) 5
Q2) About 90% of people with eating disorders are
A) females.
B) males.
C) African Americans.
D) college-aged.
Q3) Which of the following children is most likely to be iron deficient?
A) An African-American male who plays soccer
B) A Mexican-American male living at 200% of the poverty threshold
C) A Native American female from a middle-class family
D) An African-American female living below the poverty threshold
Q4) BMI changes with age and gender,so as children get older,BMI decreases.
A)True
B)False
Q5) What role does the Food Distribution Program play in the NSLP?
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Q1) Life expectancy has risen,in part,due to better prenatal and postnatal care.
A)True
B)False
Q2) Why do Okinawans enjoy one of the longest life spans of anyone on earth?
Q3) Many long-term care residents are at risk for malnutrition and dehydration.
A)True
B)False
Q4) The life expectancy for women doesn't vary with race or ethnicity.
A)True
B)False
Q5) A typical Title III meal pattern would include which of the following?
A) 3 oz meat or meat alternative
B) 2 half-cup portions of fruits and vegetables
C) 1 tsp of butter or margarine
D) a and b
E) a, b, and c
Q6) There is no cost to the participant for meals provided through the Older Americans Nutrition Program funding.
A)True
B)False Page 16
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Q1) Discuss the reasons why women are more susceptible than men to food insecurity and undernutrition in developing countries.
Q2) In developing countries,mothers are advised to continue breastfeeding up to 2 years.
A)True
B)False
Q3) Which nutrient is deficient in victims of the disease xerophthalmia?
A) Vitamin C
B) Vitamin A
C) Vitamin E
D) Iodine
Q4) What are the three indicators of child malnutrition?
Q5) The FAO estimates that most of the increase in the world's population between 2000 and 2030 will occur in
A) South America.
B) Southeast Asia.
C) urban areas.
D) rural areas.
Q7) Briefly discuss the conflicting issues they must consider. Page 18
Q6) Explain why people in developing countries choose to have many children.
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Q1) Define motivational interviewing.How is it a useful practice in community nutrition?
Q2) The stages of change theory can only be applied at the individual level and is not appropriate for community-based interventions.
A)True
B)False
Q3) Motivational interviewing
A) is a counselor-focused technique utilized by many health educators. B) was developed by dietitians to determine why consumers don't eat more healthful diets.
C) is designed to help clients build commitment and reach a decision to change. D) promotes relapse as a way to grow and mature.
Q4) Within the social cognitive theory,including credible role models of the targeted behavior is an implication of the concept of A) expectations.
B) observational learning. C) reinforcements.
D) self-efficacy.
Q5) What is reciprocal determinism?
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Q1) Approximately 20% of the U.S.population speaks a language other than English at home.
A)True
B)False
Q2) All of the following are examples of forms of diversity that are visible except A) language.
B) physical differences.
C) socioeconomic status.
D) abilities and disabilities.
Q3) Define cultural competency for community nutrition professionals.
Q4) It is impolite to ask someone with a culture different from your own what certain non-verbal cues mean.
A)True
B)False
Q5) _____ are the grounding forces that provide meaning,structure,and organization in our lives.
A) Beliefs
B) Values
C) Attitudes
D) Norms
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Q1) Nutrition education is an instructional method that promotes healthy behaviors by imparting information that individuals can use to make informed decisions regarding food choices.
A)True
B)False
Q2) Briefly discuss three principles that should be considered when developing a lesson plan.
Q3) Examples of formative evaluation research include all of the following except
A) SMOG testing of educational materials.
B) participants' reactions to all program components.
C) focus group testing of dietary messages.
D) a trial run of program format.
Q4) List three purposes of key nutrition messages.
Q5) Briefly describe the guiding principles of a well-written instructional objective.
Q6) Differentiate between the approaches you would use in teaching children versus teaching adults.
Q7) When writing effectively,you need to eliminate clutter and jargon.
A)True
B)False

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Q1) The _____ is the primary,distinct customer group for your product or service.
A) market mix
B) marketing plan
C) target market
D) market segmentation
Q2) Develop a marketing strategy to promote a product that has been re-designed to be higher in fiber.
Q3) Healthcare providers and school boards are two examples of distribution channels.
A)True
B)False
Q4) Social marketing is the same as commercial marketing.
A)True
B)False
Q5) In contrast to traditional marketing,social marketing aims to
A) change attitudes and behaviors of the target markets.
B) satisfy the needs of the targeted consumers.
C) satisfy the wants of the target markets.
D) a and b
E) b and c
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Q1) An unforeseen reduction in the public health department's budget might force a manager to reallocate personnel and impose tighter spending controls.This is an example of a decision made in the _____ function of management.
A) controlling B) leading C) organizing D) planning
Q2) You determine that the Merck face-to-face communication approach might be an appropriate approach to use.What are the four rules of this approach? Provide a specific example for what you might say using each of the four rules.
Q3) Strategic plans guide the development of operational plans.
A)True
B)False
Q4) What is an operating budget? What is its importance in community nutrition programming?
Q5) A balance sheet lists the organization's assets and liabilities. A)True
B)False
Q6) How would an effective manager handle this issue?
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Q1) A well-written grant proposal is not
A) clear.
B) complete.
C) compelling.
D) condensed.
Q2) What will be the unique feature of your grant?
Q3) Some grant sponsors require proposals to include a planning model like the Logic Model.
A)True
B)False
Q4) _____ measures the overall worth and value of the program.
A) Impact evaluation
B) Formative evaluation
C) Summative evaluation
D) None of these
Q5) The grant narrative includes
A) a needs statement.
B) an abstract.
C) a transmittal letter.
D) a reviewer's evaluation guide sheet.

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