A nurse was involved in the initial implementation of the Healthy Communities and Cities initia-tive in the United States. Which of the following problems would have most likely been ad-dressed?
a. Reduction to the amount of pollutants re-leased into the environment
b. Provision of fire and police protection
c. Creation of a coalition to address health disparities
d. Elimination of crime and violence from the community
ANS: C
The concept of a healthy community or city is based on the belief that the health of the commu-nity is largely influenced by the environment in which people live and that health problems have multiple causes: social, economic, political, environmental, and behavioral. Creation of a coalition engages residents in addressing the problem, which is impacted by multiple factors. The initial activities of this initiative focused on the problems of diverse populations. Reduction of the amount of pollutants and provision of fire and police protection do not address problems of di-verse populations. Although crime and violence in a community may be decreased, it is not pos-sible to eliminate it.
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