n,8thgEdition
Chapterg01:gHealthgDefined:gObjectivesgforgPromotio
ngandgPrevention
MULTIPLEg CHOICE
1. Whichgmodelgofghealthgisgmostglikelygusedgbygagpersongwhogd
oesgnotgbelievegingpreventiveghealthgcare?
a. Clinicalgmodel
b. Rolegperformancegmodel
c. Adaptivegmodel
d. Eudaimonisticg model
ANS:gA
Thegclinicalgmodelgofghealthgviewsgthegabsencegofgsignsgandgsy
mptomsgofgdiseasegasgindicativegofghealth.Peoplewhogusegthisg
modelgwaitguntilgtheygaregverygsickgtogseekgcare.
DIF: CognitivegLevel:gRememberg (Knowledge) REF: p.g3
2. Agpersongwithgchronicgbackgpaingisgcaredgforgbyghergprimarygcaregprovidergasgwel
lgasgreceivesacupuncture.gWhichgmodelgofghealthgdoesgthisgpersonglikelygfavor?
a. Clinicalgmodel
b. Rolegperformancegmodel
c. Adaptivegmodel
d. Eudaimonisticg model
ANS:g D
Thegeudaimonisticgmodelgembodiesgtheginteractiongandginterrelationshipsgamonggphysical,gsocial,gpsychologic
al,gandgspiritualgaspectsgofglifegandgthegenvironmentginggoalgattainmentgandgcreatinggmeaningginglife.gPractiti
onersgwhogpracticegthegclinicalgmodelgmaygnotgbegenoughgforgsomeonegwhogbelievesgingthegeudaimonisticgm
odel.
Thoseiwhogbelievegingthegeudaimonisticgmodelgoftenglookgforgalternativegprovidersgofgca
re.gDIF:
CognitivegLevel:gApplyg(Application) REF: p.g3
3. Agstategofgphysical,gmental,gspiritual,gandgsocialgfunctioninggthatgrealizesgagperson’sgpotentialg
andgisiexperiencedgwithingagdevelopmentalgcontextgisgknowngas:
a. growthgandgdevelopment.
b. health.
c. functioning.
d. high-levelgwellness.
ANS:g B
Healthgisgdefinedgasgagstategofgphysical,gmental,gspiritual,gandgsocialgfunctioninggthatgrealizesgagperson’sgpoten
tialandgisgexperiencedgwithingagdevelopmentalgcontext.
DIF: CognitivegLevel:gRememberg (Knowledge) REF: p.g5
4. Whichgofgthegfollowinggbestgdescribesgagclientgwhoghasgangillness?
a. Someonegwhoghasgwell-controlledgdiabetes
b. Someonegwithghypercholesterolemia
c. Someonegwithgagheadache
d. Someonegwithgcoronarygarterygdisease
withoutanginagANS:gC
, Someonegwithgagheadachegrepresentsgagpersongwithgangillness.gAngillnessgisgmadegupgofgthegsubjectivegexperi
encegofgthegindividualgandgthegphysicalgmanifestationgofgdisease.gItgcangbegdescribedgasgagresponsegcharacter
izedgbygagmismatchgbetweengagperson’sgneedsgandgthegresourcesgavailablegtogmeetgthosegneeds.gAgpersongca
nghavegagdiseasewithoutgfeelinggill.gThegothergchoicesgrepresentgdisease.
DIF: CognitivegLevel:g Analyzeg(Analysis) REF: p.g6
5. WhichgUSgreportgisgconsideredgaglandmarkgdocumentgingcreatinggagglobalgapproachgtoghealth?
a. Theg1990gHealthgObjectivesgforgthegNation:gAgMidcoursegReview
b. HealthygPeopleg2020
c. HealthygPeopleg2000
d. ThegU.S.gSurgeongGeneralgReport
ANS:g C
HealthygPeopleg2000gandgitsgMidcoursegReviewgandg1995gRevisionsgwereglandmarkgdocumentsgingwhic
hgagconsortiumgofgpeoplegrepresentinggnationalgorganizationsgworkedgwithgUSgPublicgHealthgServicego
fficialsgtocreategagmoregglobalgapproachgtoghealth.
DIF:g g CognitivegLevel:gRememberg(Knowledge) REF:g g p.g6
6. Whichgofgthegfollowinggrepresentsgagmethodgofgprimarygprevention?
a. Informationalgsessiongaboutghealthyglifestyles
b. Bloodgpressuregscreening
c. Interventionalgcardiacgcatheterization
d. Diagnosticgcardiacgcatheterization
ANS:gA
Primarygpreventiongprecedesgdiseasegorgdysfunction.gItgincludesghealthgpromotiongandgspecificgprotectiongandenc
ouragesgincreasedgawareness;gthus,geducationgaboutghealthyglifestylesgfitsgthisgdefinition.gBloodgpressuregscreenin
ggdoesgnotgpreventgdisease,gbutginsteadgidentifiesgit.
DIF: CognitivegLevel:gApplyg (Application) REF: p.g11
7. Whichgofgthegfollowinggrepresentsgagmethodgofgsecondarygprevention?
a. Self–breastgexaminationgeducation
b. Yearlyg mammograms
c. Chemotherapygforgadvancedgbreastgcancer
d. Completegmastectomygforgbreastgcancer
ANS:g B
Screeninggisgsecondarygpreventiongbecausegthegprincipalggoalgofgscreeningsgisgtogidentifygindividualsgingangearly,
detectablegstagegofgthegdiseasegprocess.gAgmammogramgisgagscreeninggtoolgforgbreastgcancergandgthusgisgconsider
edgagmethodgofgsecondarygprevention.
DIF: CognitivegLevel:gApplyg (Application) REF: p.g15
8. Whichgofgthegfollowinggrepresentsgagmethodgofgtertiarygprevention?
a. Drunkgdrivinggcampaign
b. Roadgblocksgforgdrunkgdriving
c. Emergencygsurgerygforgheadgtraumagaftergagmotorgvehiclegaccident
d. Physicalgandgoccupationalgtherapygaftergagmotorgvehiclegaccidentgw
ithgheadgtrauma
ANS:gD
, Physicalgtherapygandgoccupationalgtherapygaregconsideredgtertiarygprevention.gTertiarygpreventiongoccursgwh
engadefectgorgdisabilitygisgpermanentgandgirreversible.gItginvolvesgminimizinggthegeffectgofgdiseasegandgdisab
ility.gTheiobjectivegofgtertiarygpreventiongisgtogmaximizegremaininggcapacities.
DIF:g g Cognitiveg Level:g Applyg(Application) REF: p.g15
9. Ingreviewinggagperson’sgmedicalgclaims,gagnursegrealizesgthatgthegindividualgwithgmoderategpersistentgast
hmaghashadgseveralgemergencygdepartmentgvisitsgandgisgnotgonginhaledgsteroidsgasgrecommendedgbygthe
gNHLBIgasthmagmanagementgguidelines.gThegnursegdiscussesgthisgwithgthegperson’sgprimarygcaregprovi
der.gIngthisgscenario,gthegnursegisgactinggasga(n):
a. advocate.
b. caregmanager.
c. consultant.
d. educator.
ANS:g B
Caregmanagersgactgtogpreventgduplicationgofgservicegandgreducegcost.gCareg managersg basegrecommendati
onongreliablegdatagsourcesgsuchgasgevidence-basedgpracticesgandgprotocols.
DIF: CognitivegLevel:gApplyg(Application) REF: p.g15
10. Duringgaghomegvisit,gagnursegassistsgangindividualgtogcompletegangapplicationgforgdisabilitygservices.g
Thegnursegisgactinggasga(n):
a. advocate.
b. caregmanager.
c. consultant.
d. educator.
ANS:gA
Thegadvocacygroleg ofg theg nurseg helpsg individualsg obtaing whatgtheygareg entitledg tog receiveg fromgtheg hea
lthgcaregsystem,gtriesgtogmakegthegsystemgmoregresponsivegtogindividuals’gcommunitygneeds,gandgassistsgi
ndividualsgindevelopinggskillsgtogadvocategforgthemselves.
DIF:g g Cognitiveg Level:g Applyg(Application) REF: p.g15
11. Duringgaghomegvisit,gagnursegdiscussesgthegdangersgofgsmokinggwithgangindividual.gIngthisgscenario
gthegnursegisgactinggasga(n):
a. advocate.
b. caregmanager.
c. consultant.
d. educator.
ANS:g D
Healthgeducationgisgagprimarygpreventiongtechniquegavailablegtogavoidg majorgcausesgofgdisease.gTeachingg ca
nrangegfromgagchancegremarkgtogagplannedglesson.
DIF: CognitivegLevel:gApplyg(Application) REF: p.g16
12. Agnursegisgaskedgtogprovidegangexpertgopiniongaboutgthegdevelopmentgofgangeducationgprog
ramgfornewlygdiagnosedgdiabetics.gIngthisgscenario,gthegnursegisgactinggasga(n):
a. advocate.
b. caregmanager.
c. consultant.
d. educator.