,8thjEdition
Chapterj01:jHealthjDefined:jObjectivesjforjPromotionj
andjPrevention
MULTIPLEj CHOICE
1. Whichjmodeljofjhealthjisjmostjlikelyjusedjbyjajpersonjwhojdoesjn
otjbelievejinjpreventivejhealthjcare?
a. Clinicaljmodel
b. Rolejperformancejmodel
c. Adaptivejmodel
d. Eudaimonisticj model
ANS:jA
Thejclinicaljmodeljofjhealthjviewsjthejabsencejofjsignsjandjsympt
omsjofjdiseasejasjindicativejofjhealth.Peoplewhojusejthisjmodeljw
aitjuntiljtheyjarejveryjsickjtojseekjcare.
DIF: CognitivejLevel:jRememberj (Knowledge) REF: p.j 3
2. Ajpersonjwithjchronicjbackjpainjisjcaredjforjbyjherjprimaryjcarejproviderjasjwelljasjre
ceivesacupuncture.jWhichjmodeljofjhealthjdoesjthisjpersonjlikelyjfavor?
a. Clinicaljmodel
b. Rolejperformancejmodel
c. Adaptivejmodel
d. Eudaimonisticj model
ANS:j D
Thejeudaimonisticjmodeljembodiesjthejinteractionjandjinterrelationshipsjamongjphysical,jsocial,jpsychological,ja
ndjspiritualjaspectsjofjlifejandjthejenvironmentjinjgoaljattainmentjandjcreatingjmeaningjinjlife.jPractitionersjwhoj
practicejthejclinicaljmodeljmayjnotjbejenoughjforjsomeonejwhojbelievesjinjthejeudaimonisticjmodel.
Thoseiwhojbelievejinjthejeudaimonisticjmodeljoftenjlookjforjalternativejprovidersjofjcare.j
DIF: CognitivejLevel:jApplyj(Application) REF: p.j3
3. Ajstatejofjphysical,jmental,jspiritual,jandjsocialjfunctioningjthatjrealizesjajperson’sjpotentialjandjisi
experiencedjwithinjajdevelopmentaljcontextjisjknownjas:
a. growthjandjdevelopment.
b. health.
c. functioning.
d. high-leveljwellness.
ANS:j B
Healthjisjdefinedjasjajstatejofjphysical,jmental,jspiritual,jandjsocialjfunctioningjthatjrealizesjajperson’sjpotentialand
jisjexperiencedjwithinjajdevelopmentaljcontext.
DIF: CognitivejLevel:jRememberj (Knowledge) REF: p.j 5
4. Whichjofjthejfollowingjbestjdescribesjajclientjwhojhasjanjillness?
a. Someonejwhojhasjwell-controlledjdiabetes
b. Someonejwithjhypercholesterolemia
c. Someonejwithjajheadache
d. Someonejwithjcoronaryjarteryjdisease
withoutanginajANS:jC
, Someonejwithjajheadachejrepresentsjajpersonjwithjanjillness.jAnjillnessjisjmadejupjofjthejsubjectivejexperiencejof
jthejindividualjandjthejphysicaljmanifestationjofjdisease.jItjcanjbejdescribedjasjajresponsejcharacterizedjbyjajmis
matchjbetweenjajperson’sjneedsjandjthejresourcesjavailablejtojmeetjthosejneeds.jAjpersonjcanjhavejajdiseasewith
outjfeelingjill.jThejotherjchoicesjrepresentjdisease.
DIF: CognitivejLevel:j Analyzej(Analysis) REF: p.j 6
5. WhichjUSjreportjisjconsideredjajlandmarkjdocumentjinjcreatingjajglobaljapproachjtojhealth?
a. Thej1990jHealthjObjectivesjforjthejNation:jAjMidcoursejReview
b. HealthyjPeoplej2020
c. HealthyjPeoplej2000
d. ThejU.S.jSurgeonjGeneraljReport
ANS:j C
HealthyjPeoplej2000jandjitsjMidcoursejReviewjandj1995jRevisionsjwerejlandmarkjdocumentsjinjwhichjajc
onsortiumjofjpeoplejrepresentingjnationaljorganizationsjworkedjwithjUSjPublicjHealthjServicejofficialsjtoc
reatejajmorejglobaljapproachjtojhealth.
DIF:j j CognitivejLevel:jRememberj(Knowledge) REF:j j p.j 6
6. Whichjofjthejfollowingjrepresentsjajmethodjofjprimaryjprevention?
a. Informationaljsessionjaboutjhealthyjlifestyles
b. Bloodjpressurejscreening
c. Interventionaljcardiacj catheterization
d. Diagnosticjcardiacjcatheterization
ANS:jA
Primaryjpreventionjprecedesjdiseasejorjdysfunction.jItjincludesjhealthjpromotionjandjspecificjprotectionjandencoura
gesjincreasedjawareness;jthus,jeducationjaboutjhealthyjlifestylesjfitsjthisjdefinition.jBloodjpressurejscreeningjdoesjno
tjpreventjdisease,jbutjinsteadjidentifiesjit.
DIF: CognitivejLevel:jApplyj (Application) REF: p.j11
7. Whichjofjthejfollowingjrepresentsjajmethodjofjsecondaryjprevention?
a. Self–breastjexaminationjeducation
b. Yearlyj mammograms
c. Chemotherapyjforjadvancedj breastjcancer
d. Completejmastectomyjforjbreastjcancer
ANS:j B
Screeningjisjsecondaryjpreventionjbecausejthejprincipaljgoaljofjscreeningsjisjtojidentifyjindividualsjinjanjearly,detect
ablejstagejofjthejdiseasejprocess.jAjmammogramjisjajscreeningjtooljforjbreastjcancerjandjthusjisjconsideredjajmethodjo
fjsecondaryjprevention.
DIF: CognitivejLevel:jApplyj (Application) REF: p.j15
8. Whichjofjthejfollowingjrepresentsjajmethodjofjtertiaryjprevention?
a. Drunkjdrivingjcampaign
b. Roadjblocksjforjdrunkjdriving
c. Emergencyjsurgeryjforjheadjtraumajafterjajmotorjvehiclejaccident
d. Physicaljandjoccupationaljtherapyjafterjajmotorjvehiclejaccidentjwithj
headjtrauma
ANS:j D
, Physicaljtherapyjandjoccupationaljtherapyjarejconsideredjtertiaryjprevention.jTertiaryjpreventionjoccursjwhenjad
efectjorjdisabilityjisjpermanentjandjirreversible.jItjinvolvesjminimizingjthejeffectjofjdiseasejandjdisability.jTheiob
jectivejofjtertiaryjpreventionjisjtojmaximizejremainingjcapacities.
DIF:j j Cognitivej Level:j Applyj(Application) REF: p.j15
9. Injreviewingjajperson’sjmedicaljclaims,jajnursejrealizesjthatjthejindividualjwithjmoderatejpersistentjasthmajh
ashadjseveraljemergencyjdepartmentjvisitsjandjisjnotjonjinhaledjsteroidsjasjrecommendedjbyjthejNHLBIjast
hmajmanagementjguidelines.jThejnursejdiscussesjthisjwithjthejperson’sjprimaryjcarejprovider.jInjthisjscena
rio,jthejnursejisjactingjasja(n):
a. advocate.
b. carejmanager.
c. consultant.
d. educator.
ANS:j B
Carejmanagersjactjtojpreventjduplicationjofjservicejandjreducejcost.jCarej managersj basejrecommendationonj
reliablejdatajsourcesjsuchjasjevidence-basedjpracticesjandjprotocols.
DIF: CognitivejLevel:jApplyj(Application) REF: p.j15
10. Duringjajhomejvisit,jajnursejassistsjanjindividualjtojcompletejanjapplicationjforjdisabilityjservices.jThejn
ursejisjactingjasja(n):
a. advocate.
b. carejmanager.
c. consultant.
d. educator.
ANS:jA
Thejadvocacyjrolej ofj thej nursej helpsj individualsj obtainj whatjtheyjarej entitledj toj receivej fromjthej healthjcar
ejsystem,jtriesjtojmakejthejsystemjmorejresponsivejtojindividuals’jcommunityjneeds,jandjassistsjindividualsjin
developingjskillsjtojadvocatejforjthemselves.
DIF:j j Cognitivej Level:j Applyj(Application) REF: p.j15
11. Duringjajhomejvisit,jajnursejdiscussesjthejdangersjofjsmokingjwithjanjindividual.jInjthisjscenariojthejn
ursejisjactingjasja(n):
a. advocate.
b. carejmanager.
c. consultant.
d. educator.
ANS:j D
Healthjeducationjisjajprimaryjpreventionjtechniquejavailablejtojavoidj majorjcausesjofjdisease.jTeachingj canrang
ejfromjajchancejremarkjtojajplannedjlesson.
DIF: CognitivejLevel:jApplyj(Application) REF: p.j16
12. Ajnursejisjaskedjtojprovidejanjexpertjopinionjaboutjthejdevelopmentjofjanjeducationjprogramjfo
rnewlyjdiagnosedjdiabetics.jInjthisjscenario,jthejnursejisjactingjasja(n):
a. advocate.
b. carejmanager.
c. consultant.
d. educator.