POTTER-Test Bank
Chapter 01: Health and Wellness
Test Bank
MULTIPLE CHOICE
1. When planning care a nurse wants to use the goals of Healthy People 2010 because these
goals:
A. aim to increase both quality and years of life by eliminating the nation‘s health
disparities.
B. increase the life expectancy of all Americans.
C. reduce the percentage of communicable diseases in childhood.
D. identify gaps among ethnic minorities in regard to health promotion and disease
prevention.
ANS: A
The objectives of Healthy People 2010 focus on interventions designed to reduce or
eliminate illness, disability, and premature death or on broader issues such as improving
availability and distribution of health-related information. In the Healthy People 2010
model, individual biology and individual behavior influence health through their
interaction with each other and with a person‘s social and physical environments.
PTS: 1 DIF: Cognitive Level: Application REF: 6
OBJ: Describe the variables influencing health beliefs and health practices
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
2. The health-illness continuum can be used to:
A. define health and illness as absolute.
B. understand the relationships between attitudes toward health and health practices.
C. compare one patient‘s health to another patient‘s health.
D. consider a patient‘s risk factors when identifying levels of health.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
, Test Bank 1-2
ANS: B
Health and illness are complex concepts. Health is more than just the absence of illness or
disease. Nursing models allow nurses to understand and predict patients‘ behaviors, use
of health services, participation in therapy, and care for themselves. Risk factors are part
of a patient‘s health beliefs and health practices.
PTS: 1 DIF: Cognitive Level: Analysis REF: 2
OBJ: Discuss the health belief, health promotion, basic human needs, and holistic
health models of health and illness to understand the relationship between patients‘
attitudes toward health and health practices TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
3. After assessing a patient‘s risk factors, a nurse understands that risk factors are:
A. direct indicators of the presence of disease.
B. more common in adolescents than adults.
C. modifiable traits that can assist a patient with changing.
D. variables that increase vulnerability to develop illness or accident.
ANS: D
The presence of a risk factor does not mean that a disease will develop, but risk factors
increase the chances that the individual will experience a particular disease. Age
increases susceptibility to certain diseases. Risk factors influence health beliefs and
practices if a person is aware of their presence.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 10
OBJ: Discuss four types of risk factors and the process of risk factor modification
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
4. To evaluate a patient‘s external variables, a nurse understands that health beliefs and
practices can be influenced by a patient‘s:
A. emotional factors.
B. intellectual background.
C. developmental stage.
D. socioeconomic factors.
ANS: D
Emotional factors, intellectual background, and developmental stage represent internal
variables; socioeconomic factors are an external variable.
PTS: 1 DIF: Cognitive Level: Analysis REF: 6
OBJ: Describe the variables influencing health beliefs and health practices
TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
5. A nurse uses the concept of primary prevention when instructing a patient to:
A. get a flu shot on a yearly basis.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
, Test Bank 1-3
B. take blood pressure medication every day.
C. explore hiring a patient with a known disability.
D. undergo physical therapy following a cerebrovascular accident.
ANS: A
Taking blood pressure medication every day is a tertiary prevention because the patient is
trying to prevent further complications. Physical therapy after a cerebrovascular accident
is intended to prevent further complications and deterioration. Primary prevention is
avoiding illness by getting a flu shot.
PTS: 1 DIF: Cognitive Level: Application REF: 7
OBJ: Explain the three levels of prevention
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
6. A married father of four has recently been diagnosed with emphysema resulting from a
long history of smoking. At a family counseling session a nurse helps the family to
understand that this diagnosis is classified as a(n):
A. acute illness.
B. tertiary prevention.
C. chronic illness.
D. internal variable.
ANS: C
Acute illness is short term and severe. Tertiary prevention strives to prevent
complications and deterioration. Internal variables include a patient‘s developmental
stage, and intellectual, emotional, and cultural background. Chronic illness is one that
lasts more than 6 months.
PTS: 1 DIF: Cognitive Level: Analysis REF: 13
OBJ: Describe the impact of illness on the patient and family
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
7. Which of the following is the best definition of health?
A. State of complete well-being
B. Absence of disease
C. Vital signs within normal range
D. Maintenance of a normal weight
ANS: A
The World Health Organization defines health as a state of complete physical, mental,
and social well-being, not merely the absence of disease or infirmary. People without
disease are not necessarily healthy. An unhealthy person may have vital signs within
normal limits. People with a normal weight may be unhealthy.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: Discuss the health belief, health promotion, basic human needs, and holistic
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
, Test Bank 1-4
health models of health and illness to understand the relationship between patients‘
attitudes toward health and health practices TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
8. Mrs. Kitchene, a 64-year-old patient with newly diagnosed diabetes, is concerned about
her risk for developing foot ulcers because her mother had a foot amputated as a result of
the disease. This an example of which of the following?
A. Health promotion
B. Health behavior
C. Health belief
D. Holistic health
ANS: C
Health promotion is behavior motivated by a desire to increase well-being. Health
behavior is an activity. Health beliefs are a person‘s convictions, ideas, and attitudes
about health. Holistic health includes emotional and spiritual well-being.
PTS: 1 DIF: Cognitive Level: Analysis REF: 2
OBJ: Discuss the health belief, health promotion, basic human needs, and holistic
health models of health and illness to understand the relationship between patients‘
attitudes toward health and health practices TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
9. A 53-year-old patient with diabetes is diligent about taking his blood sugar before meals.
This is an example of the third component of which model?
A. Basic Human Needs
B. Health Belief
C. Holistic Health
D. Tertiary Prevention
ANS: B
The third level of the Health Belief model is love and belonging needs. The third
component of the Basic Human Needs model is the likelihood that a patient will take
preventative action regarding their illness. The Holistic Health model does not contain
distinct ―components.‖ Tertiary prevention is not a health model.
PTS: 1 DIF: Cognitive Level: Application REF: 6
OBJ: Describe health promotion and illness prevention activities
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
10. Which of the following will best assist a nurse in understanding a patient‘s use of tying a
silver dollar to the stomach of her newborn infant to heal an umbilical hernia?
A. Health Belief Model
B. Maslow‘s Hierarchy of Needs
C. World Health Organization‘s definition of ―health‖
D. Tertiary prevention
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.