PUBLIC HEALTH NURSING CH
17 EXAM QUESTIONS AND EXPECTED
ANSWERS
A nurse is educating the community about modifiable
behaviors. Which of the following is the nurse most
likely to discuss?
a. Smoking, poor diet, and alcohol consumption
b. Cancer, emphysema, and cardiovascular disease
c. Age and gender
d. Genetic abnormalities
ANS: A
Modifiable behaviors remain the major contributors to
deaths in the United States. Tobacco use, poor diet,
physical inactivity, and alcohol consumption are examples
of modifiable behaviors. Cancer, emphysema,
cardiovascular disease, gender, age, and genetic
abnormalities are not modifiable behaviors.
DIF: Cognitive level: Applying REF: p. 378
TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
A nurse is utilizing a disease-oriented approach when
providing care to a client. Which of the following
interventions will the nurse most likely provide?
a. Promotion of a greater level of positive health
b. Education about common disease processes
,c. Acute care management of chronic disease
d. Education about medication compliance
ANS: D
A disease-oriented approach assumes that humans are
composed of organ systems and cells; in this instance,
health care focuses on identifying what is not working
properly with a given system and repairing it. In this
context, health behavior begins with patient compliance
with health professionals' recommendations. This
approach does not promote a greater level of positive
health as this would be related to health promotion. This
approach does not provide education about common
disease processes or acute care management of chronic
disease.
DIF: Cognitive level: Applying REF: pp. 381-382
TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
The biomedical model defines health as the:
a. avoidance of illness.
b. absence of disease.
c. promotion of healthy behaviors.
d. protection from illness and disease states.
ANS: B
The biomedical model defines health as the absence of
disease. It does not explain why populations remain
healthy or how health is enhanced.
DIF: Cognitive level: Remembering REF: p. 381
TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
, The health-oriented perspective views:
a. health as the absence of disease.
b. human lifestyle based on one's prescribed regime.
c. humans as complex and interconnected with the
environment.
d. community education as the role of the registered
nurse.
ANS: C
The health-oriented perspective includes the view that
humans are complex and interconnected with others and
the environment. Health behavior within this perspective
involves a holistic view of lifestyle and interaction with the
environment and not simply compliance with a prescribed
regimen.
DIF: Cognitive level: Understanding REF: p. 381
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment:
Management of Care
A nurse using the integrative model for community
health promotion. Which of the following best
describes how the nurse would apply the dimension
of client system?
a. Concentrating on individual health behaviors
b. Studying client-centered initiatives
c. Providing multidimensional nursing care among
various levels of clients
d. Focusing on disease-oriented care
ANS: C
The client system is multidimensional with nursing and
health care targeting the multiple levels of clients. When
17 EXAM QUESTIONS AND EXPECTED
ANSWERS
A nurse is educating the community about modifiable
behaviors. Which of the following is the nurse most
likely to discuss?
a. Smoking, poor diet, and alcohol consumption
b. Cancer, emphysema, and cardiovascular disease
c. Age and gender
d. Genetic abnormalities
ANS: A
Modifiable behaviors remain the major contributors to
deaths in the United States. Tobacco use, poor diet,
physical inactivity, and alcohol consumption are examples
of modifiable behaviors. Cancer, emphysema,
cardiovascular disease, gender, age, and genetic
abnormalities are not modifiable behaviors.
DIF: Cognitive level: Applying REF: p. 378
TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
A nurse is utilizing a disease-oriented approach when
providing care to a client. Which of the following
interventions will the nurse most likely provide?
a. Promotion of a greater level of positive health
b. Education about common disease processes
,c. Acute care management of chronic disease
d. Education about medication compliance
ANS: D
A disease-oriented approach assumes that humans are
composed of organ systems and cells; in this instance,
health care focuses on identifying what is not working
properly with a given system and repairing it. In this
context, health behavior begins with patient compliance
with health professionals' recommendations. This
approach does not promote a greater level of positive
health as this would be related to health promotion. This
approach does not provide education about common
disease processes or acute care management of chronic
disease.
DIF: Cognitive level: Applying REF: pp. 381-382
TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
The biomedical model defines health as the:
a. avoidance of illness.
b. absence of disease.
c. promotion of healthy behaviors.
d. protection from illness and disease states.
ANS: B
The biomedical model defines health as the absence of
disease. It does not explain why populations remain
healthy or how health is enhanced.
DIF: Cognitive level: Remembering REF: p. 381
TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
, The health-oriented perspective views:
a. health as the absence of disease.
b. human lifestyle based on one's prescribed regime.
c. humans as complex and interconnected with the
environment.
d. community education as the role of the registered
nurse.
ANS: C
The health-oriented perspective includes the view that
humans are complex and interconnected with others and
the environment. Health behavior within this perspective
involves a holistic view of lifestyle and interaction with the
environment and not simply compliance with a prescribed
regimen.
DIF: Cognitive level: Understanding REF: p. 381
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment:
Management of Care
A nurse using the integrative model for community
health promotion. Which of the following best
describes how the nurse would apply the dimension
of client system?
a. Concentrating on individual health behaviors
b. Studying client-centered initiatives
c. Providing multidimensional nursing care among
various levels of clients
d. Focusing on disease-oriented care
ANS: C
The client system is multidimensional with nursing and
health care targeting the multiple levels of clients. When
