,Chapterm01:mHealthmDefined:mObjectivesmformPromotionmandmPrevent
ionmEdelman:mHealthmPromotionmThroughoutmthemLifemSpan,m8thmEdi
tion
MULTIPLEmCHOICE
1. Whichmmodelmofmhealthmismmostmlikelymusedmbymampersonmwhomdoesmnotmbelieveminmpreventivemhealthmcare?
a. Clinicalmmodel
b. Rolemperformancemmodel
c. Adaptivemmodel
d. Eudaimonisticmmodel
ANS:m A
Themclinicalmmodelmofmhealthmviewsmthemabsencemofmsignsmandmsymptomsmofmdiseasemasmindicativemofmhealth.m
Peoplemwhomusemthismmodelmwaitmuntilmtheymaremverymsickmtomseekmcare.
DIF: CognitivemLevel:mRememberm(Knowledge) REF: p.m3
2. Ampersonmwithmchronicmbackmpainmismcaredmformbymhermprimarymcaremprovidermasmwellmasmre
ceivesmacupuncture.mWhichmmodelmofmhealthmdoesmthismpersonmlikelymfavor?
a. Clinicalmmodel
b. Rolemperformancemmodel
c. Adaptivemmodel
d. Eudaimonisticmmodel
ANS:m D
Themeudaimonisticmmodelmembodiesmtheminteractionmandminterrelationshipsmamongmphysical,msocial,mpsychologi
cal,mandmspiritualmaspectsmofmlifemandmthemenvironmentminmgoalmattainmentmandmcreatingmmeaningminmlife.mPracti
tionersmwhompracticemthemclinicalmmodelmmaymnotmbemenoughmformsomeonemwhombelievesminmthemeudaimonisticm
model.mThosemwhombelieveminmthemeudaimonisticmmodelmoftenmlookmformalternativemprovidersmofmcare.
DIF: CognitivemLevel:mApplym(Application) REF: p.m3
3. Amstatemofmphysical,mmental,mspiritual,mandmsocialmfunctioningmthatmrealizesmamperson’smpotentialma
ndmismexperiencedmwithinmamdevelopmentalmcontextmismknownmas:
a. growthmandmdevelopment.
b. health.
c. functioning.
d. high-levelmwellness.
ANS:m B
Healthmismdefinedmasmamstatemofmphysical,mmental,mspiritual,mandmsocialmfunctioningmthatmrealizesmamperson’smpoten
tialmandmismexperiencedmwithinmamdevelopmentalmcontext.
DIF: CognitivemLevel:mRememberm(Knowledge) REF: p.m5
4. Whichmofmthemfollowingmbestmdescribesmamclientmwhomhasmanmillness?
a. Someonemwhomhasmwell-controlledmdiabetes
b. Someonemwithmhypercholesterolemia
c. Someonemwithmamheadache
d. Someonemwithmcoronarymarterymdiseasemwitho
utmanginamANS:m C
, Someonemwithmamheadachemrepresentsmampersonmwithmanmillness.mAnmillnessmismmademupmofmthemsubjectivemexper
iencemofmthemindividualmandmthemphysicalmmanifestationmofmdisease.mItmcanmbemdescribedmasmamresponsemcharacte
rizedmbymammismatchmbetweenmamperson’smneedsmandmthemresourcesmavailablemtommeetmthosemneeds.mAmpersonmc
anmhavemamdiseasemwithoutmfeelingmill.mThemothermchoicesmrepresentmdisease.
DIF: CognitivemLevel:mAnalyzem(Analysis) REF: p.m6
5. WhichmUSmreportmismconsideredmamlandmarkmdocumentminmcreatingmamglobalmapproachmtomhealth?
a. Them1990mHealthmObjectivesmformthemNation:mAmMidcoursemReview
b. HealthymPeoplem2020
c. HealthymPeoplem2000
d. ThemU.S.mSurgeonmGeneralmReport
ANS:m C
HealthymPeoplem2000mandmitsmMidcoursemReviewmandm1995mRevisionsmweremlandmarkmdocumentsminmwhichmam
consortiummofmpeoplemrepresentingmnationalmorganizationsmworkedmwithmUSmPublicmHealthmServicemofficialsmt
omcreatemammoremglobalmapproachmtomhealth.
DIF: CognitivemLevel:mRememberm(Knowledge) REF: p.m6
6. Whichmofmthemfollowingmrepresentsmammethodmofmprimarymprevention?
a. Informationalmsessionmaboutmhealthymlifestyles
b. Bloodmpressuremscreening
c. Interventionalmcardiacmcatheterization
d. Diagnosticmcardiacmcatheterization
ANS:m A
Primarympreventionmprecedesmdiseasemormdysfunction.mItmincludesmhealthmpromotionmandmspecificmprotectionman
dmencouragesmincreasedmawareness;mthus,meducationmaboutmhealthymlifestylesmfitsmthismdefinition.mBloodmpressur
emscreeningmdoesmnotmpreventmdisease,mbutminsteadmidentifiesmit.
DIF: CognitivemLevel:mApplym(Application) REF: p.m11
7. Whichmofmthemfollowingmrepresentsmammethodmofmsecondarymprevention?
a. Self–breastmexaminationmeducation
b. Yearlymmammograms
c. Chemotherapymformadvancedmbreastmcancer
d. Completemmastectomymformbreastmcancer
ANS:m B
Screeningmismsecondarympreventionmbecausemthemprincipalmgoalmofmscreeningsmismtomidentifymindividualsminmanm
early,mdetectablemstagemofmthemdiseasemprocess.mAmmammogrammismamscreeningmtoolmformbreastmcancermandmthus
mismconsideredmammethodm ofmsecondarym prevention.
DIF: CognitivemLevel:mApplym(Application) REF: p.m15
8. Whichmofmthemfollowingmrepresentsmammethodmofmtertiarymprevention?
a. Drunkmdrivingmcampaign
b. Roadmblocksmformdrunkmdriving
c. Emergencymsurgerymformheadmtraumamaftermammotormvehiclemaccident
d. Physicalmandmoccupationalmtherapymaftermammotormvehiclemaccidentmwithmh
eadmtraumamANS:m D
, Physicalmtherapymandmoccupationalmtherapymaremconsideredmtertiarymprevention.mTertiarympreventionmoccursmwh
enmamdefectmormdisabilitymismpermanentmandmirreversible.mItminvolvesmminimizingmthemeffectmofmdiseasemandmdisa
bility.mThemobjectivemofmtertiarympreventionmismtommaximizemremainingmcapacities.
DIF:mmmm CognitivemLevel:mApplym(Application) REF: p.m15
9. Inmreviewingmamperson’smmedicalmclaims,mamnursemrealizesmthatmthemindividualmwithmmoderatempersistentmasthm
amhasmhadmseveralmemergencymdepartmentmvisitsmandmismnotmonminhaledmsteroidsmasmrecommendedmbymthemNH
LBImasthmammanagementmguidelines.mThemnursemdiscussesmthismwithmthemperson’smprimarymcaremprovider.mInm
thismscenario,mthemnursemismactingmasma(n):
a. advocate.
b. caremmanager.
c. consultant.
d. educator.
ANS:m B
Carem managersm actm tom preventm duplicationm ofm servicem andm reducem cost.m Carem managersm basem recommend
ationmonmreliablemdatamsourcesmsuchmasmevidence-basedmpracticesmandmprotocols.
DIF:mmmm CognitivemLevel:mApplym(Application) REF: p.m15
10. Duringmamhomemvisit,mamnursemassistsmanmindividualmtomcompletemanmapplicationmformdisabilitymservices.mThe
mnursemismactingmasma(n):
a. advocate.
b. caremmanager.
c. consultant.
d. educator.
ANS:m A
Themadvocacymrolemofmthemnursemhelpsmindividualsmobtainmwhatmtheymarementitledmtomreceivemfrommthemhealt
hmcaremsystem,mtriesmtommakemthemsystemmmoremresponsivemtomindividuals’mcommunitymneeds,mandmassistsmin
dividualsminmdevelopingmskillsmtomadvocatemformthemselves.
DIF:mmmm CognitivemLevel:mApplym(Application) REF: p.m15
11. Duringmamhomemvisit,mamnursemdiscussesmthemdangersmofmsmokingmwithmanmindividual.mInmthismscenariomthe
mnursemismactingmasma(n):
a. advocate.
b. caremmanager.
c. consultant.
d. educator.
ANS:m D
Healthmeducationmismamprimarympreventionmtechniquemavailablemtomavoidmmajormcausesmofmdisease.mTeachin
gmcanmrangemfrommamchancemremarkmtomamplannedmlesson.
DIF:mmmm CognitivemLevel:mApplym(Application) REF: p.m16
12. Amnursemismaskedmtomprovidemanmexpertmopinionmaboutmthemdevelopmentmofmanmeducationmprogra
mmformnewlymdiagnosedmdiabetics.mInmthismscenario,mthemnursemismactingmasma(n):
a. advocate.
b. caremmanager.
c. consultant.
d. educator.
ionmEdelman:mHealthmPromotionmThroughoutmthemLifemSpan,m8thmEdi
tion
MULTIPLEmCHOICE
1. Whichmmodelmofmhealthmismmostmlikelymusedmbymampersonmwhomdoesmnotmbelieveminmpreventivemhealthmcare?
a. Clinicalmmodel
b. Rolemperformancemmodel
c. Adaptivemmodel
d. Eudaimonisticmmodel
ANS:m A
Themclinicalmmodelmofmhealthmviewsmthemabsencemofmsignsmandmsymptomsmofmdiseasemasmindicativemofmhealth.m
Peoplemwhomusemthismmodelmwaitmuntilmtheymaremverymsickmtomseekmcare.
DIF: CognitivemLevel:mRememberm(Knowledge) REF: p.m3
2. Ampersonmwithmchronicmbackmpainmismcaredmformbymhermprimarymcaremprovidermasmwellmasmre
ceivesmacupuncture.mWhichmmodelmofmhealthmdoesmthismpersonmlikelymfavor?
a. Clinicalmmodel
b. Rolemperformancemmodel
c. Adaptivemmodel
d. Eudaimonisticmmodel
ANS:m D
Themeudaimonisticmmodelmembodiesmtheminteractionmandminterrelationshipsmamongmphysical,msocial,mpsychologi
cal,mandmspiritualmaspectsmofmlifemandmthemenvironmentminmgoalmattainmentmandmcreatingmmeaningminmlife.mPracti
tionersmwhompracticemthemclinicalmmodelmmaymnotmbemenoughmformsomeonemwhombelievesminmthemeudaimonisticm
model.mThosemwhombelieveminmthemeudaimonisticmmodelmoftenmlookmformalternativemprovidersmofmcare.
DIF: CognitivemLevel:mApplym(Application) REF: p.m3
3. Amstatemofmphysical,mmental,mspiritual,mandmsocialmfunctioningmthatmrealizesmamperson’smpotentialma
ndmismexperiencedmwithinmamdevelopmentalmcontextmismknownmas:
a. growthmandmdevelopment.
b. health.
c. functioning.
d. high-levelmwellness.
ANS:m B
Healthmismdefinedmasmamstatemofmphysical,mmental,mspiritual,mandmsocialmfunctioningmthatmrealizesmamperson’smpoten
tialmandmismexperiencedmwithinmamdevelopmentalmcontext.
DIF: CognitivemLevel:mRememberm(Knowledge) REF: p.m5
4. Whichmofmthemfollowingmbestmdescribesmamclientmwhomhasmanmillness?
a. Someonemwhomhasmwell-controlledmdiabetes
b. Someonemwithmhypercholesterolemia
c. Someonemwithmamheadache
d. Someonemwithmcoronarymarterymdiseasemwitho
utmanginamANS:m C
, Someonemwithmamheadachemrepresentsmampersonmwithmanmillness.mAnmillnessmismmademupmofmthemsubjectivemexper
iencemofmthemindividualmandmthemphysicalmmanifestationmofmdisease.mItmcanmbemdescribedmasmamresponsemcharacte
rizedmbymammismatchmbetweenmamperson’smneedsmandmthemresourcesmavailablemtommeetmthosemneeds.mAmpersonmc
anmhavemamdiseasemwithoutmfeelingmill.mThemothermchoicesmrepresentmdisease.
DIF: CognitivemLevel:mAnalyzem(Analysis) REF: p.m6
5. WhichmUSmreportmismconsideredmamlandmarkmdocumentminmcreatingmamglobalmapproachmtomhealth?
a. Them1990mHealthmObjectivesmformthemNation:mAmMidcoursemReview
b. HealthymPeoplem2020
c. HealthymPeoplem2000
d. ThemU.S.mSurgeonmGeneralmReport
ANS:m C
HealthymPeoplem2000mandmitsmMidcoursemReviewmandm1995mRevisionsmweremlandmarkmdocumentsminmwhichmam
consortiummofmpeoplemrepresentingmnationalmorganizationsmworkedmwithmUSmPublicmHealthmServicemofficialsmt
omcreatemammoremglobalmapproachmtomhealth.
DIF: CognitivemLevel:mRememberm(Knowledge) REF: p.m6
6. Whichmofmthemfollowingmrepresentsmammethodmofmprimarymprevention?
a. Informationalmsessionmaboutmhealthymlifestyles
b. Bloodmpressuremscreening
c. Interventionalmcardiacmcatheterization
d. Diagnosticmcardiacmcatheterization
ANS:m A
Primarympreventionmprecedesmdiseasemormdysfunction.mItmincludesmhealthmpromotionmandmspecificmprotectionman
dmencouragesmincreasedmawareness;mthus,meducationmaboutmhealthymlifestylesmfitsmthismdefinition.mBloodmpressur
emscreeningmdoesmnotmpreventmdisease,mbutminsteadmidentifiesmit.
DIF: CognitivemLevel:mApplym(Application) REF: p.m11
7. Whichmofmthemfollowingmrepresentsmammethodmofmsecondarymprevention?
a. Self–breastmexaminationmeducation
b. Yearlymmammograms
c. Chemotherapymformadvancedmbreastmcancer
d. Completemmastectomymformbreastmcancer
ANS:m B
Screeningmismsecondarympreventionmbecausemthemprincipalmgoalmofmscreeningsmismtomidentifymindividualsminmanm
early,mdetectablemstagemofmthemdiseasemprocess.mAmmammogrammismamscreeningmtoolmformbreastmcancermandmthus
mismconsideredmammethodm ofmsecondarym prevention.
DIF: CognitivemLevel:mApplym(Application) REF: p.m15
8. Whichmofmthemfollowingmrepresentsmammethodmofmtertiarymprevention?
a. Drunkmdrivingmcampaign
b. Roadmblocksmformdrunkmdriving
c. Emergencymsurgerymformheadmtraumamaftermammotormvehiclemaccident
d. Physicalmandmoccupationalmtherapymaftermammotormvehiclemaccidentmwithmh
eadmtraumamANS:m D
, Physicalmtherapymandmoccupationalmtherapymaremconsideredmtertiarymprevention.mTertiarympreventionmoccursmwh
enmamdefectmormdisabilitymismpermanentmandmirreversible.mItminvolvesmminimizingmthemeffectmofmdiseasemandmdisa
bility.mThemobjectivemofmtertiarympreventionmismtommaximizemremainingmcapacities.
DIF:mmmm CognitivemLevel:mApplym(Application) REF: p.m15
9. Inmreviewingmamperson’smmedicalmclaims,mamnursemrealizesmthatmthemindividualmwithmmoderatempersistentmasthm
amhasmhadmseveralmemergencymdepartmentmvisitsmandmismnotmonminhaledmsteroidsmasmrecommendedmbymthemNH
LBImasthmammanagementmguidelines.mThemnursemdiscussesmthismwithmthemperson’smprimarymcaremprovider.mInm
thismscenario,mthemnursemismactingmasma(n):
a. advocate.
b. caremmanager.
c. consultant.
d. educator.
ANS:m B
Carem managersm actm tom preventm duplicationm ofm servicem andm reducem cost.m Carem managersm basem recommend
ationmonmreliablemdatamsourcesmsuchmasmevidence-basedmpracticesmandmprotocols.
DIF:mmmm CognitivemLevel:mApplym(Application) REF: p.m15
10. Duringmamhomemvisit,mamnursemassistsmanmindividualmtomcompletemanmapplicationmformdisabilitymservices.mThe
mnursemismactingmasma(n):
a. advocate.
b. caremmanager.
c. consultant.
d. educator.
ANS:m A
Themadvocacymrolemofmthemnursemhelpsmindividualsmobtainmwhatmtheymarementitledmtomreceivemfrommthemhealt
hmcaremsystem,mtriesmtommakemthemsystemmmoremresponsivemtomindividuals’mcommunitymneeds,mandmassistsmin
dividualsminmdevelopingmskillsmtomadvocatemformthemselves.
DIF:mmmm CognitivemLevel:mApplym(Application) REF: p.m15
11. Duringmamhomemvisit,mamnursemdiscussesmthemdangersmofmsmokingmwithmanmindividual.mInmthismscenariomthe
mnursemismactingmasma(n):
a. advocate.
b. caremmanager.
c. consultant.
d. educator.
ANS:m D
Healthmeducationmismamprimarympreventionmtechniquemavailablemtomavoidmmajormcausesmofmdisease.mTeachin
gmcanmrangemfrommamchancemremarkmtomamplannedmlesson.
DIF:mmmm CognitivemLevel:mApplym(Application) REF: p.m16
12. Amnursemismaskedmtomprovidemanmexpertmopinionmaboutmthemdevelopmentmofmanmeducationmprogra
mmformnewlymdiagnosedmdiabetics.mInmthismscenario,mthemnursemismactingmasma(n):
a. advocate.
b. caremmanager.
c. consultant.
d. educator.
