n n n n n n n
Edition by Potter n n
Chapter 01: Health and Wellness
n n n n
Potter et al: Canadian Fundamentals of Nursing, 6th Edition
n n n n n n n n
MULTIPLEnCHOICE
1. Thennursenisnusingnthenpopulationnhealthnpromotionnmodelntondevelopnactionsnfornimprovin
gnhealth.nAfternasking,n“Onnwhatnshouldnwentakenaction?”;n“Hownshouldnwentakenaction?”;n
andn“Whynshouldnwentakenaction?”nthennursenwillnasknwhichnofnthenfollowingnquestions?
a. “Withnwhomnshouldnwenact?”
b. “Whennshouldnwentakenaction?”
c. “Whichngovernmentnshouldntakenaction?”
d. “Wherenshouldnwenfirstnact?”
ANS:n A
Thennextnquestionntonasknwhennusingnthenpopulationnhealthnmodelnapproachnisn“Withnwhomns
houldnwenact?”nThenothernchoicesnarennotnquestionsnincludedninnthisnmodel.
DIF: Apply REF: 13n(Figuren1-5)
OBJ:n Contrastndistinguishingnfeaturesnofnhealthnpromotionn andndiseasenprevention.
TOP: Implementation MSC: NCLEX:nHealthnPromotionnandnMaintenance
2. Thenprinciplen“Healthnpromotionnisnmultisectoral”nmeansnwhichnofnthenfollowing?
a. Relationshipsnbetweennindividual,nsocial,nandnenvironmentalnfactorsnmustnbenr
ecognized.
b. Physical,nmental,nsocial,necological,ncultural,nandnspiritualnaspectsnofnhealthnmustn
benrecognized.
c. Innorderntonchangenunhealthynlivingnandnworkingnconditions,nareasnothernthannhealthn
mustnalsonbeninvolved.
d. Healthnpromotionnusesnknowledgenfromndisciplinesnsuchnasnsocial,neconomic,npolit
ical,nenvironmental,nmedical,nandnnursingnsciences,nasnwellnasnfromnfirst-
handnexperience.
ANS:n C
Thenstatementn“Healthnpromotionnisnmultisectoral”nisnthenprinciplenexplainednbynthenn
ecessityntoninvolvenareasnothernthannhealthninnorderntonchangenunhealthynlivingnandnw
orkingnconditions.
DIF: Understand REF:n 11
OBJ:n Contrastndistinguishingnfeaturesnofnhealthnpromotionn andndiseasenprevention.
TOP: Planning MSC: NCLEX:nHealthnPromotionnandnMaintenance
3. AccordingntonthenWorldnHealthnOrganization,nwhatnisnthenbestndescriptionn ofn “health”?
a. Simplynthenabsencenofndisease.
b. Involvingnthentotalnpersonn andnenvironment.
c. Strictlynpersonalninnnature.
d. Statusnofnpathologicalnstate.
ANS:n B
, WHOndefinesnhealthnasn“.n.n.thenextentntonwhichnannindividualnorngroupnisnable,nonnthenonenh
and,ntonrealizenaspirationsnandnsatisfynneeds;nand,nonnthenothernhand,ntonchangenorncopenwit
hnthenenvironment.nHealthnis,ntherefore,nseennasnanresourcenforneverydaynlife,nnotnthenobjecti
venofnliving;nitnisnanpositivenconceptnemphasizingnsocialnandnpersonalnresources,nasnwellnasn
physicalncapacities.”nNurses’nattitudesntowardnhealthnandnillnessnshouldnconsidernthentotalnp
erson,nasnwellnasnthenenvironmentninnwhichnthenpersonnlives.nPeoplenfreenofndiseasenarennotne
quallynhealthy.nViewsnofnhealthnhavenbroadenedntonincludenmental,nsocial,nandnspiritualnwell
-being,nasnwellnasnanfocusnonnhealthnatnfamilynandncommunitynlevels.
Conditionsnofnlife,nrathernthannpathologicalnstates,narenwhatndeterminenhealth.
DIF: Knowledge REF:n 2
OBJ:nDiscussnwaysnthatndefinitionsnofnhealthnhavenbeennconceptualized.
TOP: Evaluate MSC:n NCLEX:nHealthnPromotionnandnMaintenance
4. WhatnprioritynstrategynfornhealthnpromotionninnCanadanisnoptionalnbutnseennasnimportantntoni
ncorporateninnnursingneducationncurricula?
a. Knowledgenofndiseasenprevention.
b. Strategiesnfornhealthnpromotion.
c. Policynadvocacy.
d. Conceptsnofndeterminantsnofnhealth.
ANS:n C
Increasingly,npolicynadvocacynisnincorporatednintonnursingnrolenstatementsnandnnursingne
ducationncurricula.nNursesnshouldnthinknaboutnpoliciesnthatnhavencontributedntonhealthnpro
blems,npoliciesnthatnwouldnhelpnalleviatenhealthnproblems,nandnhownnursesnchampionnpubl
icnpolicies.nDiseasenprevention,nhealthnpromotion,nandnconceptsnofndeterminantsnofnhealth
naren integralnpartsnofnnursingncurricula.
DIF: Understand REF: 11|n12
OBJ:n Analyzenhownthennaturenandn scopenofnnursingnpracticenareninfluencednbyndifferent
conceptualizationsnofnhealthnandnhealthndeterminants.n TOP: Planning
MSC:nNCLEX:n Healthn PromotionnandnMaintenance
5. Whichnofnthenfollowingnisnanprerequisitenfornhealth,nasnidentifiednbynthenOttawanCharternforn
HealthnPromotion?
a. Education.
b. Socialnsupport.
c. Self-esteem.
d. Physicalnenvironment.
ANS:n A
EducationnisnonenofnthenninenprerequisitesnfornhealthnthatnwerenidentifiedninnthenOttawanCha
rternfornHealthnPromotion.nLacknofnsocialnsupportnandnlownself-
esteemnwerenidentifiednasnpsychosocialnrisknfactorsnbynLabonten(1993).nDangerousnphysical
nenvironmentsnwerenidentifiednasnsocioenvironmentalnriskn factorsnbyn Labonten(1993).
DIF: Understand REF:n 4
OBJ:
DiscussncontributionsnofnthenfollowingnCanadiannpublicationsntonconceptualizationsnofn
healthnandnhealthndeterminants:nLalondenReport,nOttawanCharter,nEppn Report,nStrategiesnfor
PopulationnHealth,nJakartanDeclaration,nBangkoknCharter,nTorontonCharter.n TOP: Planning
MSC:nNCLEX:n Healthn PromotionnandnMaintenance
,6. ThendeterminantnofnhealthnwithnthengreatestneffectnonnthenhealthnofnCanadiansnisnwhichnofnt
henfollowing?
a. Education.
b. Healthnservices.
c. Socialnsupportnnetworks.
d. Incomenandnsocialnstatus.
ANS:n D
Income,nincomendistribution,nandnsocialnstatusnconstitutenthengreatestndeterminantnofnhealthnb
ecausentheyninfluencenmostnotherndeterminants.nSomeninvestigatorsnsuggestnthatnliteracynand
neducationnarenimportantninfluencesnonnhealthnstatusnbecausentheynaffectnmanynothernhealthnd
eterminants.nApproximatelyn25%nofnanpopulation’snhealthnstatusnisnattributedntonthenqualityno
fnitsnhealthncarenservices.nSocialnsupportnaffectsnhealth,nhealthnbehaviours,nandnhealthncarenuti
lizationnbutnisnnotnthengreatestndeterminantnofnhealth.
DIF: Understand REF:n 6
OBJ:nDiscussnkeynhealthndeterminantsnandntheirninterrelationshipsnandnhowntheyninfluencenhealth.
TOP: Planning MSC: NCLEX:n HealthnPromotionnandnMaintenance
7. Anparaplegicnpatientn innthenhospitalnfornannelectrolytenimbalancen isnreceivingncarenatnwhichnp
reventionnlevel?
a. Primarynpreventionnlevel.
b. Secondarynpreventionnlevel.
c. Tertiarynpreventionnlevel.
d. Healthnpromotionnlevel.
ANS:n B
Thensecondarynpreventionnlevelnfocusesnonnearlyndetectionnofndiseasenoncenpathogenesisnha
snoccurred,nsonthatnpromptntreatmentncannbeninitiatedntonhaltndiseasenandnlimitndisability.nThen
primarynpreventionnlevelnfocusesnonnhealthnpromotion,nspecificnprotectionnmeasuresnsuchna
snimmunizations,nandnthenreductionnofnrisknfactorsnsuchnasnsmoking.nThentertiarynprevention
nlevelnfocusesn onn minimizingnresidualndisability.
DIF: Apply REF:n 11
OBJ:n Contrastndistinguishingnfeaturesnofnhealthnpromotionnandndiseasenprevention.
TOP: Implementation MSC: NCLEX:nHealthnPromotionnandnMaintenance
8. Thennursenincorporatesnlevelsnofnpreventionnonnthenbasisnofnpatientnneedsnandnthentypenofnn
ursingncarenprovided.nWhichnofnthenfollowingnisnannexamplenofntertiarynlevelnpreventivenca
regiving?
a. Teachingnanpatientnhowntonirrigatenannewntemporaryncolostomy.
b. Providingnanlessonnonnhygienenfornannelementarynschoolnclass.
c. Informingnanpatientnthatnimmunizationsnfornherninfantnarenavailablenthroughnthen
healthndepartment.
d. Arrangingnfornanhospicennursentonvisitnwithnthenfamilynofnanpatientnwithncancer.
ANS:n D
, Tertiarynpreventionnisnprovidednwhennandefectnorndisabilityn isnpermanentnandnirreversible.n
Atnthisnlevel,nthenhospicennursenaimsntonhelpnthenpatientnandnhisnornhernfamilyntonachievenanhi
ghnlevelnofnfunction,ndespitenthenlimitationsncausednbynthenpatient’snillness.nTeachingnanpat
ientnhowntonirrigatenannewncolostomynisnannexamplenofnsecondarynprevention.nIfnthencolost
omynisntonbenpermanent,ncarenmaynlaternmoventonthentertiaryn levelnofnprevention.
Providingnanlessonnonnhygienenfornannelementarynschoolnclassnandninformingnanpatientnabo
utnavailablenimmunizationsnarenexamplesnofnprimarynprevention.
DIF: Apply REF:nnn 11 OBJ:n Discussnthenthreenlevelsnofndiseasenprevention.
TOP: Implementation MSC: NCLEX:nHealthnPromotionnandnMaintenance
9. Thennursenisnworkingnonnancommitteentonevaluatenthenneednfornincreasingnthenlevelsnofnfluo
rideninnthendrinkingnwaternofnthencommunity.nInn doingnso,nthennursenisnfosteringnwhichnconc
ept?
a. Anticipatorynprevention.
b. Primarynprevention.
c. Secondarynprevention.
d. Tertiarynprevention.
ANS:n B
Fluoridationnofnmunicipalndrinkingnwaternandnfortificationnofnhomogenizednmilknwithnvita
minnDnarenexamplesnofnprimarynpreventionnstrategies.nWithnactivenstrategiesnofnhealthnpro
motion,nindividualsnarenmotivatedntonadoptnspecificnhealthnprogramsnsuchnasnweightnreduct
ionnandnsmokingncessationnprograms.n“Anticipatorynprevention”nisnnotnanknownnconcept.nS
econdarynpreventionnpromotesnearlyndetectionnofndiseasen (e.g.,nscreening).
Tertiarynpreventionnactivitiesnareninitiatedninnthenconvalescencenphasenofndisease.
DIF: Apply REF:nnn 11 OBJ:n Discussnthenthreenlevelsnofndiseasenprevention.
TOP: Implementation MSC: NCLEX:nHealthnPromotionnandnMaintenance
10. Thennursenisnworkingninnanclinicnthatnisndesignedntonprovidenhealthneducationnandni
mmunizations.nAsnsuch,nthisnclinicn focusesnonnwhichntypenofnprevention?
a.Primarynprevention.
b.Secondarynprevention.
c.Tertiarynprevention.
d.Diagnosisnandnpromptnintervention.
ANS:n A
Primarynpreventionnprecedesndiseasenorndysfunctionnandnisnappliedntonpeoplenconsiderednph
ysicallynandnemotionallynhealthy.nHealthnpromotionnincludesnhealthneducationnprograms,nim
munizations,nandnphysicalnandnnutritionalnfitnessnactivities.nSecondarynpreventionnfocusesno
nnindividualsnwhonarenexperiencingnhealthnproblemsnornillnessesnandnwhonarenatnrisknforndev
elopingncomplicationsnornworseningnconditions;nactivitiesnarendirectednatndiagnosisnandnpro
mptnintervention.nTertiarynpreventionnisnprovidednwhennandefectnorndisabilitynisnpermanentna
ndnirreversible.nItninvolvesnminimizingntheneffectsnofnlong-
termndiseasenorndisabilitynthroughninterventionsndirectednatnpreventingncomplicationsnandnde
terioration.
DIF: Understand REF:nnn 11 OBJ:n Discussnthenthreenlevelsnofndiseasenprevention.
TOP: Implementation MSC: NCLEX:nHealthnPromotionnandnMaintenance