n6th EditionnbynPott
er
Chaptern01:nHealthnandnWellness
Potternetnal:nCanadiannFundamentalsnofnNursing,n6thnEdition
MULTIPLEnCHOICE
1. Thennursenisnusingnthenpopulationnhealthnpromotionnmodelntondevelopnactionsnforn
improvingnhealth.nAfternasking,n“Onnwhatnshouldnwentakenaction?”;n“Hownshouldn
wentakenaction?”;nandn“Whynshouldnwentakenaction?”nthennursenwillnasknwhichnof
nthenfollowingnquestions?
a. “Withnwhomnshouldnwenact?”
b. “Whennshouldnwentakenaction?”
c. “Whichngovernmentnshouldntakenaction?”
d. “Wherenshouldnwenfirstnact?”
ANS:n A
Thennextnquestionntonasknwhennusingnthenpopulationnhealthnmodelnapproachnisn“Wit
hnwhomnshouldnwenact?”nThenothernchoicesnarennotnquestionsnincludedninnthisnmode
l.
DIF: Apply REF: 13n(Figuren1-5)
OBJ:nContrastndistinguishingnfeaturesnofnhealthnpromotionnandndiseasenprevention.
TOP: Implementation MSC: NCLEX:nHealthnPromotionnandnMaintenance
2. Thenprinciplen“Healthnpromotionnisnmultisectoral”nmeansnwhichnofnthenfollowing?
a. Relationshipsnbetweennindividual,nsocial,nandnenvironmentalnfactorsnmu
stnbenrecognized.
b. Physical,nmental,nsocial,necological,ncultural,nandnspiritualnaspectsnofnhealt
hnmustnbenrecognized.
c. Innorderntonchangenunhealthynlivingnandnworkingnconditions,nareasnotherntha
nnhealthnmustnalsonbeninvolved.
d. Healthnpromotionnusesnknowledgenfromndisciplinesnsuchnasnsocial,neconomi
c,npolitical,nenvironmental,nmedical,nandnnursingnsciences,nasnwellnasnfromn
first-handnexperience.
ANS:n C
Thenstatementn“Healthnpromotionnisnmultisectoral”nisnthenprinciplenexplainedn
bynthennecessityntoninvolvenareasnothernthannhealthninnorderntonchangenunhea
lthynlivingnandnworkingnconditions.
DIF: Understand REF:n 11
OBJ:nContrastndistinguishingnfeaturesnofnhealthnpromotionnandndiseasenprevention.
TOP: Planning MSC: NCLEX:nHealthnPromotionnandnMaintenance
3. AccordingntonthenWorldnHealthnOrganization,nwhatnisnthenbestndescriptionnofn“health”
?
a. Simplynthenabsencenofndisease.
b. Involvingnthentotalnpersonnandnenvironment.
c. Strictlynpersonalninnnature.
d. Statusnofnpathologicalnstate.
ANS:n B
, WHOndefinesnhealthnasn“.n.n.thenextentntonwhichnannindividualnorngroupnisnable,no
nnthenonenhand,ntonrealizenaspirationsnandnsatisfynneeds;nand,nonnthenothernhand,n
tonchangenorncopenwithnthenenvironment.nHealthnis,ntherefore,nseennasnanresourcen
forneverydaynlife,nnotnthenobjectivenofnliving;nitnisnanpositivenconceptnemphasizingn
socialnandnpersonalnresources,nasnwellnasnphysicalncapacities.”nNurses’nattitudesnto
wardnhealthnandnillnessnshouldnconsidernthentotalnperson,nasnwellnasnthenenvironme
ntninnwhichnthenpersonnlives.nPeoplenfreenofndiseasenarennotnequallynhealthy.nView
snofnhealthnhavenbroadenedntonincludenmental,nsocial,nandnspiritualnwell-
being,nasnwellnasnanfocusnonnhealthnatnfamilynandncommunitynlevels.
Conditionsnofnlife,nrathernthannpathologicalnstates,narenwhatndeterminenhealth.
DIF: Knowledge REF:n 2
OBJ:nDiscussnwaysnthatndefinitionsnofnhealthnhavenbeennconceptualized.
TOP: Evaluate MSC:n NCLEX:nHealthnPromotionnandnMaintenance
4. WhatnprioritynstrategynfornhealthnpromotionninnCanadanisnoptionalnbutnseennasnimp
ortantntonincorporateninnnursingneducationncurricula?
a. Knowledgenofndiseasenprevention.
b. Strategiesnfornhealthnpromotion.
c. Policynadvocacy.
d. Conceptsnofndeterminantsnofnhealth.
ANS:n C
Increasingly,npolicynadvocacynisnincorporatednintonnursingnrolenstatementsnandnnu
rsingneducationncurricula.nNursesnshouldnthinknaboutnpoliciesnthatnhavencontribute
dntonhealthnproblems,npoliciesnthatnwouldnhelpnalleviatenhealthnproblems,nandnho
wnnursesnchampionnpublicnpolicies.nDiseasenprevention,nhealthnpromotion,nandnco
nceptsnofndeterminantsnofnhealthnarenintegralnpartsnofnnursingncurricula.
DIF: Understand REF: 11|n12
OBJ:nAnalyzenhownthennaturenandnscopenofnnursingnpracticenareninfluencednbyndifferent
conceptualizationsnofnhealthnandnhealthndetermina TOP: Planning
nts.nMSC:nNCLEX:nHealthnPromotionnandnMaint
enance
5. Whichnofnthenfollowingnisnanprerequisitenfornhealth,nasnidentifiednbynthenOttawanC
harternfornHealthnPromotion?
a. Education.
b. Socialnsupport.
c. Self-esteem.
d. Physicalnenvironment.
ANS:n A
EducationnisnonenofnthenninenprerequisitesnfornhealthnthatnwerenidentifiedninnthenO
ttawanCharternfornHealthnPromotion.nLacknofnsocialnsupportnandnlownself-
esteemnwerenidentifiednasnpsychosocialnrisknfactorsnbynLabonten(1993).nDangerousn
physicalnenvironmentsnwerenidentifiednasnsocioenvironmentalnrisknfactorsnbynLabont
en(1993).
DIF: Understand REF:n 4
OBJ:
DiscussncontributionsnofnthenfollowingnCanadiannpublicationsntonconceptualizati
onsnofnhealthnandnhealthndeterminants:nLalondenReport,nOttawanCharter,nEppnReport,nS
trategiesnfor
PopulationnHealth,nJakartanDeclaration,nBangkoknCharter,nTorontonCh TOP: Planning
arter.nMSC:nNCLEX:nHealthnPromotionnandnMaintenance
,6. ThendeterminantnofnhealthnwithnthengreatestneffectnonnthenhealthnofnCanadiansnisn
whichnofnthenfollowing?
a. Education.
b. Healthnservices.
c. Socialnsupportnnetworks.
d. Incomenandnsocialnstatus.
ANS:n D
Income,nincomendistribution,nandnsocialnstatusnconstitutenthengreatestndeterminantnof
nhealthnbecausentheyninfluencenmostnotherndeterminants.nSomeninvestigatorsnsuggestn
thatnliteracynandneducationnarenimportantninfluencesnonnhealthnstatusnbecausentheyna
ffectnmanynothernhealthndeterminants.nApproximatelyn25%nofnanpopulation’snhealthn
statusnisnattributedntonthenqualitynofnitsnhealthncarenservices.nSocialnsupportnaffectsn
health,nhealthnbehaviours,nandnhealthncarenutilizationnbutnisnnotnthengreatestndetermi
nantnofnhealth.
DIF: Understand REF:n 6
OBJ:nDiscussnkeynhealthndeterminantsnandntheirninterrelationshipsnandnhowntheyninfluencenhea
lth.
TOP: Planning MSC: NCLEX:nHealthnPromotionnandnMaintenance
7. Anparaplegicnpatientninnthenhospitalnfornannelectrolytenimbalancenisnreceivingncaren
atnwhichnpreventionnlevel?
a. Primarynpreventionnlevel.
b. Secondarynpreventionnlevel.
c. Tertiarynpreventionnlevel.
d. Healthnpromotionnlevel.
ANS:n B
Thensecondarynpreventionnlevelnfocusesnonnearlyndetectionnofndiseasenoncenpathoge
nesisnhasnoccurred,nsonthatnpromptntreatmentncannbeninitiatedntonhaltndiseasenandnli
mitndisability.nThenprimarynpreventionnlevelnfocusesnonnhealthnpromotion,nspecificnp
rotectionnmeasuresnsuchnasnimmunizations,nandnthenreductionnofnrisknfactorsnsuchna
snsmoking.nThentertiarynpreventionnlevelnfocusesnonnminimizingnresidualndisability.
DIF: Apply REF:n 11
OBJ:nContrastndistinguishingnfeaturesnofnhealthnpromotionnandndiseasenprevention.
TOP: Implementation MSC: NCLEX:nHealthnPromotionnandnMaintenance
8. Thennursenincorporatesnlevelsnofnpreventionnonnthenbasisnofnpatientnneedsnandnth
entypenofnnursingncarenprovided.nWhichnofnthenfollowingnisnannexamplenofntertiar
ynlevelnpreventivencaregiving?
a. Teachingnanpatientnhowntonirrigatenannewntemporaryncolostomy.
b. Providingnanlessonnonnhygienenfornannelementarynschoolnclass.
c. Informingnanpatientnthatnimmunizationsnfornherninfantnarenavailablenthrou
ghnthenhealthndepartment.
d. Arrangingnfornanhospicennursentonvisitnwithnthenfamilynofnanpatientnwithncancer.
ANS:n D
, Tertiarynpreventionnisnprovidednwhennandefectnorndisabilitynisnpermanentnandnirrev
ersible.nAtnthisnlevel,nthenhospicennursenaimsntonhelpnthenpatientnandnhisnornhernfa
milyntonachievenanhighnlevelnofnfunction,ndespitenthenlimitationsncausednbynthenpa
tient’snillness.nTeachingnanpatientnhowntonirrigatenannewncolostomynisnannexample
nofnsecondarynprevention.nIfnthencolostomynisntonbenpermanent,ncarenmaynlaternm
oventonthentertiarynlevelnofnprevention.
Providingnanlessonnonnhygienenfornannelementarynschoolnclassnandninformingnanp
atientnaboutnavailablenimmunizationsnarenexamplesnofnprimarynprevention.
DIF: Apply REF:nnn OBJ:nDiscussnthenthreenlevelsnofndiseasenpreventio
11 n.
TOP: Implementation MSC: NCLEX:nHealthnPromotionnandnMaintenance
9. Thennursenisnworkingnonnancommitteentonevaluatenthenneednfornincreasingnthenlev
elsnofnfluorideninnthendrinkingnwaternofnthencommunity.nInndoingnso,nthennursenis
nfosteringnwhichnconcept?
a. Anticipatorynprevention.
b. Primarynprevention.
c. Secondarynprevention.
d. Tertiarynprevention.
ANS:n B
Fluoridationnofnmunicipalndrinkingnwaternandnfortificationnofnhomogenizednmilknw
ithnvitaminnDnarenexamplesnofnprimarynpreventionnstrategies.nWithnactivenstrategie
snofnhealthnpromotion,nindividualsnarenmotivatedntonadoptnspecificnhealthnprograms
nsuchnasnweightnreductionnandnsmokingncessationnprograms.n“Anticipatorynpreventi
on”nisnnotnanknownnconcept.nSecondarynpreventionnpromotesnearlyndetectionnofndi
seasen(e.g.,nscreening).
Tertiarynpreventionnactivitiesnareninitiatedninnthenconvalescencenphasenofndisease.
DIF: Apply REF:nnn OBJ:nDiscussnthenthreenlevelsnofndiseasenpreventio
11 n.
TOP: Implementation MSC: NCLEX:nHealthnPromotionnandnMaintenance
10. Thennursenisnworkingninnanclinicnthatnisndesignedntonprovidenhealthneduca
tionnandnimmunizations.nAsnsuch,nthisnclinicnfocusesnonnwhichntypenofnpre
vention?
a. Primarynprevention.
b. Secondarynprevention.
c. Tertiarynprevention.
d. Diagnosisnandnpromptnintervention.
ANS:n A
Primarynpreventionnprecedesndiseasenorndysfunctionnandnisnappliedntonpeoplenconsid
erednphysicallynandnemotionallynhealthy.nHealthnpromotionnincludesnhealthneducation
nprograms,nimmunizations,nandnphysicalnandnnutritionalnfitnessnactivities.nSecondaryn
preventionnfocusesnonnindividualsnwhonarenexperiencingnhealthnproblemsnornillnesses
nandnwhonarenatnrisknforndevelopingncomplicationsnornworseningnconditions;nactiviti
esnarendirectednatndiagnosisnandnpromptnintervention.nTertiarynpreventionnisnprovide
dnwhennandefectnorndisabilitynisnpermanentnandnirreversible.nItninvolvesnminimizing
ntheneffectsnofnlong-
termndiseasenorndisabilitynthroughninterventionsndirectednatnpreventingncomplications
nandndeterioration.
DIF: Understand REF:nnn OBJ:nDiscussnthenthreenlevelsnofndiseasenpreventio
11 n.
TOP: Implementation MSC: NCLEX:nHealthnPromotionnandnMaintenance