n n
Health Promotion Throughout the Life Span 9th Edition
n n n n n n n
Authors:n Carolen Edelman,n Elizabethn Kudzma
Chaptern01:nHealthnDefined:nObjectivesnfornPromotionnandnPreventionnE
delman:nHealthnPromotionnThroughoutnthenLifenSpan,n9thnEdition
MULTIPLE nCHOICE
Whichn modeln of n healthn isnmost nlikelynused n byn an personn whon
doesn not n believeninn preventiven healthn care?
a. Clinicaln model
b. Rolen performancen model
c. Adaptiven model
d. Eudaimonisticn model
ANS:nA
Then clinicaln modeln ofn healthn viewsn then absencen of n signsn andn s
ymptomsn ofndiseasen asnindicativen ofn health.nPeoplewhon usen t
hisn modeln wait n untiln theyn aren veryn sickn ton seekn care.
DIF:n n Cognitiven Level:n Remembern (Knowledge)
REF: p.n 3
2. A n personn withn chronicn backn painn isn cared n forn byn hern primaryn caren providern asn
welln asn receivesacupuncture.n Whichn modeln of n healthn doesn thisn personn likelyn f
avor?
a. Clinicaln model
b. Rolen performancen model
c. Adaptiven model
d. Eudaimonisticn model
ANS:nD
Then eudaimonisticn modeln embodiesn then interactionn and n interrelationshipsn amongn physical,n soci
al,n psychological,n and n spiritualn aspectsn of n lifen andnthenenvironment n inn goalnattainment n and n creat
ingn meaningn inn life.n Practitionersn whon practicen then clinicaln modeln mayn not n ben enoughn forn some
onen whon believesn inn then eudaimonisticn model.n Thosewhon believn en inn then eudaimonisticn modeln
oftenn lookn forn alternativen providersn of n care.
DIF:n n Cognitiven Level:nApplyn (Application) REF: p.n 3
3. A n staten of nphysical,n mental,n spiritual,n and n socialn functioningn that nrealizesn an person‘s
n potentialn and n isexperienced n withinn an developmentaln context n isn knownn as:
a. growthn and n development.
b. health.
c. functioning.
d. high-leveln wellness.
ANS:nB
Healthn isn definedn asnanstatenof nphysical,n mental,n spiritual,n andn socialn functioningn that nrealizesn an p
erson‘sn potentialand n isn experienced n withinn an developmentaln context.
, DIF:n n Cognitiven Level:n Remembern (Knowledge) REF:n p.n 5
4. Whichn of n then followingn best n describesn an client n whon hasn ann illness?
a. Someonen whon hasn well-controlled n diabetes
b. Someonen withn hypercholesterolemia
c. Someonen withn an headache
d. Someonenwithn coronarynarteryndiseasen
withoutangina
e. ANS:nC
Someonen withn an headachen representsn an personn withnann illness.n Ann illnessn isn maden upn ofnthen subj
ectiven experiencen of n then individualn andnthenphysicaln manifestationn of n disease.n It n cann ben describ
ed n asn an responsen characterized n byn anmismatchn betweenn anperson‘sn needsnandn then resourcesn avail
ablen ton meet n thosenneeds.nAnpersonn cannhavenan diseasewithout nfeelingn ill.n Then othern choicesn repr
esent n disease.
DIF:n n Cognitiven Level:n Analyzen (Analysis) REF:n p.n 6
5. Whichn USn report n isn considered n an landmarkn document n inn creatingn an globaln approachn ton health?
a. Then 1990n Healthn Objectivesn forn then Nation:n An Midcoursen Review
b. Healthyn Peoplen 2020
c. Healthyn Peoplen 2000
d. Then U.S.n Surgeonn Generaln Report
ANS:nC
Healthyn Peoplen 2000n and n itsn Midcoursen Reviewn andn 1995n Revisionsn weren landmarkn docum
entsn inn whichn an consortiumn of npeoplen representingn nationaln organizationsn worked nwithn USnP
ublicn Healthn Servicen officialsn tocreaten an moren globaln approachn ton health.
DIF:n n Cognitiven Level:n Remembern (Knowledge) REF:n p.n 6
6. Whichn of n then followingn representsn an method n of n primaryn prevention?
a. Informationaln sessionn about n healthyn lifestyles
b. Blood n pressuren screening
c. Interventionaln cardiacn catheterization
d. Diagnosticn cardiacn catheterization
ANS:nA
Primaryn preventionn precedesn diseasen orn dysfunction.n It nincludesn healthnpromotionn andnspeci
ficn protectionn andencouragesn increased n awareness;n thus,neducationn about n healthyn lifestylesn
fitsn thisn definition.n Bloodnpressuren screeningn doesn not nprevent ndisease,n but n insteadnidentifies
n it.
DIF:n n Cognitiven Level:nApplyn (Application) REF: p.n 11
7. Whichn of n then followingn representsn an method n of n secondaryn prevention?
a. Self–breast n examinationn education
b. Yearlynmammograms
c. Chemotherapyn forn advanced n breast n cancer
d. Completen mastectomyn forn breast n cancer
, ANS:nB
Screeningn isn secondaryn preventionn becausen then principaln goaln of n screeningsn isn ton identifynindivi
dualsn inn ann early,detectablen stagenofnthendiseasen process.n An mammogramn isn an screeningn tooln forn
breast n cancern and n thusn isn considered n an method n of n secondaryn prevention.
DIF:n n Cognitiven Level:nApplyn (Application) REF: p.n 15
8. Whichn of n then followingn representsn an method n of n tertiaryn prevention?
a. Drunkn drivingn campaign
b. Road n blocksn forn drunkn driving
c. Emergencynsurgeryn forn head n trauman aftern an motorn vehiclen accident
d. Physicaln and n occupationaln therapynafternan motorn vehiclen
accident n withn headtrauma
ANS:nD
Physicaln therapyn andn occupationaln therapyn aren consideredn tertiaryn prevention.n Tertiaryn prevent
ionn occursn whenn andefect n orndisabilityn isn permanent n and n irreversible.n Itn involvesn minimizingn the
n effectn of ndiseasen and ndisability.n Then objectiven ofn tertiaryn preventionn isnton maximizen remainingn
capacities.
DIF:n n Cognitiven Level:n Applyn (Application)n n REF: p.n 15
9. Inn reviewingn an person‘sn medicaln claims,n an nursen realizesn that n then individualn withn moderaten pe
rsistent n asthman hashad n severaln emergencyn department nvisitsn and nisn notnonninhaled n steroidsn asnr
ecommended n byn then NHLBI n asthman management n guidelines.n Then nursen discussesn thisn withn t
hen person‘sn primaryn caren provider.n Inn thisn scenario,n then nursen isn actingn asn a(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
ANS:nB
Caren managersn act n ton prevent n duplicationn of nservicen and nreducencost.n Caren managersn basen recommendati
ononn reliablen datan sourcesn suchn asn evidence-based n practicesn and n protocols.
DIF: Cognitiven Level:n Applyn (Application)n n REF: p.n 15
10 . Duringn an homen visit,n an nursen assistsn ann individualn ton completenann applicationn forn disabilityn s
ervices.n Then nurseisn actingn asn a(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
ANS:nA
Then advocacyn rolen ofnthen nursen helpsn individualsn obtainnwhatn theyn aren entitledn ton receiven fro
mn then healthn caren system,ntriesn ton makenthen systemn moren responsiven ton individuals‘n communi
tyn needs,n and n assistsn individualsn indevelopingn skillsn ton advocaten forn themselves.
DIF:n n Cognitiven Level:n Applyn (Application)n n REF: p.n 15
, 11 . Duringn an homen visit,n an nursen discussesn then dangersn ofnsmokingn withnann individual.n Innthisn s
cenarion then nurseisn actingn asn a(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
ANS:nD
Healthn educationn isn an primaryn preventionn techniquen availablen ton avoid n majorn causesn of ndise
ase.n Teachingn canrangen fromn an chancen remarkn ton an planned n lesson.
DIF: Cognitiven Level:n Applyn (Application)n n REF: p.n 16
12 . A n nursen isn asked n tonproviden annexpert nopinionn about n then development n ofn ann edu
cationn programn fornewlyn diagnosed n diabetics.n Inn thisn scenario,n then nursen isn acti
ngn asn a(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
ANS:nC
Nursesn withn an specialized n arean of nexpertisen providen educationnabout nhealthnpromotionn andndisea
sen preventionn toindividualsn and n groupsn asn consultants.
DIF:n n Cognitiven Level:nApplyn (Application) REF: p.n 16
13 . A n nursen isn planningn ton delivern ann educationaln programn ton individualsn withndiabe
tes.n Whichn of n thefollowingn should nben theninitialn actionn takennbynthen nursen ton ens
uren then successn of n then program?
a. Assessn then motivationn leveln of n then individuals
b. Assessn then knowledgen leveln of n then individuals
c. Establishn teacher-learnern goalsn withn then individuals
d. Establishn multiplen teachingn sessionsn withn then individuals
ANS:nB
Selectionn of n then methodsn most n likelynton succeed n involvesn then establishment n of n teacher-
learnern goals.n Thus,n thefirst n stepn byn then nursen should n ben establishment n of n goals.
DIF:n n Cognitiven Level:n Analyzen (Analysis) REF:n p.n 16
14 . Then conscientious,n explicit,n and n judiciousn usen of n current n best n evidencen inn makingn
decisionsn about n then careof n individualsn isn knownn as:
a. health-related n qualityn of n life.
b. evidence-based npractice.
c. an Healthyn Peoplen 2010n goal.
d. then ecologicaln modeln of n health.
ANS:nB
Evidence-
based n practicen isn defined nasnthenconscientious,n explicit,n andnjudiciousn usenof ncurrent nbest n eviden
cen inmakingn decisionsn about n then caren of n individuals.
DIF:n n Cognitiven Level:n Remembern (Knowledge) REF:n p.n 16