Edition Chapter 1-25 | All Chapters
Chapter 01: Health Defined: Objectives for Promotion and Prevention Edelman: Health Promotion Throughout
the Life Span, 8th Edition
MULTIPLE CHOICE
1. During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the nurse is
acting as a(n):
a. advocate.
b. care manager.
c. consultant.
d. educator.
ANSWER: D
Health education is a primary prevention technique available to avoid major causes of disease. Teaching can
range from a chance remark to a planned lesson.
DIF: Cognitive Level: Apply (Application) REF: p. 16
2. A nurse is asked to provide an expert opinion about the development of an education program for newly
diagnosed diabetics. In this scenario, the nurse is acting as a(n): a. advocate.
b. care manager.
c. consultant.
d. educator.
ANSWER: C
Nurses with a specialized area of expertise provide education about health promotion and disease prevention to
individuals and groups as consultants.
DIF: Cognitive Level: Apply (Application) REF: p. 16
3. A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following
should be the initial action taken by the nurse to ensure the success of the program? a. Assess the motivation
level of the individuals
b. Assess the knowledge level of the individuals
c. Establish teacher-learner goals with the individuals
d. Establish multiple teaching sessions with the individuals
ANSWER: B
Selection of the methods most likely to succeed involves the establishment of teacher-learner goals. Thus, the
first step by the nurse should be establishment of goals.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 16
4. The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of
individuals is known as:
a. health-related quality of life.
b. evidence-based practice.
c. a Healthy People 2010 goal.
, d. the ecological model of health.
ANSWER: B
Evidence-based practice is defined as the conscientious, explicit, and judicious use of current best evidence in
making decisions about the care of individuals.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 16
5. Which research methodology should be used to address the question, “What is the difference in the infection
rates between individuals who receive twice-a-day dressing changes versus once-a-day dressing changes?” a.
Evidence-based practice research
b. Qualitative research
c. Quantitative research
d. Clinical judgment research
ANSWER: C
Quantitative research studies describe situations, correlate different variables related to care, or test causal
relationships among variables related to care. Evidence-based practice research and clinical judgment research
are not research methodologies; they are used to ANSWERwer clinical questions.
DIF: Cognitive Level: Apply (Application) REF: p. 16
6. The question, “What is the experience of teenagers who lose a sibling to cancer?” can best be ANSWERwered
by using which research methodology?
a. Evidence-based practice research
b. Qualitative research
c. Quantitative research
d. Clinical judgment research
ANSWER: B
Qualitative research studies describe phenomena or define the historical nature, cultural relevance, or
philosophical basis of aspects of nursing care. Evidence-based practice research and clinical judgment research
are not research methodologies; they are used to ANSWERwer clinical questions.
DIF: Cognitive Level: Apply (Application) REF: p. 16
7. A nurse who uses findings from a randomized, controlled trial on the care of Foley catheters to change practice
at an institution is practicing:
a. evidence-based medicine.
b. qualitative research.
c. quantitative research.
d. clinical judgment.
ANSWER: A
The practice of evidence-based medicine meANSWER integrating individual clinical expertise with the best
available external clinical evidence from systematic research.
DIF: Cognitive Level: Apply (Application) REF: p. 16
8. Which of the following is most influenced by the social and economic environment of a community? a.
Social health policies
b. Quality of care
, c. Evidence-based practice
d. Practice guidelines
ANSWER: A
Social policies concerning health are influenced by the social and economic environment of a population.
Analysis of population trends and projections is necessary to help health professionals determine changing
needs.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 17
9. A major cause of death in the early twentieth century was:
a. cancer.
b. cerebrovascular disease.
c. heart disease.
d. infections.
ANSWER: D
Infections and acute disease were the major causes of death in the early part of the twentieth century.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 17
10. A mainstay of therapy for the management of chronic diseases is:
a. lifestyle changes.
b. occupational and physical therapy.
c. medications.
d. surgery.
ANSWER: A
The application of complex technology is not only costly but contributes minimally to improvement of health.
One needs to focus on the cause of disease. The needs of a person with chronic disease are related to and
affected by the individual’s biochemical functioning, genetics, environment, and personal choices.
DIF: Cognitive Level: Apply (Application) REF: p. 17
11. Which of the following demonstrates a nurse taking action to promote health and prevent disease?
a. Making a home visit to a person who is recovering from a heart attack
b. Administering medications to a cardiac client in the hospital
c. Providing cardiopulmonary resuscitation during a heart attack
d. Educating a person about the advantages of a heart-healthy diet during a home visit
ANSWER: D
Solutions for health promotion are focused on individual and government involvement. To promote health and
wellness, an emphasis must be placed on primary prevention. This is often related to actions such as education
that influence lifestyle choices. In the preceding example, educating a person about the advantages of a heart-
healthy diet during a home visit serves to influence lifestyle choices.
DIF: Cognitive Level: Apply (Application) REF: p. 17
12. Which factor may have the most influence in changing the health behavior of a single, adult woman who smokes
and is the care provider for her mother, her own children, and granddaughter? a. Education regarding
effects of smoking on her health
b. The satisfaction that she will not contribute to secondhand smoke
c. The availability of a weekly support group
, d. A gift card for $10 to a local grocery store for every week she is smoke free
ANSWER: D
Motivational factors play a role in influencing attitudinal changes. A financial incentive is an example of a
motivating factor. For this woman, who is financially responsible for the health and well-being of other
individuals, finances will likely play a significant role in motivating her actions. Remember that education
regarding the benefits of not smoking is not enough. Thus, the $10 gift card may have the most influence in
changing her health behavior.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 14 (Box 1-6) | p. 18
13. An example of a Hispanic American nurse promoting cultural competency is:
a. providing trANSWERlation services for all Hispanic AmericANSWER.
b. focusing on episodic care of illnesses with Hispanic AmericANSWER.
c. taking a class about the Hispanic American culture.
d. providing care for all Hispanic American persons in her clinic.
ANSWER: C
Nurses must be aware of their beliefs, values, and customs. They should not assume that their perspective is
correct and shared by others. Additionally, they should avoid stereotyping. Broadening one’s educational base
regarding cultural beliefs is a way to develop and thus promote cultural competency.
DIF: Cognitive Level: Apply (Application) REF: p. 17 (Box 1-2)
14. The devaluing of beliefs, values, and customs of others is known as:
a. ethnocentrism.
b. racism.
c. cultural competency.
d. empathy.
ANSWER: B
Racism is defined as the devaluing of beliefs, values, and customs of others.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 7 (Box 1-2)
15. Building a partnership with an obese individual who is trying to lose weight requires the nurse to:
a. schedule a day to exercise with the individual.
b. go grocery shopping for the individual.
c. learn about the methods of weight loss.
d. give the individual a weight loss goal.
ANSWER: C
Nurses must work with individuals to determine what they are willing to do to lose weight. To do this
successfully, nurses must know what options are available to the individuals for weight loss. Once nurses learn
about the methods of weight loss, they can then develop goals for weight loss with the individual.
DIF: Cognitive Level: Apply (Application) REF: p. 8 (Box 1-3)
16. Assuming that an individual’s own perspective is correct and shared by others is known as: a. ethnocentrism.
b. racism.
c. cultural competency.
d. empathy.