Health Promotion Throughout the Life Span 10TH Edition
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Authors: Carole Edelman, Elizabeth Kudzma
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Chapter 01: Health Defined: Objectives for Promotion and Prevention
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Edelman: Health Promotion Throughout the Life Span, 10TH Edition
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MULTIPLE CHOICE
Which model of health is most likely used by a person who
does not believe in preventive health care?
a. Clinical model
b. Role performance model
c. Adaptive model
d. Eudaimonistic model
ANS: A
The clinical model of health views the absence of signs and
symptoms of disease as indicative of health. Peoplewho use
this model wait until they are very sick to seek care.
DIF: Cognitive Level: Remember (Knowledge)
REF: p. 3
2. A person with chronic back pain is cared for by her primary care provider
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as well as receivesacupuncture. Which model of health does this person li
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kely favor? pm
a. Clinical model pm
b. Role performance model pm pm
c. Adaptive model pm
d. Eudaimonistic model pm
ANS: D pm
The eudaimonistic model embodies the interaction and interrelationships among physical, s
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ocial, psychological, and spiritual aspects of life and the environment in goal attainment and
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creating meaning in life. Practitioners who practice the clinical model may not be enough f
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or someone who believes in the eudaimonistic model. Thosewho believ e in the eudaimon
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istic model often look for alternative providers of care.
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DIF: p m Cognitive Level: Apply (Application) REF:
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3. A state of physical, mental, spiritual, and social functioning that realizes a pers
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on‘s potential and isexperienced within a developmental context is known as:
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a. growth and development. pm pm
b. health.
c. functioning.
d. high-level wellness. pm
ANS: B pm
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes
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a person‘s potentialand is experienced within a developmental context.
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, DIF: p m p m Cognitive Level: Remember (Knowledge) pm pm pm REF: p. 5 p m pm
4. Which of the following best describes a client who has an illness?
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a. Someone who has well-controlled diabetes pm pm pm pm
b. Someone with hypercholesterolemia pm pm
c. Someone with a headache pm pm pm
d. Someone with coronary artery disease pm pm pm pm p
withoutangina
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e. ANS: C pm
Someone with a headache represents a person with an illness. An illness is made up of the
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subjective experience of the individual and the physical manifestation of disease. It can be
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described as a response characterized by a mismatch between a person‘s needs and the res
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ources available to meet those needs. A person can have a diseasewithout feeling ill. The ot
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her choices represent disease.
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DIF: p m p m Cognitive Level: Analyze (Analysis) pm pm pm REF: p. 6 p m pm
5. Which US report is considered a landmark document in creating a global approach to health?
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a. The 1990 Health Objectives for the Nation: A Midcourse Review
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b. Healthy People 2020 pm pm
c. Healthy People 2000 pm pm
d. The U.S. Surgeon General Report
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ANS: C pm
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark doc
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uments in which a consortium of people representing national organizations worked with
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US Public Health Service officials tocreate a more global approach to health.
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DIF: p m p m Cognitive Level: Remember (Knowledge) pm pm pm REF: p. 6 p m pm
6. Which of the following represents a method of primary prevention?
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a. Informational session about healthy lifestyles pm pm pm pm
b. Blood pressure screening pm pm
c. Interventional cardiac catheterization pm pm
d. Diagnostic cardiac catheterization pm pm
ANS: A pm
Primary prevention precedes disease or dysfunction. It includes health promotion and sp
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ecific protection andencourages increased awareness; thus, education about healthy lifest
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yles fits this definition. Blood pressure screening does not prevent disease, but instead i
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dentifies it. pm
DIF: p m Cognitive Level: Apply (Application) REF: pm pm pm p. 11 pm
7. Which of the following represents a method of secondary prevention?
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a. Self–breast examination education pm pm
b. Yearly mammograms pm
c. Chemotherapy for advanced breast cancer pm pm pm pm
d. Complete mastectomy for breast cancer pm pm pm pm
, ANS: B pm
Screening is secondary prevention because the principal goal of screenings is to identify in
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dividuals in an early,detectable stage of the disease process. A mammogram is a screening t
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ool for breast cancer and thus is considered a method of secondary prevention.
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DIF: p m Cognitive Level: Apply (Application) REF: pm pm pm p. 15 pm
8. Which of the following represents a method of tertiary prevention?
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a. Drunk driving campaign pm pm
b. Road blocks for drunk driving pm pm pm pm
c. Emergency surgery for head trauma after a motor vehicle accident pm pm pm pm pm pm pm pm pm
d. Physical and occupational therapy after a motor vehicl
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e accident with headtrauma
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ANS: D pm
Physical therapy and occupational therapy are considered tertiary prevention. Tertiary prev
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ention occurs when a defect or disability is permanent and irreversible. It involves minimiz
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ing the effect of disease and disability. The objective of tertiary prevention is to maximize
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remaining capacities. pm
DIF: p m p m Cognitive Level: Apply (Application) pm pm pm p m p m REF: p. 15 pm
9. In reviewing a person‘s medical claims, a nurse realizes that the individual with moderat
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e persistent asthma hashad several emergency department visits and is not on inhaled stero
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ids as recommended by the NHLBI asthma management guidelines. The nurse discusses
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this with the person‘s primary care provider. In this scenario, the nurse is acting as a(n):
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a. advocate.
b. care manager. pm
c. consultant.
d. educator.
ANS: B pm
Care managers act to prevent duplication of service and reduce cost. Care managers base recommen
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dationon reliable data sources such as evidence-based practices and protocols.
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DIF: Cognitive Level: Apply (Application) pm pm pm p m p m REF: p. 15 pm
10 . During a home visit, a nurse assists an individual to complete an application for disabili
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ty services. The nurseis acting as a(n):
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a. advocate.
b. care manager. pm
c. consultant.
d. educator.
ANS: A pm
The advocacy role of the nurse helps individuals obtain what they are entitled to receive
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from the health care system, tries to make the system more responsive to individuals‘ c
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ommunity needs, and assists individuals indeveloping skills to advocate for themselves.
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DIF: p m p m Cognitive Level: Apply (Application) pm pm pm p m p m REF: p. 15 pm
, 11 . During a home visit, a nurse discusses the dangers of smoking with an individual. In th
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is scenario the nurseis acting as a(n):
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a. advocate.
b. care manager. pm
c. consultant.
d. educator.
ANS: D pm
Health education is a primary prevention technique available to avoid major causes
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of disease. Teaching canrange from a chance remark to a planned lesson.
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DIF: Cognitive Level: Apply (Application) pm pm pm p m p m REF: p. 16 pm
12 . A nurse is asked to provide an expert opinion about the development of an
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education program fornewly diagnosed diabetics. In this scenario, the nurse i
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s acting as a(n):
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a. advocate.
b. care manager. pm
c. consultant.
d. educator.
ANS: C pm
Nurses with a specialized area of expertise provide education about health promotion and di
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sease prevention toindividuals and groups as consultants.
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DIF: p m Cognitive Level: Apply (Application) REF: pm pm pm p. 16 pm
13 . A nurse is planning to deliver an educational program to individuals with di
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abetes. Which of thefollowing should be the initial action taken by the nurse
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to ensure the success of the program?
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a. Assess the motivation level of the individuals
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b. Assess the knowledge level of the individuals
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c. Establish teacher-learner goals with the individuals pm pm pm pm pm
d. Establish multiple teaching sessions with the individuals
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ANS: B pm
Selection of the methods most likely to succeed involves the establishment of teacher-
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learner goals. Thus, thefirst step by the nurse should be establishment of goals.
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DIF: p m p m Cognitive Level: Analyze (Analysis) pm pm pm REF: p. 16 p m pm
14 . The conscientious, explicit, and judicious use of current best evidence in makin
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g decisions about the careof individuals is known as:
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a. health-related quality of life. pm pm pm
b. evidence-based practice. pm
c. a Healthy People 2010 goal.
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d. the ecological model of health.
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ANS: B pm
Evidence-
based practice is defined as the conscientious, explicit, and judicious use of current best evid
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ence inmaking decisions about the care of individuals.
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DIF: p m p m Cognitive Level: Remember (Knowledge) pm pm pm REF: p. 16 p m pm