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 E
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delman: 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 as
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well as receivesacupuncture. Which model of health does this person likely
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favor?
a. Clinical model ag
b. Role performance model ag ag
c. Adaptive model ag
d. Eudaimonistic model ag
ANS: D ag
The eudaimonistic model embodies the interaction and interrelationships among physical, so
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cial, psychological, and spiritual aspects of life and the environment in goal attainment and cre
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ating meaning in life. Practitioners who practice the clinical model may not be enough for som
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eone who believes in the eudaimonistic model. Thosewho believ e in the eudaimonistic mod
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el often look for alternative providers of care.
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3. A state of physical, mental, spiritual, and social functioning that realizes a person
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‘s potential and isexperienced within a developmental context is known as:
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a. growth and development. ag ag
b. health.
c. functioning.
d. high-level wellness. ag
ANS: B ag
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a p
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erson‘s potentialand is experienced within a developmental context.
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, DIF: Cognitive Level: Remember (Knowledge)
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4. Which of the following best describes a client who has an illness?
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a. Someone who has well-controlled diabetes ag ag ag ag
b. Someone with hypercholesterolemia ag ag
c. Someone with a headache ag ag ag
d. Someone with coronary artery disease ag ag ag ag ag
withoutangina
e. ANS: C ag
Someone with a headache represents a person with an illness. An illness is made up of the su
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bjective experience of the individual and the physical manifestation of disease. It can be desc
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ribed as a response characterized by a mismatch between a person‘s needs and the resources a
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vailable to meet those needs. A person can have a diseasewithout feeling ill. The other choices
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represent disease. ag
DIF: Cognitive Level: Analyze (Analysis)
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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 ag ag
c. Healthy People 2000 ag ag
d. The U.S. Surgeon General Report ag ag ag ag
ANS: C ag
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark docu
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ments in which a consortium of people representing national organizations worked with US
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Public Health Service officials tocreate a more global approach to health.
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DIF: Cognitive Level: Remember (Knowledge)
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6. Which of the following represents a method of primary prevention?
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a. Informational session about healthy lifestyles ag ag ag ag
b. Blood pressure screening ag ag
c. Interventional cardiac catheterization ag ag
d. Diagnostic cardiac catheterization ag ag
ANS: A ag
Primary prevention precedes disease or dysfunction. It includes health promotion and speci
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fic protection andencourages increased awareness; thus, education about healthy lifestyles
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fits this definition. Blood pressure screening does not prevent disease, but instead identifie
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s it.
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7. Which of the following represents a method of secondary prevention?
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a. Self–breast examination education ag ag
b. Yearly mammograms ag
c. Chemotherapy for advanced breast cancer ag ag ag ag
d. Complete mastectomy for breast cancer ag ag ag ag
, ANS: B ag
Screening is secondary prevention because the principal goal of screenings is to identify indi
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viduals in an early,detectable stage of the disease process. A mammogram is a screening tool fo
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r breast cancer and thus is considered a method of secondary prevention.
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DIF: a g Cognitive Level: Apply (Application) ag ag ag REF: p. 15 ag
8. Which of the following represents a method of tertiary prevention?
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a. Drunk driving campaign ag ag
b. Road blocks for drunk driving ag ag ag ag
c. Emergency surgery for head trauma after a motor vehicle accident ag ag ag ag ag ag ag ag ag
d. Physical and occupational therapy after a motor vehicle ag ag ag ag ag ag ag ag
accident with headtrauma ag ag
ANS: D ag
Physical therapy and occupational therapy are considered tertiary prevention. Tertiary prevent
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ion occurs when a defect or disability is permanent and irreversible. It involves minimizing th
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e effect of disease and disability. The objective of tertiary prevention is to maximize remainin
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g capacities.
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9. In reviewing a person‘s medical claims, a nurse realizes that the individual with moderate p
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ersistent asthma hashad several emergency department visits and is not on inhaled steroids as
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recommended by the NHLBI asthma management guidelines. The nurse discusses this wit
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h 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. ag
c. consultant.
d. educator.
ANS: B ag
Care managers act to prevent duplication of service and reduce cost. Care managers base recommendati
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onon reliable data sources such as evidence-based practices and protocols.
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DIF: Cognitive Level: Apply (Application) REF: ag ag ag a g p. 15 ag
10. During a home visit, a nurse assists an individual to complete an application for disability
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services. The nurseis acting as a(n): ag ag ag ag ag
a. advocate.
b. care manager. ag
c. consultant.
d. educator.
ANS: A ag
The advocacy role of the nurse helps individuals obtain what they are entitled to receive fro
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m the health care system, tries to make the system more responsive to individuals‘ commu
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nity needs, and assists individuals indeveloping skills to advocate for themselves.
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, 11. During a home visit, a nurse discusses the dangers of smoking with an individual. In this s
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cenario the nurseis acting as a(n):
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a. advocate.
b. care manager. ag
c. consultant.
d. educator.
ANS: D ag
Health education is a primary prevention technique available to avoid major causes of
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disease. Teaching canrange from a chance remark to a planned lesson.
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12. A nurse is asked to provide an expert opinion about the development of an ed
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ucation program fornewly diagnosed diabetics. In this scenario, the nurse is act
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ing as a(n):
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a. advocate.
b. care manager. ag
c. consultant.
d. educator.
ANS: C ag
Nurses with a specialized area of expertise provide education about health promotion and disea
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se prevention toindividuals and groups as consultants.
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13. A nurse is planning to deliver an educational program to individuals with diab
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etes. Which of thefollowing should be the initial action taken by the nurse to en
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sure the success of the program?
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a. Assess the motivation level of the individuals ag ag ag ag ag ag
b. Assess the knowledge level of the individuals ag ag ag ag ag ag
c. Establish teacher-learner goals with the individuals ag ag ag ag ag
d. Establish multiple teaching sessions with the individuals ag ag ag ag ag ag
ANS: B ag
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: Cognitive Level: Analyze (Analysis)
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14. The conscientious, explicit, and judicious use of current best evidence in making
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decisions about the careof individuals is known as:
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a. health-related quality of life. ag ag ag
b. evidence-based practice. ag
c. a Healthy People 2010 goal.
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d. the ecological model of health.
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ANS: B ag
Evidence-
based practice is defined as the conscientious, explicit, and judicious use of current best eviden
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ce inmaking decisions about the care of individuals.
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DIF: Cognitive Level: Remember (Knowledge)
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