,Chapter ss01: ssHealth ssDefined: ssObjectives s s for ssPromotion ssand ssPrevention
ssEdelman: s s Health s s Promotion s s Throughout s s the s s Life s s Span, s s 8th
s s Edition
MULTIPLE ss CHOICE
1. Which s s model s s of s s health s s is s s most ss likely s s used ss by s s a ss person ss who s s does ss not s s believe ss in
s s preventive s s health s s care?
a. Clinical s s model
b. Role s s performance s s model
c. Adaptive s s model
d. Eudaimonistic ss model
ANS: A
The s s clinical s s model s s of s s health s s views s s the s s absence s s of s s signs s s and s s symptoms s s of s s disease s s as
s s indicative s s of s s health. ssPeople s s who s s use s s this s s model s s wait s s until s s they s s are s s very s s sick s s to
s s seek s s care.
DIF: Cognitive s s Level: s s Remember s s (Knowledge) REF: p. ss 3
2. A s s person s s with s s chronic s s back s s pain s s is s s cared s s for s s by s s her s s primary s s care
s s provider s s as s s well s s as ssreceives s s acupuncture. s s Which s s model s s of s s health
s s does s s this s s person s s likely s s favor?
a. Clinical s s model
b. Role s s performance s s model
c. Adaptive s s model
d. Eudaimonistic ss model
ANS: D
The s s eudaimonistic s s model s s embodies s s the s s interaction s s and s s interrelationships s s among s s physical,
s s social, sspsychological, s s and s s spiritual s s aspects s s of s s life s s and s s the s s environment s s in s s goal
s s attainment s s and s s creating s s meaning ssin s s life. s s Practitioners s s who s s practice s s the s s clinical s s model
s s may s s not s s be s s enough s s for s s someone s s who s s believes s s in s s the sseudaimonistic s s model. s s Those s s who
s s believe s s in s s the s s eudaimonistic s s model s s often s s look s s for s s alternative s s providers ssof s s care.
DIF: Cognitive s s Level: ssApply s s (Application) REF: p. ss 3
3. A s s state s s of s s physical, s s mental, s s spiritual, s s and s s social s s functioning s s that s s realizes s s a
s s person‘s s s potential ssand s s is s s experienced s s within s s a s s developmental s s context s s is
s s known s s as:
a. growth s s and s s development.
b. health.
c. functioning.
d. high-level s s wellness.
ANS: B
Health s s is s s defined s s as s s a s s state s s of s s physical, s s mental, s s spiritual, s s and s s social s s functioning s s that
s s realizes s s a s s person‘s sspotential s s and s s is s s experienced s s within s s a s s developmental s s context.
DIF: Cognitive s s Level: s s Remember s s (Knowledge) REF: p. ss 5
4. Which s s of s s the s s following s s best s s describes s s a s s client ss who ss has s s an s s illness?
a. Someone s s who s s has s s well-controlled s s diabetes
b. Someone s s with s s hypercholesterolemia
c. Someone s s with s s a s s headache
d. Someone sswith sscoronary ssartery
disease sswithout
ss ss angina ss ANS: C
, Someone s s with s s a s s headache s s represents s s a s s person s s with s s an s s illness. s s An s s illness s s is s s made
s s up s s of s s the s s subjective ssexperience s s of s s the s s individual s s and s s the s s physical s s manifestation s s of
s s disease. s s It s s can s s be s s described s s as s s a s s response sscharacterized s s by s s a s s mismatch s s between s s a
s s person‘s s s needs s s and s s the s s resources s s available s s to s s meet s s those s s needs. ssA s s person s s can s s have
s s a s s disease s s without s s feeling s s ill. s s The s s other s s choices s s represent s s disease.
DIF: Cognitive s s Level: s s Analyze s s (Analysis) REF: p. ss 6
5. Which s s US s s report s s is s s considered s s a s s landmark s s document s s in s s creating s s a s s global ss approach s s to
s s health?
a. The s s 1990 s s Health s s Objectives s s for s s the s s Nation: s s A s s Midcourse s s Review
b. Healthy s s People s s 2020
c. Healthy s s People s s 2000
d. The s s U.S. s s Surgeon s s General s s Report
ANS: C
Healthy s s People s s 2000 s s and s s its s s Midcourse s s Review s s and s s 1995 s s Revisions s s were s s landmark
s s documents s s in s s which
a s s consortium s s of s s people s s representing s s national s s organizations s s worked s s with s s US s s Public s s Health
s s Service s s officials ssto s s create s s a s s more s s global s s approach s s to s s health.
DIF: Cognitive s s Level: s s Remember s s (Knowledge) REF: p. ss 6
6. Which s s of s s the s s following s s represents s s a s s method s s of s s primary ss prevention?
a. Informational s s session s s about s s healthy s s lifestyles
b. Blood s s pressure s s screening
c. Interventional s s cardiac s s catheterization
d. Diagnostic s s cardiac s s catheterization
ANS: A
Primary ssprevention ssprecedes ssdisease ssor ssdysfunction. ssIt ssincludes sshealth sspromotion ssand ssspecific ssprotection
ssand ssencourages ssincreased ssawareness; ssthus, sseducation ssabout sshealthy sslifestyles ssfits ssthis ssdefinition. ssBlood
sspressure ssscreening s s does s s not s s prevent s s disease, s s but s s instead s s identifies s s it.
DIF: s s s s Cognitive s s Level: ssApply s s (Application) REF: p. ss 11
7. Which s s of s s the s s following s s represents s s a s s method s s of s s secondary ss prevention?
a. Self–breast s s examination s s education
b. Yearly ssmammograms
c. Chemotherapy s s for s s advanced s s breast s s cancer
d. Complete s s mastectomy s s for s s breast s s cancer
ANS: B
Screening s s is s s secondary s s prevention s s because s s the s s principal s s goal s s of s s screenings s s is s s to s s identify
s s individuals s s in s s an ssearly, s s detectable s s stage s s of s s the s s disease s s process. s s A s s mammogram s s is s s a
s s screening s s tool s s for s s breast s s cancer s s and ssthus s s is s s considered s s a s s method s s of s s secondary
s s prevention.
DIF: s s s s Cognitive s s Level: ssApply s s (Application) REF: p. ss 15
8. Which s s of s s the s s following s s represents s s a s s method s s of s s tertiary s s prevention?
a. Drunk s s driving s s campaign
b. Road s s blocks s s for s s drunk s s driving
c. Emergency s s surgery s s for s s head s s trauma s s after s s a s s motor s s vehicle s s accident
d. Physical s s and s s occupational s s therapy s s after s s a s s motor s s vehicle
ss accident ss with sshead ss trauma ss ANS: D
, Physical s s therapy s s and s s occupational s s therapy s s are s s considered s s tertiary s s prevention. s s Tertiary
s s prevention s s occurs sswhen ssa ssdefect ssor ssdisability ssis sspermanent ssand ssirreversible. ssIt ssinvolves ssminimizing
ssthe sseffect ssof ssdisease ssand ssdisability. s s The s s objective s s of s s tertiary s s prevention s s is s s to s s maximize
s s remaining s s capacities.
DIF: Cognitive ss Level: ss Apply s s (Application) s s s s s s REF: p. ss 15
9. In s s reviewing s s a s s person‘s s s medical s s claims, s s a s s nurse s s realizes s s that s s the s s individual s s with
s s moderate s s persistent ssasthma s s has s s had s s several s s emergency s s department s s visits s s and s s is s s not
s s on s s inhaled s s steroids s s as s s recommended s s by ssthe s s NHLBI s s asthma s s management s s guidelines.
s s The s s nurse s s discusses s s this s s with s s the s s person‘s s s primary s s care ssprovider. s s In s s this s s scenario,
s s the s s nurse s s is s s acting s s as s s a(n):
a. advocate.
b. care s s manager.
c. consultant.
d. educator.
ANS: B
Care s s managers s s act s s to s s prevent ss duplication s s of s s service s s and s s reduce s s cost. s s Care
s s managers s s base ssrecommendation s s ss on s s reliable s s data s s sources s s such s s as s s evidence-based
s s practices s s and s s protocols.
DIF: Cognitive ss Level: ss Apply s s (Application) s s s s s s REF: p. ss 15
10. During s s a s s home s s visit, s s a s s nurse s s assists s s an s s individual ss to s s complete ss an s s application s s for
s s disability s s services. ssThe s s nurse s s is s s acting s s as s s a(n):
a. advocate.
b. care s s manager.
c. consultant.
d. educator.
ANS: A
The s s advocacy s s role s s of s s the s s nurse s s helps s s individuals s s obtain s s what s s they s s are s s entitled s s to
s s receive s s from s s the sshealth s s care s s system, s s tries s s to s s make s s the s s system s s more s s responsive
s s to s s individuals‘ sscommunity s s needs, s s and ssassists s s individuals s s in s s developing s s skills s s to
s s advocate s s for s s themselves.
DIF: Cognitive ss Level: ss Apply s s (Application) s s s s s s REF: p. ss 15
11. During s s a s s home s s visit, s s a s s nurse s s discusses s s the s s dangers s s of s s smoking s s with s s an
s s individual. s s In s s this s s scenario ssthe s s nurse s s is s s acting s s as s s a(n):
a. advocate.
b. care s s manager.
c. consultant.
d. educator.
ANS: D
Health s s education s s is s s a s s primary s s prevention s s technique s s available s s to s s avoid s s major s s causes
s s of s s disease. ssTeaching s s can s s range s s from s s a s s chance s s remark s s to s s a s s planned s s lesson.
DIF: Cognitive ss Level: ss Apply s s (Application) s s s s s s REF: p. ss 16
12. A s s nurse s s is s s asked s s to s s provide s s an s s expert s s opinion s s about s s the s s development
s s of s s an s s education ssprogram s s for s s newly s s diagnosed s s diabetics. s s In s s this
s s scenario, s s the s s nurse s s is s s acting s s as s s a(n):
a. advocate.
b. care s s manager.
c. consultant.
d. educator.
ssEdelman: s s Health s s Promotion s s Throughout s s the s s Life s s Span, s s 8th
s s Edition
MULTIPLE ss CHOICE
1. Which s s model s s of s s health s s is s s most ss likely s s used ss by s s a ss person ss who s s does ss not s s believe ss in
s s preventive s s health s s care?
a. Clinical s s model
b. Role s s performance s s model
c. Adaptive s s model
d. Eudaimonistic ss model
ANS: A
The s s clinical s s model s s of s s health s s views s s the s s absence s s of s s signs s s and s s symptoms s s of s s disease s s as
s s indicative s s of s s health. ssPeople s s who s s use s s this s s model s s wait s s until s s they s s are s s very s s sick s s to
s s seek s s care.
DIF: Cognitive s s Level: s s Remember s s (Knowledge) REF: p. ss 3
2. A s s person s s with s s chronic s s back s s pain s s is s s cared s s for s s by s s her s s primary s s care
s s provider s s as s s well s s as ssreceives s s acupuncture. s s Which s s model s s of s s health
s s does s s this s s person s s likely s s favor?
a. Clinical s s model
b. Role s s performance s s model
c. Adaptive s s model
d. Eudaimonistic ss model
ANS: D
The s s eudaimonistic s s model s s embodies s s the s s interaction s s and s s interrelationships s s among s s physical,
s s social, sspsychological, s s and s s spiritual s s aspects s s of s s life s s and s s the s s environment s s in s s goal
s s attainment s s and s s creating s s meaning ssin s s life. s s Practitioners s s who s s practice s s the s s clinical s s model
s s may s s not s s be s s enough s s for s s someone s s who s s believes s s in s s the sseudaimonistic s s model. s s Those s s who
s s believe s s in s s the s s eudaimonistic s s model s s often s s look s s for s s alternative s s providers ssof s s care.
DIF: Cognitive s s Level: ssApply s s (Application) REF: p. ss 3
3. A s s state s s of s s physical, s s mental, s s spiritual, s s and s s social s s functioning s s that s s realizes s s a
s s person‘s s s potential ssand s s is s s experienced s s within s s a s s developmental s s context s s is
s s known s s as:
a. growth s s and s s development.
b. health.
c. functioning.
d. high-level s s wellness.
ANS: B
Health s s is s s defined s s as s s a s s state s s of s s physical, s s mental, s s spiritual, s s and s s social s s functioning s s that
s s realizes s s a s s person‘s sspotential s s and s s is s s experienced s s within s s a s s developmental s s context.
DIF: Cognitive s s Level: s s Remember s s (Knowledge) REF: p. ss 5
4. Which s s of s s the s s following s s best s s describes s s a s s client ss who ss has s s an s s illness?
a. Someone s s who s s has s s well-controlled s s diabetes
b. Someone s s with s s hypercholesterolemia
c. Someone s s with s s a s s headache
d. Someone sswith sscoronary ssartery
disease sswithout
ss ss angina ss ANS: C
, Someone s s with s s a s s headache s s represents s s a s s person s s with s s an s s illness. s s An s s illness s s is s s made
s s up s s of s s the s s subjective ssexperience s s of s s the s s individual s s and s s the s s physical s s manifestation s s of
s s disease. s s It s s can s s be s s described s s as s s a s s response sscharacterized s s by s s a s s mismatch s s between s s a
s s person‘s s s needs s s and s s the s s resources s s available s s to s s meet s s those s s needs. ssA s s person s s can s s have
s s a s s disease s s without s s feeling s s ill. s s The s s other s s choices s s represent s s disease.
DIF: Cognitive s s Level: s s Analyze s s (Analysis) REF: p. ss 6
5. Which s s US s s report s s is s s considered s s a s s landmark s s document s s in s s creating s s a s s global ss approach s s to
s s health?
a. The s s 1990 s s Health s s Objectives s s for s s the s s Nation: s s A s s Midcourse s s Review
b. Healthy s s People s s 2020
c. Healthy s s People s s 2000
d. The s s U.S. s s Surgeon s s General s s Report
ANS: C
Healthy s s People s s 2000 s s and s s its s s Midcourse s s Review s s and s s 1995 s s Revisions s s were s s landmark
s s documents s s in s s which
a s s consortium s s of s s people s s representing s s national s s organizations s s worked s s with s s US s s Public s s Health
s s Service s s officials ssto s s create s s a s s more s s global s s approach s s to s s health.
DIF: Cognitive s s Level: s s Remember s s (Knowledge) REF: p. ss 6
6. Which s s of s s the s s following s s represents s s a s s method s s of s s primary ss prevention?
a. Informational s s session s s about s s healthy s s lifestyles
b. Blood s s pressure s s screening
c. Interventional s s cardiac s s catheterization
d. Diagnostic s s cardiac s s catheterization
ANS: A
Primary ssprevention ssprecedes ssdisease ssor ssdysfunction. ssIt ssincludes sshealth sspromotion ssand ssspecific ssprotection
ssand ssencourages ssincreased ssawareness; ssthus, sseducation ssabout sshealthy sslifestyles ssfits ssthis ssdefinition. ssBlood
sspressure ssscreening s s does s s not s s prevent s s disease, s s but s s instead s s identifies s s it.
DIF: s s s s Cognitive s s Level: ssApply s s (Application) REF: p. ss 11
7. Which s s of s s the s s following s s represents s s a s s method s s of s s secondary ss prevention?
a. Self–breast s s examination s s education
b. Yearly ssmammograms
c. Chemotherapy s s for s s advanced s s breast s s cancer
d. Complete s s mastectomy s s for s s breast s s cancer
ANS: B
Screening s s is s s secondary s s prevention s s because s s the s s principal s s goal s s of s s screenings s s is s s to s s identify
s s individuals s s in s s an ssearly, s s detectable s s stage s s of s s the s s disease s s process. s s A s s mammogram s s is s s a
s s screening s s tool s s for s s breast s s cancer s s and ssthus s s is s s considered s s a s s method s s of s s secondary
s s prevention.
DIF: s s s s Cognitive s s Level: ssApply s s (Application) REF: p. ss 15
8. Which s s of s s the s s following s s represents s s a s s method s s of s s tertiary s s prevention?
a. Drunk s s driving s s campaign
b. Road s s blocks s s for s s drunk s s driving
c. Emergency s s surgery s s for s s head s s trauma s s after s s a s s motor s s vehicle s s accident
d. Physical s s and s s occupational s s therapy s s after s s a s s motor s s vehicle
ss accident ss with sshead ss trauma ss ANS: D
, Physical s s therapy s s and s s occupational s s therapy s s are s s considered s s tertiary s s prevention. s s Tertiary
s s prevention s s occurs sswhen ssa ssdefect ssor ssdisability ssis sspermanent ssand ssirreversible. ssIt ssinvolves ssminimizing
ssthe sseffect ssof ssdisease ssand ssdisability. s s The s s objective s s of s s tertiary s s prevention s s is s s to s s maximize
s s remaining s s capacities.
DIF: Cognitive ss Level: ss Apply s s (Application) s s s s s s REF: p. ss 15
9. In s s reviewing s s a s s person‘s s s medical s s claims, s s a s s nurse s s realizes s s that s s the s s individual s s with
s s moderate s s persistent ssasthma s s has s s had s s several s s emergency s s department s s visits s s and s s is s s not
s s on s s inhaled s s steroids s s as s s recommended s s by ssthe s s NHLBI s s asthma s s management s s guidelines.
s s The s s nurse s s discusses s s this s s with s s the s s person‘s s s primary s s care ssprovider. s s In s s this s s scenario,
s s the s s nurse s s is s s acting s s as s s a(n):
a. advocate.
b. care s s manager.
c. consultant.
d. educator.
ANS: B
Care s s managers s s act s s to s s prevent ss duplication s s of s s service s s and s s reduce s s cost. s s Care
s s managers s s base ssrecommendation s s ss on s s reliable s s data s s sources s s such s s as s s evidence-based
s s practices s s and s s protocols.
DIF: Cognitive ss Level: ss Apply s s (Application) s s s s s s REF: p. ss 15
10. During s s a s s home s s visit, s s a s s nurse s s assists s s an s s individual ss to s s complete ss an s s application s s for
s s disability s s services. ssThe s s nurse s s is s s acting s s as s s a(n):
a. advocate.
b. care s s manager.
c. consultant.
d. educator.
ANS: A
The s s advocacy s s role s s of s s the s s nurse s s helps s s individuals s s obtain s s what s s they s s are s s entitled s s to
s s receive s s from s s the sshealth s s care s s system, s s tries s s to s s make s s the s s system s s more s s responsive
s s to s s individuals‘ sscommunity s s needs, s s and ssassists s s individuals s s in s s developing s s skills s s to
s s advocate s s for s s themselves.
DIF: Cognitive ss Level: ss Apply s s (Application) s s s s s s REF: p. ss 15
11. During s s a s s home s s visit, s s a s s nurse s s discusses s s the s s dangers s s of s s smoking s s with s s an
s s individual. s s In s s this s s scenario ssthe s s nurse s s is s s acting s s as s s a(n):
a. advocate.
b. care s s manager.
c. consultant.
d. educator.
ANS: D
Health s s education s s is s s a s s primary s s prevention s s technique s s available s s to s s avoid s s major s s causes
s s of s s disease. ssTeaching s s can s s range s s from s s a s s chance s s remark s s to s s a s s planned s s lesson.
DIF: Cognitive ss Level: ss Apply s s (Application) s s s s s s REF: p. ss 16
12. A s s nurse s s is s s asked s s to s s provide s s an s s expert s s opinion s s about s s the s s development
s s of s s an s s education ssprogram s s for s s newly s s diagnosed s s diabetics. s s In s s this
s s scenario, s s the s s nurse s s is s s acting s s as s s a(n):
a. advocate.
b. care s s manager.
c. consultant.
d. educator.
