of Nursing - Elsevier 7th Edition
by Barbara J. Astle, RN, PhD, FCAN, Wendy
Duggleby, RN, PhD, Patricia A. Potter, RN,
MSN, PhD, FAAN, Anne G. Perry, RN, MSN,
EdD, FAAN, Patricia A. Stockert, RN, BSN,
MS, PhD and Amy Hall, RN, BSN, MS, PhD,
CNE
TEST BANK
Unit I: Health and Health Care in Canada
Potter & Perry’s Canadian Fundamentals of Nursing (7th ed.)
Chapter 1: Health and Wellness
EXACTLY 20 MCQs
1. Which statement best reflects the concept of health
described in this chapter?
,A. Health is the absence of disease
B. Health is a dynamic process influenced by multiple factors
C. Health is determined primarily by genetics
D. Health is achieved only through medical treatment
Correct Answer: B
Rationale: Health is described as a dynamic, evolving state
influenced by physical, emotional, social, spiritual, and
environmental factors.
Citation: Potter & Perry, Canadian Fundamentals of Nursing, 7th
ed., Ch. 1
2. A nurse applying a wellness perspective would focus
primarily on:
A. Treating illness symptoms
B. Preventing acute complications
C. Supporting health-promoting behaviours
D. Managing chronic disease outcomes
Correct Answer: C
Rationale: A wellness perspective emphasizes health
promotion, prevention, and strengthening individual capacities.
Citation: Potter & Perry, 7th ed., Ch. 1
3. Which determinant of health includes education, income,
and employment?
A. Biological determinants
,B. Behavioural determinants
C. Social determinants
D. Environmental determinants
Correct Answer: C
Rationale: Social determinants include socioeconomic factors
that strongly influence health outcomes.
Citation: Potter & Perry, 7th ed., Ch. 1
4. The nurse recognizes that health inequities primarily result
from:
A. Individual lifestyle choices
B. Unequal distribution of resources
C. Genetic predisposition
D. Access to technology
Correct Answer: B
Rationale: Health inequities arise from unfair and avoidable
differences linked to social and economic conditions.
Citation: Potter & Perry, 7th ed., Ch. 1
5. Which concept emphasizes client strengths rather than
deficits?
A. Biomedical model
B. Pathogenesis
C. Salutogenesis
D. Epidemiology
,Correct Answer: C
Rationale: Salutogenesis focuses on factors that support health
and well-being.
Citation: Potter & Perry, 7th ed., Ch. 1
6. A nurse promoting primary prevention is most likely to:
A. Provide rehabilitation services
B. Administer prescribed medications
C. Teach immunization benefits
D. Monitor disease progression
Correct Answer: C
Rationale: Primary prevention aims to prevent disease before it
occurs.
Citation: Potter & Perry, 7th ed., Ch. 1
7. Which factor best reflects the environmental determinant
of health?
A. Stress coping skills
B. Air and water quality
C. Genetic inheritance
D. Personal beliefs
Correct Answer: B
Rationale: Environmental determinants include physical
surroundings affecting health.
Citation: Potter & Perry, 7th ed., Ch. 1
,8. The nurse understands that health promotion differs from
disease prevention because it:
A. Focuses on illness control
B. Addresses risk factors only
C. Enhances well-being and quality of life
D. Requires medical diagnosis
Correct Answer: C
Rationale: Health promotion aims to increase well-being
beyond preventing illness.
Citation: Potter & Perry, 7th ed., Ch. 1
9. Which nursing action best supports self-determination in
health?
A. Providing standardized care plans
B. Encouraging client participation in decisions
C. Prioritizing physician recommendations
D. Limiting client choices
Correct Answer: B
Rationale: Self-determination is supported through shared
decision-making.
Citation: Potter & Perry, 7th ed., Ch. 1
10. The concept of health as a resource for daily life
emphasizes:
,A. Disease eradication
B. Functional ability
C. Medical dependency
D. Acute care access
Correct Answer: B
Rationale: Health enables individuals to function and pursue
life goals.
Citation: Potter & Perry, 7th ed., Ch. 1
11. Which level of prevention focuses on early detection?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Correct Answer: B
Rationale: Secondary prevention involves screening and early
diagnosis.
Citation: Potter & Perry, 7th ed., Ch. 1
12. A nurse addressing spiritual well-being is attending to
which health dimension?
A. Physical
B. Emotional
C. Social
D. Spiritual
,Correct Answer: D
Rationale: Spiritual health relates to meaning, purpose, and
beliefs.
Citation: Potter & Perry, 7th ed., Ch. 1
13. Which factor is most modifiable by nursing interventions?
A. Age
B. Genetics
C. Lifestyle behaviours
D. Ethnicity
Correct Answer: C
Rationale: Lifestyle behaviours are amenable to health
promotion strategies.
Citation: Potter & Perry, 7th ed., Ch. 1
14. A holistic approach to health considers:
A. Only physical symptoms
B. Only mental health
C. The whole person in context
D. Medical diagnoses exclusively
Correct Answer: C
Rationale: Holistic care integrates multiple dimensions of
health.
Citation: Potter & Perry, 7th ed., Ch. 1
,15. Which nursing role aligns most closely with health
advocacy?
A. Task completion
B. Policy awareness
C. Supporting equitable access
D. Documentation accuracy
Correct Answer: C
Rationale: Advocacy involves promoting fairness and access to
health resources.
Citation: Potter & Perry, 7th ed., Ch. 1
16. The nurse identifies which population as most vulnerable
to poor health outcomes?
A. Middle-income adults
B. Individuals with social disadvantage
C. Healthy adolescents
D. Employed professionals
Correct Answer: B
Rationale: Social disadvantage increases health risks.
Citation: Potter & Perry, 7th ed., Ch. 1
17. Which statement reflects person-centred care?
A. “The nurse knows what is best.”
B. “Care plans are standardized.”
,C. “Clients are partners in care.”
D. “Outcomes are nurse-determined.”
Correct Answer: C
Rationale: Person-centred care emphasizes partnership and
respect.
Citation: Potter & Perry, 7th ed., Ch. 1
18. Health literacy primarily affects a client’s ability to:
A. Access emergency services
B. Understand and use health information
C. Afford care
D. Follow institutional policies
Correct Answer: B
Rationale: Health literacy influences understanding and
decision-making.
Citation: Potter & Perry, 7th ed., Ch. 1
19. A nurse assessing coping strategies is addressing which
determinant?
A. Biological
B. Behavioural
C. Environmental
D. Structural
Correct Answer: B
Rationale: Coping behaviours fall under behavioural
, determinants.
Citation: Potter & Perry, 7th ed., Ch. 1
20. The primary goal of nursing in health promotion is to:
A. Cure disease
B. Reduce hospital stays
C. Support optimal well-being
D. Replace medical care
Correct Answer: C
Rationale: Nursing focuses on supporting optimal health and
quality of life.
Citation: Potter & Perry, 7th ed., Ch. 1
1. A 68-year-old client describes being able to perform daily
activities but reports occasional fatigue. Which concept
best describes this client’s state?
A. Disease
B. Wellness
C. Illness
D. Morbidity
Answer: B. Wellness
Rationale: Wellness refers to a dynamic state of well-being
in which the individual can perform daily activities and
pursue life goals despite occasional symptoms.