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
1. A nursing student asks about the concept of health as
described in fundamentals nursing. Which statement best
reflects the perspective presented in the chapter?
A. Health is the absence of disease or illness.
B. Health is a dynamic state influenced by multiple factors.
C. Health is determined primarily by genetics.
D. Health is defined only by physical functioning.
,Correct Answer: B
Rationale: Health is described as a dynamic and evolving state
influenced by physical, psychological, social, and environmental
factors rather than merely the absence of disease.
Citation: Chapter 1 – Health and Wellness; Concepts of Health
2. Which factor is considered a determinant of health?
A. Nurse staffing ratios
B. Personal lifestyle choices
C. Hospital bed availability
D. Insurance billing practices
Correct Answer: B
Rationale: Lifestyle choices such as diet, activity level, and
smoking are key determinants of health that influence wellness
outcomes.
Citation: Chapter 1 – Health and Wellness; Determinants of
Health
3. A nurse explains wellness to a client. Which statement best
demonstrates understanding?
A. “Wellness means you never get sick.”
B. “Wellness focuses only on physical health.”
C. “Wellness involves active participation in health-related
behaviors.”
D. “Wellness is determined by healthcare providers.”
,Correct Answer: C
Rationale: Wellness involves active participation and
responsibility in achieving one’s highest level of health across
multiple dimensions.
Citation: Chapter 1 – Health and Wellness; Wellness Concepts
4. Which example reflects primary prevention?
A. Rehabilitation after a stroke
B. Immunization administration
C. Physical therapy after injury
D. Monitoring chronic disease complications
Correct Answer: B
Rationale: Primary prevention aims to prevent disease before it
occurs; immunizations are a classic example.
Citation: Chapter 1 – Health and Wellness; Levels of Prevention
5. A nurse assesses a patient’s housing and income status.
This reflects attention to which concept?
A. Acute care management
B. Determinants of health
C. Medical diagnosis
D. Pharmacologic therapy
Correct Answer: B
Rationale: Social and economic conditions such as housing and
income are determinants that influence health outcomes.
, Citation: Chapter 1 – Health and Wellness; Determinants of
Health
6. Which scenario best illustrates health promotion?
A. Treating pneumonia with antibiotics
B. Teaching stress management techniques
C. Performing wound debridement
D. Administering analgesics for pain
Correct Answer: B
Rationale: Health promotion focuses on enhancing well-being
and preventing illness through education and supportive
interventions.
Citation: Chapter 1 – Health and Wellness; Health Promotion
7. A nurse supports a client in setting realistic fitness goals
based on personal values. Which principle is
demonstrated?
A. Cultural safety
B. Individualized care
C. Disease-centered care
D. Acute care prioritization
Correct Answer: B
Rationale: Individualized care respects unique beliefs, values,
and goals influencing health behaviors.
Citation: Chapter 1 – Health and Wellness; Holistic Health