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
Chapter 1 – Health and Wellness
1.
A nurse explains that health is more than the absence of illness.
Which statement best reflects this perspective?
A. Health is a state of complete physical comfort.
B. Health is the ability to function independently.
,C. Health is a dynamic state of well-being influenced by multiple
factors.
D. Health occurs when disease is eliminated.
Correct Answer: C
Rationale: The chapter frames health as dynamic and
multidimensional, shaped by physical, psychological, social,
cultural, and spiritual influences rather than simply the absence
of disease.
Citation: Ch. 1, Concepts of Health
2.
Which example best illustrates wellness?
A. A person with diabetes who follows a management plan and
pursues meaningful goals
B. A person who has no diagnosed medical conditions
C. A person who exercises only when feeling ill
D. A person who avoids all stress
Correct Answer: A
Rationale: Wellness involves purposeful, ongoing engagement
in behaviors that promote potential and quality of life, even in
the presence of chronic illness.
Citation: Ch. 1, Health–Wellness Continuum
3.
,Which factor is a determinant of health?
A. Hospital bed availability
B. Genetic endowment
C. Physician preference
D. Type of nursing documentation system
Correct Answer: B
Rationale: Determinants of health include income, education,
environment, biology/genetics, and social supports. Genetic
endowment is specifically identified.
Citation: Ch. 1, Determinants of Health
4.
A client says, “I can’t control my health; whatever happens,
happens.” The nurse recognizes this as:
A. High self-efficacy
B. Internal locus of control
C. External locus of control
D. Secondary prevention
Correct Answer: C
Rationale: An external locus of control reflects the belief that
outcomes are determined by fate or external forces rather than
personal actions.
Citation: Ch. 1, Health Beliefs and Behaviours
, 5.
Which nursing action best supports primary prevention?
A. Teaching about blood glucose monitoring
B. Providing immunization
C. Assisting with rehabilitation after injury
D. Monitoring for complications of disease
Correct Answer: B
Rationale: Primary prevention aims to prevent disease before it
occurs; immunization is a classic example.
Citation: Ch. 1, Levels of Prevention
6.
A nurse planning care considers how income, housing, and
education influence a client’s recovery. This reflects
understanding of:
A. Acute care priorities
B. Determinants of health
C. Tertiary prevention
D. Diagnostic reasoning
Correct Answer: B
Rationale: These social and economic conditions are core
determinants that significantly affect health outcomes.
Citation: Ch. 1, Determinants of Health