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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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2. A person with chronic back pain is cared for by her primary care provider a
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s well as receivesacupuncture. Which model of health does this person lik
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ely favor? mv
a. Clinical model mv
b. Role performance model mv mv
c. Adaptive model mv
d. Eudaimonistic model mv
ANS: D vk
The eudaimonistic model embodies the interaction and interrelationships among physical, s
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o cial, psychological, and spiritual aspects of life and the environment in goal attainment and
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cre ating meaning in life. Practitioners who practice the clinical model may not be enough
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for so meone who believes in the eudaimonistic model. Thosewho believ e in the eudaim
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onistic m odel often look for alternative providers of care.
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DIF: Cognitive Level: Apply (Application) mv mv mv REF: p. 3 mv
3. A state of physical, mental, spiritual, and social functioning that realizes a pers
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on ‘s potential and isexperienced within a developmental context is known as:
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a. growth and development. mv mv
b. health.
c. functioning.
d. high-level wellness. mv
ANS: B vk
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a
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person‘s potentialand is experienced within a developmental context.
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, DIF: Cognitive Level: Remember (Knowledge) mv mv mv REF: p. 5 m v mv
4. Which of the following best describes a client who has an illness?
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a. Someone who has well-controlled diabetes mv mv mv mv
b. Someone with hypercholesterolemia mv mv
c. Someone with a headache mv mv mv
d. Someone with coronary artery disease mv mv mv mv m
withoutangina
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e. ANS: C vk
Someone with a headache represents a person with an illness. An illness is made up of the
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su bjective experience of the individual and the physical manifestation of disease. It can be
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desc ribed as a response characterized by a mismatch between a person‘s needs and the re
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sources available to meet those needs. A person can have a diseasewithout feeling ill. The oth
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er choice s represent disease.
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DIF: Cognitive Level: Analyze (Analysis) mv mv mv REF: p. 6 m v mv
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 mv mv
c. Healthy People 2000 mv mv
d. The U.S. Surgeon General Report mv mv mv mv
ANS: C vk
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark docum e
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nts in which a consortium of people representing national organizations worked with US Pu
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blic Health Service officials tocreate a more global approach to health.
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DIF: Cognitive Level: Remember (Knowledge) mv mv mv REF: p. 6 m v mv
6. Which of the following represents a method of primary prevention?
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a. Informational session about healthy lifestyles mv mv mv mv
b. Blood pressure screening mv mv
c. Interventional cardiac catheterization mv mv
d. Diagnostic cardiac catheterization mv mv
ANS: A vk
Primary prevention precedes disease or dysfunction. It includes health promotion and spe
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c ific protection andencourages increased awareness; thus, education about healthy lifestyl
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es fits this definition. Blood pressure screening does not prevent disease, but instead id
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entifi es it. mv mv
DIF: m v Cognitive Level: Apply (Application) mv mv mv m v REF: p. 11mv
7. Which of the following represents a method of secondary prevention?
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a. Self–breast examination education mv mv
b. Yearlymammograms
c. Chemotherapy for advanced breast cancer mv mv mv mv
d. Complete mastectomy for breast cancer mv mv mv mv
, ANS: B vk
Screening is secondary prevention because the principal goal of screenings is to identify in
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di viduals in an early,detectable stage of the disease process. A mammogram is a screening to
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ol f or breast cancer and thus is considered a method of secondary prevention.
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DIF: m v Cognitive Level: Apply (Application) mv mv mv m v REF: p. 15 mv
8. Which of the following represents a method of tertiary prevention?
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a. Drunk driving campaign vk mv
b. Road blocks for drunk driving mv mv mv mv
c. Emergencysurgery for head trauma after a motor vehicle accident mv mv mv mv mv mv mv mv
d. Physical and occupational therapy after a motor vehicle mv mv mv mv mv mv mv
mv accident with headtrauma mv mv
ANS: D vk
Physical therapy and occupational therapy are considered tertiary prevention. Tertiary preve
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n tion occurs when a defect or disability is permanent and irreversible. It involves minimizi
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ng t he effect of disease and disability. The objective of tertiary prevention is to maximize r
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emaini ng capacities. mv mv
DIF: m v Cognitive Level: Apply (Application) mv mv mv m v REF: p. 15 mv
9. In reviewing a person‘s medical claims, a nurse realizes that the individual with moderate
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p ersistent asthma hashad several emergency department visits and is not on inhaled steroid
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s a s recommended by the NHLBI asthma management guidelines. The nurse discusses t
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his wi th 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. vk
c. consultant.
d. educator.
ANS: B vk
Care managers act to prevent duplication of service and reduce cost. Care managers base recommenda
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t ionon reliable data sources such as evidence-based practices and protocols.
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DIF: Cognitive Level: Apply (Application) REF: mv mv mv p. 15 mv
10. During a home visit, a nurse assists an individual to complete an application for disabilit
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y services. The nurseis acting as a(n):
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a. advocate.
b. care manager. vk
c. consultant.
d. educator.
ANS: A vk
The advocacy role of the nurse helps individuals obtain what they are entitled to receive
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fr om the health care system, tries to make the system more responsive to individuals‘ c
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omm unity needs, and assists individuals indeveloping skills to advocate for themselves.
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DIF: m v Cognitive Level: Apply (Application) mv mv mv m v REF: p. 15 mv