TEST BANK — Edelman and Kudzma’s Canadian Health
Promotion Throughout the Life Span
1st Edition • Dames, Luctkar-Flude & Tyerman • Chapters 1–25 • 250 Original Exam-Style
Questions
Chapter 1: Health Defined: Health Promotion, Prevention, and Protection
1. Which statement best describes health promotion?
A process limited to preventing infectious diseases
A service delivered exclusively in acute-care hospitals
Treatment provided only after a disease is diagnosed
Actions that enable people and communities to increase control over determinants of health
Rationale: Health promotion focuses on enabling people to increase control over factors that influence health.
2. Which activity is an example of primary prevention?
Rehabilitation after a stroke
Physiotherapy after a hip fracture
Mammography to detect early breast cancer
Immunization before exposure to a vaccine-preventable infection
Rationale: Primary prevention acts before disease or injury occurs.
3. Which activity is most clearly secondary prevention?
Palliative care for advanced cancer
Blood pressure screening to identify previously unrecognized hypertension
Cardiac rehabilitation after myocardial infarction
Teaching a client to use a walker after surgery
Rationale: Secondary prevention emphasizes early detection and prompt intervention.
4. Tertiary prevention is best represented by which intervention?
Screening adults for colorectal cancer
Routine childhood immunization
Cardiac rehabilitation after myocardial infarction
Smoking-prevention education for adolescents
Rationale: Tertiary prevention reduces complications and restores function after disease or injury.
5. A nurse explains that determinants of health include which factor?
Only individual motivation
Housing and income
Only genetic inheritance
Only access to emergency departments
Rationale: Health is influenced by social, economic, environmental, biological and behavioural determinants.
Original exam-style study bank • Not an official Elsevier/test-bank reproduction Page 1
, Illustrative health-promotion encounter
6. Which statement reflects a population-health perspective?
Improving conditions for groups can improve health outcomes across the population
Population health excludes social conditions
Health is determined entirely by personal choices
Clinical treatment is the only route to better health
Rationale: Population health considers patterns of health and their determinants across groups.
7. Which situation best illustrates disease prevention rather than health promotion?
Supporting community recreation spaces
Advocating for safe housing standards
Helping a neighbourhood build social connections
Providing an influenza vaccination clinic
Rationale: Vaccination directly prevents a specific disease; health promotion is broader.
8. A client says, 'Being healthy means I can do the activities that matter to me.' This best reflects
health as:
The absence of every symptom
A fixed biological trait
A laboratory value
A dynamic, multidimensional state
Rationale: Contemporary health concepts recognize health as multidimensional and dynamic.
Original exam-style study bank • Not an official Elsevier/test-bank reproduction Page 2
, 9. Which nursing action best supports 14. Which principle should guide care for a
empowerment? diverse population?
Giving the client a rigid schedule without discussion Avoid stereotypes and assess each person's needs
individually
Making all decisions for the client
Assume cultural practices from appearance
Focusing only on deficits
Avoid adapting communication
Collaborating with the client to choose realistic health
goals Treat all people identically regardless of need
Rationale: Empowerment involves partnership, choice, participation Rationale: Individualized assessment prevents stereotyping while
and control. respecting diversity.
15. Which factor can contribute to health
inequity?
Unequal access to safe housing and health services
Stable food security
Universal access to preventive care
Illustrative social-determinants visual
Accessible transportation
10. Which example best demonstrates an
Rationale: Structural and social conditions can create unequal
upstream health-promotion approach? opportunities for health.
Managing a wound infection
16. Which nursing communication technique is
Adjusting medication after symptoms appear most culturally safe?
Treating dehydration after a heat illness Avoid asking about values
Advocating for policies that improve access to affordable Assume family roles
nutritious food
Use the person's preferred name and communication
Rationale: Upstream approaches address conditions that shape health style when possible
before individual illness occurs.
Correct every difference in health beliefs
Chapter 2: Diverse Populations and Health
Rationale: Respectful communication begins with the person's
11. What is the most appropriate first step when preferences and identity.
providing culturally responsive care?
17. A client requests a traditional healing
Assume practices based on ethnicity
practice that does not conflict with treatment.
Use the same teaching plan for everyone What should the nurse do?
Avoid discussing culture Explore the practice respectfully and integrate it when
safe and appropriate
Ask the person about their beliefs, preferences, and
Document the request as noncompliance
health practices
Rationale: Cultural humility begins with curiosity, respect and Dismiss the practice
individualized assessment.
Tell the client it is unscientific
12. Which action best reduces barriers related to
Rationale: Respectful integration can support culturally responsive,
health literacy? person-centred care.
Give a long written handout without discussion
18. Which statement about cultural humility is
Provide only technical terminology most accurate?
Ask a family member to answer every question It removes the need for individualized assessment
Use plain language and ask the person to explain the It requires avoiding cultural discussions
plan in their own words
It is an ongoing process of self-reflection and learning
Rationale: Plain language and teach-back improve understanding and
reveal gaps. It means mastering every culture's customs
13. A newcomer has difficulty navigating the Rationale: Cultural humility is ongoing rather than a finite
health system. Which intervention is most competency.
appropriate? 19. Which resource is most appropriate when a
Connect the person with an interpreter and navigation language barrier affects informed consent?
resources A qualified medical interpreter
Delay care until English improves
A minor child in the family
Use a child as interpreter
A random bilingual visitor
Tell the person to search online alone
An online machine translation alone
Rationale: Professional interpretation and system navigation can
reduce access barriers. Rationale: Qualified interpreters improve accuracy and confidentiality.
Original exam-style study bank • Not an official Elsevier/test-bank reproduction Page 3
Promotion Throughout the Life Span
1st Edition • Dames, Luctkar-Flude & Tyerman • Chapters 1–25 • 250 Original Exam-Style
Questions
Chapter 1: Health Defined: Health Promotion, Prevention, and Protection
1. Which statement best describes health promotion?
A process limited to preventing infectious diseases
A service delivered exclusively in acute-care hospitals
Treatment provided only after a disease is diagnosed
Actions that enable people and communities to increase control over determinants of health
Rationale: Health promotion focuses on enabling people to increase control over factors that influence health.
2. Which activity is an example of primary prevention?
Rehabilitation after a stroke
Physiotherapy after a hip fracture
Mammography to detect early breast cancer
Immunization before exposure to a vaccine-preventable infection
Rationale: Primary prevention acts before disease or injury occurs.
3. Which activity is most clearly secondary prevention?
Palliative care for advanced cancer
Blood pressure screening to identify previously unrecognized hypertension
Cardiac rehabilitation after myocardial infarction
Teaching a client to use a walker after surgery
Rationale: Secondary prevention emphasizes early detection and prompt intervention.
4. Tertiary prevention is best represented by which intervention?
Screening adults for colorectal cancer
Routine childhood immunization
Cardiac rehabilitation after myocardial infarction
Smoking-prevention education for adolescents
Rationale: Tertiary prevention reduces complications and restores function after disease or injury.
5. A nurse explains that determinants of health include which factor?
Only individual motivation
Housing and income
Only genetic inheritance
Only access to emergency departments
Rationale: Health is influenced by social, economic, environmental, biological and behavioural determinants.
Original exam-style study bank • Not an official Elsevier/test-bank reproduction Page 1
, Illustrative health-promotion encounter
6. Which statement reflects a population-health perspective?
Improving conditions for groups can improve health outcomes across the population
Population health excludes social conditions
Health is determined entirely by personal choices
Clinical treatment is the only route to better health
Rationale: Population health considers patterns of health and their determinants across groups.
7. Which situation best illustrates disease prevention rather than health promotion?
Supporting community recreation spaces
Advocating for safe housing standards
Helping a neighbourhood build social connections
Providing an influenza vaccination clinic
Rationale: Vaccination directly prevents a specific disease; health promotion is broader.
8. A client says, 'Being healthy means I can do the activities that matter to me.' This best reflects
health as:
The absence of every symptom
A fixed biological trait
A laboratory value
A dynamic, multidimensional state
Rationale: Contemporary health concepts recognize health as multidimensional and dynamic.
Original exam-style study bank • Not an official Elsevier/test-bank reproduction Page 2
, 9. Which nursing action best supports 14. Which principle should guide care for a
empowerment? diverse population?
Giving the client a rigid schedule without discussion Avoid stereotypes and assess each person's needs
individually
Making all decisions for the client
Assume cultural practices from appearance
Focusing only on deficits
Avoid adapting communication
Collaborating with the client to choose realistic health
goals Treat all people identically regardless of need
Rationale: Empowerment involves partnership, choice, participation Rationale: Individualized assessment prevents stereotyping while
and control. respecting diversity.
15. Which factor can contribute to health
inequity?
Unequal access to safe housing and health services
Stable food security
Universal access to preventive care
Illustrative social-determinants visual
Accessible transportation
10. Which example best demonstrates an
Rationale: Structural and social conditions can create unequal
upstream health-promotion approach? opportunities for health.
Managing a wound infection
16. Which nursing communication technique is
Adjusting medication after symptoms appear most culturally safe?
Treating dehydration after a heat illness Avoid asking about values
Advocating for policies that improve access to affordable Assume family roles
nutritious food
Use the person's preferred name and communication
Rationale: Upstream approaches address conditions that shape health style when possible
before individual illness occurs.
Correct every difference in health beliefs
Chapter 2: Diverse Populations and Health
Rationale: Respectful communication begins with the person's
11. What is the most appropriate first step when preferences and identity.
providing culturally responsive care?
17. A client requests a traditional healing
Assume practices based on ethnicity
practice that does not conflict with treatment.
Use the same teaching plan for everyone What should the nurse do?
Avoid discussing culture Explore the practice respectfully and integrate it when
safe and appropriate
Ask the person about their beliefs, preferences, and
Document the request as noncompliance
health practices
Rationale: Cultural humility begins with curiosity, respect and Dismiss the practice
individualized assessment.
Tell the client it is unscientific
12. Which action best reduces barriers related to
Rationale: Respectful integration can support culturally responsive,
health literacy? person-centred care.
Give a long written handout without discussion
18. Which statement about cultural humility is
Provide only technical terminology most accurate?
Ask a family member to answer every question It removes the need for individualized assessment
Use plain language and ask the person to explain the It requires avoiding cultural discussions
plan in their own words
It is an ongoing process of self-reflection and learning
Rationale: Plain language and teach-back improve understanding and
reveal gaps. It means mastering every culture's customs
13. A newcomer has difficulty navigating the Rationale: Cultural humility is ongoing rather than a finite
health system. Which intervention is most competency.
appropriate? 19. Which resource is most appropriate when a
Connect the person with an interpreter and navigation language barrier affects informed consent?
resources A qualified medical interpreter
Delay care until English improves
A minor child in the family
Use a child as interpreter
A random bilingual visitor
Tell the person to search online alone
An online machine translation alone
Rationale: Professional interpretation and system navigation can
reduce access barriers. Rationale: Qualified interpreters improve accuracy and confidentiality.
Original exam-style study bank • Not an official Elsevier/test-bank reproduction Page 3
