1
Chapter 04: Health Promotion and Risk Reduction
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. A nurse reviewed information before meeting with the community residents who were
attending a program on healthful living. Which best describes the action by the nurse?
a. Disease prevention
b. Health promotion
c. Health improvement
d. Specific protection
ANS: B
Health promotion is any combination of health education and related support for health
behaviors. It is not specific protection or disease prevention because no specific disease is
being avoided. Although healthful living may indeed improve health, there is nothing to
suggest the attendees were not currently healthy.
DIF: Cognitive Level: Apply (Application)
2. A 50-year-old woman comes to the clinic for her first mammogram. Which best describes the
action of this client?
a. Disease prevention
b. Health improvement
c. Health protection
d. Primary health promotion
ANS: C
Health protection is used to detect disease in its early state or maximize health within the
constraints of disease. Unfortunately, screening will not prevent disease. Screenings are a
secondary health promotion—not a primary health promotion.
DIF: Cognitive Level: Apply (Application)
3. Which is the best definition of health?
a. A goal and a resource for living
b. A lack of disease or illness
c. Complete state of well-being
d. Freedom from pain or discomfort
ANS: C
Health was originally defined as a lack of illness or disease. More recently, health has been
defined as a state of complete physical, mental, and social well-being. Today, health’s
definition is based on the realization that health allows one to realize aspirations, to satisfy
needs, and to change or cope with the environment. Health is a goal but also a resource for
living.
DIF: Cognitive Level: Understand (Comprehension)
TEST BANK FOR COMMUNITY PUBLIC HEALTH NURSING
[AUTHOR NAME]
7TH EDITION BY NIES
, 2
4. A nurse was becoming frustrated. She had given her client extensive information on his health
problem, but the client continued to be noncompliant in making needed changes. Which
principle had the nurse forgotten?
a. A person may have a higher priority than improving his or her health.
b. Information, while necessary, will not motivate people to change.
c. People need repetition over time to be able to absorb information.
d. Physicians, not nurses, are perceived as experts in health.
ANS: B
Information alone is rarely enough to motivate a person to act. Information is necessary to
know what to do and how to do it before the person chooses to act, but other factors are
primarily responsible for motivating people to change their behavior. Although other priorities
may result in delay of change, the fact that the client has returned to the nurse demonstrates
interest in changing. Repetition may be helpful, but apparently the nurse has given
information on more than one occasion because she believes extensive information has been
given.
DIF: Cognitive Level: Apply (Application)
5. The nurse working with a client to change behavior to maximize health asked the client to
bring his family to the next visit. Which best describes why the nurse wants the family to
come with the client?
a. To analyze the family’s beliefs about health
b. To determine the family’s support of the client
c. To establish the family’s communication patterns
d. To evaluate the family’s approval of the proposed changes
ANS: D
Under the Theory of Reasoned Action, it is assumed that all behavior is determined by
intentions, which are determined by attitude toward the behavior and the norms associated
with the behavior. That in turn is determined by whether or not important persons approve or
disapprove of the behavior. The family’s beliefs about health, support of the client, and
communication patterns are irrelevant if the family does not approve of the changes that have
been proposed.
DIF: Cognitive Level: Apply (Application)
6. A nurse is using the theory of reasoned action when working with a client to exercise on a
regular basis. Which would be the easiest way for the nurse to determine if the client will
engage in this activity?
a. The client’s intention to exercise regularly
b. The client’s perception of the threat of illness if he doesn’t exercise regularly
c. Society’s emphasis on the importance of regular exercise
d. The pros and cons of regular exercise
ANS: A
The theory of reasoned action attempts to predict a person’s intention to perform or not
perform a certain behavior based on the assumption that all behavior is determined by one’s
behavioral intention. The client’s perception of the threat of illness, the opinion of society, and
benefits of regular exercise are not major factors discussed using the theory of reasoned
action.
TEST BANK FOR COMMUNITY PUBLIC HEALTH NURSING
[AUTHOR NAME]
7TH EDITION BY NIES
Chapter 04: Health Promotion and Risk Reduction
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. A nurse reviewed information before meeting with the community residents who were
attending a program on healthful living. Which best describes the action by the nurse?
a. Disease prevention
b. Health promotion
c. Health improvement
d. Specific protection
ANS: B
Health promotion is any combination of health education and related support for health
behaviors. It is not specific protection or disease prevention because no specific disease is
being avoided. Although healthful living may indeed improve health, there is nothing to
suggest the attendees were not currently healthy.
DIF: Cognitive Level: Apply (Application)
2. A 50-year-old woman comes to the clinic for her first mammogram. Which best describes the
action of this client?
a. Disease prevention
b. Health improvement
c. Health protection
d. Primary health promotion
ANS: C
Health protection is used to detect disease in its early state or maximize health within the
constraints of disease. Unfortunately, screening will not prevent disease. Screenings are a
secondary health promotion—not a primary health promotion.
DIF: Cognitive Level: Apply (Application)
3. Which is the best definition of health?
a. A goal and a resource for living
b. A lack of disease or illness
c. Complete state of well-being
d. Freedom from pain or discomfort
ANS: C
Health was originally defined as a lack of illness or disease. More recently, health has been
defined as a state of complete physical, mental, and social well-being. Today, health’s
definition is based on the realization that health allows one to realize aspirations, to satisfy
needs, and to change or cope with the environment. Health is a goal but also a resource for
living.
DIF: Cognitive Level: Understand (Comprehension)
TEST BANK FOR COMMUNITY PUBLIC HEALTH NURSING
[AUTHOR NAME]
7TH EDITION BY NIES
, 2
4. A nurse was becoming frustrated. She had given her client extensive information on his health
problem, but the client continued to be noncompliant in making needed changes. Which
principle had the nurse forgotten?
a. A person may have a higher priority than improving his or her health.
b. Information, while necessary, will not motivate people to change.
c. People need repetition over time to be able to absorb information.
d. Physicians, not nurses, are perceived as experts in health.
ANS: B
Information alone is rarely enough to motivate a person to act. Information is necessary to
know what to do and how to do it before the person chooses to act, but other factors are
primarily responsible for motivating people to change their behavior. Although other priorities
may result in delay of change, the fact that the client has returned to the nurse demonstrates
interest in changing. Repetition may be helpful, but apparently the nurse has given
information on more than one occasion because she believes extensive information has been
given.
DIF: Cognitive Level: Apply (Application)
5. The nurse working with a client to change behavior to maximize health asked the client to
bring his family to the next visit. Which best describes why the nurse wants the family to
come with the client?
a. To analyze the family’s beliefs about health
b. To determine the family’s support of the client
c. To establish the family’s communication patterns
d. To evaluate the family’s approval of the proposed changes
ANS: D
Under the Theory of Reasoned Action, it is assumed that all behavior is determined by
intentions, which are determined by attitude toward the behavior and the norms associated
with the behavior. That in turn is determined by whether or not important persons approve or
disapprove of the behavior. The family’s beliefs about health, support of the client, and
communication patterns are irrelevant if the family does not approve of the changes that have
been proposed.
DIF: Cognitive Level: Apply (Application)
6. A nurse is using the theory of reasoned action when working with a client to exercise on a
regular basis. Which would be the easiest way for the nurse to determine if the client will
engage in this activity?
a. The client’s intention to exercise regularly
b. The client’s perception of the threat of illness if he doesn’t exercise regularly
c. Society’s emphasis on the importance of regular exercise
d. The pros and cons of regular exercise
ANS: A
The theory of reasoned action attempts to predict a person’s intention to perform or not
perform a certain behavior based on the assumption that all behavior is determined by one’s
behavioral intention. The client’s perception of the threat of illness, the opinion of society, and
benefits of regular exercise are not major factors discussed using the theory of reasoned
action.
TEST BANK FOR COMMUNITY PUBLIC HEALTH NURSING
[AUTHOR NAME]
7TH EDITION BY NIES
