oughout the Life Span 1st Edition Dames Test Bank
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Chapter 1: Health Defined: Health Promotion, Prevention, and Protection Dames,
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Luctkar-Flude and Tyerman: Edelman and Kudzma’s Canadian Health
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Promotion Throughout the Life Span, 1st Edition
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MULTIPLE CHOICE c1
1. How is disease defined?
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a. The failure of a person’s adaptive mechanisms to counteract stimuli and stresse
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s adequately, resulting in functional or structural disturbances
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b. Disease and illness are components of a struggle for balance in the bodily systems
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c. The failure of a person’s bodily systems in responding to stresses, resulting in a hormon
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al imbalance c1
d. The assault by stimuli and stress on the body’s core defence systems
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ANS: A c1
Disease may be defined as the failure of a person’s adaptive mechanisms to counteract stimu
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li and stresses adequately, resulting in functional or structural disturbances. This definition is
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an ecological concept of disease, which uses multiple factors to determine the cause of dis
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ease, rather than describing a single cause. Disease and illness are not synonymous.
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DIF: Cognitive Level: Remember (Knowledge) REF: Disease, Illness, and Health OBJ:
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ment MSC: Health Promotion and Maintenance
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2. How can health be defined?
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a. As the absence of disease and illness
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b. As the person’s philosophy for living in harmony with their environment
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c. A state of physical, mental, and spiritual well-being
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d. A state of physical, mental, spiritual, and social functioning that realizes a person’
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s potential and is experienced within a developmental context.
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ANS: D c1
Definitions of health have evolved as the nature of health and illness becomes better unders
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tood. Health is much more than the absence of disease and illness. It is a state of physical,
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mental, spiritual, and social functioning that realizes a person’s potential and is experienced
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within a developmental context.
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DIF: Cognitive Level: Apply (Application) REF: Health and Wellness OBJ:
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MSC: Health Promotion and Maintenance
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3. The 1986 Ottawa Charter for Health Promotion document provides a blueprint for health
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promotion in Canada. Which of the following statements is correct concerning this model?
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a. The focus is on environment and the ability to achieve health on a personal and societal l
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evel.
b. It depicts health promotion as the process of enabling people to increase control ov
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er and improve their health.
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c. It provides a view of health promotion that is focused on people taking control
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of their own health. c1 c1 c1
d. It is most closely aligned with a clinical model of health.
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, ANS: B c1
The Ottawa Charter for Health Promotion provides a blueprint for health promotion in Can
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ada. Within this model, health promotion is depicted as the process of enabling people to inc
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rease control over and improve their health.
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DIF: Cognitive Level: Apply (Application) REF: Health Promotion OBJ:
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t MSC: Health Promotion and Maintenance
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4. Which of the following is a tool used to measure quality of life?
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a. CDCQOL-BREF (from the Centers for Disease Control) c1 c1 c1 c1 c1 c1
b. McGowan Quality of Life Questionnaire c1 c1 c1 c1
c. WHOQOL-BREF (World Health Organization) c1 c1 c1
d. Ottawa Charter for Health Promotion c1 c1 c1 c1
ANS: C c1
Multiple tools are available for measuring quality of life, including a general measure establ
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ished by the World Health Organization Quality of Life, WHOQOL-
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BREF and the McGill Quality of Life Questionnaire for use at the end of life. The Ottawa C
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harter for Health Promotion provides a framework for health promotion, rather than measuri
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ng quality of life.
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DIF: Cognitive Level: Understand (Comprehension) REF: Health Promotion OBJ:
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Assessment MSC: Health Promotion and Maintenance c1 c1 c1 c1 c1
5. Which of the following best describes a care recipient who has an illness?
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a. Someone who has well-controlled diabetes c1 c1 c1 c1
b. Someone with hypercholesterolemia c1 c1
c. Someone with a headache c1 c1 c1
d. Someone with coronary artery disease without angina c1 c1 c1 c1 c1 c1
ANS: C c1
Someone with a headache represents a person with an illness. An illness is made up of the s
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ubjective experience of the individual and the physical manifestation of disease. It can be d
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escribed as a response characterized by a mismatch between a person’s needs and the resou
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rces available to meet those needs. A person can have a disease without feeling ill. The other
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1choices represent disease. c1 c1
DIF: Cognitive Level: Analyze (Analysis) REF: Disease, Illness, and Health OBJ:
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Assessment MSC: Health Promotion and Maintenance c1 c1 c1 c1 c1
6. Which Canadian report is considered to be a landmark document in creating a glob
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al approach to health?
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a. Population Health Promotion Model c1 c1 c1
b. Healthy People 2020 c1 c1
c. Framework for Health Promotion in Canada c1 c1 c1 c1 c1
d. World Health Organization Quality of Life c1 c1 c1 c1 c1
ANS: C c1
By the mid-1980s, Canada became a world leader in the formulation of health-
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promotion ideals and strategies, particularly with the unveiling of the Framework for Health
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Promotion in Canada at the first World Health Organization (WHO) conference on health
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promotion in Ottawa. The overall goal of ―achieving health for all‖ in this report identifies
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three health
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, challenges: reducing inequities, increasing prevention, and enhancing coping. The three
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health-promotion mechanisms to address these challenges are self-
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care, mutual aid, and healthy environments. The final component of the framework con
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sists of three implementation strategies: fostering public participation, strengthening co
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mmunity health services; and coordinating health public policy.
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Healthy People 2020 is a US- c1 c1 c1 c1 c1
based document to guide planning for health care. The WHO Quality of Life tool is a quality
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of life measurement tool used by health care workers. The
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Population Health Promotion Model was developed to provide an overall framework to guide he
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alth promotion by blending both health promotion and population health concepts.
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DIF: Cognitive Level: Remember (Knowledge)
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REF: The Evolution of Health Promotion in Canada OBJ: 3 TOP: Planning
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MSC: Health Promotion and Maintenance
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7. Which of the following is one of the three programs that the Public Health Agency of Cana
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da (PHAC) is focused on for improving the health of Canadians?
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a. Decreased tobacco use in youth throughout the country c1 c1 c1 c1 c1 c1 c1
b. Health promotion and disease prevention c1 c1 c1 c1
c. Increased public funding for health insurance c1 c1 c1 c1 c1
d. Decreased hospital re-admission rates c1 c1 c1
ANS: B c1
The aim of the Public Health Agency of Canada (PHAC) is to promote and protect the healt
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h of Canadians through leadership, partnership, innovation, and action in public health. Amo
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ng the agency’s recent plans are three programs: public health infrastructure; health promoti
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on and disease prevention; and health security. Choices A, C, and D are possible strategies t
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o achieve the goals of this program.
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DIF: Cognitive Level: Remember (Knowledge)
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REF: The Role of the Public Health Agency of Canada in Health Promotion, Prevention, a
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nd Protection
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MSC: Health Promotion and Maintenance
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8. Which of the following represents a method of primary prevention?
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a. Informational session about healthy lifestyles c1 c1 c1 c1
b. Blood pressure screening c1 c1
c. Interventional cardiac catheterization c1 c1
d. Diagnostic cardiac catheterization c1 c1
ANS: A c1
Primary prevention precedes disease or dysfunction. It includes health promotion and specific
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protection and encourages increased awareness; thus, education about healthy lifestyles fits
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this definition. Blood pressure screening does not prevent disease, but instead identifies it.
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DIF: Cognitive Level: Apply (Application)
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REF: Levels of Prevention OBJ: 5 TOP: Planning c1 c1 c1 c1 c 1 c1
MSC: Health Promotion and Maintenance c1 c1 c1 c1
9. Which of the following represents a method of secondary prevention?
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a. Education about breast self-examination c1 c1 c1
b. Yearly mammograms c1
c. Chemotherapy for advanced breast cancer c1 c1 c1 c1