b
b
, Canadian Fundamentals of Nursing 6th Edition Potter Test Bank
Chapter 01: Health and Wellness
b b b b
Potter et al: Canadian Fundamentals of Nursing, 6th Edition
b b b b b b b b
MULTIPLE CHOICE b
1. The nurse is using the population health promotion model to develop actions for
b b b b b b b b b b b b
improving health. After asking, “On what should we take action?”; “How should we take
b b b b b b b b b b b b b b
action?”; and “Why should we take action?” the nurse will ask which of the following
b b b b b b b b b b b b b b b
questions?
b
a. “With whom should we act?” b b b b
b. “When should we take action?” b b b b
c. “Which government should take action?” b b b b
d. “Where should we first act?” b b b b
ANS: A b
The next question to ask when using the population health model approach is “With
b b b b b b b b b b b b b
whomshould we act?” The other choices are not questions included in this model.
b b b b b b b b b b b b b b
DIF: Apply REF: 13, Figure 1-5 b b b
OBJ: Contrast distinguishing features of health promotion and disease prevention.
b b b b b b b b b
TOP: Implementation
b b MSC: CPNRE: Foundations of Practice b b b b
2. The principle “Health promotion is multisectoral” means which of the following?
b b b b b b b b b b
a. Relationships between individual, social, and environmental factors must b b b b b b b
berecognized.
b b
b. Physical, mental, social, ecological, cultural, and spiritual aspects of health
b b b b b b b b b
mustbe recognized.
b NRI GB.CM b b b b b b b
c. In order to change unhealthU
b y liS
vingNanT
d workiO ng conditions, areas other than health
b b b b b b b b b b
must also be involved.
b b b b
d. Health promotion involves the use of knowledge from disciplines such as social,
b b b b b b b b b b b
economic, political, environmental, medical, and nursing sciences, as well as
b b b b b b b b b b
fromfirst-hand experience.
b b b
ANS: C b
The statement “Health promotion is multisectoral” is the principle explained by the necessity to
b b b b b b b b b b b b b
involve areas other than health in order to change unhealthy living and working conditions.
b b b b b b b b b b b b b b
DIF: Understand REF: 11 b
OBJ: Contrast distinguishing features of health promotion and disease
b b b b b b b b
prevention.TOP: Planning MSC: CPNRE: Foundations of Practice
b b b b b b b
3. According to the World Health Organization, what is the best description of “health”?
b b b b b b b b b b b b
a. Simply the absence of disease. b b b b
b. Involving the total person and environment. b b b b b
c. Strictly personal in nature. b b b
d. Status of pathological state. b b b
ANS: B b
, Canadian Fundamentals of Nursing 6th Edition Potter Test Bank
The WHO defines health as “…the extent to which an individual or group is able, on the one
b b b b b b b b b b b b b b b b b
hand, to realize aspirations and satisfy needs; and, on the other hand, to change or cope with
b b b b b b b b b b b b b b b b b
the environment. Health is, therefore, seen as a resource for everyday life, not the objective
b b b b b b b b b b b b b b b
ofliving; it is a positive concept emphasizing social and personal resources, as well as physical
b b b b b b b b b b b b b b b b
capacities.” Nurses’ attitudes toward health and illness should account for the total person, as
b b b b b b b b b b b b b b
well as the environment in which the person lives. People free of disease are not equally
b b b b b b b b b b b b b b b b
healthy. Views of health have broadened to include mental, social, and spiritual well-being,
b b b b b b b b b b b b b
aswell as a focus on health at family and community levels. Conditions of life, rather than
b b b b b b b b b b b b b b b b b
pathological states, are what determine health.
b b b b b b
DIF: Knowledge REF: 2 b
OBJ: Discuss ways that definitions of health have been
b b b b b b b b
conceptualized.TOP: Evaluate
b MSC: CPNRE: Foundations of b b b b b
Practice
b
4. What priority strategy for health promotion in Canada is optional but seen as important
b b b b b b b b b b b b b
toincorporate in nursing education curricula?
b b b b b b
a. Knowledge of disease prevention. b b b
b. Strategies for health promotion. b b b
c. Policy advocacy. b
d. Concepts of determinants of health. b b b b
ANS: C b
Increasingly, policy advocacy is incorporated into nursing role statements and nursing
b b b b b b b b b b
education curricula. Nurses should think about policies that have contributed to health
b b b b b b b b b b b b
problems, policies that would help to alleviate health problems, and how nursing champions
b b b b b b b b b b b b b
public policies. Disease prevention is an integral part of nursing curricula. Health promotion isa
b b b b b b b b b b b b b b
bfundamental part of nursing curricula. B.CM b b b b
N R I G b
USNT b b b O
DIF: Understand REF: 11 | 12 b b b
OBJ: Analyze how the nature and scope of nursing practice are influenced by
b b b b b b b b b b b b
differentconceptualizations of health and health determinants.
b b TOP: Planning b b b b b b
MSC: CPNRE: Foundations of Practice
b b b b b
5. Which of the following is a prerequisite for health, as identified by the Ottawa Charter
b b b b b b b b b b b b b b
forHealth Promotion?
b b b
a. Education.
b. Social support. b
c. Self-esteem.
d. Physical environment. b
ANS: A b
Education is one of the nine prerequisites for health that were identified in the Ottawa
b b b b b b b b b b b b b b
Charterfor Health Promotion. Lack of social support and low self-esteem were identified as a
b b b b b b b b b b b b b b b
psychosocial risk factors by Labonte (1993). Dangerous physical environments were identified
b b b b b b b b b b b
as socioenvironmental risk factors by Labonte (1993).
b b b b b b b
DIF: Understand REF: 4 b
OBJ: Discuss contributions of the following Canadian publications to conceptualizations of
b b b b b b b b b b
healthand health determinants: Lalonde Report, Ottawa Charter, Epp Report, Strategies for
b b b b b b b b b b b b
Population Health, Jakarta Declaration, Bangkok Charter, Toronto Charter.
b b TOP: Planning b b b b b b b
MSC: CPNRE: Foundations of Practice
b b b b
, Canadian Fundamentals of Nursing 6th Edition Potter Test Bank
6. The determinant of health with the greatest effect on the health of Canadians is which of
b b b b b b b b b b b b b b b
thefollowing?
b b
a. Education.
b. Health services. b
c. Social support networks. b b
d. Income and social status. b b b
ANS: D b
Income, income distribution, and social status are the determinants of health that influence
b b b b b b b b b b b b
most other determinants. Some investigators suggest that literacy and education are
b b b b b b b b b b b
importantinfluences on health status because they affect many other health determinants.
b b b b b b b b b b b b
Approximately 25% of a population’s health status is attributed to the quality of its health b b b b b b b b b b b b b b
care services. Social support affects health, health behaviours, and health care utilization but is
b b b b b b b b b b b b b b
notthe most influential determinant of health.
b b b b b b b
DIF: Understand REF: 6 b
OBJ: Discuss key health determinants and their interrelationships and how they influence
b b b b b b b b b b b
health.TOP: Planning
b MSC: CPNRE: Foundations of Practice
b b b b b b
7. A paraplegic patient in the hospital for an electrolyte imbalance is receiving care at
b b b b b b b b b b b b b
b whichprevention level? b b
a. Primary prevention. b
b. Secondary prevention. b
c. Tertiary prevention. b
d. Health promotion. b
ANS: B b
The secondary prevention levNeU
b l fR
ocSuI sG
seNonTeBar.lyCdeM
tection of disease once pathogenesis hasb b b b b b b b b
occurred, so that prompt treatment can be initiated to halt disease and limit disability. The
b b b b b b b b b b b b b b b
primary prevention level focuses on health promotion, specific protection measures such
b b b b b b b b b b
asimmunizations, and the reduction of risk factors such as smoking. The tertiary prevention
b b b b b b b b b b b b b b
level focuses on minimizing residual disability.
b b b b b b
DIF: Apply REF: 11 b
OBJ: Contrast distinguishing features of health promotion and disease prevention.
b b b b b b b b b
TOP: Implementation
b b MSC: CPNRE: Foundations of Practice b b b b
8. The nurse incorporates levels of prevention on the basis of patient needs and the type
b b b b b b b b b b b b b b
of nursing care provided. Which of the following is an example of tertiary level
b b b b b b b b b b b b b b
preventivecaregiving?
b b
a. Teaching a patient how to irrigate a new temporary colostomy. b b b b b b b b b
b. Providing a lesson on hygiene for an elementary school class. b b b b b b b b b
c. Informing a patient that immunizations for her infant are available through b b b b b b b b b b
thehealth department.
b b b
d. Arranging for a hospice nurse to visit with the family of a patient with cancer. b b b b b b b b b b b b b b
ANS: D b