,Chapter 01: Health Defined: Objectives for Promotion and Prevention
l l l l l l l l
Edelman: Health Promotion Throughout the Life Span, 10th Edition
l l l l l l l l l
MULTIPLE CHOICE l
1. Which model of health is most likely used by a person who does not believe in preventive health care?
l l l l l l l l l l l l l l l l l l
a. Clinical model l
b. Role performance model l l
c. Adaptive model l
d. Eudaimonistic model l
ANS: A
The clinical model of health views the absence of signs and symptoms of disease as indicative of health. People
l l l l l l l l l l l l l l l l l l
whouse this model wait until they are very sick to seek care.
l l l l l l l l l l l l
DIF: Cognitive Level: Remember (Knowledge) l l l REF: p. 3 l
2. A person with chronic back pain is cared for by her primary care provider as well as
l l l l l l l l l l l l l l l l
receivesacupuncture. Which model of health does this person likely favor?
l l l l l l l l l l
a. Clinical model l
b. Role performance model l l
c. Adaptive model l
d. Eudaimonistic model l
ANS: D
The eudaimonistic model embodies the interaction and interrelationships among physical, social,
l l l l l l l l l l
psychological,and spiritual aspects of life and the environment in goal attainment and creating meaning in life.
l l l l l l l l l l l l l l l l
Practitioners who practice the clinical model may not be enough for someone who believes in the
l l l l l l l l l l l l l l l l
eudaimonistic model. Those who believe in the eudaimonistic model often look for alternative providers of
l l l l l l l l l l l l l l l
care.
l
DIF: CognitiveLevel:Apply (Application) l l REF: p. 3 l
3. A state of physical, mental, spiritual, and social functioning that realizes a person‘s potential and is
l l l l l l l l l l l l l l l
experienced within a developmental context is known as:
l l l l l l l l
a. growth and development. l l
b. health.
c. functioning.
d. high-level wellness. l
ANS: B
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a person‘s
l l l l l l l l l l l l l l l l
potentialand is experienced within a developmental context.
l l l l l l l
DIF: Cognitive Level: Remember (Knowledge) l l l REF: p. 5 l
4. Which of the following best describes a client who has an illness?
l l l l l l l l l l l
a. Someone who has well-controlled diabetes l l l l
b. Someone with hypercholesterolemia l l
c. Someone with a headache l l l
d. Someone with coronary artery l l l
l disease withoutangina ANS: C l l l
, Someone with a headache represents a person with an illness. An illness is made up of the subjective
l l l l l l l l l l l l l l l l l
lexperiencerof the individual and the physical manifestation of disease. It can be described as a response
l l l l l l l l l l l l l l l
lcharacterized by amismatch between a person‘s needsand the resources available to meet those needs. A person can
l l l l l l l l l l l l l l l l l
lhave a diseaserwithout feeling ill. The other choices represent disease.
l l l l l l l l l
DIF: Cognitive Level: Analyze (Analysis) l l l REF: p. 6 l
5. Which US report is considered a landmark document in creating a global approach to health?
l l l l l l l l l l l l l l
a. The 1990 Health Objectives for the Nation: A Midcourse Review
l l l l l l l l l
b. Healthy People 2020 l l
c. Healthy People 2000 l l
d. The U.S. Surgeon General Report
l l l l
ANS: C
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark documents in which a
l l l l l l l l l l l l l l l
consortium of people representing national organizations worked with US Public Health Service officials to
l l l l l l l l l l l l l l
create a more global approach to health.
l l l l l l l
DIF: Cognitive Level: Remember (Knowledge) l l l REF: p. 6 l
6. Which of the following represents a method of primary prevention?
l l l l l l l l l
a. Informational session about healthy lifestyles l l l l
b. Blood pressure screening l l
c. Interventional cardiac catheterization l l
d. Diagnostic cardiac catheterization l l
ANS: A
Primary prevention precedes disease or dysfunction. It includes health promotion and specific protection and
l l l l l l l l l l l l l
encourages increased awareness; thus, education about healthy lifestyles fits this definition. Blood
l l l l l l l l l l l l
pressurescreening does not prevent disease, but instead identifies it.
l l l l l l l l l
DIF: l l l CognitiveLevel:Apply (Application) l l REF: p. 11
l
7. Which of the following represents a method of secondary prevention?
l l l l l l l l l
a. Self–breast examination education l l
b. Yearly mammograms l
c. Chemotherapy for advanced breast cancer l l l l
d. Complete mastectomy for breast cancer l l l l
ANS: B
Screening is secondary prevention because the principal goal of screenings is to identify individuals in an
l l l l l l l l l l l l l l l
early, detectable stage of the disease process. A mammogram is a screening tool for breast cancer and thus is
l l l l l l l l l l l l l l l l l l l
considered a method of secondary prevention.
l l l l l l
DIF: l l l CognitiveLevel:Apply (Application) l l REF: p. 15
l
8. Which of the following represents a method of tertiary prevention?
l l l l l l l l l
a. Drunk driving campaign l l
b. Road blocks for drunk driving l l l l
c. Emergency surgery for head trauma after a motor vehicle accident l l l l l l l l l
d. Physical and occupational therapy after a motor vehicle accident with head
l l l l l l l l l l
trauma ANS: D
l l l
, Physical therapy and occupational therapy are considered tertiary prevention. Tertiary prevention occurs when
l l l l l l l l l l l l
adefect or disability is permanent and irreversible. It involves minimizing the effect of disease and disability.
l l l l l l l l l l l l l l l l
Theobjective of tertiary prevention is to maximize remaining capacities.
l l l l l l l l l
DIF: l l l Cognitive Level: Apply (Application) l l l REF: p. 15 l
9. In reviewing a person‘s medical claims, a nurse realizes that the individual with moderate persistent asthma has
l l l l l l l l l l l l l l l l
had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI
l l l l l l l l l l l l l l l l
asthmamanagement guidelines. The nurse discusses this with the person‘s primary care provider. In this
l l l l l l l l l l l l l l
scenario, the nurse is acting as a(n):
l l l l l l l
a. advocate.
b. care manager. l
c. consultant.
d. educator.
ANS: B
Care managers act to prevent duplication of service and reduce cost. Care
l l l l l l l l l l l l managers base l
recommendationon reliable data sources such as evidence-based practices and protocols.
l l l l l l l l l l
DIF: l l l Cognitive Level: Apply (Application) l l l REF: p. 15 l
10. During a home visit, a nurse assists an individual to complete an application for disability services. The
l l l l l l l l l l l l l l l l
nurseis acting as a(n):
l l l l
a. advocate.
b. care manager. l
c. consultant.
d. educator.
ANS: A
The advocacy role of the nurse helps individuals obtain what they are entitled to receive from the health
l l l l l l l l l l l l l l l l l
caresystem, tries to make the system more responsive to individuals‘ community needs, and assists individuals
l l l l l l l l l l l l l l l
in developing skills to advocate for themselves.
l l l l l l l
DIF: l l l Cognitive Level: Apply (Application) l l l REF: p. 15 l
11. During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the
l l l l l l l l l l l l l l l l l
nurseis acting as a(n):
l l l l
a. advocate.
b. care manager. l
c. consultant.
d. educator.
ANS: D
Health education is a primary prevention technique available to avoid major causes of disease. Teaching
l l l l l l l l l l l l l l
canrrange from a chance remark to a planned lesson.
l l l l l l l l l
DIF: l l l Cognitive Level: Apply (Application) l l l REF: p. 16 l
12. A nurse is asked to provide an expert opinion about the development of an education program
l l l l l l l l l l l l l l l
forrnewly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
l l l l l l l l l l l l
a. advocate.
b. care manager. l
c. consultant.
d. educator.
l l l l l l l l
Edelman: Health Promotion Throughout the Life Span, 10th Edition
l l l l l l l l l
MULTIPLE CHOICE l
1. Which model of health is most likely used by a person who does not believe in preventive health care?
l l l l l l l l l l l l l l l l l l
a. Clinical model l
b. Role performance model l l
c. Adaptive model l
d. Eudaimonistic model l
ANS: A
The clinical model of health views the absence of signs and symptoms of disease as indicative of health. People
l l l l l l l l l l l l l l l l l l
whouse this model wait until they are very sick to seek care.
l l l l l l l l l l l l
DIF: Cognitive Level: Remember (Knowledge) l l l REF: p. 3 l
2. A person with chronic back pain is cared for by her primary care provider as well as
l l l l l l l l l l l l l l l l
receivesacupuncture. Which model of health does this person likely favor?
l l l l l l l l l l
a. Clinical model l
b. Role performance model l l
c. Adaptive model l
d. Eudaimonistic model l
ANS: D
The eudaimonistic model embodies the interaction and interrelationships among physical, social,
l l l l l l l l l l
psychological,and spiritual aspects of life and the environment in goal attainment and creating meaning in life.
l l l l l l l l l l l l l l l l
Practitioners who practice the clinical model may not be enough for someone who believes in the
l l l l l l l l l l l l l l l l
eudaimonistic model. Those who believe in the eudaimonistic model often look for alternative providers of
l l l l l l l l l l l l l l l
care.
l
DIF: CognitiveLevel:Apply (Application) l l REF: p. 3 l
3. A state of physical, mental, spiritual, and social functioning that realizes a person‘s potential and is
l l l l l l l l l l l l l l l
experienced within a developmental context is known as:
l l l l l l l l
a. growth and development. l l
b. health.
c. functioning.
d. high-level wellness. l
ANS: B
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a person‘s
l l l l l l l l l l l l l l l l
potentialand is experienced within a developmental context.
l l l l l l l
DIF: Cognitive Level: Remember (Knowledge) l l l REF: p. 5 l
4. Which of the following best describes a client who has an illness?
l l l l l l l l l l l
a. Someone who has well-controlled diabetes l l l l
b. Someone with hypercholesterolemia l l
c. Someone with a headache l l l
d. Someone with coronary artery l l l
l disease withoutangina ANS: C l l l
, Someone with a headache represents a person with an illness. An illness is made up of the subjective
l l l l l l l l l l l l l l l l l
lexperiencerof the individual and the physical manifestation of disease. It can be described as a response
l l l l l l l l l l l l l l l
lcharacterized by amismatch between a person‘s needsand the resources available to meet those needs. A person can
l l l l l l l l l l l l l l l l l
lhave a diseaserwithout feeling ill. The other choices represent disease.
l l l l l l l l l
DIF: Cognitive Level: Analyze (Analysis) l l l REF: p. 6 l
5. Which US report is considered a landmark document in creating a global approach to health?
l l l l l l l l l l l l l l
a. The 1990 Health Objectives for the Nation: A Midcourse Review
l l l l l l l l l
b. Healthy People 2020 l l
c. Healthy People 2000 l l
d. The U.S. Surgeon General Report
l l l l
ANS: C
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark documents in which a
l l l l l l l l l l l l l l l
consortium of people representing national organizations worked with US Public Health Service officials to
l l l l l l l l l l l l l l
create a more global approach to health.
l l l l l l l
DIF: Cognitive Level: Remember (Knowledge) l l l REF: p. 6 l
6. Which of the following represents a method of primary prevention?
l l l l l l l l l
a. Informational session about healthy lifestyles l l l l
b. Blood pressure screening l l
c. Interventional cardiac catheterization l l
d. Diagnostic cardiac catheterization l l
ANS: A
Primary prevention precedes disease or dysfunction. It includes health promotion and specific protection and
l l l l l l l l l l l l l
encourages increased awareness; thus, education about healthy lifestyles fits this definition. Blood
l l l l l l l l l l l l
pressurescreening does not prevent disease, but instead identifies it.
l l l l l l l l l
DIF: l l l CognitiveLevel:Apply (Application) l l REF: p. 11
l
7. Which of the following represents a method of secondary prevention?
l l l l l l l l l
a. Self–breast examination education l l
b. Yearly mammograms l
c. Chemotherapy for advanced breast cancer l l l l
d. Complete mastectomy for breast cancer l l l l
ANS: B
Screening is secondary prevention because the principal goal of screenings is to identify individuals in an
l l l l l l l l l l l l l l l
early, detectable stage of the disease process. A mammogram is a screening tool for breast cancer and thus is
l l l l l l l l l l l l l l l l l l l
considered a method of secondary prevention.
l l l l l l
DIF: l l l CognitiveLevel:Apply (Application) l l REF: p. 15
l
8. Which of the following represents a method of tertiary prevention?
l l l l l l l l l
a. Drunk driving campaign l l
b. Road blocks for drunk driving l l l l
c. Emergency surgery for head trauma after a motor vehicle accident l l l l l l l l l
d. Physical and occupational therapy after a motor vehicle accident with head
l l l l l l l l l l
trauma ANS: D
l l l
, Physical therapy and occupational therapy are considered tertiary prevention. Tertiary prevention occurs when
l l l l l l l l l l l l
adefect or disability is permanent and irreversible. It involves minimizing the effect of disease and disability.
l l l l l l l l l l l l l l l l
Theobjective of tertiary prevention is to maximize remaining capacities.
l l l l l l l l l
DIF: l l l Cognitive Level: Apply (Application) l l l REF: p. 15 l
9. In reviewing a person‘s medical claims, a nurse realizes that the individual with moderate persistent asthma has
l l l l l l l l l l l l l l l l
had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI
l l l l l l l l l l l l l l l l
asthmamanagement guidelines. The nurse discusses this with the person‘s primary care provider. In this
l l l l l l l l l l l l l l
scenario, the nurse is acting as a(n):
l l l l l l l
a. advocate.
b. care manager. l
c. consultant.
d. educator.
ANS: B
Care managers act to prevent duplication of service and reduce cost. Care
l l l l l l l l l l l l managers base l
recommendationon reliable data sources such as evidence-based practices and protocols.
l l l l l l l l l l
DIF: l l l Cognitive Level: Apply (Application) l l l REF: p. 15 l
10. During a home visit, a nurse assists an individual to complete an application for disability services. The
l l l l l l l l l l l l l l l l
nurseis acting as a(n):
l l l l
a. advocate.
b. care manager. l
c. consultant.
d. educator.
ANS: A
The advocacy role of the nurse helps individuals obtain what they are entitled to receive from the health
l l l l l l l l l l l l l l l l l
caresystem, tries to make the system more responsive to individuals‘ community needs, and assists individuals
l l l l l l l l l l l l l l l
in developing skills to advocate for themselves.
l l l l l l l
DIF: l l l Cognitive Level: Apply (Application) l l l REF: p. 15 l
11. During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the
l l l l l l l l l l l l l l l l l
nurseis acting as a(n):
l l l l
a. advocate.
b. care manager. l
c. consultant.
d. educator.
ANS: D
Health education is a primary prevention technique available to avoid major causes of disease. Teaching
l l l l l l l l l l l l l l
canrrange from a chance remark to a planned lesson.
l l l l l l l l l
DIF: l l l Cognitive Level: Apply (Application) l l l REF: p. 16 l
12. A nurse is asked to provide an expert opinion about the development of an education program
l l l l l l l l l l l l l l l
forrnewly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
l l l l l l l l l l l l
a. advocate.
b. care manager. l
c. consultant.
d. educator.
