Edition by Potter
Chapter 01: Health andWellness
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,MULTIPLE CHOICE p
1. The nurse is using the population health promotion model to develop actions for
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improving health. After asking, ―On what should we take action?‖; ―How should we
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take action?‖; and ―Why should we take action?‖ the nurse will ask which of the
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following questions?
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a. ―With whom should we act?‖ p p p p
b. ―When should we take action?‖ p p p p
c. ―Which government should take action?‖ p p p p
d. ―Where should we first act?‖ p p p p
ANS: A p
The next question to ask when using the population health model approach is ―With whom
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should we act?‖ The other choices are not questions included in this model.
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DIF: Apply REF: 13 (Figure 1-5) p p
OBJ: Contrast distinguishing features of health promotion and disease prevention.
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TOP: Implementation MSC: NCLEX: Health Promotion and Maintenance p p p p p p
2. The principle ―Health promotion is multisectoral‖ means which of the following?
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a. Relationships between individual, social, and environmental factors must p p p p p p p
be recognized.
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b. Physical, mental, social, ecological, cultural, and spiritual aspects of health
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must be recognized.
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c. In order to change unhealthy living and working conditions, areas other than
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health must also be involved.
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d. Health promotion uses knowledge from disciplines such as social, economic,
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political, environmental, medical, and nursing sciences, as well as from first-
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hand experience.
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ANS: C p
The statement ―Health promotion is multisectoral‖ is the principle explained by
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the necessity to involve areas other than health in order to change
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unhealthy living and working conditions.
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DIF: Understand REF: 11
OBJ: Contrast distinguishing features of health promotion and disease
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pprevention. TOP: Planning MSC: NCLEX: Health Promotion
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pand Maintenance
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3. Accordingto the World Health Organization, what is the best description of ―health‖?
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a. Simply the absence of disease. p p p p
b. Involving the total person and environment. p p p p p
c. Strictly personal in nature. p p p
d. Status of pathological state. p p p
ANS: B p
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, WHO defines health as ―. . .the extent to which an individual or group is able, on the
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one hand, to realize aspirations and satisfy needs; and, on the other hand, to change or
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cope with the environment. Health is, therefore, seen as a resource for everyday life,
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not the objective of living; it is a positive concept emphasizing social and personal
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resources, as well as physical capacities.‖ Nurses‘ attitudes toward health and illness
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should consider the total person, as well as the environment in which the person lives.
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People free of disease are not equally healthy. Views of health have broadened to
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include mental, social, and spiritual well-being, as well as a focus on health at family
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pand community levels.
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Conditions of life, rather than pathological states, are what determine health.
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DIF: Knowledge REF: 2
OBJ: Discuss ways that definitions of health have been conceptualized.
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TOP: Evaluate
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Maintenance
p
4. What priority strategy for health promotion in Canada is optional but seen as important
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to incorporate in nursing education curricula?
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a. Knowledge of disease prevention. p p p
b. Strategies for health promotion. p p p
c. Policy advocacy. p
d. Concepts of determinants of health. p p p p
ANS: C p
Increasingly, policy advocacy is incorporated into nursing role statements and nursing
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education curricula. Nurses should think about policies that have contributed to health
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problems, policies that would help alleviate health problems, and how nurses champion
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public policies. Disease prevention, health promotion, and concepts of determinants of
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health are integral parts of nursing curricula.
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DIF: Understand REF: 11| 12 p
OBJ: Analyze how the nature and scope of nursing practice are influenced by
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different conceptualizations of health and health determinants. TOP:
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Planning MSC: NCLEX: Health Promotion and Maintenance
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5. Which of the following is a prerequisite for health, as identified by the Ottawa Charter
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for Health Promotion?
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a. Education.
b. Social support. p
c. Self-esteem.
d. Physical environment. p
ANS: A p
Education is one of the nine prerequisites for health that were identified in the Ottawa
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Charter for Health Promotion. Lack of social support and low self-esteem were identified
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as psychosocial risk factors by Labonte (1993). Dangerous physical environments were
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identified as socioenvironmental risk factors by Labonte (1993).
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DIF: Understand REF: 4
OBJ: Discuss contributions of the following Canadian publications to conceptualizations of
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health and health determinants: Lalonde Report, Ottawa Charter, Epp Report, Strategies for
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Population Health, Jakarta Declaration, Bangkok Charter, Toronto Charter.
p p TOP: Planning p p p p p p
MSC: NCLEX: Health Promotion and Maintenance
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, 6. The determinant of health with the greatest effect on the health of Canadians is which
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p of the following?
p p
a. Education.
b. Health services. p
c. Social support networks. p p
d. Income and social status. p p p
ANS: D p
Income, income distribution, and social status constitute the greatest determinant of
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health because they influence most other determinants. Some investigators suggest that
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literacy and education are important influences on health status because they affect
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pmany other health determinants. Approximately 25% of a population‘s health status is
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attributed to the quality of its health care services. Social support affects health, health
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behaviours, and health care utilization but is not the greatest determinant of health.
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DIF: Understand REF: 6
OBJ: Discuss key health determinants and their interrelationships and how they influence
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health. TOP: Planning
p MSC: NCLEX: Health Promotion and Maintenance
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7. A paraplegic patient in the hospital for an electrolyte imbalance is receiving care at which
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p prevention level? p
a. Primary prevention level. p p
b. Secondaryprevention level. p
c. Tertiaryprevention level. p
d. Health promotion level. p p
ANS: B p
The secondary prevention level focuses on early detection of disease once pathogenesis
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has occurred, so that prompt treatment can be initiated to halt disease and limit disability.
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The primary prevention level focuses on health promotion, specific protection measures
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such as immunizations, and the reduction of risk factors such as smoking. The tertiary
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prevention level focuses on minimizing residual disability.
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DIF: Apply REF: 11
OBJ: Contrast distinguishing features of health promotion and disease prevention.p p p p p p p p
TOP: Implementation MSC: NCLEX: Health Promotion and Maintenance p p p p p p
8. The nurse incorporates levels of prevention on the basis of patient needs and the
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type of nursing care provided. Which of the following is an example of tertiary level
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preventive caregiving?
p p
a. Teaching a patient how to irrigate a new temporary colostomy.
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b. Providing a lesson on hygiene for an elementary school class. p p p p p p p p p
c. Informing a patient that immunizations for her infant are available through
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the health department.
p p p
d. Arranging for a hospice nurse to visit with the family of a patient with cancer.
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ANS: D p
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