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Canadian Fundamentalsof Nursing7thEditionPott fi fi x!
er TestBank fi x!
Chapter01: Healthand Wellness
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Potter etal: Canadian Fundamentalsof Nursing, 7th Edition
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MULTIPLE CHOICE !x
1. The nurse is using the population health promotion model to develop actions for improving h
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ealth. After asking, ―On what should we take action?‖; ―How should we take action?‖; and ―W
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hy should we take action?‖ the nurse will ask which of the following questions?
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a. ―With whom should we act?‖ !x !x !x !x
b. ―When should we take action?‖ !x !x !x !x
c. ―Which government should take action?‖ !x !x fi !x
d. ―Where should we first act?‖ !x fi !x !x
ANS: A !x
The next question to ask when using the population health model approach is ―With whom should w
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e act?‖ The other choices are not questions included in this model.
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DIF: Apply REF: 13, Figure 1-5 !x !x !x
OBJ: Contrast distinguishing features of health promotion and disease prevention. T
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OP: Implementation
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2. Theprinciple ―Health promotion ismultisectoral‖ means which of the following?
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a. Relationshipsbetween individual,social, and environmental factors must be r fi x! !x !x x! !x fi !x !x
ecognized.
b. Physical, mental, social, ecological, cultural, and spiritual aspects of health must b
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e recognized. x!NRIGB.CM x
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c. In order to changeunhealthUy l i Sv ingNan Td workiO
fi ng conditions,areas other than health
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must also be involved. !x !x fi
d. Health promotion involves the use of knowledge from disciplines such as social, ec
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onomic, political, environmental, medical, and nursing sciences, as well as from first
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-hand experience. !x
ANS: C !x
The statement ―Health promotion is multisectoral‖ is the principle explained by the necessity to in
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volve areas other than health in order to change unhealthy living and working conditions.
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DIF: Understand REF: 11 !x
OBJ: Contrast distinguishing features of health promotion and diseaseprevention.
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TOP: Planning
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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. fi !x !x fi
b. Involvingthe total person and environment. !x fi !x fi
c. Strictlypersonal in nature. !x !x
d. Status of pathological state. !x fi !x
ANS: B !x
, Canadian Fundamentals of Nursing 7th Edition Potter Test Bank fi !x fi !x !x fi fi !x
The WHO defines health as ―…the extent to which an individual or group is able, on the one ha
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nd, to realize aspirations and satisfy needs; and, on the other hand, to change or cope with the e n
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vironment. Health is, therefore, seen as a resource for everyday life, not the objective of living; i
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t is a positive concept emphasizing social and personal resources, as well as physical capacitie s
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.‖ Nurses‘ attitudes toward health and illness should account for the total person, as well as the
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environment in which the person lives. People free of disease are not equally healthy. Views of
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xhealth have broadened to include mental, social, and spiritual well-
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being, as well as a focus on health at family and community levels. Conditions of life, rather tha
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n pathological states, are what determine health.
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DIF: Knowledge REF: 2 ! x ! x ! x ! x !x
OBJ: Discuss ways that definitions of health have been conceptualized.
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TOP: Evaluate
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4. What prioritystrategy for health promotion in Canada is optional but seen as important to in
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corporate in nursing education curricula? !x !x !x fi
a. Knowledge of disease prevention. !x fi fi
b. Strategies for health promotion. !x !x !x
c. Policy advocacy. fi
d. Concepts of determinants of health. !x fi !x fi
ANS: C !x
Increasingly, policy advocacy is incorporated into nursing role statements and nursing educatio n c
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urricula. Nurses should think about policies that have contributed to health
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problems, policies that would help to alleviate health problems, and how nursing champions pu
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blic policies. Disease prevention is an integral part of nursing curricula. Health promotion is
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a fundamental part of nursing curricu la. B.CM
N RUS
INGT
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DIF: Understand REF: 11 |12 !x !x !x
OBJ: Analyze how the nature and scope of nursing practice are influenced by different c onceptualizatio
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ns of health and health determinants.
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TOP: Planning MS !x !x
C: CPNRE: Foundations of Practice
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5. Which of the following is a prerequisite for health, as identified by the Ottawa Charter for H
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ealth Promotion? !x
a. Education.
b. Social support. fi
c. Self-esteem.
d. Physical environment. !x
ANS: A !x
Education is one of the nine prerequisites for health that were identified in the Ottawa Charter fo r
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Health Promotion. Lack of social support and low self-
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esteem were identified as a psychosocial risk factors by Labonte (1993). Dangerous physical en
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vironments were identified as socioenvironmental risk factors by Labonte (1993).
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DIF: Understand REF: 4 !x
OBJ: Discuss contributions of the following Canadian publications to conceptualizations of health a
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nd health determinants: Lalonde Report, Ottawa Charter, Epp Report, Strategies for Population H
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e alth, Jakarta Declaration, Bangkok Charter, Toronto Charter.
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MSC: CPNRE: Foundations of Practice ! x !x x! fi
, Canadian Fundamentals of Nursing 7th Edition Potter Test Bank fi !x fi !x !x fi fi !x
6. The determinant of health with the greatest effect on the health of Canadians is which of the fo
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xllowing?
a. Education.
b. Health services. fi
c. Social support networks. fi fi
d. Income and social status. !x fi !x
ANS: D !x
Income, income distribution, and social status are the determinants of health that influence mos t
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other determinants. Some investigators suggest that literacy and education are important influe n
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ces on health status because they affect many other health determinants.
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Approximately 25% of a population‘s health status is attributed to the quality of its health care se
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rvices. Social support affects health, health behaviours, and health care utilization but is not the
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most influential determinant of health.
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DIF: Understand REF: 6
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OBJ: Discuss key health determinants and their interrelationships and how they influence health
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. TOP: Planning
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7. A paraplegic patient in the hospital for an electrolyte imbalance is receiving care at which pr
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evention level? !x
a. Primary prevention. fi
b. Secondaryprevention.
c. Tertiary prevention. fi
d. Health promotion. fi
ANS: B !x
The secondary prevention levNeU
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ocSuI sG
seN o nTeBar.l yCd e Mt ection ofdiseaseoncepathogenesishasoccurr ed
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, so that prompt treatment can be initiated to halt disease and limit disability. The
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primary prevention level focuses on health promotion, specific protection measures such as imm
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unizations, and the reduction of risk factors such as smoking. The tertiary prevention level focu
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ses on minimizing residual disability.
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DIF: Apply REF: 11 !x
OBJ: Contrast distinguishing features of health promotion and disease prevention. T
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OP: Implementation
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8. The nurse incorporates levels of prevention on the basis of patient needs and the type of n
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ursing care provided. Which of the following is an example of tertiary level preventive car
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egiving?
x
a. Teachinga patient how to irrigate a new temporary colostomy. !x !x !x !x !x fi !x fi
b. Providing a lesson on hygiene for an elementaryschool class. fi fi !x !x fi fi !x !x
c. Informing a patient that immunizations for her infant are available through the h
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ealth department.
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d. Arranging for a hospice nurse to visit with the family of a patient with cancer.
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ANS: D !x