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