Test Bank for Edelman and Kudzma’s Canadian Health Promotion a. As the absence of disease and illness
b. As the person’s philosophy for living in harmony with their environment
throughout the Life Span 1st Edition by Dames A+
c. A state of physical, mental, and spiritual well-being
Chapter 1: Health Defined: Health Promotion, Prevention, and Protection Dames, Luctkar-Flude
d. A state of physical, mental, spiritual, and social functioning that realizes a person’s
and Tyerman:
potential and is experienced within a developmental context.
MULTIPLE CHOICE
ANS: D
Definitions of health have evolved as the nature of health and illness becomes better understood.
1. How is disease defined?
Health is much more than the absence of disease and illness. It is a state of physical, mental,
a. The failure of a person’s adaptive mechanisms to counteract stimuli and stresses
spiritual, and social functioning that realizes a person’s potential and is experienced within a
adequately, resulting in functional or structural disturbances
developmental context.
b. Disease and illness are components of a struggle for balance in the bodily systems
c. The failure of a person’s bodily systems in responding to stresses, resulting in a hormonal
DIF: Cognitive Level: Apply (Application) REF: Health and Wellness OBJ: 1 TOP: Assessment
imbalance
MSC: Health Promotion and Maintenance
d. The assault by stimuli and stress on the body’s core defence systems
ANS: A
3. The 1986 Ottawa Charter for Health Promotion document provides a blueprint for health
Disease may be defined as the failure of a person’s adaptive mechanisms to counteract stimuli
promotion in Canada. Which of the following statements is correct concerning this model? a.
and stresses adequately, resulting in functional or structural disturbances. This definition is an
The focus is on environment and the ability to achieve health on a personal and societal level.
ecological concept of disease, which uses multiple factors to determine the cause of disease,
b. It depicts health promotion as the process of enabling people to increase control over and
rather than describing a single cause. Disease and illness are not synonymous.
improve their health.
c. It provides a view of health promotion that is focused on people taking control of their
DIF: Cognitive Level: Remember (Knowledge) REF: Disease, Illness, and Health OBJ: 1 TOP:
own health.
Assessment MSC: Health Promotion and Maintenance
d. It is most closely aligned with a clinical model of health.
2. How can health be defined?
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,Created By: A Solution Created By: A Solution
ANS: B a. Someone who has well-controlled diabetes
The Ottawa Charter for Health Promotion provides a blueprint for health promotion in Canada. b. Someone with hypercholesterolemia
Within this model, health promotion is depicted as the process of enabling people to increase c. Someone with a headache
control over and improve their health. d. Someone with coronary artery disease without angina
ANS: C
DIF: Cognitive Level: Apply (Application) REF: Health Promotion OBJ: 2 TOP: Assessment Someone with a headache represents a person with an illness. An illness is made up of the
MSC: Health Promotion and Maintenance subjective experience of the individual and the physical manifestation of disease. It can be
described as a response characterized by a mismatch between a person’s needs and the resources
4. Which of the following is a tool used to measure quality of life? available to meet those needs. A person can have a disease without feeling ill. The other choices
a. CDCQOL-BREF (from the Centers for Disease Control) represent disease.
b. McGowan Quality of Life Questionnaire
c. WHOQOL-BREF (World Health Organization) DIF: Cognitive Level: Analyze (Analysis) REF: Disease, Illness, and Health OBJ: 4 TOP:
d. Ottawa Charter for Health Promotion Assessment MSC: Health Promotion and Maintenance
ANS: C
Multiple tools are available for measuring quality of life, including a general measure established 6. Which Canadian report is considered to be a landmark document in creating a global
by the World Health Organization Quality of Life, WHOQOL-BREF and the McGill Quality of approach to health?
Life Questionnaire for use at the end of life. The Ottawa Charter for Health Promotion provides a a. Population Health Promotion Model
framework for health promotion, rather than measuring quality of life. b. Healthy People 2020
c. Framework for Health Promotion in Canada
DIF: Cognitive Level: Understand (Comprehension) REF: Health Promotion OBJ: 2 TOP: d. World Health Organization Quality of Life
Assessment MSC: Health Promotion and Maintenance ANS: C
By the mid-1980s, Canada became a world leader in the formulation of health-promotion ideals
5. Which of the following best describes a care recipient who has an illness? and strategies, particularly with the unveiling of the Framework for Health Promotion in Canada
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,Created By: A Solution Created By: A Solution
at the first World Health Organization (WHO) conference on health promotion in Ottawa. The ANS: B
overall goal of “achieving health for all” in this report identifies three health The aim of the Public Health Agency of Canada (PHAC) is to promote and protect the health of
Canadians through leadership, partnership, innovation, and action in public health. Among the
challenges: reducing inequities, increasing prevention, and enhancing coping. The three health- agency’s recent plans are three programs: public health infrastructure; health promotion and
promotion mechanisms to address these challenges are self-care, mutual aid, and healthy disease prevention; and health security. Choices A, C, and D are possible strategies to achieve
environments. The final component of the framework consists of three implementation the goals of this program.
strategies: fostering public participation, strengthening community health services; and
coordinating health public policy. DIF: Cognitive Level: Remember (Knowledge)
Healthy People 2020 is a US-based document to guide planning for health care. The WHO REF: The Role of the Public Health Agency of Canada in Health Promotion, Prevention, and
Quality of Life tool is a quality of life measurement tool used by health care workers. The Protection OBJ: 3 TOP: Planning
Population Health Promotion Model was developed to provide an overall framework to guide MSC: Health Promotion and Maintenance
health promotion by blending both health promotion and population health concepts.
8. Which of the following represents a method of primary prevention?
DIF: Cognitive Level: Remember (Knowledge) a. Informational session about healthy lifestyles
REF: The Evolution of Health Promotion in Canada OBJ: 3 TOP: Planning MSC: Health b. Blood pressure screening
Promotion and Maintenance c. Interventional cardiac catheterization
d. Diagnostic cardiac catheterization
7. Which of the following is one of the three programs that the Public Health Agency of ANS: A
Canada (PHAC) is focused on for improving the health of Canadians? Primary prevention precedes disease or dysfunction. It includes health promotion and specific
a. Decreased tobacco use in youth throughout the country protection and encourages increased awareness; thus, education about healthy lifestyles fits this
b. Health promotion and disease prevention definition. Blood pressure screening does not prevent disease, but instead identifies it.
c. Increased public funding for health insurance
d. Decreased hospital re-admission rates
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, Created By: A Solution Created By: A Solution
DIF: Cognitive Level: Apply (Application) REF: Levels of Prevention OBJ: 5 TOP: Physiotherapy and occupational therapy are considered tertiary prevention. Tertiary prevention
Planning MSC: Health Promotion and Maintenance occurs when a defect or disability is permanent and irreversible. It involves minimizing the effect
9. Which of the following represents a method of secondary prevention? of disease and disability. The objective of tertiary prevention is to maximize remaining
a. Education about breast self-examination capacities.
b. Yearly mammograms
c. Chemotherapy for advanced breast cancer DIF: Cognitive Level: Apply (Application) REF: Levels of Prevention OBJ: 5 TOP: Planning
d. Complete mastectomy for breast cancer MSC: Health Promotion and Maintenance
ANS: B 11. In reviewing a person’s medical history, a nurse realizes that the individual with
Screening is secondary prevention because the principal goal of screenings is to identify moderate persistent asthma has had several emergency department visits and is not on inhaled
individuals in an early, detectable stage of the disease process. A mammogram is a screening steroids as recommended by the best practice guidelines for asthma management. The nurse
tool for breast cancer and, thus, is considered a method of secondary prevention. discusses this with the person’s primary care provider. In this scenario, the nurse is acting as
a(n): a. Advocate.
DIF: Cognitive Level: Apply (Application) REF: Levels of Prevention OBJ: 5 TOP: Planning b. Care coordinator.
MSC: Health Promotion and Maintenance c. Consultant or collaborator.
d. Educator.
10. Which of the following represents a method of tertiary prevention? ANS: B
a. Drunk driving campaign Care coordinators act to prevent duplication of services, maintain quality and safety, and reduce
b. Road blocks for drunk driving costs. Care coordinators base recommendations on reliable data sources such as evidence-
c. Emergency surgery for head trauma after a motor vehicle accident informed practices and protocols.
d. Physiotherapy and occupational therapy after a motor vehicle accident with head trauma
ANS: D DIF: Cognitive Level: Apply (Application)
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