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roughout the Life Span 1st Edition Dames Test Bank
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,Chapter 1: Health Defined: Health Promotion, Prevention, and Protection Dam
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es, Luctkar-Flude and Tyerman: Edelman and Kudzma’s Canadian Health
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Promotion Throughout the Life Span, 1st Edition
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MULTIPLE CHOICE Xv
1. How is disease defined?
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a. The failure of a person’s adaptive mechanisms to counteract stimuli and stre
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sses adequately, resulting in functional or structural disturbances
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b. Disease and illness are components of a struggle for balance in the bodily systems
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c. The failure of a person’s bodily systems in responding to stresses, resulting in a hor
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monal imbalance Xv
d. The assault by stimuli and stress on the body’s core defence systems
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ANS: A Xv
Disease may be defined as the failure of a person’s adaptive mechanisms to counteract sti
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muli and stresses adequately, resulting in functional or structural disturbances. This defini
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tion is an ecological concept of disease, which uses multiple factors to determine the cau
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se of disease, rather than describing a single cause. Disease and illness are not synonym
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ous.
DIF: Cognitive Level: Remember (Knowledge) REF: Disease, Illness, and Health OBJ:
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essment MSC: Health Promotion and Maintenance
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2. How can health be defined?
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a. As the absence of disease and illness
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b. As the person’s philosophy for living in harmony with their environment
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c. A state of physical, mental, and spiritual well-being
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d. A state of physical, mental, spiritual, and social functioning that realizes a pers
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on’s potential and is experienced within a developmental context.
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ANS: D Xv
Definitions of health have evolved as the nature of health and illness becomes better und
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erstood. Health is much more than the absence of disease and illness. It is a state of ph
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ysical, mental, spiritual, and social functioning that realizes a person’s potential and is ex
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perienced within a developmental context.
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DIF: Cognitive Level: Apply (Application) REF: Health and Wellness OBJ:
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t MSC: Health Promotion and Maintenance
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3. The 1986 Ottawa Charter for Health Promotion document provides a blueprint for healt
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h promotion in Canada. Which of the following statements is correct concerning this mo
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del? a. The focus is on environment and the ability to achieve health on a personal and s
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ocietal level. Xv
b. It depicts health promotion as the process of enabling people to increase control
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over and improve their health.
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c. It provides a view of health promotion that is focused on people taking contr
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ol of their own health.
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d. It is most closely aligned with a clinical model of health.
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, ANS: B Xv
The Ottawa Charter for Health Promotion provides a blueprint for health promotion in C
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anada. Within this model, health promotion is depicted as the process of enabling people t
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o increase control over and improve their health.
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DIF: Cognitive Level: Apply (Application) REF: Health Promotion OBJ:
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ment MSC: Health Promotion and Maintenance
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4. Which of the following is a tool used to measure quality of life?
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a. CDCQOL-BREF (from the Centers for Disease Control) Xv Xv Xv Xv Xv Xv
b. McGowan Quality of Life Questionnaire Xv Xv Xv Xv
c. WHOQOL-BREF (World Health Organization) Xv Xv Xv
d. Ottawa Charter for Health Promotion Xv Xv Xv Xv
ANS: C Xv
Multiple tools are available for measuring quality of life, including a general measure est
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ablished by the World Health Organization Quality of Life, WHOQOL-
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BREF and the McGill Quality of Life Questionnaire for use at the end of life. The Ottaw
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a Charter for Health Promotion provides a framework for health promotion, rather than
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measuring quality of life. Xv Xv Xv
DIF: Cognitive Level: Understand (Comprehension) REF: Health Promotion OBJ:
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: Assessment MSC: Health Promotion and Maintenance
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5. Which of the following best describes a care recipient who has an illness?
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a. Someone who has well-controlled diabetes Xv Xv Xv Xv
b. Someone with hypercholesterolemia Xv Xv
c. Someone with a headache Xv Xv Xv
d. Someone with coronary artery disease without angina
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ANS: C Xv
Someone with a headache represents a person with an illness. An illness is made up of t
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he subjective experience of the individual and the physical manifestation of disease. It ca
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n be described as a response characterized by a mismatch between a person’s needs and
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vthe resources available to meet those needs. A person can have a disease without feeling i
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ll. The other choices represent disease.
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DIF: Cognitive Level: Analyze (Analysis) REF: Disease, Illness, and Health OBJ:
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P: Assessment MSC: Health Promotion and Maintenance
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6. Which Canadian report is considered to be a landmark document in creating a gl
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obal approach to health?
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a. Population Health Promotion Model Xv Xv Xv
b. Healthy People 2020 Xv Xv
c. Framework for Health Promotion in Canada Xv Xv Xv Xv Xv
d. World Health Organization Quality of Life
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ANS: C Xv
By the mid-1980s, Canada became a world leader in the formulation of health-
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promotion ideals and strategies, particularly with the unveiling of the Framework for Hea
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lth Promotion in Canada at the first World Health Organization (WHO) conference on h
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ealth promotion in Ottawa. The overall goal of ―achieving health for all‖ in this report i
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dentifies three health Xv Xv
, challenges: reducing inequities, increasing prevention, and enhancing coping. The thr
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ee health-promotion mechanisms to address these challenges are self-
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care, mutual aid, and healthy environments. The final component of the framework c
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onsists of three implementation strategies: fostering public participation, strengthening
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community health services; and coordinating health public policy.
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Healthy People 2020 is a US- Xv Xv Xv Xv Xv
based document to guide planning for health care. The WHO Quality of Life tool is a qua
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lity of life measurement tool used by health care workers. The
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Population Health Promotion Model was developed to provide an overall framework to guide
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health promotion by blending both health promotion and population health concepts.
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DIF: Cognitive Level: Remember (Knowledge)
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REF: The Evolution of Health Promotion in Canada OBJ: 3 TOP: Planni
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ng MSC: Health Promotion and Maintenance
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7. Which of the following is one of the three programs that the Public Health Agency of C
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anada (PHAC) is focused on for improving the health of Canadians?
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a. Decreased tobacco use in youth throughout the country Xv Xv Xv Xv Xv Xv Xv
b. Health promotion and disease prevention Xv Xv Xv Xv
c. Increased public funding for health insurance Xv Xv Xv Xv Xv
d. Decreased hospital re-admission rates Xv Xv Xv
ANS: B Xv
The aim of the Public Health Agency of Canada (PHAC) is to promote and protect the h
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ealth of Canadians through leadership, partnership, innovation, and action in public health.
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Among the agency’s recent plans are three programs: public health infrastructure; health
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promotion and disease prevention; and health security. Choices A, C, and D are possible
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strategies to achieve the goals of this program.
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DIF: Cognitive Level: Remember (Knowledge)
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REF: The Role of the Public Health Agency of Canada in Health Promotion, Preventio
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n, and Protection
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MSC: Health Promotion and Maintenance
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8. Which of the following represents a method of primary prevention?
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a. Informational session about healthy lifestyles Xv Xv Xv Xv
b. Blood pressure screening Xv Xv
c. Interventional cardiac catheterization Xv Xv
d. Diagnostic cardiac catheterization Xv Xv
ANS: A Xv
Primary prevention precedes disease or dysfunction. It includes health promotion and speci
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fic protection and encourages increased awareness; thus, education about healthy lifestyle
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s fits this definition. Blood pressure screening does not prevent disease, but instead ident
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ifies it. Xv
DIF: Cognitive Level: Apply (Application)
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REF: Levels of Prevention OBJ: 5 TOP: Planning Xv Xv Xv Xv X v Xv
MSC: Health Promotion and Maintenance Xv Xv Xv Xv
9. Which of the following represents a method of secondary prevention?
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a. Education about breast self-examination Xv Xv Xv
b. Yearly mammograms Xv