of Nursing - Elsevier 7th Edition
by Barbara J. Astle, RN, PhD, FCAN, Wendy
Duggleby, RN, PhD, Patricia A. Potter, RN,
MSN, PhD, FAAN, Anne G. Perry, RN, MSN,
EdD, FAAN, Patricia A. Stockert, RN, BSN,
MS, PhD and Amy Hall, RN, BSN, MS, PhD,
CNE
TEST BANK
1. A community health nurse uses the
term "health" to describe a client who
manages a chronic condition, performs
daily activities independently, and
reports satisfaction with life. This
definition best reflects which view of
health?
A. Disease-free state
, B. Homeostasis model
C. Holistic/continuous wellness model
D. Biomedical model
Answer: C. Holistic/continuous wellness
model
Rationale: Holistic/continuous wellness
emphasizes functioning, adaptation, and
subjective well-being rather than
absence of disease.
Citation: Potter & Perry, Canadian
Fundamentals of Nursing, 7th ed.,
Chapter 1: Health and Wellness.
2. A nurse educating a family about
immunizations is practicing which level
of prevention?
A. Primordial prevention
B. Primary prevention
C. Secondary prevention
, D. Tertiary prevention
Answer: B. Primary prevention
Rationale: Primary prevention prevents
disease occurrence (e.g., immunizations,
health education).
Citation: Potter & Perry, Chapter 1:
Health and Wellness.
3. Which is the best example of a social
determinant of health?
A. Blood pressure reading
B. Access to safe housing
C. Personal genetic mutation
D. Pathogen exposure in hospital
Answer: B. Access to safe housing
Rationale: Social determinants (income,
housing, education, environment)
influence health outcomes beyond
clinical factors.
, Citation: Potter & Perry, Chapter 1:
Health and Wellness.
4. A nurse identifies that a client’s low
health literacy may impede self-
management. Which nursing action is
most appropriate first?
A. Provide a pamphlet with medical
terms defined
B. Use teach-back to check
understanding
C. Refer to a specialist for education
D. Ask the client to read the medication
label aloud
Answer: B. Use teach-back to check
understanding
Rationale: Teach-back confirms
understanding and is an evidence-based
communication strategy for low health