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 nurse is planning a health promotion teaching session for
a middle-aged client. Which statement best reflects the
World Health Organization’s modern definition of health
that should guide the nurse’s approach?
A. Health is the absence of disease.
B. Health is a state of complete physical, mental and social
well-being.
C. Health is determined solely by genetic factors.
D. Health is the ability to perform daily activities without
assistance.
,Answer: B.
Rationale: The modern definition views health holistically
(physical, mental, social) and supports a broad health-
promotion approach.
Citation: Potter & Perry’s Canadian Fundamentals of Nursing,
7th ed., Chapter 1: Health and Wellness
2. A client with type 2 diabetes asks how to prevent
complications. Which nursing intervention is an example of
tertiary prevention?
A. Teaching handwashing to reduce infection risk.
B. Administering insulin and teaching foot care to prevent
further complications.
C. Discussing lifestyle changes to prevent diabetes onset.
D. Screening community members for elevated blood
glucose.
Answer: B.
Rationale: Tertiary prevention focuses on reducing the impact
of established disease and preventing complications through
treatment and rehabilitation.
Citation: Potter & Perry’s Canadian Fundamentals of Nursing,
7th ed., Chapter 1: Health and Wellness
3. During assessment, a nurse asks about a client’s housing,
income, and education. These items are best described as:
, A. Personal health practices.
B. Social determinants of health.
C. Primary health-care services.
D. Risk factors for immediate harm.
Answer: B.
Rationale: Income, education, and housing are social
determinants that strongly influence health outcomes and
access to care.
Citation: Potter & Perry’s Canadian Fundamentals of Nursing,
7th ed., Chapter 1: Health and Wellness
4. A nurse provides culturally safe care by first:
A. Telling clients what is best for their health.
B. Assuming all clients share the same values.
C. Reflecting on personal biases and recognizing cultural
differences.
D. Avoiding discussion of cultural beliefs.
Answer: C.
Rationale: Cultural safety begins with self-reflection about
biases and power differences to provide respectful, client-
centered care.
Citation: Potter & Perry’s Canadian Fundamentals of Nursing,
7th ed., Chapter 1: Health and Wellness
, 5. Which outcome statement best demonstrates application
of the nursing process in health promotion?
A. Client will know about cardiac risk factors.
B. Client will state two dietary changes by discharge.
C. Client will avoid all fats permanently.
D. Client will not have future cardiac events.
Answer: B.
Rationale: A measurable learning outcome (state two dietary
changes) aligns with assessment, planning, implementation,
and evaluation in health teaching.
Citation: Potter & Perry’s Canadian Fundamentals of Nursing,
7th ed., Chapter 1: Health and Wellness
6. A public health nurse plans a screening clinic for
hypertension. The nurse explains this is which level of
prevention?
A. Primary prevention.
B. Secondary prevention.
C. Tertiary prevention.
D. Quaternary prevention.
Answer: B.
Rationale: Screening identifies disease early to allow prompt
intervention—this is secondary prevention.
Citation: Potter & Perry’s Canadian Fundamentals of Nursing,
7th ed., Chapter 1: Health and Wellness