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Authors: Carole Edelman, Elizabeth Kudzma
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Chapter 01: Health Defined: Objectives for Promotion and Prevention E
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,delman: Health Promotion Throughout the Life Span, 10TH Edition
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2. A person with chronic back pain is cared for by her primary care provider as w
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ell as receivesacupuncture. Which model of health does this person likely fa
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vor?
a. Clinical model pf
b. Role performance model pf pf
c. Adaptive model pf
d. Eudaimonistic model pf
ANS: D vk
The eudaimonistic model embodies the interaction and interrelationships among physical, so c
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ial, psychological, and spiritual aspects of life and the environment in goal attainment and cre atin
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g meaning in life. Practitioners who practice the clinical model may not be enough for so meon
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e who believes in the eudaimonistic model. Thosewho believ e in the eudaimonistic m odel o
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ften look for alternative providers of care.
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DIF: Cognitive Level:Apply (Application) pf pf pf REF: p. 3 pf
3. A state of physical, mental, spiritual, and social functioning that realizes a person ‘
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s potential and isexperienced within a developmental context is known as:
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a. growth and development. pf pf
b. health.
c. functioning.
d. high-level wellness. pf
ANS: B vk
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a pers
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on‘s potentialand is experienced within a developmental context.
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, DIF: Cognitive Level: Remember (Knowledge) pf pf pf REF: p. 5 p f pf
4. Which of the following best describes a client who has an illness?
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a. Someone who has well-controlled diabetes pf pf pf pf
b. Someone with hypercholesterolemia pf pf
c. Someone with a headache pf pf pf
d. Someonewith coronaryarterydisease pf pf pf pf pf
withoutangina
e. ANS: C vk
Someone with a headache represents a person with an illness. An illness is made up of the su bj
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ective experience of the individual and the physical manifestation of disease. It can be desc rib
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ed as a response characterized by a mismatch between a person‘s needs and the resources avail
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able to meet those needs. A person can have a diseasewithout feeling ill. The other choice s repres
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ent disease. pf
DIF: Cognitive Level: Analyze (Analysis) pf pf pf REF: p. 6 p f pf
5. Which US report is considered a landmark document in creating a global approach to health?
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a. The1990 Health Objectives for the Nation: A Midcourse Review
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b. Healthy People 2020 pf pf
c. Healthy People 2000 pf pf
d. TheU.S.Surgeon General Report pf pf pf pf
ANS: C vk
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark docum ents i
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n which a consortium of people representing national organizations worked with US Public He
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alth Service officials tocreate a more global approach to health.
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DIF: Cognitive Level: Remember (Knowledge) pf pf pf REF: p. 6 p f pf
6. Which of the following represents a method of primary prevention?
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a. Informational session about healthy lifestyles pf pf pf pf
b. Blood pressure screening pf pf
c. Interventional cardiac catheterization pf pf
d. Diagnostic cardiac catheterization pf pf
ANS: A vk
Primary prevention precedes disease or dysfunction. It includes health promotion and spec if
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ic protection andencourages increased awareness; thus, education about healthy lifestyles fits
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this definition. Blood pressure screening does not prevent disease, but instead identifi es it.
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DIF: p f Cognitive Level:Apply(Application) pf pf pf p f REF: p. 11 pf
7. Which of the following represents a method of secondary prevention?
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a. Self–breast examination education pf pf
b. Yearlymammograms
c. Chemotherapy for advanced breast cancer pf pf pf pf
d. Complete mastectomy for breast cancer pf pf pf pf
, ANS: B vk
Screening is secondary prevention because the principal goal of screenings is to identify indi v
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iduals in an early,detectable stage of the disease process. A mammogram is a screening tool f or b
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reast cancer and thus is considered a method of secondary prevention.
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DIF: p f Cognitive Level:Apply(Application) pf pf pf p f REF: p. 15 pf
8. Which of the following represents a method of tertiary prevention?
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a. Drunk driving campaign vk pf
b. Road blocks for drunk driving pf pf pf pf
c. Emergencysurgery for head trauma after a motor vehicle accident pf pf pf pf pf pf pf pf
d. Physical and occupational therapyafter a motor vehicle a pf pf pf pf pf pf pf pf
ccident with headtrauma pf pf
ANS: D vk
Physical therapy and occupational therapy are considered tertiary prevention. Tertiary preven t
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ion occurs when a defect or disability is permanent and irreversible. It involves minimizing t he
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effect of disease and disability. The objective of tertiary prevention is to maximize remaini ng
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capacities.
DIF: p f Cognitive Level: Apply (Application) pf pf pf p f REF: p. 15 pf
9. In reviewing a person‘s medical claims, a nurse realizes that the individual with moderate p e
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rsistent asthma hashad several emergency department visits and is not on inhaled steroids a s re
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commended by the NHLBI asthma management guidelines. The nurse discusses this wi th th
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e person‘s primary care provider. In this scenario, the nurse is acting as a(n):
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a. advocate.
b. care manager. vk
c. consultant.
d. educator.
ANS: B vk
Care managers act to prevent duplication of service and reduce cost. Care managers base recommendat io
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non reliable data sources such as evidence-based practices and protocols.
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DIF: Cognitive Level: Apply (Application) pf pf pf REF: p. 15 pf
10. During a home visit, a nurse assists an individual to complete an application for disability ser
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vices. The nurseis acting as a(n): pf pf pf pf pf
a. advocate.
b. care manager. vk
c. consultant.
d. educator.
ANS: A vk
The advocacy role of the nurse helps individuals obtain what they are entitled to receive fr o
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m the health care system, tries to make the system more responsive to individuals‘ comm un
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ity needs, and assists individuals indeveloping skills to advocate for themselves.
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DIF: p f Cognitive Level: Apply (Application) pf pf pf p f REF: p. 15 pf