,Chapter r01: rHealth rDefined: rObjectives rfor rPromotion rand rPrevention
rEdelman: rHealth rPromotion rThroughout rthe rLife rSpan, r10th rEdition
MULTIPLE rCHOICE
1. Which rmodel rof rhealth ris rmost rlikely rused rby ra rperson rwho rdoes rnot rbelieve rin rpreventive rhealth rcare?
a. Clinical rmodel
b. Role rperformance rmodel
c. Adaptive r model
d. Eudaimonistic rmodel
ANS: r A
The r clinical r model r of r health r views r the r absence r of r signs r and r symptoms r of r disease r as r indicative r of r health. r People
r whoruse rthis rmodel rwait runtil rthey rare rvery rsick rto rseek rcare.
DIF: Cognitive r Level: r Remember r (Knowledge) REF: p. r3
2. A rperson r with r chronic r back r pain r is r cared r for r by r her r primary r care r provider r as r well r as
r receivesracupuncture. rWhich rmodel rof rhealth rdoes rthis rperson rlikely rfavor?
a. Clinical rmodel
b. Role rperformance rmodel
c. Adaptive r model
d. Eudaimonistic rmodel
ANS: r D
The reudaimonistic rmodel rembodies rthe rinteraction rand rinterrelationships ramong rphysical, rsocial,
rpsychological,rand rspiritual raspects rof rlife rand rthe renvironment rin rgoal rattainment rand rcreating rmeaning rin
rlife. rPractitioners rwho r practice r the r clinical r model r may r not r be r enough r for r someone r who r believes r in r the
r eudaimonistic r model. r Those rwho rbelieve rin rthe reudaimonistic rmodel roften rlook rfor ralternative rproviders rof
rcare.
DIF: Cognitive rLevel:rApply r(Application) REF: p. r3
3. A rstate rof rphysical, rmental, rspiritual, rand rsocial rfunctioning rthat rrealizes ra rperson’s rpotential rand ris
rexperienced rwithin ra rdevelopmental rcontext ris rknown ras:
a. growth rand rdevelopment.
b. health.
c. functioning.
d. high-level rwellness.
ANS: r B
Health r is r defined r as r a r state r of r physical, r mental, r spiritual, r and r social r functioning r that r realizes r a r person’s
r potentialrand ris rexperienced rwithin ra rdevelopmental rcontext.
DIF: Cognitive r Level: r Remember r (Knowledge) REF: p. r5
4. Which rof rthe rfollowing rbest rdescribes ra rclient rwho rhas ran rillness?
a. Someone r who r has r well-controlled r diabetes
b. Someone rwith rhypercholesterolemia
c. Someone rwith ra rheadache
d. Someone r with r coronary r artery r disease
r withoutrangina rANS: r C
, Someone r with r a r headache r represents r a r person r with r an r illness. rAn r illness r is r made r up r of r the r subjective
r experiencerof rthe rindividual rand rthe rphysical rmanifestation rof rdisease. rIt rcan rbe rdescribed ras ra rresponse
rcharacterized rby rarmismatch rbetween ra rperson’s rneeds rand rthe rresources ravailable rto rmeet rthose rneeds. rA rperson
rcan rhave ra rdiseaserwithout rfeeling rill. rThe rother rchoices rrepresent rdisease.
DIF: Cognitive r Level: r Analyze r (Analysis) REF: p. r6
5. Which rUS rreport ris rconsidered ra rlandmark rdocument rin rcreating ra rglobal rapproach rto rhealth?
a. The r1990 r Health r Objectives r for r the rNation: r A r Midcourse r Review
b. Healthy r People r 2020
c. Healthy r People r 2000
d. The rU.S. rSurgeon r General r Report
ANS: r C
Healthy rPeople r2000 rand rits rMidcourse rReview rand r1995 rRevisions rwere rlandmark rdocuments rin rwhich ra
rconsortium r of r people r representing r national r organizations r worked r with r US r Public r Health r Service r officials r to
rcreate ra rmore rglobal rapproach rto rhealth.
DIF: Cognitive r Level: r Remember r (Knowledge) REF: p. r6
6. Which rof rthe rfollowing rrepresents ra rmethod rof rprimary rprevention?
a. Informational rsession rabout rhealthy rlifestyles
b. Blood rpressure rscreening
c. Interventional r cardiac r catheterization
d. Diagnostic r cardiac r catheterization
ANS: r A
Primary rprevention rprecedes rdisease ror rdysfunction. rIt rincludes rhealth rpromotion rand rspecific rprotection rand
rencourages rincreased rawareness; rthus, reducation rabout rhealthy rlifestyles rfits rthis rdefinition. rBlood
rpressurerscreening rdoes rnot rprevent rdisease, rbut rinstead ridentifies rit.
DIF: r r Cognitive rLevel:rApply r(Application) REF: p. r11
7. Which rof rthe rfollowing rrepresents ra rmethod rof rsecondary rprevention?
a. Self–breast r examination r education
b. Yearly rmammograms
c. Chemotherapy r for r advanced r breast r cancer
d. Complete r mastectomy r for r breast r cancer
ANS: r B
Screening r is r secondary r prevention r because r the r principal r goal r of r screenings r is r to r identify r individuals r in r an
r early, rdetectable r stage r of r the r disease r process. rA rmammogram r is r a r screening r tool r for r breast r cancer r and r thus r is
rconsidered ra rmethod rof rsecondary rprevention.
DIF: r r Cognitive rLevel:rApply r(Application) REF: p. r15
8. Which rof rthe rfollowing rrepresents ra rmethod rof rtertiary rprevention?
a. Drunk rdriving rcampaign
b. Road rblocks rfor rdrunk rdriving
c. Emergency r surgery r for r head r trauma r after r a r motor r vehicle r accident
d. Physical rand roccupational rtherapy rafter ra rmotor rvehicle raccident rwith rhead
trauma rANS: r D
r
, Physical rtherapy rand roccupational rtherapy rare rconsidered rtertiary rprevention. rTertiary rprevention roccurs rwhen
ra rdefect ror rdisability ris rpermanent rand rirreversible. rIt rinvolves rminimizing rthe reffect rof rdisease rand rdisability.
rTherobjective rof rtertiary rprevention ris rto rmaximize rremaining rcapacities.
DIF: r r r r r r Cognitive rLevel: rApply r(Application) REF: p. r15
9. In rreviewing ra rperson’s rmedical rclaims, ra rnurse rrealizes rthat rthe rindividual rwith r moderate rpersistent r asthma rhas
rhad rseveral remergency rdepartment rvisits rand ris rnot ron rinhaled rsteroids ras rrecommended rby rthe rNHLBI
rasthmarmanagement rguidelines. rThe rnurse rdiscusses rthis rwith rthe rperson’s rprimary rcare rprovider. rIn rthis
rscenario, rthe rnurse ris racting ras ra(n):
a. advocate.
b. care rmanager.
c. consultant.
d. educator.
ANS: r B
Care r managers r act r to r prevent r duplication r of r service r and r reduce r cost. r Care r managers r base
r recommendationron rreliable rdata rsources rsuch ras revidence-based rpractices rand rprotocols.
DIF: r r r r r r Cognitive rLevel: rApply r(Application) REF: p. r15
10. During r a r home r visit, r a r nurse r assists r an r individual r to r complete r an r application r for r disability r services. r The
r nurseris racting ras ra(n):
a. advocate.
b. care rmanager.
c. consultant.
d. educator.
ANS: r A
The radvocacy rrole rof rthe rnurse rhelps rindividuals robtain rwhat rthey rare rentitled rto rreceive rfrom rthe rhealth
rcare rsystem, rtries rto rmake rthe rsystem rmore rresponsive rto rindividuals’ rcommunity rneeds, rand rassists rindividuals
rin rdeveloping rskills rto radvocate rfor rthemselves.
DIF: r r r r r r Cognitive rLevel: rApply r(Application) REF: p. r15
11. During r a r home rvisit, r a r nurse r discusses r the r dangers r of r smoking r with r an r individual. r In r this r scenario r the
r nurseris racting ras ra(n):
a. advocate.
b. care rmanager.
c. consultant.
d. educator.
ANS: r D
Health reducation ris ra rprimary rprevention rtechnique ravailable rto ravoid rmajor rcauses rof rdisease. rTeaching
rcanrrange rfrom ra rchance rremark rto ra rplanned rlesson.
DIF: r r r r r r Cognitive rLevel: rApply r(Application) REF: p. r16
12. A r nurse r is r asked r to r provide r an r expert r opinion r about r the r development r of r an r education r program
r forrnewly rdiagnosed rdiabetics. rIn rthis rscenario, rthe rnurse ris racting ras ra(n):
a. advocate.
b. care rmanager.
c. consultant.
d. educator.
rEdelman: rHealth rPromotion rThroughout rthe rLife rSpan, r10th rEdition
MULTIPLE rCHOICE
1. Which rmodel rof rhealth ris rmost rlikely rused rby ra rperson rwho rdoes rnot rbelieve rin rpreventive rhealth rcare?
a. Clinical rmodel
b. Role rperformance rmodel
c. Adaptive r model
d. Eudaimonistic rmodel
ANS: r A
The r clinical r model r of r health r views r the r absence r of r signs r and r symptoms r of r disease r as r indicative r of r health. r People
r whoruse rthis rmodel rwait runtil rthey rare rvery rsick rto rseek rcare.
DIF: Cognitive r Level: r Remember r (Knowledge) REF: p. r3
2. A rperson r with r chronic r back r pain r is r cared r for r by r her r primary r care r provider r as r well r as
r receivesracupuncture. rWhich rmodel rof rhealth rdoes rthis rperson rlikely rfavor?
a. Clinical rmodel
b. Role rperformance rmodel
c. Adaptive r model
d. Eudaimonistic rmodel
ANS: r D
The reudaimonistic rmodel rembodies rthe rinteraction rand rinterrelationships ramong rphysical, rsocial,
rpsychological,rand rspiritual raspects rof rlife rand rthe renvironment rin rgoal rattainment rand rcreating rmeaning rin
rlife. rPractitioners rwho r practice r the r clinical r model r may r not r be r enough r for r someone r who r believes r in r the
r eudaimonistic r model. r Those rwho rbelieve rin rthe reudaimonistic rmodel roften rlook rfor ralternative rproviders rof
rcare.
DIF: Cognitive rLevel:rApply r(Application) REF: p. r3
3. A rstate rof rphysical, rmental, rspiritual, rand rsocial rfunctioning rthat rrealizes ra rperson’s rpotential rand ris
rexperienced rwithin ra rdevelopmental rcontext ris rknown ras:
a. growth rand rdevelopment.
b. health.
c. functioning.
d. high-level rwellness.
ANS: r B
Health r is r defined r as r a r state r of r physical, r mental, r spiritual, r and r social r functioning r that r realizes r a r person’s
r potentialrand ris rexperienced rwithin ra rdevelopmental rcontext.
DIF: Cognitive r Level: r Remember r (Knowledge) REF: p. r5
4. Which rof rthe rfollowing rbest rdescribes ra rclient rwho rhas ran rillness?
a. Someone r who r has r well-controlled r diabetes
b. Someone rwith rhypercholesterolemia
c. Someone rwith ra rheadache
d. Someone r with r coronary r artery r disease
r withoutrangina rANS: r C
, Someone r with r a r headache r represents r a r person r with r an r illness. rAn r illness r is r made r up r of r the r subjective
r experiencerof rthe rindividual rand rthe rphysical rmanifestation rof rdisease. rIt rcan rbe rdescribed ras ra rresponse
rcharacterized rby rarmismatch rbetween ra rperson’s rneeds rand rthe rresources ravailable rto rmeet rthose rneeds. rA rperson
rcan rhave ra rdiseaserwithout rfeeling rill. rThe rother rchoices rrepresent rdisease.
DIF: Cognitive r Level: r Analyze r (Analysis) REF: p. r6
5. Which rUS rreport ris rconsidered ra rlandmark rdocument rin rcreating ra rglobal rapproach rto rhealth?
a. The r1990 r Health r Objectives r for r the rNation: r A r Midcourse r Review
b. Healthy r People r 2020
c. Healthy r People r 2000
d. The rU.S. rSurgeon r General r Report
ANS: r C
Healthy rPeople r2000 rand rits rMidcourse rReview rand r1995 rRevisions rwere rlandmark rdocuments rin rwhich ra
rconsortium r of r people r representing r national r organizations r worked r with r US r Public r Health r Service r officials r to
rcreate ra rmore rglobal rapproach rto rhealth.
DIF: Cognitive r Level: r Remember r (Knowledge) REF: p. r6
6. Which rof rthe rfollowing rrepresents ra rmethod rof rprimary rprevention?
a. Informational rsession rabout rhealthy rlifestyles
b. Blood rpressure rscreening
c. Interventional r cardiac r catheterization
d. Diagnostic r cardiac r catheterization
ANS: r A
Primary rprevention rprecedes rdisease ror rdysfunction. rIt rincludes rhealth rpromotion rand rspecific rprotection rand
rencourages rincreased rawareness; rthus, reducation rabout rhealthy rlifestyles rfits rthis rdefinition. rBlood
rpressurerscreening rdoes rnot rprevent rdisease, rbut rinstead ridentifies rit.
DIF: r r Cognitive rLevel:rApply r(Application) REF: p. r11
7. Which rof rthe rfollowing rrepresents ra rmethod rof rsecondary rprevention?
a. Self–breast r examination r education
b. Yearly rmammograms
c. Chemotherapy r for r advanced r breast r cancer
d. Complete r mastectomy r for r breast r cancer
ANS: r B
Screening r is r secondary r prevention r because r the r principal r goal r of r screenings r is r to r identify r individuals r in r an
r early, rdetectable r stage r of r the r disease r process. rA rmammogram r is r a r screening r tool r for r breast r cancer r and r thus r is
rconsidered ra rmethod rof rsecondary rprevention.
DIF: r r Cognitive rLevel:rApply r(Application) REF: p. r15
8. Which rof rthe rfollowing rrepresents ra rmethod rof rtertiary rprevention?
a. Drunk rdriving rcampaign
b. Road rblocks rfor rdrunk rdriving
c. Emergency r surgery r for r head r trauma r after r a r motor r vehicle r accident
d. Physical rand roccupational rtherapy rafter ra rmotor rvehicle raccident rwith rhead
trauma rANS: r D
r
, Physical rtherapy rand roccupational rtherapy rare rconsidered rtertiary rprevention. rTertiary rprevention roccurs rwhen
ra rdefect ror rdisability ris rpermanent rand rirreversible. rIt rinvolves rminimizing rthe reffect rof rdisease rand rdisability.
rTherobjective rof rtertiary rprevention ris rto rmaximize rremaining rcapacities.
DIF: r r r r r r Cognitive rLevel: rApply r(Application) REF: p. r15
9. In rreviewing ra rperson’s rmedical rclaims, ra rnurse rrealizes rthat rthe rindividual rwith r moderate rpersistent r asthma rhas
rhad rseveral remergency rdepartment rvisits rand ris rnot ron rinhaled rsteroids ras rrecommended rby rthe rNHLBI
rasthmarmanagement rguidelines. rThe rnurse rdiscusses rthis rwith rthe rperson’s rprimary rcare rprovider. rIn rthis
rscenario, rthe rnurse ris racting ras ra(n):
a. advocate.
b. care rmanager.
c. consultant.
d. educator.
ANS: r B
Care r managers r act r to r prevent r duplication r of r service r and r reduce r cost. r Care r managers r base
r recommendationron rreliable rdata rsources rsuch ras revidence-based rpractices rand rprotocols.
DIF: r r r r r r Cognitive rLevel: rApply r(Application) REF: p. r15
10. During r a r home r visit, r a r nurse r assists r an r individual r to r complete r an r application r for r disability r services. r The
r nurseris racting ras ra(n):
a. advocate.
b. care rmanager.
c. consultant.
d. educator.
ANS: r A
The radvocacy rrole rof rthe rnurse rhelps rindividuals robtain rwhat rthey rare rentitled rto rreceive rfrom rthe rhealth
rcare rsystem, rtries rto rmake rthe rsystem rmore rresponsive rto rindividuals’ rcommunity rneeds, rand rassists rindividuals
rin rdeveloping rskills rto radvocate rfor rthemselves.
DIF: r r r r r r Cognitive rLevel: rApply r(Application) REF: p. r15
11. During r a r home rvisit, r a r nurse r discusses r the r dangers r of r smoking r with r an r individual. r In r this r scenario r the
r nurseris racting ras ra(n):
a. advocate.
b. care rmanager.
c. consultant.
d. educator.
ANS: r D
Health reducation ris ra rprimary rprevention rtechnique ravailable rto ravoid rmajor rcauses rof rdisease. rTeaching
rcanrrange rfrom ra rchance rremark rto ra rplanned rlesson.
DIF: r r r r r r Cognitive rLevel: rApply r(Application) REF: p. r16
12. A r nurse r is r asked r to r provide r an r expert r opinion r about r the r development r of r an r education r program
r forrnewly rdiagnosed rdiabetics. rIn rthis rscenario, rthe rnurse ris racting ras ra(n):
a. advocate.
b. care rmanager.
c. consultant.
d. educator.
