TEST BANK
Health Promotion Throughout the Life Span
Carole Lium Edelman, and Elizabeth Connelly Kudzma
9th Edition
,Table of Contents
Chapter 01: Health Defined: Objectives for Promotion and Prevention 1
Chapter 02: Emerging Populations and Health 10
Chapter 03: Health Policy and the Delivery System 21
Chapter 04: The Therapeutic Relationship 32
Chapter 05: Ethical Issues Related to Health Promotion 40
Chapter 06: Health Promotion and the Individual 52
Chapter 07: Health Promotion and the Family 62
Chapter 08: Health Promotion and the Community 72
Chapter 09: Screening 85
Chapter 10: Health Education 97
Chapter 11: Nutrition Counseling for Health Promotion 108
Chapter 12: Exercise 119
Chapter 13: Stress Management 131
Chapter 14: Complementary and Alternative Strategies 142
Chapter 15: Overview of Growth and Development Framework 153
Chapter 16: The Prenatal Period 163
Chapter 17: Infant 176
Chapter 18: Toddler 189
Chapter 19: Preschool Child 199
Chapter 20: School-Age Child 211
Chapter 21: Adolescent 224
Chapter 22: Young Adult 234
Chapter 23: Middle-Age Adult 246
Chapter 24: Older Adult 257
Chapter 25: Health Promotion in the Twenty-First Century 271
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
Chapter 01: Health Defined: Objectives for Promotion and Prevention
Edelman: Health Promotion Throughout the Life Span, 9th Edition
MULTIPLE CHOICE
1. Which model of health is most likely used by a person who does not believe in preventive
health care?
a. Clinical model
b. Role performance model
c. Adaptive model
d. Eudaimonistic model
ANS: A
The clinical model of health views the absence of signs and symptoms of disease as indicative
of health. People who use this model wait until they are very sick to seek care.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 3.
2. A person with chronic back pain is cared for by her primary care provider, as well as receives
acupuncture. Which model of health does this person likely favor?
a. Clinical model
b. Role performance model
c. Adaptive model
d. Eudaimonistic model
ANS: D
The eudaimonistic model embodies the interaction and interrelationships among physical,
WWW.TBSM.WS
social, psychological, and spiritual aspects of life and the environment in goal attainment and
creating meaning in life. Practitioners who practice the clinical model may not be enough for
someone who believes in the eudaimonistic model. Those who believe in the eudaimonistic
model often look for alternative providers of care.
DIF: Cognitive Level: Apply (Application) REF: p. 3
3. Halbert Dunn (1961) introduced the concept of high level wellness, a health-illness continuum
which factored in the individual’s environment when determining a level of health. Which of
the following statements is correct concerning his model?
a. Care recipients who are terminal or dying could not be classified as having high-
level wellness.
b. The focus is on environment and the ability to achieve health on a personal and
societal level.
c. It provides a view of health which is in opposition to the eudaimonistic model of
health.
d. It is most closely aligned with a clinical model of health.
ANS: B
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
Dunn’s construct of high level wellness assesses a person’s wellness not only from the
perspective of his relative health but also factors in his environment—favorable or
unfavorable—to arrive at a more comprehensive determination of relative wellness. With this
concept in mind, a person who is dying can be said to have achieved high-level wellness via
emotionally preparing for death and/or supporting others toward this end. His concept defines
health on both personal and societal levels. This model is similar to the eudaimonistic model
of health which factors in physical, social, psychological, and spiritual aspects as well as
influences from the environment in defining health. For these reasons, choices A, C, and D
would all be incorrect.
DIF: Cognitive Level: Apply (Application) REF: p. 4
4. A state of physical, mental, spiritual, and social functioning that realizes a person’s potential
and is experienced within a developmental context is known as
a. growth and development.
b. health.
c. functioning.
d. high-level wellness.
ANS: B
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a
person’s potential and is experienced within a developmental context.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 5
5. Which of the following best describes a care recipient who has an illness?
a. Someone who has well-controlled diabetes
WWW.TBSM.WS
b. Someone with hypercholesterolemia
c. Someone with a headache
d. Someone with coronary artery disease without angina
ANS: C
Someone with a headache represents a person with an illness. An illness is made up of the
subjective experience of the individual and the physical manifestation of disease. It can be
described as a response characterized by a mismatch between a person’s needs and the
resources available to meet those needs. A person can have a disease without feeling ill. The
other choices represent disease.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 6
6. Which US report is considered a landmark document in creating a global approach to health?
a. The 1990 Health Objectives for the Nation: A Midcourse Review
b. Healthy People 2020
c. Healthy People 2000
d. The US Surgeon General Report
ANS: C
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark
documents in which a consortium of people representing national organizations worked with
US Public Health Service officials to create a more global approach to health.
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
DIF: Cognitive Level: Remember (Knowledge) REF: p. 6
7. Which of the following is one of the four overreaching goals for Healthy People 2020 (US
Department of Health and Human Services)?
a.Decreased tobacco use in youth throughout the nation
b.Achieve health equality and eliminate disparity for all groups
c.Increased public funding for health insurance
d.Decreased hospital re-admission rates
ANS: B
Healthy people 2020 has four overarching goals to include the following: 1. attain high
quality, longer lives free of preventable disease, disability, injury, and premature death. 2.
Achieve health equality, eliminate disparities, and improve the health of all groups. 3. Create
social and physical environments that promote good health for all. 4. Promote quality of life,
healthy development, and healthy behaviors across all life stages. Choices A, C, and D are
possible strategies to achieve the state goals but they do not reflect the actual published
overarching goals.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 7
8. Which of the following statements accurately reflect primordial prevention?
a. It concerns interventions directed at the fetus while in utero to assure lifelong
health.
b. It is a more modern term used interchangeably with primary prevention.
c. It is a health-promotion strategy which reflects policy-level interventions.
d. It refers administering vaccines to prevent individuals from developing the
disease.
WWW.TBSM.WS
ANS: C
Primordial prevention is a fairly new concept which has been added to the more traditional
modalities of primary, secondary, and tertiary prevention. Primordial refers to the time frame
before a risk factor develops and before disease occurs. Primordial prevention reflects policy-
level interventions which will serve to prevent disease. Such prevention is typically
implemented at the “national, state, or community” levels. Examples of primordial prevention
would be state regulations which mandate healthy food for school-based lunch programs or
regulations which call for the elimination of trans fats in commercial foods. By contrast,
primary prevention are those interventions which are directed at the individual in the interest
of preventing disease. Vaccinating an individual against disease would be an example of
primary prevention as would be education and interventions (exercise, low fat, avoiding
excess salt) aimed at preventing cardiovascular disease before it occurs.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 9
9. Which of the following represents a method of primary prevention?
a. Informational session about healthy lifestyles
b. Blood pressure screening
c. Interventional cardiac catheterization
d. Diagnostic cardiac catheterization
ANS: A
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
Primary prevention precedes disease or dysfunction. It includes health promotion and specific
protection and encourages increased awareness; thus, education about healthy lifestyles fits
this definition. Blood pressure screening does not prevent disease, but instead identifies it.
DIF: Cognitive Level: Apply (Application) REF: p. 11
10. Which of the following represents a method of secondary prevention?
a. Self-breast examination education
b. Yearly mammograms
c. Chemotherapy for advanced breast cancer
d. Complete mastectomy for breast cancer
ANS: B
Screening is secondary prevention because the principal goal of screenings is to identify
individuals in an early, detectable stage of the disease process. A mammogram is a screening
tool for breast cancer and thus is considered a method of secondary prevention.
DIF: Cognitive Level: Apply (Application) REF: p. 13
11. Which of the following represents a method of tertiary prevention?
a. Drunk driving campaign
b. Road blocks for drunk driving
c. Emergency surgery for head trauma after a motor vehicle accident
d. Physical and occupational therapy after a motor vehicle accident with head trauma
ANS: D
Physical therapy and occupational therapy are considered tertiary prevention. Tertiary
prevention occurs when a defect WWW.TBSM.WS
or disability is permanent and irreversible. It involves
minimizing the effect of disease and disability. The objective of tertiary prevention is to
maximize remaining capacities.
DIF: Cognitive Level: Apply (Application) REF: p. 13
12. In reviewing a person’s medical claims, a nurse realizes that the individual with moderate
persistent asthma has had several emergency department visits and is not on inhaled steroids
as recommended by the NHLBI asthma management guidelines. The nurse discusses this with
the person’s primary care provider. In this scenario, the nurse is acting as a(n)
a. advocate.
b. care manager.
c. consultant.
d. educator.
ANS: B
Care managers act to prevent duplication of service and reduce cost. Care managers base
recommendation on reliable data sources such as evidence-based practices and protocols.
DIF: Cognitive Level: Apply (Application) REF: p. 14
13. During a home visit, a nurse assists an individual to complete an application for disability
services. The nurse is acting as a(n)
a. advocate.
b. care manager.
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
c. consultant.
d. educator.
ANS: A
The advocacy role of the nurse helps individuals obtain what they are entitled to receive from
the health care system, tries to make the system more responsive to individuals’ community
needs, and assists individuals in developing skills to advocate for themselves.
DIF: Cognitive Level: Apply (Application) REF: p. 13
14. During a home visit, a nurse discusses the dangers of smoking with an individual. In this
scenario the nurse is acting as a(n)
a. advocate.
b. care manager.
c. consultant.
d. educator.
ANS: D
Health education is a primary prevention technique available to avoid major causes of disease.
Teaching can range from a chance remark to a planned lesson.
DIF: Cognitive Level: Apply (Application) REF: p. 14
15. A nurse is asked to provide an expert opinion about the development of an education program
for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n)
a. advocate.
b. care manager.
c. consultant. WWW.TBSM.WS
d. educator.
ANS: C
Nurses with a specialized area of expertise provide education about health promotion and
disease prevention to individuals and groups as consultants.
DIF: Cognitive Level: Apply (Application) REF: p. 14
16. A nurse is planning to deliver an educational program to individuals with diabetes. Which of
the following should be the initial action taken by the nurse to ensure the success of the
program?
a. Assess the motivation level of the individuals
b. Assess the knowledge level of the individuals
c. Establish teacher–learner goals with the individuals
d. Establish multiple teaching sessions with the individuals
ANS: C
Selection of the methods most likely to succeed involves the establishment of teacher–learner
goals. Thus, the first step by the nurse should be establishment of goals.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 14
17. The conscientious, explicit, and judicious use of current best evidence in making decisions
about the care of individuals is known as
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
a. health-related quality of life.
b. evidence-based practice.
c. a Healthy People 2020 goal.
d. the ecological model of health.
ANS: B
Evidence-based practice is defined as the conscientious, explicit, and judicious use of current
best evidence in making decisions about the care of individuals.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 14
18. Which research methodology should be used to address the question, “What is the difference
in the infection rates between individuals who receive twice-a-day dressing changes versus
once-a-day dressing changes?”
a. Evidence-based practice research
b. Qualitative research
c. Quantitative research
d. Clinical judgment research
ANS: C
Quantitative research studies describe situations, correlate different variables related to care,
or test causal relationships among variables related to care. Evidence-based practice research
and clinical judgment research are not research methodologies; they are used to answer
clinical questions.
DIF: Cognitive Level: Apply (Application) REF: p. 15
19. The question, “What is the experience of teenagers who lose a sibling to cancer?” can best be
WWW.TBSM.WS
answered by using which research methodology?
a. Evidence-based practice research
b. Qualitative research
c. Quantitative research
d. Clinical judgment research
ANS: B
Qualitative research studies describe phenomena or define the historical nature, cultural
relevance, or philosophical basis of aspects of nursing care. Evidence-based practice research
and clinical judgment research are not research methodologies; they are used to answer
clinical questions.
DIF: Cognitive Level: Apply (Application) REF: p. 15
20. A nurse who uses findings from a randomized, controlled trial on the care of Foley catheters
to change practice at an institution is practicing
a. evidence-based medicine.
b. qualitative research.
c. quantitative research.
d. clinical judgment.
ANS: A
The practice of evidence-based medicine means integrating individual clinical expertise with
the best available external clinical evidence from systematic research.
______________________________________________________________________________________________
6|Page
, ______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
DIF: Cognitive Level: Apply (Application) REF: p. 14
21. Which of the following is most influenced by the social and economic environment of a
community?
a.Social health policies
b.Quality of care
c.Evidence-based practice
d.Practice guidelines
ANS: A
Social policies concerning health are influenced by the social and economic environment of a
population. Analysis of population trends and projections is necessary to help health
professionals determine changing needs.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 15
22. A major cause of death in the early twentieth century was
a. cancer.
b. cerebrovascular disease.
c. heart disease.
d. infections.
ANS: D
Infections and acute disease were the major causes of death in the early part of the twentieth
century.
DIF: Cognitive Level: RememberWWW.TBSM.WS
(Knowledge) REF: p. 16
23. Which of the following groups of people are likely to show an increase in numbers between
the years 2010 to 2030?
a. Persons age 65 and older
b. Persons of White European descent
c. Infants due to rising birth rates
d. Population growth and character are unpredictable
ANS: A
By the year 2050, it is predicted that the majority of people in the United States will not be of
White European descent (US Census Bureau, 2010a). ……. addition to changes in the ethnic
and racial distribution within the population, the projected changes in age distribution will
affect health-promotion practice. Considerable growth is expected in the proportion of the
population that is 25 years of age and older. For example, the post-World War II baby boom
will increase the number of persons in the 65-and-older age group between the years 2010 and
2030 (US Census Bureau, 2010b). …. there was a drop in births after 1960.
DIF: Cognitive Level: Apply (Application) REF: p. 15
24. Which of the following demonstrates a nurse taking action to promote health and prevent
disease?
a. Making a home visit to a person who is recovering from a heart attack
b. Administering medications to a cardiac care recipient in the hospital
c. Providing cardiopulmonary resuscitation during a heart attack
______________________________________________________________________________________________
7|Page
Health Promotion Throughout the Life Span
Carole Lium Edelman, and Elizabeth Connelly Kudzma
9th Edition
,Table of Contents
Chapter 01: Health Defined: Objectives for Promotion and Prevention 1
Chapter 02: Emerging Populations and Health 10
Chapter 03: Health Policy and the Delivery System 21
Chapter 04: The Therapeutic Relationship 32
Chapter 05: Ethical Issues Related to Health Promotion 40
Chapter 06: Health Promotion and the Individual 52
Chapter 07: Health Promotion and the Family 62
Chapter 08: Health Promotion and the Community 72
Chapter 09: Screening 85
Chapter 10: Health Education 97
Chapter 11: Nutrition Counseling for Health Promotion 108
Chapter 12: Exercise 119
Chapter 13: Stress Management 131
Chapter 14: Complementary and Alternative Strategies 142
Chapter 15: Overview of Growth and Development Framework 153
Chapter 16: The Prenatal Period 163
Chapter 17: Infant 176
Chapter 18: Toddler 189
Chapter 19: Preschool Child 199
Chapter 20: School-Age Child 211
Chapter 21: Adolescent 224
Chapter 22: Young Adult 234
Chapter 23: Middle-Age Adult 246
Chapter 24: Older Adult 257
Chapter 25: Health Promotion in the Twenty-First Century 271
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
Chapter 01: Health Defined: Objectives for Promotion and Prevention
Edelman: Health Promotion Throughout the Life Span, 9th Edition
MULTIPLE CHOICE
1. Which model of health is most likely used by a person who does not believe in preventive
health care?
a. Clinical model
b. Role performance model
c. Adaptive model
d. Eudaimonistic model
ANS: A
The clinical model of health views the absence of signs and symptoms of disease as indicative
of health. People who use this model wait until they are very sick to seek care.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 3.
2. A person with chronic back pain is cared for by her primary care provider, as well as receives
acupuncture. Which model of health does this person likely favor?
a. Clinical model
b. Role performance model
c. Adaptive model
d. Eudaimonistic model
ANS: D
The eudaimonistic model embodies the interaction and interrelationships among physical,
WWW.TBSM.WS
social, psychological, and spiritual aspects of life and the environment in goal attainment and
creating meaning in life. Practitioners who practice the clinical model may not be enough for
someone who believes in the eudaimonistic model. Those who believe in the eudaimonistic
model often look for alternative providers of care.
DIF: Cognitive Level: Apply (Application) REF: p. 3
3. Halbert Dunn (1961) introduced the concept of high level wellness, a health-illness continuum
which factored in the individual’s environment when determining a level of health. Which of
the following statements is correct concerning his model?
a. Care recipients who are terminal or dying could not be classified as having high-
level wellness.
b. The focus is on environment and the ability to achieve health on a personal and
societal level.
c. It provides a view of health which is in opposition to the eudaimonistic model of
health.
d. It is most closely aligned with a clinical model of health.
ANS: B
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
Dunn’s construct of high level wellness assesses a person’s wellness not only from the
perspective of his relative health but also factors in his environment—favorable or
unfavorable—to arrive at a more comprehensive determination of relative wellness. With this
concept in mind, a person who is dying can be said to have achieved high-level wellness via
emotionally preparing for death and/or supporting others toward this end. His concept defines
health on both personal and societal levels. This model is similar to the eudaimonistic model
of health which factors in physical, social, psychological, and spiritual aspects as well as
influences from the environment in defining health. For these reasons, choices A, C, and D
would all be incorrect.
DIF: Cognitive Level: Apply (Application) REF: p. 4
4. A state of physical, mental, spiritual, and social functioning that realizes a person’s potential
and is experienced within a developmental context is known as
a. growth and development.
b. health.
c. functioning.
d. high-level wellness.
ANS: B
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a
person’s potential and is experienced within a developmental context.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 5
5. Which of the following best describes a care recipient who has an illness?
a. Someone who has well-controlled diabetes
WWW.TBSM.WS
b. Someone with hypercholesterolemia
c. Someone with a headache
d. Someone with coronary artery disease without angina
ANS: C
Someone with a headache represents a person with an illness. An illness is made up of the
subjective experience of the individual and the physical manifestation of disease. It can be
described as a response characterized by a mismatch between a person’s needs and the
resources available to meet those needs. A person can have a disease without feeling ill. The
other choices represent disease.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 6
6. Which US report is considered a landmark document in creating a global approach to health?
a. The 1990 Health Objectives for the Nation: A Midcourse Review
b. Healthy People 2020
c. Healthy People 2000
d. The US Surgeon General Report
ANS: C
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark
documents in which a consortium of people representing national organizations worked with
US Public Health Service officials to create a more global approach to health.
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
DIF: Cognitive Level: Remember (Knowledge) REF: p. 6
7. Which of the following is one of the four overreaching goals for Healthy People 2020 (US
Department of Health and Human Services)?
a.Decreased tobacco use in youth throughout the nation
b.Achieve health equality and eliminate disparity for all groups
c.Increased public funding for health insurance
d.Decreased hospital re-admission rates
ANS: B
Healthy people 2020 has four overarching goals to include the following: 1. attain high
quality, longer lives free of preventable disease, disability, injury, and premature death. 2.
Achieve health equality, eliminate disparities, and improve the health of all groups. 3. Create
social and physical environments that promote good health for all. 4. Promote quality of life,
healthy development, and healthy behaviors across all life stages. Choices A, C, and D are
possible strategies to achieve the state goals but they do not reflect the actual published
overarching goals.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 7
8. Which of the following statements accurately reflect primordial prevention?
a. It concerns interventions directed at the fetus while in utero to assure lifelong
health.
b. It is a more modern term used interchangeably with primary prevention.
c. It is a health-promotion strategy which reflects policy-level interventions.
d. It refers administering vaccines to prevent individuals from developing the
disease.
WWW.TBSM.WS
ANS: C
Primordial prevention is a fairly new concept which has been added to the more traditional
modalities of primary, secondary, and tertiary prevention. Primordial refers to the time frame
before a risk factor develops and before disease occurs. Primordial prevention reflects policy-
level interventions which will serve to prevent disease. Such prevention is typically
implemented at the “national, state, or community” levels. Examples of primordial prevention
would be state regulations which mandate healthy food for school-based lunch programs or
regulations which call for the elimination of trans fats in commercial foods. By contrast,
primary prevention are those interventions which are directed at the individual in the interest
of preventing disease. Vaccinating an individual against disease would be an example of
primary prevention as would be education and interventions (exercise, low fat, avoiding
excess salt) aimed at preventing cardiovascular disease before it occurs.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 9
9. Which of the following represents a method of primary prevention?
a. Informational session about healthy lifestyles
b. Blood pressure screening
c. Interventional cardiac catheterization
d. Diagnostic cardiac catheterization
ANS: A
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
Primary prevention precedes disease or dysfunction. It includes health promotion and specific
protection and encourages increased awareness; thus, education about healthy lifestyles fits
this definition. Blood pressure screening does not prevent disease, but instead identifies it.
DIF: Cognitive Level: Apply (Application) REF: p. 11
10. Which of the following represents a method of secondary prevention?
a. Self-breast examination education
b. Yearly mammograms
c. Chemotherapy for advanced breast cancer
d. Complete mastectomy for breast cancer
ANS: B
Screening is secondary prevention because the principal goal of screenings is to identify
individuals in an early, detectable stage of the disease process. A mammogram is a screening
tool for breast cancer and thus is considered a method of secondary prevention.
DIF: Cognitive Level: Apply (Application) REF: p. 13
11. Which of the following represents a method of tertiary prevention?
a. Drunk driving campaign
b. Road blocks for drunk driving
c. Emergency surgery for head trauma after a motor vehicle accident
d. Physical and occupational therapy after a motor vehicle accident with head trauma
ANS: D
Physical therapy and occupational therapy are considered tertiary prevention. Tertiary
prevention occurs when a defect WWW.TBSM.WS
or disability is permanent and irreversible. It involves
minimizing the effect of disease and disability. The objective of tertiary prevention is to
maximize remaining capacities.
DIF: Cognitive Level: Apply (Application) REF: p. 13
12. In reviewing a person’s medical claims, a nurse realizes that the individual with moderate
persistent asthma has had several emergency department visits and is not on inhaled steroids
as recommended by the NHLBI asthma management guidelines. The nurse discusses this with
the person’s primary care provider. In this scenario, the nurse is acting as a(n)
a. advocate.
b. care manager.
c. consultant.
d. educator.
ANS: B
Care managers act to prevent duplication of service and reduce cost. Care managers base
recommendation on reliable data sources such as evidence-based practices and protocols.
DIF: Cognitive Level: Apply (Application) REF: p. 14
13. During a home visit, a nurse assists an individual to complete an application for disability
services. The nurse is acting as a(n)
a. advocate.
b. care manager.
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
c. consultant.
d. educator.
ANS: A
The advocacy role of the nurse helps individuals obtain what they are entitled to receive from
the health care system, tries to make the system more responsive to individuals’ community
needs, and assists individuals in developing skills to advocate for themselves.
DIF: Cognitive Level: Apply (Application) REF: p. 13
14. During a home visit, a nurse discusses the dangers of smoking with an individual. In this
scenario the nurse is acting as a(n)
a. advocate.
b. care manager.
c. consultant.
d. educator.
ANS: D
Health education is a primary prevention technique available to avoid major causes of disease.
Teaching can range from a chance remark to a planned lesson.
DIF: Cognitive Level: Apply (Application) REF: p. 14
15. A nurse is asked to provide an expert opinion about the development of an education program
for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n)
a. advocate.
b. care manager.
c. consultant. WWW.TBSM.WS
d. educator.
ANS: C
Nurses with a specialized area of expertise provide education about health promotion and
disease prevention to individuals and groups as consultants.
DIF: Cognitive Level: Apply (Application) REF: p. 14
16. A nurse is planning to deliver an educational program to individuals with diabetes. Which of
the following should be the initial action taken by the nurse to ensure the success of the
program?
a. Assess the motivation level of the individuals
b. Assess the knowledge level of the individuals
c. Establish teacher–learner goals with the individuals
d. Establish multiple teaching sessions with the individuals
ANS: C
Selection of the methods most likely to succeed involves the establishment of teacher–learner
goals. Thus, the first step by the nurse should be establishment of goals.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 14
17. The conscientious, explicit, and judicious use of current best evidence in making decisions
about the care of individuals is known as
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
a. health-related quality of life.
b. evidence-based practice.
c. a Healthy People 2020 goal.
d. the ecological model of health.
ANS: B
Evidence-based practice is defined as the conscientious, explicit, and judicious use of current
best evidence in making decisions about the care of individuals.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 14
18. Which research methodology should be used to address the question, “What is the difference
in the infection rates between individuals who receive twice-a-day dressing changes versus
once-a-day dressing changes?”
a. Evidence-based practice research
b. Qualitative research
c. Quantitative research
d. Clinical judgment research
ANS: C
Quantitative research studies describe situations, correlate different variables related to care,
or test causal relationships among variables related to care. Evidence-based practice research
and clinical judgment research are not research methodologies; they are used to answer
clinical questions.
DIF: Cognitive Level: Apply (Application) REF: p. 15
19. The question, “What is the experience of teenagers who lose a sibling to cancer?” can best be
WWW.TBSM.WS
answered by using which research methodology?
a. Evidence-based practice research
b. Qualitative research
c. Quantitative research
d. Clinical judgment research
ANS: B
Qualitative research studies describe phenomena or define the historical nature, cultural
relevance, or philosophical basis of aspects of nursing care. Evidence-based practice research
and clinical judgment research are not research methodologies; they are used to answer
clinical questions.
DIF: Cognitive Level: Apply (Application) REF: p. 15
20. A nurse who uses findings from a randomized, controlled trial on the care of Foley catheters
to change practice at an institution is practicing
a. evidence-based medicine.
b. qualitative research.
c. quantitative research.
d. clinical judgment.
ANS: A
The practice of evidence-based medicine means integrating individual clinical expertise with
the best available external clinical evidence from systematic research.
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Test Bank - Health Promotion Throughout the Life Span, 9th Edition (Edelman, 2018)
DIF: Cognitive Level: Apply (Application) REF: p. 14
21. Which of the following is most influenced by the social and economic environment of a
community?
a.Social health policies
b.Quality of care
c.Evidence-based practice
d.Practice guidelines
ANS: A
Social policies concerning health are influenced by the social and economic environment of a
population. Analysis of population trends and projections is necessary to help health
professionals determine changing needs.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 15
22. A major cause of death in the early twentieth century was
a. cancer.
b. cerebrovascular disease.
c. heart disease.
d. infections.
ANS: D
Infections and acute disease were the major causes of death in the early part of the twentieth
century.
DIF: Cognitive Level: RememberWWW.TBSM.WS
(Knowledge) REF: p. 16
23. Which of the following groups of people are likely to show an increase in numbers between
the years 2010 to 2030?
a. Persons age 65 and older
b. Persons of White European descent
c. Infants due to rising birth rates
d. Population growth and character are unpredictable
ANS: A
By the year 2050, it is predicted that the majority of people in the United States will not be of
White European descent (US Census Bureau, 2010a). ……. addition to changes in the ethnic
and racial distribution within the population, the projected changes in age distribution will
affect health-promotion practice. Considerable growth is expected in the proportion of the
population that is 25 years of age and older. For example, the post-World War II baby boom
will increase the number of persons in the 65-and-older age group between the years 2010 and
2030 (US Census Bureau, 2010b). …. there was a drop in births after 1960.
DIF: Cognitive Level: Apply (Application) REF: p. 15
24. Which of the following demonstrates a nurse taking action to promote health and prevent
disease?
a. Making a home visit to a person who is recovering from a heart attack
b. Administering medications to a cardiac care recipient in the hospital
c. Providing cardiopulmonary resuscitation during a heart attack
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