TEST BANK Edelman& Kudzma’s Canadian Health Promotion Throughout the LifeSpan /Chapters 1-25/Shannon Dames(2020)-1st Canadian Edition/Complete Newest Version

Chapter 1: Health Defined: Health Promotion, Prevention, and Protection Dames, Luctkar-Flude and Tyerman: Edelman and Kudzma’s Canadian Health Promotion Throughout the Life Span, 1st Edition MULTIPLE CHOICE 1. How is disease defined? a. The failure of a person’s adaptive mechanisms to counteract stimuli and stresses adequately, resulting in functional or structural disturbances b. Disease and illness are components of a struggle for balance in the bodily systems c. The failure of a person’s bodily systems in responding to stresses, resulting in a hormonal imbalance d. The assault by stimuli and stress on the body’s core defence systems ANS: A Disease may be defined as the failure of a person’s adaptive mechanisms to counteract stimuli and stresses adequately, resulting in functional or structural disturbances. This definition is an ecological concept of disease, which uses multiple factors to determine the cause of disease, rather than describing a single cause. Disease and illness are not synonymous. DIF: Cognitive Level: Remember (Knowledge) REF: Disease, Illness, and Health OBJ: 1 TOP: Assessment MSC: Health Promotion and Maintenance 2. How can health be defined? a. As the absence of disease and illness b. As the person’s philosophy for living in harmony with their environment c. A state of physical, mental, and spiritual well-being d. A state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context. ANS: D Definitions of health have evolved as the nature of health and illness becomes better understood. Health is much more than the absence of disease and illness. It is 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: Apply (Application) REF: Health and Wellness OBJ: 1 TOP: Assessment MSC: Health Promotion and Maintenance 3. The 1986 Ottawa Charter for Health Promotion document provides a blueprint for health promotion in Canada. Which of the following statements is correct concerning this model? a. The focus is on environment and the ability to achieve health on a personal and societal level. b. It depicts health promotion as the process of enabling people to increase control over and improve their health. c. It provides a view of health promotion that is focused on people taking control of their own health. d. It is most closely aligned with a clinical model of health. ANS: B The Ottawa Charter for Health Promotion provides a blueprint for health promotion in Canada. Within this model, health promotion is depicted as the process of enabling people to increase control over and improve their health. DIF: Cognitive Level: Apply (Application) REF: Health Promotion OBJ: 2 TOP: Assessment MSC: Health Promotion and Maintenance 4. Which of the following is a tool used to measure quality of life? a. CDCQOL-BREF (from the Centers for Disease Control) b. McGowan Quality of Life Questionnaire c. WHOQOL-BREF (World Health Organization) d. Ottawa Charter for Health Promotion ANS: C Multiple tools are available for measuring quality of life, including a general measure established by the World Health Organization Quality of Life, WHOQOL-BREF and the McGill Quality of Life Questionnaire for use at the end of life. The Ottawa Charter for Health Promotion provides a framework for health promotion, rather than measuring quality of life. DIF: Cognitive Level: Understand (Comprehension) REF: Health Promotion OBJ: 2 TOP: Assessment MSC: Health Promotion and Maintenance 5. Which of the following best describes a care recipient who has an illness? a. Someone who has well-controlled diabetes 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: Disease, Illness, and Health OBJ: 4 TOP: Assessment MSC: Health Promotion and Maintenance 6. Which Canadian report is considered to be a landmark document in creating a global approach to health? a. Population Health Promotion Model b. Healthy People 2020 c. Framework for Health Promotion in Canada d. World Health Organization Quality of Life ANS: C By the mid-1980s, Canada became a world leader in the formulation of health-promotion ideals and strategies, particularly with the unveiling of the Framework for Health Promotion in Canada at the first World Health Organization (WHO) conference on health promotion in Ottawa. The overall goal of “achieving health for all” in this report identifies three health challenges: reducing inequities, increasing prevention, and enhancing coping. The three health-promotion mechanisms to address these challenges are self-care, mutual aid, and healthy environments. The final component of the framework consists of three implementation strategies: fostering public participation, strengthening community health services; and coordinating health public policy. Healthy People 2020 is a US-based document to guide planning for health care. The WHO Quality of Life tool is a quality of life measurement tool used by health care workers. The Population Health Promotion Model was developed to provide an overall framework to guide health promotion by blending both health promotion and population health concepts. DIF: Cognitive Level: Remember (Knowledge) REF: The Evolution of Health Promotion in Canada OBJ: 3 TOP: Planning MSC: Health Promotion and Maintenance 7. Which of the following is one of the three programs that the Public Health Agency of Canada (PHAC) is focused on for improving the health of Canadians? a. Decreased tobacco use in youth throughout the country b. Health promotion and disease prevention c. Increased public funding for health insurance d. Decreased hospital re-admission rates ANS: B The aim of the Public Health Agency of Canada (PHAC) is to promote and protect the health of Canadians through leadership, partnership, innovation, and action in public health. Among the agency’s recent plans are three programs: public health infrastructure; health promotion and disease prevention; and health security. Choices A, C, and D are possible strategies to achieve the goals of this program. DIF: Cognitive Level: Remember (Knowledge) REF: The Role of the Public Health Agency of Canada in Health Promotion, Prevention, and Protection OBJ: 3 TOP: Planning MSC: Health Promotion and Maintenance 8. 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 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: Levels of Prevention OBJ: 5 TOP: Planning MSC: Health Promotion and Maintenance 9. Which of the following represents a method of secondary prevention? a. Education about breast self-examination 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: Levels of Prevention OBJ: 5 TOP: Planning MSC: Health Promotion and Maintenance 10. 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. Physiotherapy and occupational therapy after a motor vehicle accident with head trauma ANS: D Physiotherapy and occupational therapy are considered tertiary prevention. Tertiary prevention occurs when a defect 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: Levels of Prevention OBJ: 5 TOP: Planning MSC: Health Promotion and Maintenance 11. In reviewing a person’s medical history, 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 best practice guidelines for asthma management. 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 coordinator. c. Consultant or collaborator. d. Educator. ANS: B Care coordinators act to prevent duplication of services, maintain quality and safety, and reduce costs. Care coordinators base recommendations on reliable data sources such as evidence-informed practices and protocols. DIF: Cognitive Level: Apply (Application) REF: Nursing Roles in Health Promotion, Prevention, and Protection OBJ: 6 TOP: Assessment MSC: Health Promotion and Maintenance 12. 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 coordinator. c. Consultant or collaborator. d. Educator. ANS: A