Practice, and Power Issues 5th Edition by Mclntyre - Ch. 1-26,
9781496384041, with Rationales
1. Which of the following is an example of the nurse's use of the specific ethical principle of autonomy
in a client situation?
a) Learning how to do a procedure safely & effectively
b) Supporting a client's right to refuse therapy
c) Returning to speak to a client at an agreed time
d) Preparing the client's room for comfort & privacy - ANSWER: b) Supporting a client's right to refuse
therapy
1. The Lalonde Report is significant in that it was the first to emphasize what?
a) A behavioral approach to health
b) A medical approach to health
c) A socioenvironmental approach to health
d) Physiological risk factors - ANSWER: a) Behavioral Approach to helath
1. Historical health approaches include what?
a) Medical approach
b) Behavioral approach
c) Socioenvironmental approach
d) All the above - ANSWER: d) all of the above
1. What is the "watershed" document that marked the shift form a lifestyle to a socioenvironmental
approach to health?
a) Lalonde Report
b) Adelaide Statement on Health in All Policies
c) Toronto Charter
d) Ottawa Charter - ANSWER: d) Ottawa Charter
1. From a socioenvironmental approach, what are the major determinants of health?
a) Psychosocial risk factors and socioenvironmental risk conditions
b) Physiological risk factors and behavioral risk factors
c) Behavioral and psychosocial risk factors
d) Behavioral and socioenvironmental risk factors - ANSWER: a) Psychosocial risk factors and
socioenvironmental risk conditions
What is the main reason that intersectoral collaboration is a necessary strategy to reach the goal of
"Health for All"?
a) The determinants of health are broad
b) Intersectoral collaboration is cost-effective
c) Intersectoral collaboration encourages problem solving at a local level
d) Intersectoral collaboration is less likely to result in conflict - ANSWER: a) The determinants of
health are broad
1. Providing immunizations against measles is an example of what?
a) Health promotion
b) Primary prevention
c) Secondary prevention
d) Tertiary prevention - ANSWER: b) primary prevention
1. Which statements does NOT accurately characterize health promotion?
, a) Health promotion addresses health issues within the context of the social, economic, and political
environment
b) Health promotion emphasizes empowerment
c) Health promotion strategies focus on primarily helping people develop healthy behaviors
d) Health promotion is political - ANSWER: c) Health promotion strategies focus on primarily helping
people develop healthy behaviors
1. The belief that health is primarily an individual responsibility is most congruent with what approach
to health?
a) Medical
b) Behavioral
c) Socioenvironmental
d) Critical/Structural - ANSWER: b) Behavioral
1. Which statement does not accurately describe the Population Health Promotion Model?
a) The model suggests that action can address the full range of health determinants
b) The model incorporates the health promotion strategies of the Ottawa Charter
c) The model focuses primarily on interventions at the societal level
d) The model attempts to integrate population health and health promotion concepts - ANSWER: c)
The model focuses primarily on interventions at the societal level
1. What is the most influential health determinant?
a) Personal health practices
b) Income and social status
c) Health care services
d) Physical environment - ANSWER: b) Income and social status
1. What are health promotion activities aimed at?
a) Providing protection against disease
b) Increasing the level of well-being
c) Avoiding injury or illness
d) Teaching clients to learn to live with their limitations - ANSWER: b) Increasing the level of well-
being
1. A mother takes her infant son to public health for his immunization needles. This is an example of
which level of disease prevention?
a) Primary
b) Secondary
c) Tertiary
d) Supportive - ANSWER: a) Primary
1. A mother, concerned that her child's rash could be measles, brings her child to be seen at a nurse-
managed clinic. Which of the following is this an example of?
a) Primary care
b) Respite care
c) Rehabilitative care
d) Hospice care - ANSWER: a) Primary care
1. Which of the following is the fastest growing component of the health care system?
a) Home care
b) The answer is A
c) Respite care
d) Palliative care - ANSWER: a) Home care
1. A Nurse who organizes a blood pressure screening program as a _____ strategy.
a) Primary level
b) Secondary level