, Chaptern01:nHealthnDefined:nObjectivesnfornPromotionnandnPreventiobnnEdelman:nHealthnPromotionnThroughoutnth
enLifenSpan,n8thnEditionb
b
MULTIPLEnCHOICEb
b
1. Whichnmodelnofnhealthnisnmostnlikelynusednbynanpersonnwhondoesnnotnbelieveninnpreventivenhealthncare?ba.bClinicaln
modelb
b. Rolenperformancenmodelb
c. Adaptivenmodelb
d. Eudaimonisticnmodelb
b
b
ANS:nAb
Thenclinicalnmodelnofnhealthnviewsnthenabsencenofnsignsnandnsymptomsnofndiseasenasnindicativenofnhealth.nPeoplenbw
honusenthisnmodelnwaitnuntilntheynarenverynsickntonseekncare.b
b
DIF:b CognitivenLevel:nRemembern(Knowledge)b REF:b p.n3b
b
2. Anpersonnwithnchronicnbacknpainnisncarednfornbynhernprimaryncarenprovidernasnwellnasnreceivesnbacupuncture.nWhichn
modelnofnhealthndoesnthisnpersonnlikelynfavor?ba.bClinicalnmodelb
b. Rolenperformancenmodelb
c. Adaptivenmodelb
d. Eudaimonisticnmodelb
b
b
ANS:nDb
Theneudaimonisticnmodelnembodiesntheninteractionnandninterrelationshipsnamongnphysical,nsocial,npsychological,nban
dnspiritualnaspectsnofnlifenandnthenenvironmentninngoalnattainmentnandncreatingnmeaningninnlife.nPractitionersnwhbonpr
acticenthenclinicalnmodelnmaynnotnbenenoughnfornsomeonenwhonbelievesninntheneudaimonisticnmodel.nThosenwhbonbel
ieveninntheneudaimonisticnmodelnoftennlooknfornalternativenprovidersnofncare.b
b
DIF:b CognitivenLevel:nApplyn(Application)b REF:b p.n3b
b
3. Anstatenofnphysical,nmental,nspiritual,nandnsocialnfunctioningnthatnrealizesnanperson’snpotentialnandnisnbexperiencednwi
thinnandevelopmentalncontextnisnknownnas:ba.bgrowthnandndevelopment.b
b. health.b
c. functioning.b
d. high-levelnwellness.b
b
b
ANS:nBb
Healthnisndefinednasnanstatenofnphysical,nmental,nspiritual,nandnsocialnfunctioningnthatnrealizesnanperson’snpotentialnanb
dnisnexperiencednwithinnandevelopmentalncontext.b
b
DIF:b CognitivenLevel:nRemembern(Knowledge)b REF:b p.n5b
b
4. Whichnofnthenfollowingnbestndescribesnanclientnwhonhasnannillness?b
a. Someonenwhonhasnwell-controlledndiabetesb
b. Someonenwithnhypercholesterolemiab
c. Someonenwithnanheadacheb
d. Someonenwithncoronarynarteryndiseasenwithoutn
anginanANS:nbCb
Someonenwithnanheadachenrepresentsnanpersonnwithnannillness.nAnnillnessnisnmadenupnofnthensubjectivenexperiencenbof
nthenindividualnandnthenphysicalnmanifestationnofndisease.nItncannbendescribednasnanresponsencharacterizednbynanbmism
atchnbetweennanperson’snneedsnandnthenresourcesnavailablentonmeetnthosenneeds.nAnpersonncannhavenandiseasenbwithou
tnfeelingnill.nThenothernchoicesnrepresentndisease.b
b
DIF:b CognitivenLevel:nAnalyzen(Analysis)b REF:b p.n6b
b
5. WhichnUSnreportnisnconsiderednanlandmarkndocumentninncreatingnanglobalnapproachntonhealth?b
a. Then1990nHealthnObjectivesnfornthenNation:nAnMidcoursenReviewb
b. HealthynPeoplen2020b
c. HealthynPeoplen2000b
d. ThenU.S.nSurgeonnGeneralnReportb
b
b
, ANS:nCb
HealthynPeoplen2000nandnitsnMidcoursenReviewnandn1995nRevisionsnwerenlandmarkndocumentsninnwhichnanconsborti
umnofnpeoplenrepresentingnnationalnorganizationsnworkednwithnUSnPublicnHealthnServicenofficialsntoncreatenanbmoren
globalnapproachntonhealth.b
b
DIF:b CognitivenLevel:nRemembern(Knowledge)b REF:b p.n6b
b
6. Whichnofnthenfollowingnrepresentsnanmethodnofnprimarynprevention?b
a. Informationalnsessionnaboutnhealthynlifestylesb
b. Bloodnpressurenscreeningb
c. Interventionalncardiacncatheterizationb
d. Diagnosticncardiacncatheterizationb
b
b
ANS:nAb
Primarynpreventionnprecedesndiseasenorndysfunction.nItnincludesnhealthnpromotionnandnspecificnprotectionnandnenbco
uragesnincreasednawareness;nthus,neducationnaboutnhealthynlifestylesnfitsnthisndefinition.nBloodnpressurenscreenbingnd
oesnnotnpreventndisease,nbutninsteadnidentifiesnit.b
b
DIF:b CognitivenLevel:nApplyn(Application)b REF:b p.n11b
b
7. Whichnofnthenfollowingnrepresentsnanmethodnofnsecondarynprevention?b
a. Self–breastnexaminationneducationb
b. Yearlynmammogramsb
c. Chemotherapynfornadvancednbreastncancerb
d. Completenmastectomynfornbreastncancerb
b
b
ANS:nBb
Screeningnisnsecondarynpreventionnbecausenthenprincipalngoalnofnscreeningsnisntonidentifynindividualsninnannearly,nbde
tectablenstagenofnthendiseasenprocess.nAnmammogramnisnanscreeningntoolnfornbreastncancernandnthusnisnconsiderbednan
methodnofnsecondarynprevention.b
b
DIF:b CognitivenLevel:nApplyn(Application)b REF:b p.n15b
b
8. Whichnofnthenfollowingnrepresentsnanmethodnofntertiarynprevention?b
a. Drunkndrivingncampaignb
b. Roadnblocksnforndrunkndrivingb
c. Emergencynsurgerynfornheadntraumanafternanmotornvehiclenaccidentb
d. Physicalnandnoccupationalntherapynafternanmotornvehiclenaccidentnwithnheadn
traumanANS:nbDb
Physicalntherapynandnoccupationalntherapynarenconsideredntertiarynprevention.nTertiarynpreventionnoccursnwhennanbde
fectnorndisabilitynisnpermanentnandnirreversible.nItninvolvesnminimizingntheneffectnofndiseasenandndisability.nThenbobje
ctivenofntertiarynpreventionnisntonmaximizenremainingncapacities.b
b
DIF:nnnn CognitivenLevel:nApplyn(Application)b
b REF:b p.n15b
b
9. Innreviewingnanperson’snmedicalnclaims,nannursenrealizesnthatnthenindividualnwithnmoderatenpersistentnasthmanhasnbha
dnseveralnemergencyndepartmentnvisitsnandnisnnotnonninhalednsteroidsnasnrecommendednbynthenNHLBInasthmabnmana
gementnguidelines.nThennursendiscussesnthisnwithnthenperson’snprimaryncarenprovider.nInnthisnscenario,nthenbnursenisna
ctingnasna(n):ba.badvocate.b
b. carenmanager.b
c. consultant.b
d. educator.b
b
b
ANS:nBb
Carenmanagersnactntonpreventnduplicationnofnservicenandnreducencost.nCarenmanagersnbasenrecommendationnbonnrelia
blendatansourcesnsuchnasnevidence-basednpracticesnandnprotocols.b
b
DIF:nnnn CognitivenLevel:nApplyn(Application)b
b REF:b p.n15b
b
10. Duringnanhomenvisit,nannursenassistsnannindividualntoncompletenannapplicationnforndisabilitynservices.nThennursenbisnact
ingnasna(n):ba.badvocate.b
b. carenmanager.b
c. consultant.b
, d. educator.b
b
b
ANS:nAb
Thenadvocacynrolenofnthennursenhelpsnindividualsnobtainnwhatntheynarenentitledntonreceivenfromnthenhealthncarenbsyste
m,ntriesntonmakenthensystemnmorenresponsiventonindividuals’ncommunitynneeds,nandnassistsnindividualsninnbdevelopin
gnskillsntonadvocatenfornthemselves.b
b
DIF:nnnn CognitivenLevel:nApplyn(Application)b
b REF:b p.n15b
b
11. Duringnanhomenvisit,nannursendiscussesnthendangersnofnsmokingnwithnannindividual.nInnthisnscenarionthennursenbisnactin
gnasna(n):ba.badvocate.b
b. carenmanager.b
c. consultant.b
d. educator.b
b
b
ANS:nDb
Healthneducationnisnanprimarynpreventionntechniquenavailablentonavoidnmajorncausesnofndisease.nTeachingncannbrangen
fromnanchancenremarkntonanplannednlesson.b
b
DIF:nnnn CognitivenLevel:nApplyn(Application)b
b REF:b p.n16b
b
12. Annursenisnaskedntonprovidenannexpertnopinionnaboutnthendevelopmentnofnanneducationnprogramnfornbnewlyndiagnosed
ndiabetics.nInnthisnscenario,nthennursenisnactingnasna(n):ba.badvocate.b
b. carenmanager.b
c. consultant.b
d. educator.b
ANS:nCb
Nursesnwithnanspecializednareanofnexpertisenprovideneducationnaboutnhealthnpromotionnandndiseasenpreventionntonbind
ividualsnandngroupsnasnconsultants.b
b
DIF:b CognitivenLevel:nApplyn(Application)b REF:b p.n16b
b
13. Annursenisnplanningntondelivernanneducationalnprogramntonindividualsnwithndiabetes.nWhichnofnthenbfollowingnshouldn
bentheninitialnactionntakennbynthennursentonensurenthensuccessnofnthenprogram?ba.bAssessnthenmotivationnlevelnofnthenin
dividualsb
b. Assessnthenknowledgenlevelnofnthenindividualsb
c. Establishnteacher-learnerngoalsnwithnthenindividualsb
d. Establishnmultiplenteachingnsessionsnwithnthenindividualsb
b
b
ANS:nBb
Selectionnofnthenmethodsnmostnlikelyntonsucceedninvolvesnthenestablishmentnofnteacherlearnerngoals.nThus,nthenfirstnst
epnbynthennursenshouldnbenestablishmentnofngoals.b
b
DIF:b CognitivenLevel:nAnalyzen(Analysis)b REF:b p.n16b
b
14. Thenconscientious,nexplicit,nandnjudiciousnusenofncurrentnbestnevidenceninnmakingndecisionsnaboutnthencarenbofnindivi
dualsnisnknownnas:b
a. health-relatednqualitynofnlife.b
b. evidence-basednpractice.b
c. anHealthynPeoplen2010ngoal.b
d. thenecologicalnmodelnofnhealth.b
b
b
ANS:nBbEvidencebasednpracticenisndefinednasnthenconscientious,nexplicit,nandnjudiciousnusenofncurrentnbestnevide
nceninnmakingndecibsionsnaboutnthencarenofnindividuals.b
b
DIF:b CognitivenLevel:nRemembern(Knowledge)b REF:b p.n16b
b
15. Whichnresearchnmethodologynshouldnbenusedntonaddressnthenquestion,n“Whatnisnthendifferenceninntheninfectbionnratesn
betweennindividualsnwhonreceiventwice-a-dayndressingnchangesnversusnonce-adayndressingnchanges?”b
a. Evidence-basednpracticenresearchb
b. Qualitativenresearchb
c. Quantitativenresearchb
d. Clinicalnjudgmentnresearchb
b
b