ThroughouttheLifeSpan1stEditionDamesTestBank
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Chapter1:HealthDefined:HealthPromotion, Prevention, andProtectionDames,
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Luctkar-Flude and Tyerman: Edelman and Kudzma’s Canadian Health
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PromotionThroughouttheLifeSpan,1stEdition yz yz yz yz yz yz
MULTIPLECHOICE yz
1. How is disease defined? yz yz yz
a. The failure ofa person’sadaptive mechanismsto counteract stimuliand stresses
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adequately, resulting in functional or structural disturbances
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b. Disease and illness are components ofa struggle for balance in the bodily systems yz yz yz yz yz yz yz yz yz yz yz yz yz
c. The failure ofa person’s bodilysystems inresponding to stresses, resulting in a hormonal
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imbalanceyz
d. The assault by stimuli and stress onthe body’s core defence systems yz yz yz yz yz yz yz yz yz yz yz
ANS:A yz
Disease may be defined asthe failure ofa person’s adaptive mechanismsto counteract stimuli and
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stresses adequately, resulting in functionalor structuraldisturbances. This definition is an
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ecological concept of disease, which uses multiple factors to determine the cause of disease, rather
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than describing a single cause. Disease and illness are not synonymous.
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DIF:CognitiveLevel:Remember (Knowledge) REF:Disease, Illness, andHealth OBJ:
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MSC: Health Promotion and Maintenance
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2. How can health be defined? yz yz yz yz
a. As the absence ofdisease and illness yz yz yz yz yz yz
b. Asthe person’s philosophyfor living in harmony withtheir environment
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c. Astateofphysical, mental, and spiritual well-being
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d. Astateofphysical, mental, spiritual, and socialfunctioning that realizes a person’s
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potential and is experienced within a developmental context.
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ANS:D yz
Definitions of health have evolved as the nature of health and illness becomes better understood. yz yz yz yz yz yz yz yz yz yz yz yz yz yz
Health is much more than the absence of disease and illness. It is a state of physical, mental,
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spiritual, and socialfunctioning that realizesa person’spotentialand is experienced within a
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developmental context.
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DIF:CognitiveLevel:Apply(Application) REF:HealthandWellness OBJ:
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Health Promotion and Maintenance
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3. The 1986 Ottawa Charter for Health Promotion document provides a blueprint for health
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promotion in Canada. Which ofthe following statements is correct concerning this model? a. The
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focus is onenvironment and the abilityto achieve healthona personaland societallevel.
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b. It depicts healthpromotionas the process ofenabling people to increase controlover and
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improve their health.
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c. It provides a view ofhealthpromotionthat is focused on people taking controlof their
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own health.
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d. It is most closely aligned witha clinicalmodelof health.
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, ANS:B yz
The Ottawa Charter for Health Promotion provides a blueprint for health promotion in Canada.
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Withinthis model, healthpromotion isdepicted asthe processofenabling people to increase control
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over and improve their health.
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DIF:CognitiveLevel:Apply(Application) REF: HealthPromotion OBJ:
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MSC: Health Promotion and Maintenance
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4. Whichofthe following is a toolused to measure qualityof life?
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a. CDCQOL-BREF(fromthe Centers for Disease Control) yz yz yz yz yz yz
b. McGowan Qualityof Life Questionnaire yz yz yz yz
c. WHOQOL-BREF(WorldHealthOrganization) yz yz yz
d. Ottawa Charter for Health Promotion yz yz yz yz
ANS:C yz
Multiple tools are available for measuring quality of life, including a general measure established
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by the World Health Organization Quality of Life, WHOQOL-BREF and the McGillQualityof
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Life Questionnaire for use at the end of life. The Ottawa Charter for Health Promotion provides a
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framework for health promotion, rather than measuring quality of life.
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DIF: CognitiveLevel: Understand (Comprehension) REF: Health PromotionOBJ:
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Assessment MSC: Health Promotion and Maintenance
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5. Whichofthe following best describes a care recipient who has an illness?
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a. Someone who has well-controlled diabetes yz yz yz yz
b. Someone with hypercholesterolemia yz yz
c. Someone witha headache yz yz yz
d. Someone with coronaryarterydisease without angina yz yz yz yz yz yz
ANS:C yz
Someone with a headache represents a person with an illness. An illness is made up of the subjective
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experience of the individual and the physical manifestation of disease. It can be described as a
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response characterized by a mismatch between a person’s needs and the resourcesavailable to
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meet those needs.Apersoncan have a diseasewithout feeling ill.The other choices represent
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disease.
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DIF: CognitiveLevel:Analyze(Analysis) REF: Disease, Illness, andHealthOBJ:
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Assessment MSC: Health Promotion and Maintenance
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6. WhichCanadianreport isconsidered to be a landmark document increating a global
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yzapproach to health? yz yz
a. PopulationHealthPromotionModel yz yz yz
b. HealthyPeople 2020 yz yz
c. FrameworkforHealth Promotion in Canada yz yz yz yz yz
d. WorldHealthOrganizationQualityofLife yz yz yz yz yz
ANS:C yz
By the mid-1980s, Canada became a world leader in the formulation of health-promotion ideals
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and strategies, particularlywiththe unveilingofthe FrameworkforHealth Promotion in Canada at
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the first World HealthOrganization(WHO) conference onhealthpromotion in Ottawa. The
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overall goal of “achieving health for all” in this report identifies three health
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, challenges: reducing inequities, increasing prevention, and enhancing coping. The three yz yz yz yz yz yz yz yz yz
health-promotion mechanisms to address these challenges are self-care, mutual aid, and
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healthy environments. The final component of the framework consists of three
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implementationstrategies: fosteringpublicparticipation, strengtheningcommunityhealth
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services; and coordinating health public policy.
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HealthyPeople2020 isa US-based document to guide planning for healthcare.The WHO Quality of
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Life tool is a quality of life measurement tool used by health care workers. The
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PopulationHealth Promotion Model wasdevelopedto provideanoverallframeworkto guide health yz yz yz yz yz yz yz yz yz yz yz yz yz
promotion by blending both health promotion and population health concepts.
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DIF:CognitiveLevel:Remember (Knowledge)
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REF: TheEvolutionof HealthPromotioninCanada OBJ: 3TOP: Planning MSC:
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Health Promotion and Maintenance
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7. Whichofthe following is one ofthethree programs that the Public HealthAgencyofCanada
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(PHAC) is focused on for improving the health of Canadians?
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a. Decreased tobacco use in youththroughout the country yz yz yz yz yz yz yz
b. Healthpromotionand disease prevention yz yz yz yz
c. Increased public funding for health insurance yz yz yz yz yz
d. Decreased hospitalre-admissionrates yz yz yz
ANS:B yz
The aim ofthe Public HealthAgency ofCanada (PHAC) is to promote and protect the health of
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Canadiansthroughleadership, partnership, innovation, andactioninpublic health.Among the
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agency’s recent plans are three programs: public health infrastructure; health promotion and
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disease prevention; and health security. ChoicesA, C, and D are possible strategies to achieve the
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goals of this program.
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DIF:CognitiveLevel: Remember (Knowledge)
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REF:TheRole of thePublic HealthAgency of Canada inHealth Promotion, Prevention, and
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yz Protection OBJ: 3 TOP: Planning y z yz
MSC:HealthPromotion and Maintenance
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8. Whichofthe following represents a method ofprimaryprevention?
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a. Informationalsessionabout healthylifestyles yz yz yz yz
b. Blood pressure screening yz yz
c. Interventionalcardiac catheterization yz yz
d. Diagnosticcardiaccatheterization yz yz
ANS:A yz
Primarypreventionprecedesdisease ordysfunction. It includeshealthpromotionand specific
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protection and encourages increased awareness; thus, education about healthy lifestyles fits this
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definition. Blood pressure screening does not prevent disease, but instead identifies it.
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DIF: Cognitive Level: Apply (Application)
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yz OBJ: 5 TOP: Planning
y MSC: Health Promotion and Maintenance
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9. Whichofthe following represents a method ofsecondaryprevention?
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a. Educationabout breast self-examination yz yz yz
b. Yearlymammograms yz
c. Chemotherapyfor advanced breast cancer yz yz yz yz
d. Complete mastectomyfor breast cancer yz yz yz yz
, ANS:B yz
Screening is secondary prevention because the principal goal of screenings is to identify yz yz yz yz yz yz yz yz yz yz yz yz
individuals inanearly, detectable stage ofthe disease process.Amammogramisa screening tool for
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breast cancer and, thus, is considered a method of secondary prevention.
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DIF: CognitiveLevel:Apply(Application) REF: Levels of Prevention OBJ:
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MSC: Health Promotion and Maintenance
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10. Whichofthe following represents a method oftertiaryprevention?
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a. Drunk driving campaign yz yz
b. Road blocks for drunk driving yz yz yz yz
c. Emergencysurgeryfor head trauma after a motorvehicle accident yz yz yz yz yz yz yz yz yz
d. Physiotherapyand occupationaltherapyafter a motorvehicle accident withhead yz yz yz yz yz yz yz yz yz yz
yz trauma
ANS:D yz
Physiotherapy and occupational therapy are considered tertiary prevention. Tertiary yz yz yz yz yz yz yz yz
prevention occurs when a defect or disability is permanent and irreversible. It involves
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minimizing theeffect ofdisease and disability.The objective oftertiaryprevention isto
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maximize remaining capacities.
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DIF: CognitiveLevel:Apply (Application) REF: Levels of Prevention OBJ:
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MSC: Health Promotion and Maintenance
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11. In reviewing a person’s medical history, a nurse realizes that the individual with moderate
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persistent asthma has had several emergency department visits and is not on inhaled steroids as
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recommended bythe best practice guidelines for asthma management.The nurse discusses this
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with the person’s primary care provider. In this scenario, the nurse is acting as a(n): a. Advocate.
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b. Care coordinator. yz
c. Consultant or collaborator. yz yz
d. Educator.
ANS:B yz
Care coordinatorsactto prevent duplicationofservices, maintainqualityand safety, and
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reduce costs. Care coordinators base recommendations on reliable data sources such as
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evidence-informed practices and protocols.
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DIF:CognitiveLevel:Apply (Application)
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REF: NursingRoles inHealth Promotion, Prevention, andProtection OBJ:
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MSC: Health Promotion and Maintenance
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12. During a home visit, a nurse assistsan individualto complete anapplication for disability
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services. The nurse is acting as a(n): a. Advocate.
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b. Care coordinator. yz
c. Consultant or collaborator. yz yz
d. Educator.
ANS:A yz