,Chapter 01: Health Defined: Objectives for Promotion and Prevention
bv bv bv bv bv bv bv bv
Edelman: Health Promotion Throughout the Life Span, 10th Edition
bv bv bv bv bv bv bv bv bv
MULTIPLE CHOICE bv
1. Which model of health is most likely used by a person who does not believe in preventive health care?
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
a. Clinical model bv
b. Role performance model bv bv
c. Adaptive model bv
d. Eudaimonistic model bv
ANS: A
The clinical model of health views the absence of signs and symptoms of disease as indicative of health.
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
People whouse this model wait until they are very sick to seek care.
bv bv bv bv bv bv bv bv bv bv bv bv bv
DIF: Cognitive Level: Remember (Knowledge) bv bv b v REF: p. 3 bv
2. A person with chronic back pain is cared for by her primary care provider as
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
well as receivesacupuncture. Which model of health does this person likely
bv bv bv bv bv bv bv bv bv bv bv
favor?
bv
a. Clinical model bv
b. Role performance model bv bv
c. Adaptive model bv
d. Eudaimonistic model bv
ANS: D
The eudaimonistic model embodies the interaction and interrelationships among physical, social,
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psychological,and spiritual aspects of life and the environment in goal attainment and creating meaning
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
in life. Practitioners who practice the clinical model may not be enough for someone who
bv bv bv bv b v b v bv b v b v b v b v b v bv b v bv
believes in the eudaimonistic model. Those who believe in the eudaimonistic model often look for
b v b v b v bv bv b v bv bv bv bv bv bv bv bv bv
alternative providers of care.
bv bv bv bv
DIF: Cognitive Level:Apply (Application) bv bv REF: p. 3 bv
3. A state of physical, mental, spiritual, and social functioning that realizes a person‘s potential and
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
is experienced within a developmental context is known as:
bv bv bv bv bv bv bv bv bv
a. growth and development. bv bv
b. health.
c. functioning.
d. high-level wellness. bv
ANS: B
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a person‘s
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
potentialand is experienced within a developmental context.
bv bv bv bv bv bv bv
DIF: Cognitive Level: Remember (Knowledge) bv bv b v REF: p. 5 bv
4. Which of the following best describes a client who has an illness?
bv bv bv bv bv bv bv bv bv bv bv
a. Someone who has well-controlled diabetes bv bv bv b v
b. Someone with hypercholesterolemia bv bv
c. Someone with a headache bv bv bv
d. Someone with coronary artery b v bv bv
b v disease withoutangina ANS: Cbv bv b v
, Someone with a headache represents a person with an illness. An illness is made up of
b v b v b v b v b v b v b v b v b v bv b v b v b v b v b v
the subjective experiencerof the individual and the physical manifestation of disease. It can be
b v b v bv bv bv bv bv bv bv bv bv bv bv bv
described as a response characterized by amismatch between a person‘s needs and the resources available to
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
meet those needs. A person can have a diseaserwithout feeling ill. The other choices represent disease.
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
DIF: Cognitive Level: Analyze (Analysis) bv bv bv REF: p. 6 bv
5. Which US report is considered a landmark document in creating a global approach to health?
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a. The 1990 Health Objectives for the Nation: A Midcourse Review
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b. Healthy People 2020 bv b v
c. Healthy People 2000 bv b v
d. The U.S. Surgeon General Report
bv bv bv bv
ANS: C
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark documents in which a
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
consortium of people representing national organizations worked with US Public Health Service
bv bv bv bv bv bv bv b v bv bv bv bv
officials to create a more global approach to health.
bv bv bv bv bv bv bv bv bv
DIF: Cognitive Level: Remember (Knowledge) bv bv b v REF: p. 6 bv
6. Which of the following represents a method of primary prevention?
bv bv bv bv bv bv bv bv bv
a. Informational session about healthy lifestyles bv bv bv bv
b. Blood pressure screening bv bv
c. Interventional cardiac catheterization b v b v
d. Diagnostic cardiac catheterization bv bv
ANS: A
Primary prevention precedes disease or dysfunction. It includes health promotion and specific protection and
bv bv bv bv bv bv bv bv bv bv bv bv bv
encourages increased awareness; thus, education about healthy lifestyles fits this definition. Blood
bv bv bv bv bv bv bv bv bv bv bv bv
pressurescreening does not prevent disease, but instead identifies it.
bv bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level:Apply (Application) bv bv REF: p. 11 bv
7. Which of the following represents a method of secondary prevention?
bv bv bv bv bv bv bv bv bv
a. Self–breast examination education bv b v
b. Yearly mammograms bv
c. Chemotherapy for advanced breast cancer bv bv bv bv
d. Complete mastectomy for breast cancer bv b v bv bv
ANS: B
Screening is secondary prevention because the principal goal of screenings is to identify
b v bv b v bv b v bv bv bv bv bv bv bv
individuals in an early, detectable stage of the disease process. A mammogram is a screening tool for
b v bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
breast cancer and thus is considered a method of secondary prevention.
bv bv bv bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level:Apply (Application) bv bv REF: p. 15 bv
8. Which of the following represents a method of tertiary prevention?
bv bv bv bv bv bv bv bv bv
a. Drunk driving campaign bv bv
b. Road blocks for drunk driving
bv bv bv bv
c. Emergency surgery for head trauma after a motor vehicle accident
bv bv bv bv bv bv bv bv bv
d. Physical and occupational therapy after a motor vehicle accident with
bv bv bv bv bv bv bv bv bv
head trauma ANS: D
bv bv bv b v
, Physical therapy and occupational therapy are considered tertiary prevention. Tertiary prevention occurs
bv bv bv bv bv bv bv bv bv bv bv
when adefect or disability is permanent and irreversible. It involves minimizing the effect of disease and
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
disability. Theobjective of tertiary prevention is to maximize remaining capacities.
bv bv bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level: Apply (Application) REF: bv bv bv p. 15 bv
9. In reviewing a person‘s medical claims, a nurse realizes that the individual with moderate persistent
bv bv bv bv bv bv bv bv bv bv bv bv b v bv
b asthma has had several emergency department visits and is not on inhaled steroids as recommended
v bv bv bv bv bv bv bv bv bv bv bv bv bv bv
by the NHLBI asthmamanagement guidelines. The nurse discusses this with the person‘s primary care
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
provider. In this scenario, the nurse is acting as a(n):
bv bv bv bv bv bv bv bv bv bv
a. advocate.
b. care manager. bv
c. consultant.
d. educator.
ANS: B
Care managers act to prevent duplication of service and reduce cost. Care managers base
bv b v bv b v bv b v b v b v b v b v bv b v bv
recommendationon reliable data sources such as evidence-based practices and protocols.
bv bv bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level: Apply (Application) REF: bv bv bv p. 15 bv
10. During a home visit, a nurse assists an individual to complete an application for disability
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
services. The nurseis acting as a(n):
bv bv bv bv bv bv
a. advocate.
b. care manager. bv
c. consultant.
d. educator.
ANS: A
The advocacy role of the nurse helps individuals obtain what they are entitled to receive from the
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
health caresystem, tries to make the system more responsive to individuals‘ community needs, and assists
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
individuals in developing skills to advocate for themselves.
bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level: Apply (Application) REF: bv bv bv p. 15 bv
11. During a home visit, a nurse discusses the dangers of smoking with an individual. In this
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
scenario the nurseis acting as a(n):
bv bv bv bv bv bv
a. advocate.
b. care manager. bv
c. consultant.
d. educator.
ANS: D
Health education is a primary prevention technique available to avoid major causes of disease.
bv bv bv bv bv bv bv bv bv bv bv bv bv
Teaching canrrange from a chance remark to a planned lesson.
bv bv bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level: Apply (Application) REF: bv bv bv p. 16 bv
12. A nurse is asked to provide an expert opinion about the development of an education
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
program forrnewly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
bv bv bv bv bv bv bv bv bv bv bv bv bv
a. advocate.
b. care manager. bv
c. consultant.
d. educator.
bv bv bv bv bv bv bv bv
Edelman: Health Promotion Throughout the Life Span, 10th Edition
bv bv bv bv bv bv bv bv bv
MULTIPLE CHOICE bv
1. Which model of health is most likely used by a person who does not believe in preventive health care?
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
a. Clinical model bv
b. Role performance model bv bv
c. Adaptive model bv
d. Eudaimonistic model bv
ANS: A
The clinical model of health views the absence of signs and symptoms of disease as indicative of health.
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
People whouse this model wait until they are very sick to seek care.
bv bv bv bv bv bv bv bv bv bv bv bv bv
DIF: Cognitive Level: Remember (Knowledge) bv bv b v REF: p. 3 bv
2. A person with chronic back pain is cared for by her primary care provider as
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
well as receivesacupuncture. Which model of health does this person likely
bv bv bv bv bv bv bv bv bv bv bv
favor?
bv
a. Clinical model bv
b. Role performance model bv bv
c. Adaptive model bv
d. Eudaimonistic model bv
ANS: D
The eudaimonistic model embodies the interaction and interrelationships among physical, social,
bv bv bv bv bv bv bv bv bv bv
psychological,and spiritual aspects of life and the environment in goal attainment and creating meaning
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
in life. Practitioners who practice the clinical model may not be enough for someone who
bv bv bv bv b v b v bv b v b v b v b v b v bv b v bv
believes in the eudaimonistic model. Those who believe in the eudaimonistic model often look for
b v b v b v bv bv b v bv bv bv bv bv bv bv bv bv
alternative providers of care.
bv bv bv bv
DIF: Cognitive Level:Apply (Application) bv bv REF: p. 3 bv
3. A state of physical, mental, spiritual, and social functioning that realizes a person‘s potential and
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
is experienced within a developmental context is known as:
bv bv bv bv bv bv bv bv bv
a. growth and development. bv bv
b. health.
c. functioning.
d. high-level wellness. bv
ANS: B
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a person‘s
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
potentialand is experienced within a developmental context.
bv bv bv bv bv bv bv
DIF: Cognitive Level: Remember (Knowledge) bv bv b v REF: p. 5 bv
4. Which of the following best describes a client who has an illness?
bv bv bv bv bv bv bv bv bv bv bv
a. Someone who has well-controlled diabetes bv bv bv b v
b. Someone with hypercholesterolemia bv bv
c. Someone with a headache bv bv bv
d. Someone with coronary artery b v bv bv
b v disease withoutangina ANS: Cbv bv b v
, Someone with a headache represents a person with an illness. An illness is made up of
b v b v b v b v b v b v b v b v b v bv b v b v b v b v b v
the subjective experiencerof the individual and the physical manifestation of disease. It can be
b v b v bv bv bv bv bv bv bv bv bv bv bv bv
described as a response characterized by amismatch between a person‘s needs and the resources available to
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
meet those needs. A person can have a diseaserwithout feeling ill. The other choices represent disease.
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
DIF: Cognitive Level: Analyze (Analysis) bv bv bv REF: p. 6 bv
5. Which US report is considered a landmark document in creating a global approach to health?
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
a. The 1990 Health Objectives for the Nation: A Midcourse Review
bv bv bv bv bv bv bv bv bv
b. Healthy People 2020 bv b v
c. Healthy People 2000 bv b v
d. The U.S. Surgeon General Report
bv bv bv bv
ANS: C
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark documents in which a
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
consortium of people representing national organizations worked with US Public Health Service
bv bv bv bv bv bv bv b v bv bv bv bv
officials to create a more global approach to health.
bv bv bv bv bv bv bv bv bv
DIF: Cognitive Level: Remember (Knowledge) bv bv b v REF: p. 6 bv
6. Which of the following represents a method of primary prevention?
bv bv bv bv bv bv bv bv bv
a. Informational session about healthy lifestyles bv bv bv bv
b. Blood pressure screening bv bv
c. Interventional cardiac catheterization b v b v
d. Diagnostic cardiac catheterization bv bv
ANS: A
Primary prevention precedes disease or dysfunction. It includes health promotion and specific protection and
bv bv bv bv bv bv bv bv bv bv bv bv bv
encourages increased awareness; thus, education about healthy lifestyles fits this definition. Blood
bv bv bv bv bv bv bv bv bv bv bv bv
pressurescreening does not prevent disease, but instead identifies it.
bv bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level:Apply (Application) bv bv REF: p. 11 bv
7. Which of the following represents a method of secondary prevention?
bv bv bv bv bv bv bv bv bv
a. Self–breast examination education bv b v
b. Yearly mammograms bv
c. Chemotherapy for advanced breast cancer bv bv bv bv
d. Complete mastectomy for breast cancer bv b v bv bv
ANS: B
Screening is secondary prevention because the principal goal of screenings is to identify
b v bv b v bv b v bv bv bv bv bv bv bv
individuals in an early, detectable stage of the disease process. A mammogram is a screening tool for
b v bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
breast cancer and thus is considered a method of secondary prevention.
bv bv bv bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level:Apply (Application) bv bv REF: p. 15 bv
8. Which of the following represents a method of tertiary prevention?
bv bv bv bv bv bv bv bv bv
a. Drunk driving campaign bv bv
b. Road blocks for drunk driving
bv bv bv bv
c. Emergency surgery for head trauma after a motor vehicle accident
bv bv bv bv bv bv bv bv bv
d. Physical and occupational therapy after a motor vehicle accident with
bv bv bv bv bv bv bv bv bv
head trauma ANS: D
bv bv bv b v
, Physical therapy and occupational therapy are considered tertiary prevention. Tertiary prevention occurs
bv bv bv bv bv bv bv bv bv bv bv
when adefect or disability is permanent and irreversible. It involves minimizing the effect of disease and
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
disability. Theobjective of tertiary prevention is to maximize remaining capacities.
bv bv bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level: Apply (Application) REF: bv bv bv p. 15 bv
9. In reviewing a person‘s medical claims, a nurse realizes that the individual with moderate persistent
bv bv bv bv bv bv bv bv bv bv bv bv b v bv
b asthma has had several emergency department visits and is not on inhaled steroids as recommended
v bv bv bv bv bv bv bv bv bv bv bv bv bv bv
by the NHLBI asthmamanagement guidelines. The nurse discusses this with the person‘s primary care
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
provider. In this scenario, the nurse is acting as a(n):
bv bv bv bv bv bv bv bv bv bv
a. advocate.
b. care manager. bv
c. consultant.
d. educator.
ANS: B
Care managers act to prevent duplication of service and reduce cost. Care managers base
bv b v bv b v bv b v b v b v b v b v bv b v bv
recommendationon reliable data sources such as evidence-based practices and protocols.
bv bv bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level: Apply (Application) REF: bv bv bv p. 15 bv
10. During a home visit, a nurse assists an individual to complete an application for disability
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
services. The nurseis acting as a(n):
bv bv bv bv bv bv
a. advocate.
b. care manager. bv
c. consultant.
d. educator.
ANS: A
The advocacy role of the nurse helps individuals obtain what they are entitled to receive from the
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
health caresystem, tries to make the system more responsive to individuals‘ community needs, and assists
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
individuals in developing skills to advocate for themselves.
bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level: Apply (Application) REF: bv bv bv p. 15 bv
11. During a home visit, a nurse discusses the dangers of smoking with an individual. In this
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
scenario the nurseis acting as a(n):
bv bv bv bv bv bv
a. advocate.
b. care manager. bv
c. consultant.
d. educator.
ANS: D
Health education is a primary prevention technique available to avoid major causes of disease.
bv bv bv bv bv bv bv bv bv bv bv bv bv
Teaching canrrange from a chance remark to a planned lesson.
bv bv bv bv bv bv bv bv bv bv
DIF: b v b v b v Cognitive Level: Apply (Application) REF: bv bv bv p. 16 bv
12. A nurse is asked to provide an expert opinion about the development of an education
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
program forrnewly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
bv bv bv bv bv bv bv bv bv bv bv bv bv
a. advocate.
b. care manager. bv
c. consultant.
d. educator.
