HealthPromotionThroughouttheLifeSpan9thEdition
Authors: Carole Edelman, Elizabeth Kudzma
Chapter 01: Health Defined: Objectives for Promotion and Prevention
Edelman: Health Promotion Throughout the Life Span, 9th Edition
MULTIPLE CHOICE
Which model of health is most likely used by a person wh
o does not believe in preventive health care?
a. Clinical model
b. Role performance model
c. Adaptive model
d. Eudaimonistic model
ANS:KA
The clinical model of health views the absence of signs an
d symptoms of disease as indicative of health. Peoplewho
use this model wait until they are very sick to seek care.
DIF: Cognitive Level: Remember (Knowledge)
REF: p. 3
2. A person with chronic back pain is cared for by her primary care provider
as well as receivesacupuncture. Which model of health does this person lik
ely favor?
a. Clinical model
b. Role performance model
c. Adaptive model
d. Eudaimonistic model
ANS:KD
The eudaimonistic model embodies the interaction and interrelationships among physical, s
ocial, psychological, and spiritual aspects of life and the environment in goal attainment an
d creating meaning in life. Practitioners who practice the clinical model may not be enough
for someone who believes in the eudaimonistic model. Thosewho believ e in the eudaimo
nistic model often look for alternative providers of care.
DIF: Cognitive Level: Apply (Application) REF: p. 3
3. A state of physical, mental, spiritual, and social functioning that realizes a perso
n‘s potential and isexperienced within a developmental context is known as:
a. growth and development.
b. health.
c. functioning.
d. high-level wellness.
ANS:KB
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes
a person‘s potentialand is experienced within a developmental context.
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, DIF: Cognitive Level: Remember (Knowledge) REF: p. 5
4. Which of the following best describes a client 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 diseas
e withoutangina
e. ANS:KC
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 reso
urces available to meet those needs. A person can have a diseasewithout feeling ill. The oth
er choices represent disease.
DIF: Cognitive Level: Analyze (Analysis) REF: p. 6
5. Which US report is considered a landmark document in creating a global approach to health?
a. The 1990 Health Objectives for the Nation: A Midcourse Review
b. Healthy People 2020
c. Healthy People 2000
d. The U.S. Surgeon General Report
ANS:KC
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark docu
ments in which a consortium of people representing national organizations worked with
US Public Health Service officials tocreate a more global approach to health.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 6
6. 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:KA
Primary prevention precedes disease or dysfunction. It includes health promotion and sp
ecific protection andencourages increased awareness; thus, education about healthy lifest
yles fits this definition. Blood pressure screening does not prevent disease, but instead i
dentifies it.
DIF: Cognitive Level: Apply (Application) REF: p. 11
7. Which of the following represents a method of secondary prevention?
a. Self–breast examination education
b. Yearly mammograms
c. Chemotherapy for advanced breast cancer
d. Complete mastectomy for breast cancer
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, ANS:KB
Screening is secondary prevention because the principal goal of screenings is to identify in
dividuals in an early,detectable stage of the disease process. A mammogram is a screening t
ool for breast cancer and thus is considered a method of secondary prevention.
DIF: Cognitive Level: Apply (Application) REF: p. 15
8. 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. Physical and occupational therapy after a motor vehicl
e accident with headtrauma
ANS:KD
Physical therapy and occupational therapy are considered tertiary prevention. Tertiary preve
ntion occurs when a defect or disability is permanent and irreversible. It involves minimizin
g the effect of disease and disability. The objective of tertiary prevention is to maximize re
maining capacities.
DIF: Cognitive Level: Apply (Application) REF: p. 15
9. In reviewing a person‘s medical claims, a nurse realizes that the individual with moderate
persistent asthma hashad several emergency department visits and is not on inhaled steroi
ds as recommended by the NHLBI asthma management guidelines. The nurse discusses t
his with the person‘s primary care provider. In this scenario, the nurse is acting as a(n):
a. advocate.
b. care manager.
c. consultant.
d. educator.
ANS:KB
Care managers act to prevent duplication of service and reduce cost. Care managers base recommen
dationon reliable data sources such as evidence-based practices and protocols.
DIF: Cognitive Level: Apply (Application) REF: p. 15
10. During a home visit, a nurse assists an individual to complete an application for disabili
ty services. The nurseis acting as a(n):
a. advocate.
b. care manager.
c. consultant.
d. educator.
ANS:KA
The advocacy role of the nurse helps individuals obtain what they are entitled to receive
from the health care system, tries to make the system more responsive to individuals‘ co
mmunity needs, and assists individuals indeveloping skills to advocate for themselves.
DIF: Cognitive Level: Apply (Application) REF: p. 15
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