Test Bank for Canadian Fundamentals of Nursing 6th
Edition by Potter
Chapter 01: Health and Wellness
Potter et al: Canadian Fundamentals of Nursing, 6th Edition
MULTIPLE CHOICE
1. The nurse is using the population health promotion model to develop actions for
improving health. After asking, “On what should we take action?”; “How should we take
action?”; and “Why should we take action?” the nurse will ask which of the following
questions?
a. “With whom should we act?”
b. “When should we take action?”
c. “Which government should take action?”
d. “Where should we first act?”
ANS: A
The next question to ask when using the population health model approach is “With whom
should we act?” The other choices are not questions included in this model.
DIF: Apply REF: 13 (Figure 1-5)
OBJ: Contrast distinguishing features of health promotion and disease prevention.
TOP: Implementation MSC: NCLEX: Health Promotion and Maintenance
2. The principle “Health promotion is multisectoral” means which of the following?
a. Relationships between individual, social, and environmental factors must be
recognized.
b. Physical, mental, social, ecological, cultural, and spiritual aspects of health must
be recognized.
c. In order to change unhealthy living and working conditions, areas other than health
must also be involved.
d. Health promotion uses knowledge from disciplines such as social, economic,
political, environmental, medical, and nursing sciences, as well as from first-hand
experience.
ANS: C
The statement “Health promotion is multisectoral” mis mthe mprinciple mexplained
mby mthe mnecessity mto minvolve mareas mother mthan mhealth min morder mto mchange
munhealthy mliving mand mworking mconditions.
DIF: Understand REF: m 11
OBJ: m Contrast mdistinguishing mfeatures mof mhealth mpromotion mand mdisease mprevention.
TOP: Planning MSC: NCLEX: mHealth mPromotion mand mMaintenance
3. According mto mthe mWorld mHealth mOrganization, mwhat mis mthe mbest mdescription mof
m“health”?
a. Simply mthe mabsence mof mdisease.
b. Involving mthe mtotal mperson mand menvironment.
c. Strictly mpersonal min mnature.
d. Status mof mpathological mstate.
ANS: m B
, WHO mdefines mhealth mas m“. m. m.the mextent mto mwhich man mindividual mor mgroup mis
mable, mon mthe mone mhand, mto mrealize maspirations mand msatisfy mneeds; mand, mon mthe
mother mhand, mto mchange mor mcope mwith mthe menvironment. mHealth mis, mtherefore,
mseen mas ma mresource mfor meveryday mlife, mnot mthe mobjective mof mliving; mit mis ma
mpositive mconcept memphasizing msocial mand mpersonal mresources, mas mwell mas
mphysical mcapacities.” mNurses’ mattitudes mtoward mhealth mand millness mshould
mconsider mthe mtotal mperson, mas mwell mas mthe menvironment min mwhich mthe mperson
mlives. mPeople mfree mof mdisease mare mnot mequally mhealthy. mViews mof mhealth mhave
mbroadened mto minclude mmental, msocial, mand mspiritual mwell-being, mas mwell mas ma
mfocus mon mhealth mat mfamily mand mcommunity mlevels.
Conditions mof mlife, mrather mthan mpathological mstates, mare mwhat mdetermine mhealth.
DIF: Knowledge REF: m 2
OBJ: mDiscuss mways mthat mdefinitions mof mhealth mhave mbeen mconceptualized.
TOP: Evaluate MSC: m NCLEX: mHealth mPromotion mand mMaintenance
4. What mpriority mstrategy mfor mhealth mpromotion min mCanada mis moptional mbut mseen mas
mimportant mto mincorporate min mnursing meducation mcurricula?
a. Knowledge mof mdisease mprevention.
b. Strategies mfor mhealth mpromotion.
c. Policy madvocacy.
d. Concepts mof mdeterminants mof mhealth.
ANS: m C
Increasingly, mpolicy madvocacy mis mincorporated minto mnursing mrole mstatements mand
mnursing meducation mcurricula. mNurses mshould mthink mabout mpolicies mthat mhave
mcontributed mto mhealth mproblems, mpolicies mthat mwould mhelp malleviate mhealth
mproblems, mand mhow mnurses mchampion mpublic mpolicies. mDisease mprevention, mhealth
mpromotion, mand mconcepts mof mdeterminants mof mhealth mare mintegral mparts mof mnursing
mcurricula.
DIF: Understand REF: 11| m12
OBJ: m Analyze mhow mthe mnature mand mscope mof mnursing mpractice mare minfluenced mby
mdifferent
conceptualizations mof mhealth mand mhealth TOP: Planning
mdeterminants. mMSC: mNCLEX: mHealth
mPromotion mand mMaintenance
5. Which mof mthe mfollowing mis ma mprerequisite mfor mhealth, mas midentified mby mthe
mOttawa mCharter mfor mHealth mPromotion?
a. Education.
b. Social msupport.
c. Self-esteem.
d. Physical menvironment.
ANS: m A
Education mis mone mof mthe mnine mprerequisites mfor mhealth mthat mwere midentified min
mthe mOttawa mCharter mfor mHealth mPromotion. mLack mof msocial msupport mand mlow
mself-esteem mwere midentified mas mpsychosocial mrisk mfactors mby mLabonte m(1993).
mDangerous mphysical menvironments mwere midentified mas msocioenvironmental mrisk
mfactors mby mLabonte m(1993).
DIF: Understand REF: m 4
OBJ: Discuss mcontributions mof mthe mfollowing mCanadian mpublications mto
mconceptualizations mof mhealth mand mhealth mdeterminants: mLalonde mReport, mOttawa
mCharter, mEpp mReport, mStrategies mfor
Population mHealth, mJakarta mDeclaration, mBangkok mCharter, mToronto TOP: Planning
mCharter. mMSC: mNCLEX: mHealth mPromotion mand mMaintenance
,6. The mdeterminant mof mhealth mwith mthe mgreatest meffect mon mthe mhealth mof
mCanadians mis mwhich mof mthe mfollowing?
a. Education.
b. Health mservices.
c. Social msupport mnetworks.
d. Income mand msocial mstatus.
ANS: m D
Income, mincome mdistribution, mand msocial mstatus mconstitute mthe mgreatest mdeterminant
mof mhealth mbecause mthey minfluence mmost mother mdeterminants. mSome minvestigators
msuggest mthat mliteracy mand meducation mare mimportant minfluences mon mhealth mstatus
mbecause mthey maffect mmany mother mhealth mdeterminants. mApproximately m25% mof ma
mpopulation’s mhealth mstatus mis mattributed mto mthe mquality mof mits mhealth mcare
mservices. mSocial msupport maffects mhealth, mhealth mbehaviours, mand mhealth mcare
mutilization mbut mis mnot mthe mgreatest mdeterminant mof mhealth.
DIF: Understand REF: m 6
OBJ: mDiscuss mkey mhealth mdeterminants mand mtheir minterrelationships mand mhow mthey
minfluence mhealth.
TOP: Planning MSC: NCLEX: mHealth mPromotion mand mMaintenance
7. A mparaplegic mpatient min mthe mhospital mfor man melectrolyte mimbalance mis mreceiving
mcare mat mwhich mprevention mlevel?
a. Primary mprevention mlevel.
b. Secondary mprevention mlevel.
c. Tertiary mprevention mlevel.
d. Health mpromotion mlevel.
ANS: m B
The msecondary mprevention mlevel mfocuses mon mearly mdetection mof mdisease monce
mpathogenesis mhas moccurred, mso mthat mprompt mtreatment mcan mbe minitiated mto mhalt
mdisease mand mlimit mdisability. mThe mprimary mprevention mlevel mfocuses mon mhealth
mpromotion, mspecific mprotection mmeasures msuch mas mimmunizations, mand mthe
mreduction mof mrisk mfactors msuch mas msmoking. mThe mtertiary mprevention mlevel
mfocuses mon mminimizing mresidual mdisability.
DIF: Apply REF: m 11
OBJ: m Contrast mdistinguishing mfeatures mof mhealth mpromotion mand mdisease mprevention.
TOP: Implementation MSC: NCLEX: mHealth mPromotion mand
mMaintenance
8. The mnurse mincorporates mlevels mof mprevention mon mthe mbasis mof mpatient mneeds
mand mthe mtype mof mnursing mcare mprovided. mWhich mof mthe mfollowing mis man
mexample mof mtertiary mlevel mpreventive mcaregiving?
a. Teaching ma mpatient mhow mto mirrigate ma mnew mtemporary mcolostomy.
b. Providing ma mlesson mon mhygiene mfor man melementary mschool mclass.
c. Informing ma mpatient mthat mimmunizations mfor mher minfant mare mavailable
mthrough mthe mhealth mdepartment.
d. Arranging mfor ma mhospice mnurse mto mvisit mwith mthe mfamily mof ma mpatient mwith
mcancer.
ANS: m D
, Tertiary mprevention mis mprovided mwhen ma mdefect mor mdisability mis mpermanent mand
mirreversible. mAt mthis mlevel, mthe mhospice mnurse maims mto mhelp mthe mpatient mand mhis
mor mher mfamily mto machieve ma mhigh mlevel mof mfunction, mdespite mthe mlimitations
mcaused mby mthe mpatient’s millness. mTeaching ma mpatient mhow mto mirrigate ma mnew
mcolostomy mis man mexample mof msecondary mprevention. mIf mthe mcolostomy mis mto mbe
mpermanent, mcare mmay mlater mmove mto mthe mtertiary mlevel mof mprevention.
Providing ma mlesson mon mhygiene mfor man melementary mschool mclass mand
minforming ma mpatient mabout mavailable mimmunizations mare mexamples mof
mprimary mprevention.
DIF: Apply REF: m OBJ: m Discuss mthe mthree mlevels mof mdisease
m 11 mprevention.
TOP: Implementation MSC: NCLEX: mHealth mPromotion mand
mMaintenance
9. The mnurse mis mworking mon ma mcommittee mto mevaluate mthe mneed mfor mincreasing
mthe mlevels mof mfluoride min mthe mdrinking mwater mof mthe mcommunity. mIn mdoing mso,
mthe mnurse mis mfostering mwhich mconcept?
a. Anticipatory mprevention.
b. Primary mprevention.
c. Secondary mprevention.
d. Tertiary mprevention.
ANS: m B
Fluoridation mof mmunicipal mdrinking mwater mand mfortification mof mhomogenized mmilk
mwith mvitamin mD mare mexamples mof mprimary mprevention mstrategies. mWith mactive
mstrategies mof mhealth mpromotion, mindividuals mare mmotivated mto madopt mspecific
mhealth mprograms msuch mas mweight mreduction mand msmoking mcessation mprograms.
m“Anticipatory mprevention” mis mnot ma mknown mconcept. mSecondary mprevention
mpromotes mearly mdetection mof mdisease m(e.g., mscreening).
Tertiary mprevention mactivities mare minitiated min mthe mconvalescence mphase mof mdisease.
DIF: Apply REF: m OBJ: m Discuss mthe mthree mlevels mof mdisease
m 11 mprevention.
TOP: Implementation MSC: NCLEX: mHealth mPromotion mand
mMaintenance
10. The mnurse mis mworking min ma mclinic mthat mis mdesigned mto mprovide mhealth
meducation mand mimmunizations. mAs msuch, mthis mclinic mfocuses mon mwhich
mtype mof mprevention?
a. Primary mprevention.
b. Secondary mprevention.
c. Tertiary mprevention.
d. Diagnosis mand mprompt mintervention.
ANS: m A
Primary mprevention mprecedes mdisease mor mdysfunction mand mis mapplied mto mpeople
mconsidered mphysically mand memotionally mhealthy. mHealth mpromotion mincludes mhealth
meducation mprograms, mimmunizations, mand mphysical mand mnutritional mfitness
mactivities. mSecondary mprevention mfocuses mon mindividuals mwho mare mexperiencing
mhealth mproblems mor millnesses mand mwho mare mat mrisk mfor mdeveloping mcomplications
mor mworsening mconditions; mactivities mare mdirected mat mdiagnosis mand mprompt
mintervention. mTertiary mprevention mis mprovided mwhen ma mdefect mor mdisability mis
mpermanent mand mirreversible. mIt minvolves mminimizing mthe meffects mof mlong-term
mdisease mor mdisability mthrough minterventions mdirected mat mpreventing mcomplications
mand mdeterioration.
DIF: Understand REF: m OBJ: m Discuss mthe mthree mlevels mof mdisease
m 11 mprevention.
Edition by Potter
Chapter 01: Health and Wellness
Potter et al: Canadian Fundamentals of Nursing, 6th Edition
MULTIPLE CHOICE
1. The nurse is using the population health promotion model to develop actions for
improving health. After asking, “On what should we take action?”; “How should we take
action?”; and “Why should we take action?” the nurse will ask which of the following
questions?
a. “With whom should we act?”
b. “When should we take action?”
c. “Which government should take action?”
d. “Where should we first act?”
ANS: A
The next question to ask when using the population health model approach is “With whom
should we act?” The other choices are not questions included in this model.
DIF: Apply REF: 13 (Figure 1-5)
OBJ: Contrast distinguishing features of health promotion and disease prevention.
TOP: Implementation MSC: NCLEX: Health Promotion and Maintenance
2. The principle “Health promotion is multisectoral” means which of the following?
a. Relationships between individual, social, and environmental factors must be
recognized.
b. Physical, mental, social, ecological, cultural, and spiritual aspects of health must
be recognized.
c. In order to change unhealthy living and working conditions, areas other than health
must also be involved.
d. Health promotion uses knowledge from disciplines such as social, economic,
political, environmental, medical, and nursing sciences, as well as from first-hand
experience.
ANS: C
The statement “Health promotion is multisectoral” mis mthe mprinciple mexplained
mby mthe mnecessity mto minvolve mareas mother mthan mhealth min morder mto mchange
munhealthy mliving mand mworking mconditions.
DIF: Understand REF: m 11
OBJ: m Contrast mdistinguishing mfeatures mof mhealth mpromotion mand mdisease mprevention.
TOP: Planning MSC: NCLEX: mHealth mPromotion mand mMaintenance
3. According mto mthe mWorld mHealth mOrganization, mwhat mis mthe mbest mdescription mof
m“health”?
a. Simply mthe mabsence mof mdisease.
b. Involving mthe mtotal mperson mand menvironment.
c. Strictly mpersonal min mnature.
d. Status mof mpathological mstate.
ANS: m B
, WHO mdefines mhealth mas m“. m. m.the mextent mto mwhich man mindividual mor mgroup mis
mable, mon mthe mone mhand, mto mrealize maspirations mand msatisfy mneeds; mand, mon mthe
mother mhand, mto mchange mor mcope mwith mthe menvironment. mHealth mis, mtherefore,
mseen mas ma mresource mfor meveryday mlife, mnot mthe mobjective mof mliving; mit mis ma
mpositive mconcept memphasizing msocial mand mpersonal mresources, mas mwell mas
mphysical mcapacities.” mNurses’ mattitudes mtoward mhealth mand millness mshould
mconsider mthe mtotal mperson, mas mwell mas mthe menvironment min mwhich mthe mperson
mlives. mPeople mfree mof mdisease mare mnot mequally mhealthy. mViews mof mhealth mhave
mbroadened mto minclude mmental, msocial, mand mspiritual mwell-being, mas mwell mas ma
mfocus mon mhealth mat mfamily mand mcommunity mlevels.
Conditions mof mlife, mrather mthan mpathological mstates, mare mwhat mdetermine mhealth.
DIF: Knowledge REF: m 2
OBJ: mDiscuss mways mthat mdefinitions mof mhealth mhave mbeen mconceptualized.
TOP: Evaluate MSC: m NCLEX: mHealth mPromotion mand mMaintenance
4. What mpriority mstrategy mfor mhealth mpromotion min mCanada mis moptional mbut mseen mas
mimportant mto mincorporate min mnursing meducation mcurricula?
a. Knowledge mof mdisease mprevention.
b. Strategies mfor mhealth mpromotion.
c. Policy madvocacy.
d. Concepts mof mdeterminants mof mhealth.
ANS: m C
Increasingly, mpolicy madvocacy mis mincorporated minto mnursing mrole mstatements mand
mnursing meducation mcurricula. mNurses mshould mthink mabout mpolicies mthat mhave
mcontributed mto mhealth mproblems, mpolicies mthat mwould mhelp malleviate mhealth
mproblems, mand mhow mnurses mchampion mpublic mpolicies. mDisease mprevention, mhealth
mpromotion, mand mconcepts mof mdeterminants mof mhealth mare mintegral mparts mof mnursing
mcurricula.
DIF: Understand REF: 11| m12
OBJ: m Analyze mhow mthe mnature mand mscope mof mnursing mpractice mare minfluenced mby
mdifferent
conceptualizations mof mhealth mand mhealth TOP: Planning
mdeterminants. mMSC: mNCLEX: mHealth
mPromotion mand mMaintenance
5. Which mof mthe mfollowing mis ma mprerequisite mfor mhealth, mas midentified mby mthe
mOttawa mCharter mfor mHealth mPromotion?
a. Education.
b. Social msupport.
c. Self-esteem.
d. Physical menvironment.
ANS: m A
Education mis mone mof mthe mnine mprerequisites mfor mhealth mthat mwere midentified min
mthe mOttawa mCharter mfor mHealth mPromotion. mLack mof msocial msupport mand mlow
mself-esteem mwere midentified mas mpsychosocial mrisk mfactors mby mLabonte m(1993).
mDangerous mphysical menvironments mwere midentified mas msocioenvironmental mrisk
mfactors mby mLabonte m(1993).
DIF: Understand REF: m 4
OBJ: Discuss mcontributions mof mthe mfollowing mCanadian mpublications mto
mconceptualizations mof mhealth mand mhealth mdeterminants: mLalonde mReport, mOttawa
mCharter, mEpp mReport, mStrategies mfor
Population mHealth, mJakarta mDeclaration, mBangkok mCharter, mToronto TOP: Planning
mCharter. mMSC: mNCLEX: mHealth mPromotion mand mMaintenance
,6. The mdeterminant mof mhealth mwith mthe mgreatest meffect mon mthe mhealth mof
mCanadians mis mwhich mof mthe mfollowing?
a. Education.
b. Health mservices.
c. Social msupport mnetworks.
d. Income mand msocial mstatus.
ANS: m D
Income, mincome mdistribution, mand msocial mstatus mconstitute mthe mgreatest mdeterminant
mof mhealth mbecause mthey minfluence mmost mother mdeterminants. mSome minvestigators
msuggest mthat mliteracy mand meducation mare mimportant minfluences mon mhealth mstatus
mbecause mthey maffect mmany mother mhealth mdeterminants. mApproximately m25% mof ma
mpopulation’s mhealth mstatus mis mattributed mto mthe mquality mof mits mhealth mcare
mservices. mSocial msupport maffects mhealth, mhealth mbehaviours, mand mhealth mcare
mutilization mbut mis mnot mthe mgreatest mdeterminant mof mhealth.
DIF: Understand REF: m 6
OBJ: mDiscuss mkey mhealth mdeterminants mand mtheir minterrelationships mand mhow mthey
minfluence mhealth.
TOP: Planning MSC: NCLEX: mHealth mPromotion mand mMaintenance
7. A mparaplegic mpatient min mthe mhospital mfor man melectrolyte mimbalance mis mreceiving
mcare mat mwhich mprevention mlevel?
a. Primary mprevention mlevel.
b. Secondary mprevention mlevel.
c. Tertiary mprevention mlevel.
d. Health mpromotion mlevel.
ANS: m B
The msecondary mprevention mlevel mfocuses mon mearly mdetection mof mdisease monce
mpathogenesis mhas moccurred, mso mthat mprompt mtreatment mcan mbe minitiated mto mhalt
mdisease mand mlimit mdisability. mThe mprimary mprevention mlevel mfocuses mon mhealth
mpromotion, mspecific mprotection mmeasures msuch mas mimmunizations, mand mthe
mreduction mof mrisk mfactors msuch mas msmoking. mThe mtertiary mprevention mlevel
mfocuses mon mminimizing mresidual mdisability.
DIF: Apply REF: m 11
OBJ: m Contrast mdistinguishing mfeatures mof mhealth mpromotion mand mdisease mprevention.
TOP: Implementation MSC: NCLEX: mHealth mPromotion mand
mMaintenance
8. The mnurse mincorporates mlevels mof mprevention mon mthe mbasis mof mpatient mneeds
mand mthe mtype mof mnursing mcare mprovided. mWhich mof mthe mfollowing mis man
mexample mof mtertiary mlevel mpreventive mcaregiving?
a. Teaching ma mpatient mhow mto mirrigate ma mnew mtemporary mcolostomy.
b. Providing ma mlesson mon mhygiene mfor man melementary mschool mclass.
c. Informing ma mpatient mthat mimmunizations mfor mher minfant mare mavailable
mthrough mthe mhealth mdepartment.
d. Arranging mfor ma mhospice mnurse mto mvisit mwith mthe mfamily mof ma mpatient mwith
mcancer.
ANS: m D
, Tertiary mprevention mis mprovided mwhen ma mdefect mor mdisability mis mpermanent mand
mirreversible. mAt mthis mlevel, mthe mhospice mnurse maims mto mhelp mthe mpatient mand mhis
mor mher mfamily mto machieve ma mhigh mlevel mof mfunction, mdespite mthe mlimitations
mcaused mby mthe mpatient’s millness. mTeaching ma mpatient mhow mto mirrigate ma mnew
mcolostomy mis man mexample mof msecondary mprevention. mIf mthe mcolostomy mis mto mbe
mpermanent, mcare mmay mlater mmove mto mthe mtertiary mlevel mof mprevention.
Providing ma mlesson mon mhygiene mfor man melementary mschool mclass mand
minforming ma mpatient mabout mavailable mimmunizations mare mexamples mof
mprimary mprevention.
DIF: Apply REF: m OBJ: m Discuss mthe mthree mlevels mof mdisease
m 11 mprevention.
TOP: Implementation MSC: NCLEX: mHealth mPromotion mand
mMaintenance
9. The mnurse mis mworking mon ma mcommittee mto mevaluate mthe mneed mfor mincreasing
mthe mlevels mof mfluoride min mthe mdrinking mwater mof mthe mcommunity. mIn mdoing mso,
mthe mnurse mis mfostering mwhich mconcept?
a. Anticipatory mprevention.
b. Primary mprevention.
c. Secondary mprevention.
d. Tertiary mprevention.
ANS: m B
Fluoridation mof mmunicipal mdrinking mwater mand mfortification mof mhomogenized mmilk
mwith mvitamin mD mare mexamples mof mprimary mprevention mstrategies. mWith mactive
mstrategies mof mhealth mpromotion, mindividuals mare mmotivated mto madopt mspecific
mhealth mprograms msuch mas mweight mreduction mand msmoking mcessation mprograms.
m“Anticipatory mprevention” mis mnot ma mknown mconcept. mSecondary mprevention
mpromotes mearly mdetection mof mdisease m(e.g., mscreening).
Tertiary mprevention mactivities mare minitiated min mthe mconvalescence mphase mof mdisease.
DIF: Apply REF: m OBJ: m Discuss mthe mthree mlevels mof mdisease
m 11 mprevention.
TOP: Implementation MSC: NCLEX: mHealth mPromotion mand
mMaintenance
10. The mnurse mis mworking min ma mclinic mthat mis mdesigned mto mprovide mhealth
meducation mand mimmunizations. mAs msuch, mthis mclinic mfocuses mon mwhich
mtype mof mprevention?
a. Primary mprevention.
b. Secondary mprevention.
c. Tertiary mprevention.
d. Diagnosis mand mprompt mintervention.
ANS: m A
Primary mprevention mprecedes mdisease mor mdysfunction mand mis mapplied mto mpeople
mconsidered mphysically mand memotionally mhealthy. mHealth mpromotion mincludes mhealth
meducation mprograms, mimmunizations, mand mphysical mand mnutritional mfitness
mactivities. mSecondary mprevention mfocuses mon mindividuals mwho mare mexperiencing
mhealth mproblems mor millnesses mand mwho mare mat mrisk mfor mdeveloping mcomplications
mor mworsening mconditions; mactivities mare mdirected mat mdiagnosis mand mprompt
mintervention. mTertiary mprevention mis mprovided mwhen ma mdefect mor mdisability mis
mpermanent mand mirreversible. mIt minvolves mminimizing mthe meffects mof mlong-term
mdisease mor mdisability mthrough minterventions mdirected mat mpreventing mcomplications
mand mdeterioration.
DIF: Understand REF: m OBJ: m Discuss mthe mthree mlevels mof mdisease
m 11 mprevention.
