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Lium Edelman, Elizabeth Kudzma L L L L
Chapter 01: Health Defined: Objectives for Promotion and Prevention
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Edelman: Health Promotion Throughout the Life Span, 9th Edition
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MULTIPLE CHOICE L
1. A person with chronic back pain is cared for by her primary care provider as well as receives
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acupuncture. Which model of health does this person likely favor?
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a. Clinical model L
b. Role performance model L L
c. Adaptive model L
d. Eudaimonistic model L
ANS: D L
The eudaimonistic model embodies the interaction and interrelationships among physical, social, psychological,
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and spiritual aspects of life and the environment in goal attainment and creating meaning in life. Practitioners who
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practice the clinical model may not be enough for someone who believes in the eudaimonistic model. Those who
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believe in the eudaimonistic model often look for alternative providers of care.
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DIF: Cognitive Level: Apply (Application) L L L REF: p. 3 L
2. A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is
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experienced within a developmental context is known as:
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a. growth and development. L L
b. health.
c. functioning.
d. high-level wellness. L
ANS: B L
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a person's potential
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and is experienced within a developmental context.
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DIF: Cognitive Level: Remember (Knowledge) L L L REF: p. 5L
3. Which of the following best describes a client who has an illness?
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a. Someone who has well-controlled diabetes L L L L
b. Someone with hypercholesterolemia L L
c. Someone with a headache L L L
d. Someone with coronary artery disease without L L L L L
L angina ANS: C L L
, Someone with a headache represents a person with an illness. An illness is made up of the subjective experience of
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Lthe individual and the physical manifestation of disease. It can be described as a response characterized by a
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Lmismatch between a person's needs and the resources available to meet those needs. A person can have a disease
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Lwithout feeling ill. The other choices represent disease.
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DIF: Cognitive Level: Analyze (Analysis) L L L REF: p. 6 L
4. 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 L L
c. Healthy People 2000 L L
The U.S. Surgeon General Report
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ANS: C L
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark documents in which a
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consortium of people representing national organizations worked with US Public Health Se1vice officials to
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create a more global approach to health.
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DIF: Cognitive Level: Remember (Knowledge) L L L REF: p. 6 L
5. Which of the following represents a method of primary prevention?
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a. Informational session about healthy lifestyles L L L L
b. Blood pressure screening L L
c. Interventional cardiac catheterization L L
d. Diagnostic cardiac catheterization L L
ANS: A L
Primary prevention precedes disease or dysfunction. It includes health promotion and specific protection and
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encourages increased awareness; thus, education about healthy lifestyles fits this definition. Blood pressure
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screening does not prevent disease, but instead identifies it.
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DIF: Cognitive Level: Apply (Application) L L L REF: p. 11 L
6. Which of the following represents a method of seconda1y prevention?
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a. Self-breast examination education L L
b. Yearly mammograms L
c. Chemotherapy for advanced breast cancer L L L L
d. Complete mastectomy for breast cancer L L L L
ANS: B L
Screening is secondary prevention because the principal goal of screenings is to identify individuals in an early,
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detectable stage of the disease process. A mammogram is a screening tool for breast cancer and thus is
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considered a method of secondary prevention.
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DIF: Cognitive Level: Apply (Application) L L L REF: p. 15 L
7. Which of the following represents a method of tertiary prevention?
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a. Drunk driving campaign L L
b. Road blocks for drunk driving L L L L
c. Emergency surgery for head trauma after a motor vehicle accident L L L L L L L L L
d. Physical and occupational therapy after a motor vehicle accident with head
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L trauma ANS: D L L
, Physical therapy and occupational therapy are considered tertiary prevention. Tertiary prevention occurs when a
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defect or disability is permanent and irreversible. It involves minimizing the effect of disease and disability. The
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objective of tertiary prevention is to maximize remaining capacities.
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DIF: Cognitive Level: Apply (Application) L L L REF: p. 15 L
8. In reviewing a person's medical claims, a nurse realizes that the individual with moderate persistent asthma has
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Lhad several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma
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Lmanagement guidelines. The nurse discusses this with the person's primary care provider. In this scenario, the
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Lnurse is acting as a(n):
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a. advocate.
b. care manager. L
c. consultant.
d. educator.
ANS: B L
Care managers act to prevent duplication of se1vice and reduce cost. Care managers base recommendation
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on reliable data sources such as evidence-based practices and protocols.
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DIF: Cognitive Level: Apply (Application) L L L REF: p. 15 L
9. During a home visit, a nurse assists an individual to complete an application for disability services. The nurse is
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acting as a(n):
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a. advocate.
b. care manager. L
c. consultant.
d. educator.
ANS: A L
The advocacy role of the nurse helps individuals obtain what they are entitled to receive from the health care
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system, tries to make the system more responsive to individuals' community needs, and assists individuals in
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developing skills to advocate for themselves.
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DIF: Cognitive Level: Apply (Application) L L L REF: p. 15 L
10. During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the nurse is
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acting as a(n):
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a. advocate.
b. care manager. L
c. consultant.
d. educator.
ANS: D L
Health education is a primary prevention technique available to avoid major causes of disease. Teaching can
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range from a chance remark to a planned lesson.
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DIF: Cognitive Level: Apply (Application) L L L REF: p. 16 L
11. A nurse is asked to provide an expert opinion about the development of an education program for
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newly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
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a. advocate.
b. care manager. L
c. consultant.
d. educator.
, ANS: C L
Nurses with a specialized area of expertise provide education about health promotion and disease prevention to
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individuals and groups as consultants.
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DIF: Cognitive Level: Apply (Application) L L L REF: p. 16
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12. A nurse is planning to deliver an educational program to individuals with diabetes. Which of the
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Lfollowing should be the initial action taken by the nurse to ensure the success of the program?
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Assess the motivation level of the individuals
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b. Assess the knowledge level of the individuals L L L L L L
c. Establish teacher-learner goals with the individuals L L L L L
d. Establish multiple teaching sessions with the individuals L L L L L L
ANS: B L
Selection of the methods most likely to succeed involves the establishment of teacher-learner goals. Thus, the
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first step by the nurse should be establishment of goals.
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DIF: Cognitive Level: Analyze (Analysis) L L L REF: p. 16 L
13. The conscientious, explicit, and judicious use of current best evidence in making decisions about the care
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of individuals is known as:
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health-related quality of life. L L L
b. evidence-based practice. L
c. a Healthy People 2010 goal.
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d. the ecological model of health.
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ANS: B L
Evidence-based practice is defined as the conscientious, explicit, and judicious use of current best evidence in
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making decisions about the care of individuals.
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DIF: Cognitive Level: Remember (Knowledge) L L L REF: p. 16 L
14. Which research methodology should be used to address the question, "What is the difference in the
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Linfection rates between individuals who receive twice-a-day dressing changes versus once-a-day dressing
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Lchanges?"
a. Evidence-based practice research L L
b. Qualitative research L
c. Quantitative research L
d. Clinical judgment research L L
ANS: C L
Quantitative research studies describe situations, correlate different variables related to care, or test causal
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relationships among variables related to care. Evidence-based practice research and clinical judgment research
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are not research methodologies; they are used to answer clinical questions.
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DIF: Cognitive Level: Apply (Application) L L L REF: p. 16
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15. The question, "What is the experience of teenagers who lose a sibling to cancer?" can best be answered by
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Lusing which research methodology?
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a. Evidence-based practice research L L
b. Qualitative research L
c. Quantitative research L
d. Clinical judgment L
L research ANS: B L L