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Lium Edelman, Elizabeth Kudzma T L T L T L T L
Chapter 01: Health Defined: Objectives for Promotion and Prevention Edelman:
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THealth Promotion Throughout the Life Span, 9th Edition
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MULTIPLE CHOICE L
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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 T L
b. Role performance model L
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c. Adaptive model T L
d. Eudaimonistic model T L
ANS: D T 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) T L L
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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. T L T L
b. health.
c. functioning.
d. high-level wellness. T L
ANS: B T 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) T L T L T L REF: p. 5L
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3. Which of the following best describes a client who has an illness?
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a. Someone who has well-controlled diabetes T L T L L
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b. Someone with hypercholesterolemia T L T L
c. Someone with a headache T L T L T L
d. Someone with coronary artery disease without T L L
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, Someone with a headache represents a person with an illness. An illness is made up of the subjective experience of
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T the individual and the physical manifestation of disease. It can be described as a response characterized by a
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T mismatch between a person's needs and the resources available to meet those needs. A person can have a disease
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T without feeling ill. The other choices represent disease.
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DIF: Cognitive Level: Analyze (Analysis) L
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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
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c. Healthy People 2000 L
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The U.S. Surgeon General Report T L T L T L T L
ANS: C T 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) T L T L T L REF: p. 6 L
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5. Which of the following represents a method of primary prevention?
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a. Informational session about healthy lifestyles L
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b. Blood pressure screening L
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c. Interventional cardiac catheterization T L T L
d. Diagnostic cardiac catheterization T L L
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ANS: A T 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) T L L
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6. Which of the following represents a method of seconda1y prevention?
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a. Self-breast examination education T L T L
b. Yearly mammograms T L
c. Chemotherapy for advanced breast cancer T L T L T L T L
d. Complete mastectomy for breast cancer L
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ANS: B T 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) T L T L T L REF: p. 15 L
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7. Which of the following represents a method of tertiary prevention?
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a. Drunk driving campaign T L L
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b. Road blocks for drunk driving L
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c. Emergency surgery for head trauma after a motor vehicle accident L
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d. Physical and occupational therapy after a motor vehicle accident with head T L T L T L T L T L T L L
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T trauma ANS: D
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, Physical therapy and occupational therapy are considered tertiary prevention. Tertiary prevention occurs when a
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T defect or disability is permanent and irreversible. It involves minimizing the effect of disease and disability. The
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T objective of tertiary prevention is to maximize remaining capacities.
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DIF: Cognitive Level: Apply (Application) L
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8. In reviewing a person's medical claims, a nurse realizes that the individual with moderate persistent asthma has
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Thad several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma
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Tmanagement guidelines. The nurse discusses this with the person's primary care provider. In this scenario, the
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Tnurse is acting as a(n):
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a. advocate.
b. care manager. T L
c. consultant.
d. educator.
ANS: B T 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
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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. T L
c. consultant.
d. educator.
ANS: A T 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) T L T L L
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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
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c. consultant.
d. educator.
ANS: D T 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
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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. T L
c. consultant.
d. educator.
, ANS: C T 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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12. A nurse is planning to deliver an educational program to individuals with diabetes. Which of the
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following 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 L
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b. Assess the knowledge level of the individuals L
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c. Establish teacher-learner goals with the individuals L
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d. Establish multiple teaching sessions with the individuals L
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ANS: B T 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
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13. The conscientious, explicit, and judicious use of current best evidence in making decisions about the care
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Tof individuals is known as:
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health-related quality of life. L
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b. evidence-based practice. T L
c. a Healthy People 2010 goal. L
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d. the ecological model of health. L
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ANS: B T L
Evidence-based practice is defined as the conscientious, explicit, and judicious use of current best evidence in L
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Tmaking decisions about the care of individuals.
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DIF: Cognitive Level: Remember (Knowledge) L
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14. Which research methodology should be used to address the question, "What is the difference in the
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Tinfection rates between individuals who receive twice-a-day dressing changes versus once-a-day dressing
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Tchanges?"
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a. Evidence-based practice research T L T L
b. Qualitative research T L
c. Quantitative research T L
d. Clinical judgment research L
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ANS: C T 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
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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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Tusing which research methodology?
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a. Evidence-based practice research L
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b. Qualitative research T L
c. Quantitative research T L
d. Clinical judgment T L
T L research ANS: B T L T L