Unit 1 Health Promotion Practice
Questions
Health is considered to be a meta-paradigm for nursing and includes which of the following
components? SATA
a. person
b. health
c. environment
d. nursing
e. psycho-social wellness - a. person
b. health
c. environment
d. nursing
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a
person's potential and is experienced within a developmental context. Health is considered to
be part of the metaparadigm for nursing, which includes the four components of person, health,
environment, and nursing. Health encompasses spiritual, developmental, and environmental
aspects over time. Psychosocial wellness is not considered to be one of the four components of
the metaparadigm for nursing.
The nurse is teaching about primary prevention and includes which educational statement in the
instructions?
a. Everyone should participate in colorectal cancer screening
b. Health teaching about the risk factors of heart disease should be performed.
c. Limiting disability is a vital role of nursing since preventative measures are therapeutic.
,d. The nurse is involved in minimizing the effects of disease and disability by surveillance and
maintenance. - b. Health teaching about the risk factors of heart disease should be performed.
Primary prevention precedes disease or dysfunction. Primary prevention intervention includes
health promotion, such as health teaching about risk factors for heart disease, and specific
protection, such as immunization against hepatitis B. Its purpose is to decrease the vulnerability
of the individual or population to disease or dysfunction. People are taught to use appropriate
primary preventive measures. Screening is secondary prevention because the principle goal is
to identify individuals in an early, detectable stage of the disease process. Delayed recognition
of disease results in the need to limit future disability in late secondary prevention. Tertiary
prevention occurs when a defect or disability is permanent and irreversible. The process is
minimizing the effects the disease and disability by surveillance and maintenance activities
aimed at preventing complications and deterioration.
In addition to changes in ethnic and racial distribution within the population, it is expected that
changes in _____ distribution will affect health- promotion practice.
a. geographical
b. environmental
c. age
d. social - c. age
In addition to changes in the ethnic and racial distribution within the population, the projected
changes in age distribution will affect health-promotion practice. Considerable growth is
expected in the proportion of the population that is 25 years of age and older. Analysis of
population trends and projections helps health professionals determine changing needs.
Additionally, analysis of the social and economic environment is necessary for developing social
policy concerning health. Geographical, environmental, and social aspects are not expected
means of impacting health-promotional practices although social and environmental concerns
determine health outcomes.
Which of the following statements accurately reflects the concept of primordial prevention?
a. It concerns interventions directed at the fetus while in-utero to assure lifelong health.
,b. It is a more modern term used interchangeably with primary prevention.
c. It is a health-promotion strategy which reflects policy-level interventions.
d. It refers administering vaccines to prevent individuals from ever developing the disease. - c. It
is a health-promotion strategy which reflects policy-level interventions.
Primordial prevention is a fairly new concept which has been added to the more traditional
modalities of primary, secondary, and tertiary prevention. Per the text: "Primordial refers to the
time frame before a risk factor develops and before disease occurs." Primordial prevention
reflects policy-level interventions which will serve to prevent disease. Per the text, such
prevention is typically implemented at the "national, state or community levels." Examples of
primordial prevention would be state regulations which mandate healthy food for school-based
lunch programs or regulations which call for the elimination of trans-fats in commercial foods. By
contrast, primary preventions are those interventions which are directed at the individual in the
interest of preventing disease. Vaccinating an individual against disease would be an example
of primary prevention as would be education and interventions (exercise, low fat, avoiding
excess salt) aimed at preventing cardiovascular disease before it occurs. Screening for disease
so as to facilitate early detection and early interventions would be secondary prevention.
Cervical cancer screening (Pap testing) would be an example of secondary prevention aimed at
early detection and treatment of cervical cancer. Tertiary intervention seeks to minimize the
impact of a disease once it develops. Preventing contractures in stroke patients or educating
patients with asthma as to how to reduce allergens in the environment would be examples of
tertiary prevention.
The client who would be least likely to participate in health teaching activities would choose
which model?
a. Clinical model
b. Adaptive model
c. role performance model
d. eudaimonistic model - a. Clinical model
The clinical model of health has the absence of signs and symptoms of disease as indicative of
health. People who use this model of health to guide their use of health care services may not
seek preventative health services, or they may wait until they are very ill to seek care. Personal
responsibility for health may not be a motivating factor for this individual because the provider is
, responsible for dealing with the health problem and returning the person to a state of health.
Attempts at health-promoting activities may not be effective with this person. The role
performance model has the ability to perform social roles as indicative of health. This model is
the basis for work and school physical examinations and physician-excused absences. The
adaptive model of health has the ability to adapt positively to social, mental, and physiological
changes indicative of health. The eudaimonistic model of health uses exuberant well-being as
indicative of health. This model is also more congruent with integrative modes of therapy.
Which of the following agencies or initiatives have been driving forces in health care reform and
the prevention of disease in society? SATA
a. Healthy People
b. Health Insurance Portability and Accountability Act
c. US Dept of Health, Education, and Welfare
d. Patient Protections and Affordable Care Act
e. US Dept of Health and Human Services - a. Healthy People
c. US Dept of Health, Education, and Welfare
e. US Dept of Health and Human Services
Public health has always had the prevention of disease in society as its focus. Over the past 30
years, the promotion of health and individual responsibility moved to the forefront within public
health. A key milestone in promoting health was the advent of Healthy People, related to the US
Department of Health, Education, and Welfare. The US Department of Health and Human
Services is now responsible for the Healthy People objectives. The Health Insurance Portability
and Accountability Act and the Patient Protection and Affordable Care Acts are not associated
with the prevention of disease in society.
Four distinct models have been used to decribe concepts of health. Which of the following
statements accurately describe some of the models used? SATA
a. In the clinical health model, health and illness are defined by achieving age-related activity
standards.
Questions
Health is considered to be a meta-paradigm for nursing and includes which of the following
components? SATA
a. person
b. health
c. environment
d. nursing
e. psycho-social wellness - a. person
b. health
c. environment
d. nursing
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a
person's potential and is experienced within a developmental context. Health is considered to
be part of the metaparadigm for nursing, which includes the four components of person, health,
environment, and nursing. Health encompasses spiritual, developmental, and environmental
aspects over time. Psychosocial wellness is not considered to be one of the four components of
the metaparadigm for nursing.
The nurse is teaching about primary prevention and includes which educational statement in the
instructions?
a. Everyone should participate in colorectal cancer screening
b. Health teaching about the risk factors of heart disease should be performed.
c. Limiting disability is a vital role of nursing since preventative measures are therapeutic.
,d. The nurse is involved in minimizing the effects of disease and disability by surveillance and
maintenance. - b. Health teaching about the risk factors of heart disease should be performed.
Primary prevention precedes disease or dysfunction. Primary prevention intervention includes
health promotion, such as health teaching about risk factors for heart disease, and specific
protection, such as immunization against hepatitis B. Its purpose is to decrease the vulnerability
of the individual or population to disease or dysfunction. People are taught to use appropriate
primary preventive measures. Screening is secondary prevention because the principle goal is
to identify individuals in an early, detectable stage of the disease process. Delayed recognition
of disease results in the need to limit future disability in late secondary prevention. Tertiary
prevention occurs when a defect or disability is permanent and irreversible. The process is
minimizing the effects the disease and disability by surveillance and maintenance activities
aimed at preventing complications and deterioration.
In addition to changes in ethnic and racial distribution within the population, it is expected that
changes in _____ distribution will affect health- promotion practice.
a. geographical
b. environmental
c. age
d. social - c. age
In addition to changes in the ethnic and racial distribution within the population, the projected
changes in age distribution will affect health-promotion practice. Considerable growth is
expected in the proportion of the population that is 25 years of age and older. Analysis of
population trends and projections helps health professionals determine changing needs.
Additionally, analysis of the social and economic environment is necessary for developing social
policy concerning health. Geographical, environmental, and social aspects are not expected
means of impacting health-promotional practices although social and environmental concerns
determine health outcomes.
Which of the following statements accurately reflects the concept of primordial prevention?
a. It concerns interventions directed at the fetus while in-utero to assure lifelong health.
,b. It is a more modern term used interchangeably with primary prevention.
c. It is a health-promotion strategy which reflects policy-level interventions.
d. It refers administering vaccines to prevent individuals from ever developing the disease. - c. It
is a health-promotion strategy which reflects policy-level interventions.
Primordial prevention is a fairly new concept which has been added to the more traditional
modalities of primary, secondary, and tertiary prevention. Per the text: "Primordial refers to the
time frame before a risk factor develops and before disease occurs." Primordial prevention
reflects policy-level interventions which will serve to prevent disease. Per the text, such
prevention is typically implemented at the "national, state or community levels." Examples of
primordial prevention would be state regulations which mandate healthy food for school-based
lunch programs or regulations which call for the elimination of trans-fats in commercial foods. By
contrast, primary preventions are those interventions which are directed at the individual in the
interest of preventing disease. Vaccinating an individual against disease would be an example
of primary prevention as would be education and interventions (exercise, low fat, avoiding
excess salt) aimed at preventing cardiovascular disease before it occurs. Screening for disease
so as to facilitate early detection and early interventions would be secondary prevention.
Cervical cancer screening (Pap testing) would be an example of secondary prevention aimed at
early detection and treatment of cervical cancer. Tertiary intervention seeks to minimize the
impact of a disease once it develops. Preventing contractures in stroke patients or educating
patients with asthma as to how to reduce allergens in the environment would be examples of
tertiary prevention.
The client who would be least likely to participate in health teaching activities would choose
which model?
a. Clinical model
b. Adaptive model
c. role performance model
d. eudaimonistic model - a. Clinical model
The clinical model of health has the absence of signs and symptoms of disease as indicative of
health. People who use this model of health to guide their use of health care services may not
seek preventative health services, or they may wait until they are very ill to seek care. Personal
responsibility for health may not be a motivating factor for this individual because the provider is
, responsible for dealing with the health problem and returning the person to a state of health.
Attempts at health-promoting activities may not be effective with this person. The role
performance model has the ability to perform social roles as indicative of health. This model is
the basis for work and school physical examinations and physician-excused absences. The
adaptive model of health has the ability to adapt positively to social, mental, and physiological
changes indicative of health. The eudaimonistic model of health uses exuberant well-being as
indicative of health. This model is also more congruent with integrative modes of therapy.
Which of the following agencies or initiatives have been driving forces in health care reform and
the prevention of disease in society? SATA
a. Healthy People
b. Health Insurance Portability and Accountability Act
c. US Dept of Health, Education, and Welfare
d. Patient Protections and Affordable Care Act
e. US Dept of Health and Human Services - a. Healthy People
c. US Dept of Health, Education, and Welfare
e. US Dept of Health and Human Services
Public health has always had the prevention of disease in society as its focus. Over the past 30
years, the promotion of health and individual responsibility moved to the forefront within public
health. A key milestone in promoting health was the advent of Healthy People, related to the US
Department of Health, Education, and Welfare. The US Department of Health and Human
Services is now responsible for the Healthy People objectives. The Health Insurance Portability
and Accountability Act and the Patient Protection and Affordable Care Acts are not associated
with the prevention of disease in society.
Four distinct models have been used to decribe concepts of health. Which of the following
statements accurately describe some of the models used? SATA
a. In the clinical health model, health and illness are defined by achieving age-related activity
standards.
