, Chaptern01:nHealthnDefined:nObjectivesnfornPromotionnandnPreventiornnEdelman:nHealthnPromotionnThroughoutnt
henLifenSpan,n8thnEditionr
r
MULTIPLEnCHOICEr
r
1. Whichnmodelnofnhealthnisnmostnlikelynusednbynanpersonnwhondoesnnotnbelieveninnpreventivenhealthncare?r
a. Clinicalnmodelr
b. Rolenperformancenmodelr
c. Adaptivenmodelr
d. Eudaimonisticnmodelr
r
r
ANS:nAr
Thenclinicalnmodelnofnhealthnviewsnthenabsencenofnsignsnandnsymptomsnofndiseasenasnindicativenofnhealth.nPeoplenrw
honusenthisnmodelnwaitnuntilntheynarenverynsickntonseekncare.r
r
DIF:r CognitivenLevel:nRemembern(Knowledge)r REF:r p.n3r
r
2. Anpersonnwithnchronicnbacknpainnisncarednfornbynhernprimaryncarenprovidernasnwellnasnreceivesnracupuncture.nWhichn
modelnofnhealthndoesnthisnpersonnlikelynfavor?ra.rClinicalnmodelr
b. Rolenperformancenmodelr
c. Adaptivenmodelr
d. Eudaimonisticnmodelr
r
r
ANS:nDr
Theneudaimonisticnmodelnembodiesntheninteractionnandninterrelationshipsnamongnphysical,nsocial,npsychological,nra
ndnspiritualnaspectsnofnlifenandnthenenvironmentninngoalnattainmentnandncreatingnmeaningninnlife.nPractitionersnwhron
practicenthenclinicalnmodelnmaynnotnbenenoughnfornsomeonenwhonbelievesninntheneudaimonisticnmodel.nThosenwhron
believeninntheneudaimonisticnmodelnoftennlooknfornalternativenprovidersnofncare.r
r
DIF:r CognitivenLevel:nApplyn(Application)r REF:r p.n3r
r
3. Anstatenofnphysical,nmental,nspiritual,nandnsocialnfunctioningnthatnrealizesnanperson’snpotentialnandnisnrexperiencednw
ithinnandevelopmentalncontextnisnknownnas:ra.rgrowthnandndevelopment.r
b. health.r
c. functioning.r
d. high-levelnwellness.r
r
r
ANS:nBr
Healthnisndefinednasnanstatenofnphysical,nmental,nspiritual,nandnsocialnfunctioningnthatnrealizesnanperson’snpotentialna
nrdnisnexperiencednwithinnandevelopmentalncontext.r
r
DIF:r CognitivenLevel:nRemembern(Knowledge)r REF:r p.n5r
r
4. Whichnofnthenfollowingnbestndescribesnanclientnwhonhasnannillness?r
a. Someonenwhonhasnwell-controlledndiabetesr
b. Someonenwithnhypercholesterolemiar
c. Someonenwithnanheadacher
d. Someonenwithncoronarynarteryndiseasenwithoutn
anginanANS:nrCr
Someonenwithnanheadachenrepresentsnanpersonnwithnannillness.nAnnillnessnisnmadenupnofnthensubjectivenexperiencenro
fnthenindividualnandnthenphysicalnmanifestationnofndisease.nItncannbendescribednasnanresponsencharacterizednbynanrmis
matchnbetweennanperson’snneedsnandnthenresourcesnavailablentonmeetnthosenneeds.nAnpersonncannhavenandiseasenrwit
houtnfeelingnill.nThenothernchoicesnrepresentndisease.r
r
DIF:r CognitivenLevel:nAnalyzen(Analysis)r REF:r p.n6r
r
5. WhichnUSnreportnisnconsiderednanlandmarkndocumentninncreatingnanglobalnapproachntonhealth?r
a. Then1990nHealthnObjectivesnfornthenNation:nAnMidcoursenReviewr
b. HealthynPeoplen2020r
, c. HealthynPeoplen2000r
d. ThenU.S.nSurgeonnGeneralnReportr
r
r
ANS:nCr
HealthynPeoplen2000nandnitsnMidcoursenReviewnandn1995nRevisionsnwerenlandmarkndocumentsninnwhichnanconsrort
iumnofnpeoplenrepresentingnnationalnorganizationsnworkednwithnUSnPublicnHealthnServicenofficialsntoncreatenanrmor
englobalnapproachntonhealth.r
r
DIF:r CognitivenLevel:nRemembern(Knowledge)r REF:r p.n6r
r
6. Whichnofnthenfollowingnrepresentsnanmethodnofnprimarynprevention?r
a. Informationalnsessionnaboutnhealthynlifestylesr
b. Bloodnpressurenscreeningr
c. Interventionalncardiacncatheterizationr
d. Diagnosticncardiacncatheterizationr
r
r
ANS:nAr
Primarynpreventionnprecedesndiseasenorndysfunction.nItnincludesnhealthnpromotionnandnspecificnprotectionnandnenrco
uragesnincreasednawareness;nthus,neducationnaboutnhealthynlifestylesnfitsnthisndefinition.nBloodnpressurenscreenringn
doesnnotnpreventndisease,nbutninsteadnidentifiesnit.r
r
DIF:r CognitivenLevel:nApplyn(Application)r REF:r p.n11r
r
7. Whichnofnthenfollowingnrepresentsnanmethodnofnsecondarynprevention?r
a. Self–breastnexaminationneducationr
b. Yearlynmammogramsr
c. Chemotherapynfornadvancednbreastncancerr
d. Completenmastectomynfornbreastncancerr
r
r
ANS:nBr
Screeningnisnsecondarynpreventionnbecausenthenprincipalngoalnofnscreeningsnisntonidentifynindividualsninnannearly,nrd
etectablenstagenofnthendiseasenprocess.nAnmammogramnisnanscreeningntoolnfornbreastncancernandnthusnisnconsiderredn
anmethodnofnsecondarynprevention.r
r
DIF:r CognitivenLevel:nApplyn(Application)r REF:r p.n15r
r
8. Whichnofnthenfollowingnrepresentsnanmethodnofntertiarynprevention?r
a. Drunkndrivingncampaignr
b. Roadnblocksnforndrunkndrivingr
c. Emergencynsurgerynfornheadntraumanafternanmotornvehiclenaccidentr
d. Physicalnandnoccupationalntherapynafternanmotornvehiclenaccidentnwithnheadn
traumanANS:nrDr
Physicalntherapynandnoccupationalntherapynarenconsideredntertiarynprevention.nTertiarynpreventionnoccursnwhennanrd
efectnorndisabilitynisnpermanentnandnirreversible.nItninvolvesnminimizingntheneffectnofndiseasenandndisability.nThenrob
jectivenofntertiarynpreventionnisntonmaximizenremainingncapacities.r
r
DIF:nnnn CognitivenLevel:nApplyn(Application)r
r REF:r p.n15r
r
9. Innreviewingnanperson’snmedicalnclaims,nannursenrealizesnthatnthenindividualnwithnmoderatenpersistentnasthmanhasnrh
adnseveralnemergencyndepartmentnvisitsnandnisnnotnonninhalednsteroidsnasnrecommendednbynthenNHLBInasthmarnman
agementnguidelines.nThennursendiscussesnthisnwithnthenperson’snprimaryncarenprovider.nInnthisnscenario,nthenrnursenis
nactingnasna(n):ra.radvocate.r
b. carenmanager.r
c. consultant.r
d. educator.r
r
r
ANS:nBr
Carenmanagersnactntonpreventnduplicationnofnservicenandnreducencost.nCarenmanagersnbasenrecommendationnronnreli
ablendatansourcesnsuchnasnevidence-basednpracticesnandnprotocols.r
r
, DIF:nnnn CognitivenLevel:nApplyn(Application)r
r REF:r p.n15r
r
10. Duringnanhomenvisit,nannursenassistsnannindividualntoncompletenannapplicationnforndisabilitynservices.nThennursenrisna
ctingnasna(n):ra.radvocate.r
b. carenmanager.r
c. consultant.r
d. educator.r
r
r
ANS:nAr
Thenadvocacynrolenofnthennursenhelpsnindividualsnobtainnwhatntheynarenentitledntonreceivenfromnthenhealthncarenrsyste
m,ntriesntonmakenthensystemnmorenresponsiventonindividuals’ncommunitynneeds,nandnassistsnindividualsninnrdevelopi
ngnskillsntonadvocatenfornthemselves.r
r
DIF:nnnn CognitivenLevel:nApplyn(Application)r
r REF:r p.n15r
r
11. Duringnanhomenvisit,nannursendiscussesnthendangersnofnsmokingnwithnannindividual.nInnthisnscenarionthennursenrisnacti
ngnasna(n):ra.radvocate.r
b. carenmanager.r
c. consultant.r
d. educator.r
r
r
ANS:nDr
Healthneducationnisnanprimarynpreventionntechniquenavailablentonavoidnmajorncausesnofndisease.nTeachingncannrrang
enfromnanchancenremarkntonanplannednlesson.r
r
DIF:nnnn CognitivenLevel:nApplyn(Application)r
r REF:r p.n16r
r
12. Annursenisnaskedntonprovidenannexpertnopinionnaboutnthendevelopmentnofnanneducationnprogramnfornrnewlyndiagnose
dndiabetics.nInnthisnscenario,nthennursenisnactingnasna(n):ra.radvocate.r
b. carenmanager.r
c. consultant.r
d. educator.r
ANS:nCr
Nursesnwithnanspecializednareanofnexpertisenprovideneducationnaboutnhealthnpromotionnandndiseasenpreventionntonrin
dividualsnandngroupsnasnconsultants.r
r
DIF:r CognitivenLevel:nApplyn(Application)r REF:r p.n16r
r
13. Annursenisnplanningntondelivernanneducationalnprogramntonindividualsnwithndiabetes.nWhichnofnthenrfollowingnshould
nbentheninitialnactionntakennbynthennursentonensurenthensuccessnofnthenprogram? ra.rAssessnthenmotivationnlevelnofntheni
ndividualsr
b. Assessnthenknowledgenlevelnofnthenindividualsr
c. Establishnteacher-learnerngoalsnwithnthenindividualsr
d. Establishnmultiplenteachingnsessionsnwithnthenindividualsr
r
r
ANS:nBr
Selectionnofnthenmethodsnmostnlikelyntonsucceedninvolvesnthenestablishmentnofnteacherlearnerngoals.nThus,nthenfirstn
stepnbynthennursenshouldnbenestablishmentnofngoals.r
r
DIF:r CognitivenLevel:nAnalyzen(Analysis)r REF:r p.n16r
r
14. Thenconscientious,nexplicit,nandnjudiciousnusenofncurrentnbestnevidenceninnmakingndecisionsnaboutnthencarenrofnindivi
dualsnisnknownnas:r
a. health-relatednqualitynofnlife.r
b. evidence-basednpractice.r
c. anHealthynPeoplen2010ngoal.r
d. thenecologicalnmodelnofnhealth.r
r
r
ANS:nBrEvidencebasednpracticenisndefinednasnthenconscientious,nexplicit,nandnjudiciousnusenofncurrentnbestnevide
nceninnmakingndecirsionsnaboutnthencarenofnindividuals.r
r
DIF:r CognitivenLevel:nRemembern(Knowledge)r REF:r p.n16r
r