,Chaptern01:nHealthnDefined:nObjectivesnfornPromotionnandnPreventionnE
delman:nHealthnPromotionnThroughoutnthenLifenSpan,n9thnEdition
MULTIPLEnCHOICE
1. Whichnmodelnofnhealthnisnmostnlikelynusednbynanpersonnwhondoesnnotnbelieveninnpreventivenhealthncare?
a. Clinicalnmodel
b. Rolenperformancenmodel
c. Adaptivenmodel
d. Eudaimonisticnmodel
ANS:n A
Thenclinicalnmodelnofnhealthnviewsnthenabsencenofnsignsnandnsymptomsnofndiseasenasnindicativenofnhealth.nPeoplen
whonusenthisnmodelnwaitnuntilntheynarenverynsickntonseekncare.
DIF: CognitivenLevel:nRemembern(Knowledge) REF: p.n3
2. Anpersonnwithnchronicnbacknpainnisncarednfornbynhernprimaryncarenprovidernasnwellnasnreceivesn
acupuncture.nWhichnmodelnofnhealthndoesnthisnpersonnlikelynfavor?
a. Clinicalnmodel
b. Rolenperformancenmodel
c. Adaptivenmodel
d. Eudaimonisticnmodel
ANS:n D
Theneudaimonisticnmodelnembodiesntheninteractionnandninterrelationshipsnamongnphysical,nsocial,npsychological,n
andnspiritualnaspectsnofnlifenandnthenenvironmentninngoalnattainmentnandncreatingnmeaningninnlife.nPractitionersnw
honpracticenthenclinicalnmodelnmaynnotnbenenoughnfornsomeonenwhonbelievesninntheneudaimonisticnmodel.nThosen
whonbelieveninntheneudaimonisticnmodelnoftennlooknfornalternativenprovidersnofncare.
DIF: CognitivenLevel:nApplyn(Application) REF: p.n3
3. Anstatenofnphysical,nmental,nspiritual,nandnsocialnfunctioningnthatnrealizesnanperson’snpotentialnandnis
nexperiencednwithinnandevelopmentalncontextnisnknownnas:
a. growthnandndevelopment.
b. health.
c. functioning.
d. high-levelnwellness.
ANS:n B
Healthnisndefinednasnanstatenofnphysical,nmental,nspiritual,nandnsocialnfunctioningnthatnrealizesnanperson’snpotentialn
andnisnexperiencednwithinnandevelopmentalncontext.
DIF: CognitivenLevel:nRemembern(Knowledge) REF: p.n5
4. Whichnofnthenfollowingnbestndescribesnanclientnwhonhasnannillness?
a. Someonenwhonhasnwell-controlledndiabetes
b. Someonenwithnhypercholesterolemia
c. Someonenwithnanheadache
d. Someonenwithncoronarynarteryndiseasenwithout
n anginanANS:n C
, Someonenwithnanheadachenrepresentsnanpersonnwithnannillness.nAnnillnessnisnmadenupnofnthensubjectivenexperiencen
ofnthenindividualnandnthenphysicalnmanifestationnofndisease.nItncannbendescribednasnanresponsencharacterizednbynan
mismatchnbetweennanperson’snneedsnandnthenresourcesnavailablentonmeetnthosenneeds.nAnpersonncannhavenandiseasen
withoutnfeelingnill.nThenothernchoicesnrepresentndisease.
DIF: CognitivenLevel:nAnalyzen(Analysis) REF: p.n6
5. WhichnUSnreportnisnconsiderednanlandmarkndocumentninncreatingnanglobalnapproachntonhealth?
a. Then1990nHealthnObjectivesnfornthenNation:nAnMidcoursenReview
b. HealthynPeoplen2020
c. HealthynPeoplen2000
d. ThenU.S.nSurgeonnGeneralnReport
ANS:n C
HealthynPeoplen2000nandnitsnMidcoursenReviewnandn1995nRevisionsnwerenlandmarkndocumentsninnwhichnancon
sortiumnofnpeoplenrepresentingnnationalnorganizationsnworkednwithnUSnPublicnHealthnServicenofficialsntoncreaten
anmorenglobalnapproachntonhealth.
DIF: CognitivenLevel:nRemembern(Knowledge) REF: p.n6
6. Whichnofnthenfollowingnrepresentsnanmethodnofnprimarynprevention?
a. Informationalnsessionnaboutnhealthynlifestyles
b. Bloodnpressurenscreening
c. Interventionalncardiacncatheterization
d. Diagnosticncardiacncatheterization
ANS:n A
Primarynpreventionnprecedesndiseasenorndysfunction.nItnincludesnhealthnpromotionnandnspecificnprotectionnandnenc
ouragesnincreasednawareness;nthus,neducationnaboutnhealthynlifestylesnfitsnthisndefinition.nBloodnpressurenscreenin
gndoesnnotnpreventndisease,nbutninsteadnidentifiesnit.
DIF: CognitivenLevel:nApplyn(Application) REF: p.n11
7. Whichnofnthenfollowingnrepresentsnanmethodnofnsecondarynprevention?
a. Self–breastnexaminationneducation
b. Yearlynmammograms
c. Chemotherapynfornadvancednbreastncancer
d. Completenmastectomynfornbreastncancer
ANS:n B
Screeningnisnsecondarynpreventionnbecausenthenprincipalngoalnofnscreeningsnisntonidentifynindividualsninnannearly,nd
etectablenstagenofnthendiseasenprocess.nAnmammogramnisnanscreeningntoolnfornbreastncancernandnthusnisnconsidered
nanmethodnofnsecondarynprevention.
DIF: CognitivenLevel:nApplyn(Application) REF: p.n15
8. Whichnofnthenfollowingnrepresentsnanmethodnofntertiarynprevention?
a. Drunkndrivingncampaign
b. Roadnblocksnforndrunkndriving
c. Emergencynsurgerynfornheadntraumanafternanmotornvehiclenaccident
d. Physicalnandnoccupationalntherapynafternanmotornvehiclenaccidentnwithnhead
n traumanANS:n D
, Physicalntherapynandnoccupationalntherapynarenconsideredntertiarynprevention.nTertiarynpreventionnoccursnwhenna
ndefectnorndisabilitynisnpermanentnandnirreversible.nItninvolvesnminimizingntheneffectnofndiseasenandndisability.nTh
enobjectivenofntertiarynpreventionnisntonmaximizenremainingncapacities.
DIF:n n CognitivenLevel:nApplyn(Application) REF: p.n15
9. Innreviewingnanperson’snmedicalnclaims,nannursenrealizesnthatnthenindividualnwithnmoderatenpersistentnasthmanhas
nhadnseveralnemergencyndepartmentnvisitsnandnisnnotnonninhalednsteroidsnasnrecommended nbynthenNHLBInasthma
nmanagementnguidelines.nThennursendiscussesnthisn withnthenperson’snprimaryncarenprovider.nInnthisnscenario,nthe
nnursenisnactingnasna(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
ANS:n B
Carenmanagersnactntonpreventnduplicationnofnservicenandnreducencost.nCarenmanagersnbasenrecommendationn o
nnreliablendatansourcesnsuchnasnevidence-basednpracticesnandnprotocols.
DIF:n n CognitivenLevel:nApplyn(Application) REF: p.n15
10. Duringnanhomenvisit,nannursenassistsnannindividualntoncompletenannapplicationnforndisabilitynservices.nThennurse
nisnactingnasna(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
ANS:n A
Thenadvocacynrolenofnthennursenhelpsnindividualsnobtainnwhatntheynarenentitledntonreceivenfromnthenhealthncaren
system,ntriesntonmakenthensystemnmorenresponsiventonindividuals’ncommunitynneeds,nandnassistsnindividualsninn
developingnskillsntonadvocatenfornthemselves.
DIF:n n CognitivenLevel:nApplyn(Application) REF: p.n15
11. Duringnanhomenvisit,nannursendiscussesnthendangersnofnsmokingnwithnannindividual.nInnthisnscenarionthennursen
isnactingnasna(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
ANS:n D
Healthneducationnisnanprimarynpreventionntechniquenavailablentonavoidnmajorncausesnofndisease.nTeachingncann
rangenfromnanchancenremarkntonanplannednlesson.
DIF:n n CognitivenLevel:nApplyn(Application) REF: p.n16
12. Annursenisnaskedntonprovidenannexpertnopinionnaboutnthendevelopmentnofnanneducationnprogramnfor
nnewlyndiagnosedndiabetics.nInnthisnscenario,nthennursenisnactingnasna(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
delman:nHealthnPromotionnThroughoutnthenLifenSpan,n9thnEdition
MULTIPLEnCHOICE
1. Whichnmodelnofnhealthnisnmostnlikelynusednbynanpersonnwhondoesnnotnbelieveninnpreventivenhealthncare?
a. Clinicalnmodel
b. Rolenperformancenmodel
c. Adaptivenmodel
d. Eudaimonisticnmodel
ANS:n A
Thenclinicalnmodelnofnhealthnviewsnthenabsencenofnsignsnandnsymptomsnofndiseasenasnindicativenofnhealth.nPeoplen
whonusenthisnmodelnwaitnuntilntheynarenverynsickntonseekncare.
DIF: CognitivenLevel:nRemembern(Knowledge) REF: p.n3
2. Anpersonnwithnchronicnbacknpainnisncarednfornbynhernprimaryncarenprovidernasnwellnasnreceivesn
acupuncture.nWhichnmodelnofnhealthndoesnthisnpersonnlikelynfavor?
a. Clinicalnmodel
b. Rolenperformancenmodel
c. Adaptivenmodel
d. Eudaimonisticnmodel
ANS:n D
Theneudaimonisticnmodelnembodiesntheninteractionnandninterrelationshipsnamongnphysical,nsocial,npsychological,n
andnspiritualnaspectsnofnlifenandnthenenvironmentninngoalnattainmentnandncreatingnmeaningninnlife.nPractitionersnw
honpracticenthenclinicalnmodelnmaynnotnbenenoughnfornsomeonenwhonbelievesninntheneudaimonisticnmodel.nThosen
whonbelieveninntheneudaimonisticnmodelnoftennlooknfornalternativenprovidersnofncare.
DIF: CognitivenLevel:nApplyn(Application) REF: p.n3
3. Anstatenofnphysical,nmental,nspiritual,nandnsocialnfunctioningnthatnrealizesnanperson’snpotentialnandnis
nexperiencednwithinnandevelopmentalncontextnisnknownnas:
a. growthnandndevelopment.
b. health.
c. functioning.
d. high-levelnwellness.
ANS:n B
Healthnisndefinednasnanstatenofnphysical,nmental,nspiritual,nandnsocialnfunctioningnthatnrealizesnanperson’snpotentialn
andnisnexperiencednwithinnandevelopmentalncontext.
DIF: CognitivenLevel:nRemembern(Knowledge) REF: p.n5
4. Whichnofnthenfollowingnbestndescribesnanclientnwhonhasnannillness?
a. Someonenwhonhasnwell-controlledndiabetes
b. Someonenwithnhypercholesterolemia
c. Someonenwithnanheadache
d. Someonenwithncoronarynarteryndiseasenwithout
n anginanANS:n C
, Someonenwithnanheadachenrepresentsnanpersonnwithnannillness.nAnnillnessnisnmadenupnofnthensubjectivenexperiencen
ofnthenindividualnandnthenphysicalnmanifestationnofndisease.nItncannbendescribednasnanresponsencharacterizednbynan
mismatchnbetweennanperson’snneedsnandnthenresourcesnavailablentonmeetnthosenneeds.nAnpersonncannhavenandiseasen
withoutnfeelingnill.nThenothernchoicesnrepresentndisease.
DIF: CognitivenLevel:nAnalyzen(Analysis) REF: p.n6
5. WhichnUSnreportnisnconsiderednanlandmarkndocumentninncreatingnanglobalnapproachntonhealth?
a. Then1990nHealthnObjectivesnfornthenNation:nAnMidcoursenReview
b. HealthynPeoplen2020
c. HealthynPeoplen2000
d. ThenU.S.nSurgeonnGeneralnReport
ANS:n C
HealthynPeoplen2000nandnitsnMidcoursenReviewnandn1995nRevisionsnwerenlandmarkndocumentsninnwhichnancon
sortiumnofnpeoplenrepresentingnnationalnorganizationsnworkednwithnUSnPublicnHealthnServicenofficialsntoncreaten
anmorenglobalnapproachntonhealth.
DIF: CognitivenLevel:nRemembern(Knowledge) REF: p.n6
6. Whichnofnthenfollowingnrepresentsnanmethodnofnprimarynprevention?
a. Informationalnsessionnaboutnhealthynlifestyles
b. Bloodnpressurenscreening
c. Interventionalncardiacncatheterization
d. Diagnosticncardiacncatheterization
ANS:n A
Primarynpreventionnprecedesndiseasenorndysfunction.nItnincludesnhealthnpromotionnandnspecificnprotectionnandnenc
ouragesnincreasednawareness;nthus,neducationnaboutnhealthynlifestylesnfitsnthisndefinition.nBloodnpressurenscreenin
gndoesnnotnpreventndisease,nbutninsteadnidentifiesnit.
DIF: CognitivenLevel:nApplyn(Application) REF: p.n11
7. Whichnofnthenfollowingnrepresentsnanmethodnofnsecondarynprevention?
a. Self–breastnexaminationneducation
b. Yearlynmammograms
c. Chemotherapynfornadvancednbreastncancer
d. Completenmastectomynfornbreastncancer
ANS:n B
Screeningnisnsecondarynpreventionnbecausenthenprincipalngoalnofnscreeningsnisntonidentifynindividualsninnannearly,nd
etectablenstagenofnthendiseasenprocess.nAnmammogramnisnanscreeningntoolnfornbreastncancernandnthusnisnconsidered
nanmethodnofnsecondarynprevention.
DIF: CognitivenLevel:nApplyn(Application) REF: p.n15
8. Whichnofnthenfollowingnrepresentsnanmethodnofntertiarynprevention?
a. Drunkndrivingncampaign
b. Roadnblocksnforndrunkndriving
c. Emergencynsurgerynfornheadntraumanafternanmotornvehiclenaccident
d. Physicalnandnoccupationalntherapynafternanmotornvehiclenaccidentnwithnhead
n traumanANS:n D
, Physicalntherapynandnoccupationalntherapynarenconsideredntertiarynprevention.nTertiarynpreventionnoccursnwhenna
ndefectnorndisabilitynisnpermanentnandnirreversible.nItninvolvesnminimizingntheneffectnofndiseasenandndisability.nTh
enobjectivenofntertiarynpreventionnisntonmaximizenremainingncapacities.
DIF:n n CognitivenLevel:nApplyn(Application) REF: p.n15
9. Innreviewingnanperson’snmedicalnclaims,nannursenrealizesnthatnthenindividualnwithnmoderatenpersistentnasthmanhas
nhadnseveralnemergencyndepartmentnvisitsnandnisnnotnonninhalednsteroidsnasnrecommended nbynthenNHLBInasthma
nmanagementnguidelines.nThennursendiscussesnthisn withnthenperson’snprimaryncarenprovider.nInnthisnscenario,nthe
nnursenisnactingnasna(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
ANS:n B
Carenmanagersnactntonpreventnduplicationnofnservicenandnreducencost.nCarenmanagersnbasenrecommendationn o
nnreliablendatansourcesnsuchnasnevidence-basednpracticesnandnprotocols.
DIF:n n CognitivenLevel:nApplyn(Application) REF: p.n15
10. Duringnanhomenvisit,nannursenassistsnannindividualntoncompletenannapplicationnforndisabilitynservices.nThennurse
nisnactingnasna(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
ANS:n A
Thenadvocacynrolenofnthennursenhelpsnindividualsnobtainnwhatntheynarenentitledntonreceivenfromnthenhealthncaren
system,ntriesntonmakenthensystemnmorenresponsiventonindividuals’ncommunitynneeds,nandnassistsnindividualsninn
developingnskillsntonadvocatenfornthemselves.
DIF:n n CognitivenLevel:nApplyn(Application) REF: p.n15
11. Duringnanhomenvisit,nannursendiscussesnthendangersnofnsmokingnwithnannindividual.nInnthisnscenarionthennursen
isnactingnasna(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
ANS:n D
Healthneducationnisnanprimarynpreventionntechniquenavailablentonavoidnmajorncausesnofndisease.nTeachingncann
rangenfromnanchancenremarkntonanplannednlesson.
DIF:n n CognitivenLevel:nApplyn(Application) REF: p.n16
12. Annursenisnaskedntonprovidenannexpertnopinionnaboutnthendevelopmentnofnanneducationnprogramnfor
nnewlyndiagnosedndiabetics.nInnthisnscenario,nthennursenisnactingnasna(n):
a. advocate.
b. carenmanager.
c. consultant.
d. educator.
