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Luctkar-Flude and Tyerman: Edelman and Kudzma’s Canadian Health
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Promotion Throughout the Life Span, 1st Edition
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MULTIPLE CHOICE u
1. How is disease defined?
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a. The failure of a person’s adaptive mechanisms to counteract stimuli and stresses
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adequately, resulting in functional or structural disturbances
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b. Disease and illness are components of a struggle for balance in the bodily systems
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c. The failure of a person’s bodily systems in responding to stresses, resulting in a hormonal
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imbalance
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d. The assault by stimuli and stress on the body’s core defence systems
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ANS: A u
Disease may be defined as the failure of a person’s adaptive mechanisms to counteract stimuli
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and stresses adequately, resulting in functional or structural disturbances. This definition is an
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ecological concept of disease, which uses multiple factors to determine the cause of disease,
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rather than describing a single cause. Disease and illness are not synonymous.
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DIF: Cognitive Level: Remember (Knowledge) REF: Disease, Illness, and Health OBJ: 1 TOP:
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Assessment MSC: Health Promotion and Maintenance
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2. How can health be defined?
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a. As the absence of disease and illness
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b. As the person’s philosophy for living in harmony with their environment
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c. A state of physical, mental, and spiritual well-being
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d. A state of physical, mental, spiritual, and social functioning that realizes a person’s
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u potential and is experienced within a developmental context.
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ANS: D u
Definitions of health have evolved as the nature of health and illness becomes better
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understood. Health is much more than the absence of disease and illness. It is a state of
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physical, mental, spiritual, and social functioning that realizes a person’s potential and is
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experienced within a developmental context.
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DIF: Cognitive Level: Apply (Application) REF: Health and Wellness OBJ: 1 TOP: Assessment
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MSC: Health Promotion and Maintenance
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3. The 1986 Ottawa Charter for Health Promotion document provides a blueprint for health
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promotion in Canada. Which of the following statements is correct concerning this model? a.
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The focus is on environment and the ability to achieve health on a personal and societal level.
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b. It depicts health promotion as the process of enabling people to increase control over
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and improve their health.
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c. It provides a view of health promotion that is focused on people taking control of
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their own health.
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d. It is most closely aligned with a clinical model of health.
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, ANS: B u
The Ottawa Charter for Health Promotion provides a blueprint for health promotion in
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Canada. Within this model, health promotion is depicted as the process of enabling people to
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increase control over and improve their health.
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DIF: Cognitive Level: Apply (Application) REF: Health Promotion OBJ: 2 TOP: Assessment
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MSC: Health Promotion and Maintenance
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4. Which of the following is a tool used to measure quality of life?
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a. CDCQOL-BREF (from the Centers for Disease Control) u u u u u u
b. McGowan Quality of Life Questionnaire u u u u
c. WHOQOL-BREF (World Health Organization) u u u
d. Ottawa Charter for Health Promotion u u u u
ANS: C u
Multiple tools are available for measuring quality of life, including a general measure
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established by the World Health Organization Quality of Life, WHOQOL-BREF and the
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McGill Quality of Life Questionnaire for use at the end of life. The Ottawa Charter for Health
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Promotion provides a framework for health promotion, rather than measuring quality of life.
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DIF: Cognitive Level: Understand (Comprehension) REF: Health Promotion OBJ: 2 TOP:
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Assessment MSC: Health Promotion and Maintenance
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5. Which of the following best describes a care recipient who has an illness?
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a. Someone who has well-controlled diabetes u u u u
b. Someone with hypercholesterolemia u u
c. Someone with a headache u u u
d. Someone with coronary artery disease without angina u u u u u u
ANS: C u
Someone with a headache represents a person with an illness. An illness is made up of the
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subjective experience of the individual and the physical manifestation of disease. It can be
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described as a response characterized by a mismatch between a person’s needs and the
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resources available to meet those needs. A person can have a disease without feeling ill. The
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other choices represent disease.
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DIF: Cognitive Level: Analyze (Analysis) REF: Disease, Illness, and Health OBJ: 4 TOP:
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Assessment MSC: Health Promotion and Maintenance
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6. Which Canadian report is considered to be a landmark document in creating a global
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u approach to health? u u
a. Population Health Promotion Model u u u
b. Healthy People 2020 u u
c. Framework for Health Promotion in Canada u u u u u
d. World Health Organization Quality of Life u u u u u
ANS: C u
By the mid-1980s, Canada became a world leader in the formulation of health-promotion
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ideals and strategies, particularly with the unveiling of the Framework for Health Promotion
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in Canada at the first World Health Organization (WHO) conference on health promotion in
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Ottawa. The overall goal of “achieving health for all” in this report identifies three health
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, challenges: reducing inequities, increasing prevention, and enhancing coping. The three
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health-promotion mechanisms to address these challenges are self-care, mutual aid, and
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healthy environments. The final component of the framework consists of three
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implementation strategies: fostering public participation, strengthening community health
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services; and coordinating health public policy.
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Healthy People 2020 is a US-based document to guide planning for health care. The WHO
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Quality of Life tool is a quality of life measurement tool used by health care workers. The
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Population Health Promotion Model was developed to provide an overall framework to guide
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health promotion by blending both health promotion and population health concepts.
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DIF: Cognitive Level: Remember (Knowledge)
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REF: The Evolution of Health Promotion in Canada OBJ: 3 TOP: Planning
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MSC: Health Promotion and Maintenance
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7. Which of the following is one of the three programs that the Public Health Agency of Canada
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(PHAC) is focused on for improving the health of Canadians?
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a. Decreased tobacco use in youth throughout the country u u u u u u u
b. Health promotion and disease prevention u u u u
c. Increased public funding for health insurance u u u u u
d. Decreased hospital re-admission rates u u u
ANS: B u
The aim of the Public Health Agency of Canada (PHAC) is to promote and protect the health
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of Canadians through leadership, partnership, innovation, and action in public health. Among
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the agency’s recent plans are three programs: public health infrastructure; health promotion
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and disease prevention; and health security. Choices A, C, and D are possible strategies to
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achieve the goals of this program.
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DIF: Cognitive Level: Remember (Knowledge)
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REF: The Role of the Public Health Agency of Canada in Health Promotion, Prevention, and
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Protection
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MSC: Health Promotion and Maintenance
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8. Which of the following represents a method of primary prevention?
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a. Informational session about healthy lifestyles u u u u
b. Blood pressure screening u u
c. Interventional cardiac catheterization u u
d. Diagnostic cardiac catheterization u u
ANS: A u
Primary prevention precedes disease or dysfunction. It includes health promotion and specific
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protection and encourages increased awareness; thus, education about healthy lifestyles fits
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this definition. Blood pressure screening does not prevent disease, but instead identifies it.
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DIF: Cognitive Level: Apply (Application)
u REF: Levels of Prevention
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u OBJ: 5 TOP: Planning
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9. Which of the following represents a method of secondary prevention?
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a. Education about breast self-examination u u u
b. Yearly mammograms u
c. Chemotherapy for advanced breast cancer u u u u
d. Complete mastectomy for breast cancer u u u u