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