TEST BANK -- POTTER AND PERRY'S CANADIAN FUNDAMENTALS OF NURSING HARDCOVER – 7TH EDITION BY BARBARA J. ASTLE. CHAPTER 1 - 48. ALL CHAPTERS INCLUDED.

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Test Bank for Canadian Fundamentals of Nursing 7th
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Edition by Potter v v


Chapter 01: Health and Wellness
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MULTIPLE CHOICE v




1. The nurse is using the population health promotion model to develop actions for
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improving health. After asking, ―On what should we take action?‖; ―How should we take
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action?‖; and ―Why should we take action?‖ the nurse will ask which of the following
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questions?
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a. ―With whom should we act?‖ v v v v


b. ―When should we take action?‖ v v v v


c. ―Which government should take action?‖ v v v v


d. ―Where should we first act?‖ v v v v




ANS: A v


The next question to ask when using the population health model approach is ―With whom
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should we act?‖ The other choices are not questions included in this model.
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DIF: Apply REF: 13 (Figure 1-5) v v v


OBJ: Contrast distinguishing features of health promotion and disease prevention.
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TOP: Implementation v MSC: NCLEX: Health Promotion and Maintenance v v v v v




2. The principle ―Health promotion is multisectoral‖ means which of the following?
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a. Relationships between individual, social, and environmental factors must be v v v v v v v v


recognized.
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b. Physical, mental, social, ecological, cultural, and spiritual aspects of health must
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be recognized.
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c. In order to change unhealthy living and working conditions, areas other than health
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must also be involved.
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d. Health promotion uses knowledge from disciplines such as social, economic,
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political, environmental, medical, and nursing sciences, as well as from first-hand
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experience.
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ANS: C v


The statement ―Health promotion is multisectoral‖ is the principle explained by the
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necessity to involve areas other than health in order to change unhealthy living and
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working conditions.
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DIF: Understand REF: 11 v


OBJ: Contrast distinguishing features of health promotion and disease prevention.
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TOP: Planning
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3. According to the World Health Organization, what is the best description of ―health‖?
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a. Simply the absence of disease. v v v v


b. Involving the total person and environment. v v v v v


c. Strictly personal in nature. v v v


d. Status of pathological state. v v v




ANS: B v




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WHO defines health as ―. . .the extent to which an individual or group is able, on the one
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hand, to realize aspirations and satisfy needs; and, on the other hand, to change or cope
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with the environment. Health is, therefore, seen as a resource for everyday life, not the
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objective of living; it is a positive concept emphasizing social and personal resources, as
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well as physical capacities.‖ Nurses‘ attitudes toward health and illness should consider
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the total person, as well as the environment in which the person lives. People free of
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disease are not equally healthy. Views of health have broadened to include mental, social,
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and spiritual well-being, as well as a focus on health at family and community levels.
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Conditions of life, rather than pathological states, are what determine health.
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DIF: Knowledge REF: 2 v


OBJ: Discuss ways that definitions of health have been conceptualized.
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TOP: Evaluate
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4. What priority strategy for health promotion in Canada is optional but seen as important to
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v incorporate in nursing education curricula? v v v v


a. Knowledge of disease prevention. v v v


b. Strategies for health promotion. v v v


c. Policy advocacy. v


d. Concepts of determinants of health. v v v v




ANS: C v


Increasingly, policy advocacy is incorporated into nursing role statements and nursing
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veducation curricula. Nurses should think about policies that have contributed to health
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vproblems, policies that would help alleviate health problems, and how nurses champion
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vpublic policies. Disease prevention, health promotion, and concepts of determinants of
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vhealth are integral parts of nursing curricula.
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DIF: Understand REF: 11| 12 v v


OBJ: Analyze how the nature and scope of nursing practice are influenced by different
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conceptualizations of health and health determinants.
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MSC: NCLEX: Health Promotion and Maintenance
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5. Which of the following is a prerequisite for health, as identified by the Ottawa Charter for
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Health Promotion?
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a. Education.
b. Social support. v


c. Self-esteem.
d. Physical environment. v




ANS: A v


Education is one of the nine prerequisites for health that were identified in the Ottawa
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Charter for Health Promotion. Lack of social support and low self-esteem were identified
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as psychosocial risk factors by Labonte (1993). Dangerous physical environments were
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identified as socioenvironmental risk factors by Labonte (1993).
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DIF: Understand REF: 4 v


OBJ: Discuss contributions of the following Canadian publications to conceptualizations of
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health and health determinants: Lalonde Report, Ottawa Charter, Epp Report, Strategies for
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Population Health, Jakarta Declaration, Bangkok Charter, Toronto Charter.
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MSC: NCLEX: Health Promotion and Maintenance
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6. The determinant of health with the greatest effect on the health of Canadians is which of
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the following?
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a. Education.
b. Health services. v


c. Social support networks. v v


d. Income and social status. v v v




ANS: D v


Income, income distribution, and social status constitute the greatest determinant of health
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vbecause they influence most other determinants. Some investigators suggest that literacy
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vand education are important influences on health status because they affect many other
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vhealth determinants. Approximately 25% of a population‘s health status is attributed to the
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vquality of its health care services. Social support affects health, health behaviours, and
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vhealth care utilization but is not the greatest determinant of health.
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DIF: Understand REF: 6 v


OBJ: Discuss key health determinants and their interrelationships and how they influence health.
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TOP: Planning
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7. A paraplegic patient in the hospital for an electrolyte imbalance is receiving care at which
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prevention level?
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a. Primary prevention level. v v


b. Secondary prevention level. v v


c. Tertiary prevention level. v v


d. Health promotion level. v v




ANS: B v


The secondary prevention level focuses on early detection of disease once pathogenesis
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has occurred, so that prompt treatment can be initiated to halt disease and limit disability.
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The primary prevention level focuses on health promotion, specific protection measures
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such as immunizations, and the reduction of risk factors such as smoking. The tertiary
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prevention level focuses on minimizing residual disability.
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DIF: Apply REF: 11 v


OBJ: Contrast distinguishing features of health promotion and disease prevention.
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TOP: Implementation v MSC: NCLEX: Health Promotion and Maintenance v v v v v




8. The nurse incorporates levels of prevention on the basis of patient needs and the type of
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nursing care provided. Which of the following is an example of tertiary level preventive
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caregiving?
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a. Teaching a patient how to irrigate a new temporary colostomy.
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b. Providing a lesson on hygiene for an elementary school class.
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c. Informing a patient that immunizations for her infant are available through the
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health department.
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d. Arranging for a hospice nurse to visit with the family of a patient with cancer.
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ANS: D v




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