,Chaptery401:y4Healthy4Defined:y4Objectivesy4fory4Promotiony4andy4Pre
ventiony4Edelman:y4Healthy4Promotiony4Throughouty4they4Lifey4Span,
y48thy4Edition
MULTIPLEy4CHOICE
1. Whichy4modely4ofy4healthy4isy4mosty4likelyy4usedy4byy4ay4persony4whoy4doesy4noty4believey4iny4preventivey4
healthy4care?
a. Clinicaly4model
b. Roley4performancey4model
c. Adaptivey4model
d. Eudaimonisticy4model
ANS:y 4 A
They4clinicaly4modely4ofy4healthy4viewsy4they4absencey4ofy4signsy4andy4symptomsy4ofy4diseasey4asy4indicative
y4ofy4health.y4Peopley4whoy4usey4thisy4modely4waity4untily4theyy4arey4veryy4sicky4toy4seeky4care.
DIF: Cognitivey4Level:y4Remembery4(Knowledge) REF: p.y43
2. Ay4persony4withy4chronicy4backy4painy4isy4caredy4fory4byy4hery4primaryy4carey4providery4
asy4welly4asy4receivesy4acupuncture.y4Whichy4modely4ofy4healthy4doesy4thisy4persony4lik
elyy4favor?
a. Clinicaly4model
b. Roley4performancey4model
c. Adaptivey4model
d. Eudaimonisticy4model
ANS:y 4 D
They4eudaimonisticy4modely4embodiesy4they4interactiony4andy4interrelationshipsy4amongy4physical,y4social,y4
psychological,y4andy4spiritualy4aspectsy4ofy4lifey4andy4they4environmenty4iny4goaly4attainmenty4andy4creating
y4meaningy4iny4life.y4Practitionersy4whoy4practicey4they4clinicaly4modely4mayy4noty4bey4enoughy4fory4someo
ney4whoy4believesy4iny4they4eudaimonisticy4model.y4Thosey4whoy4believey4iny4they4eudaimonisticy4modely4o
fteny4looky4fory4alternativey4providersy4ofy4care.
DIF: Cognitivey4Level:y4Applyy4(Application) REF: p.y43
3. Ay4statey4ofy4physical,y4mental,y4spiritual,y4andy4socialy4functioningy4thaty4realizesy4ay4person’s
y4potentialy4andy4isy4experiencedy4withiny4ay4developmentaly4contexty4isy4knowny4as:
a. growthy4andy4development.
b. health.
c. functioning.
d. high-levely4wellness.
ANS:y 4 B
Healthy4isy4definedy4asy4ay4statey4ofy4physical,y4mental,y4spiritual,y4andy4socialy4functioningy4thaty4realizesy4a
y4person’sy4potentialy4andy4isy4experiencedy4withiny4ay4developmentaly4context.
DIF: Cognitivey4Level:y4Remembery4(Knowledge) REF: p.y45
4. Whichy4ofy4they4followingy4besty4describesy4ay4clienty4whoy4hasy4any4illness?
a. Someoney4whoy4hasy4well-controlledy4diabetes
b. Someoney4withy4hypercholesterolemia
c. Someoney4withy4ay4headache
d. Someoney4withy4coronaryy4arteryy4diseasey4w
ithouty4anginay4ANS:y 4 C
, Someoney4withy4ay4headachey4representsy4ay4persony4withy4any4illness.y4Any4illnessy4isy4madey4upy4ofy4they4
subjectivey4experiencey4ofy4they4individualy4andy4they4physicaly4manifestationy4ofy4disease.y4Ity4cany4bey4des
cribedy4asy4ay4responsey4characterizedy4byy4ay4mismatchy4betweeny4ay4person’sy4needsy4andy4they4resourcesy4
availabley4toy4meety4thosey4needs.y4Ay4persony4cany4havey4ay4diseasey4withouty4feelingy4ill.y4They4othery4cho
icesy4representy4disease.
DIF: Cognitivey4Level:y4Analyzey4(Analysis) REF: p.y46
5. Whichy4USy4reporty4isy4consideredy4ay4landmarky4documenty4iny4creatingy4ay4globaly4approachy4toy4health?
a. They41990y4Healthy4Objectivesy4fory4they4Nation:y4Ay4Midcoursey4Review
b. Healthyy4Peopley42020
c. Healthyy4Peopley42000
d. They4U.S.y4Surgeony4Generaly4Report
ANS:y 4 C
Healthyy4Peopley42000y4andy4itsy4Midcoursey4Reviewy4andy41995y4Revisionsy4werey4landmarky4documentsy4
iny4whichy4ay4consortiumy4ofy4peopley4representingy4nationaly4organizationsy4workedy4withy4USy4Publicy4He
althy4Servicey4officialsy4toy4createy4ay4morey4globaly4approachy4toy4health.
DIF: Cognitivey4Level:y4Remembery4(Knowledge) REF: p.y46
6. Whichy4ofy4they4followingy4representsy4ay4methody4ofy4primaryy4prevention?
a. Informationaly4sessiony4abouty4healthyy4lifestyles
b. Bloody4pressurey4screening
c. Interventionaly4cardiacy4catheterization
d. Diagnosticy4cardiacy4catheterization
ANS:y 4 A
Primaryy4preventiony4precedesy4diseasey4ory4dysfunction.y4Ity4includesy4healthy4promotiony4andy4specificy4pro
tectiony4andy4encouragesy4increasedy4awareness;y4thus,y4educationy4abouty4healthyy4lifestylesy4fitsy4thisy4defi
nition.y4Bloody4pressurey4screeningy4doesy4noty4preventy4disease,y4buty4insteady4identifiesy4it.
DIF: Cognitivey4Level:y4Applyy4(Application) REF: p.y411
7. Whichy4ofy4they4followingy4representsy4ay4methody4ofy4secondaryy4prevention?
a. Self–breasty4examinationy4education
b. Yearlyy4mammograms
c. Chemotherapyy4fory4advancedy4breasty4cancer
d. Completey4mastectomyy4fory4breasty4cancer
ANS:y 4 B
Screeningy4isy4secondaryy4preventiony4becausey4they4principaly4goaly4ofy4screeningsy4isy4toy4identifyy4individ
ualsy4iny4any4early,y4detectabley4stagey4ofy4they4diseasey4process.y4Ay4mammogramy4isy4ay4screeningy4tooly4
fory4breasty4cancery4andy4thusy4isy4consideredy4ay4methody4ofy4secondaryy4prevention.
DIF: Cognitivey4Level:y4Applyy4(Application) REF: p.y415
8. Whichy4ofy4they4followingy4representsy4ay4methody4ofy4tertiaryy4prevention?
a. Drunky4drivingy4campaign
b. Roady4blocksy4fory4drunky4driving
c. Emergencyy4surgeryy4fory4heady4traumay4aftery4ay4motory4vehicley4accident
d. Physicaly4andy4occupationaly4therapyy4aftery4ay4motory4vehicley4accident
y4withy4heady4traumay4ANS:y 4 D
, Physicaly4therapyy4andy4occupationaly4therapyy4arey4consideredy4tertiaryy4prevention.y4Tertiaryy4preventiony4
occursy4wheny4ay4defecty4ory4disabilityy4isy4permanenty4andy4irreversible.y4Ity4involvesy4minimizingy4they4ef
fecty4ofy4diseasey4andy4disability.y4They4objectivey4ofy4tertiaryy4preventiony4isy4toy4maximizey4remainingy4c
apacities.
DIF:y 4 y 4 Cognitivey4Level:y4Applyy4(Application) REF: p.y415
9. Iny4reviewingy4ay4person’sy4medicaly4claims,y4ay4nursey4realizesy4thaty4they4individualy4withy4moderatey4per
sistenty4asthmay4hasy4hady4severaly4emergencyy4departmenty4visitsy4andy4isy4noty4ony4inhaledy4steroidsy4as
y4recommendedy4byy4they4NHLBIy4asthmay4managementy4guidelines.y4They4nursey4discussesy4thisy4withy4t
hey4person’sy4primaryy4carey4provider.y4Iny4thisy4scenario,y4they4nursey4isy4actingy4asy4a(n):
a. advocate.
b. carey4manager.
c. consultant.
d. educator.
ANS:y 4 B
Carey4managersy4acty4toy4preventy4duplicationy4ofy4servicey4andy4reducey4cost.y4Carey4managersy4basey4
recommendationy 4 ony4reliabley4datay4sourcesy4suchy4asy4evidence-basedy4practicesy4andy4protocols.
DIF:y 4 y 4 Cognitivey4Level:y4Applyy4(Application) REF: p.y415
10. Duringy4ay4homey4visit,y4ay4nursey4assistsy4any4individualy4toy4completey4any4applicationy4fory4disabilityy
4services.y4They4nursey4isy4actingy4asy4a(n):
a. advocate.
b. carey4manager.
c. consultant.
d. educator.
ANS:y 4 A
They4advocacyy4roley4ofy4they4nursey4helpsy4individualsy4obtainy4whaty4theyy4arey4entitledy4toy4receivey4
fromy4they4healthy4carey4system,y4triesy4toy4makey4they4systemy4morey4responsivey4toy4individuals’y4com
munityy4needs,y4andy4assistsy4individualsy4iny4developingy4skillsy4toy4advocatey4fory4themselves.
DIF:y 4 y 4 Cognitivey4Level:y4Applyy4(Application) REF: p.y415
11. Duringy4ay4homey4visit,y4ay4nursey4discussesy4they4dangersy4ofy4smokingy4withy4any4individual.y4Iny4thi
sy4scenarioy4they4nursey4isy4actingy4asy4a(n):
a. advocate.
b. carey4manager.
c. consultant.
d. educator.
ANS:y 4 D
Healthy4educationy4isy4ay4primaryy4preventiony4techniquey4availabley4toy4avoidy4majory4causesy4ofy4dise
ase.y4Teachingy4cany4rangey4fromy4ay4chancey4remarky4toy4ay4plannedy4lesson.
DIF:y 4 y 4 Cognitivey4Level:y4Applyy4(Application) REF: p.y416
12. Ay4nursey4isy4askedy4toy4providey4any4experty4opiniony4abouty4they4developmenty4ofy4any4edu
cationy4programy4fory4newlyy4diagnosedy4diabetics.y4Iny4thisy4scenario,y4they4nursey4isy4actin
gy4asy4a(n):
a. advocate.
b. carey4manager.
c. consultant.
d. educator.
ventiony4Edelman:y4Healthy4Promotiony4Throughouty4they4Lifey4Span,
y48thy4Edition
MULTIPLEy4CHOICE
1. Whichy4modely4ofy4healthy4isy4mosty4likelyy4usedy4byy4ay4persony4whoy4doesy4noty4believey4iny4preventivey4
healthy4care?
a. Clinicaly4model
b. Roley4performancey4model
c. Adaptivey4model
d. Eudaimonisticy4model
ANS:y 4 A
They4clinicaly4modely4ofy4healthy4viewsy4they4absencey4ofy4signsy4andy4symptomsy4ofy4diseasey4asy4indicative
y4ofy4health.y4Peopley4whoy4usey4thisy4modely4waity4untily4theyy4arey4veryy4sicky4toy4seeky4care.
DIF: Cognitivey4Level:y4Remembery4(Knowledge) REF: p.y43
2. Ay4persony4withy4chronicy4backy4painy4isy4caredy4fory4byy4hery4primaryy4carey4providery4
asy4welly4asy4receivesy4acupuncture.y4Whichy4modely4ofy4healthy4doesy4thisy4persony4lik
elyy4favor?
a. Clinicaly4model
b. Roley4performancey4model
c. Adaptivey4model
d. Eudaimonisticy4model
ANS:y 4 D
They4eudaimonisticy4modely4embodiesy4they4interactiony4andy4interrelationshipsy4amongy4physical,y4social,y4
psychological,y4andy4spiritualy4aspectsy4ofy4lifey4andy4they4environmenty4iny4goaly4attainmenty4andy4creating
y4meaningy4iny4life.y4Practitionersy4whoy4practicey4they4clinicaly4modely4mayy4noty4bey4enoughy4fory4someo
ney4whoy4believesy4iny4they4eudaimonisticy4model.y4Thosey4whoy4believey4iny4they4eudaimonisticy4modely4o
fteny4looky4fory4alternativey4providersy4ofy4care.
DIF: Cognitivey4Level:y4Applyy4(Application) REF: p.y43
3. Ay4statey4ofy4physical,y4mental,y4spiritual,y4andy4socialy4functioningy4thaty4realizesy4ay4person’s
y4potentialy4andy4isy4experiencedy4withiny4ay4developmentaly4contexty4isy4knowny4as:
a. growthy4andy4development.
b. health.
c. functioning.
d. high-levely4wellness.
ANS:y 4 B
Healthy4isy4definedy4asy4ay4statey4ofy4physical,y4mental,y4spiritual,y4andy4socialy4functioningy4thaty4realizesy4a
y4person’sy4potentialy4andy4isy4experiencedy4withiny4ay4developmentaly4context.
DIF: Cognitivey4Level:y4Remembery4(Knowledge) REF: p.y45
4. Whichy4ofy4they4followingy4besty4describesy4ay4clienty4whoy4hasy4any4illness?
a. Someoney4whoy4hasy4well-controlledy4diabetes
b. Someoney4withy4hypercholesterolemia
c. Someoney4withy4ay4headache
d. Someoney4withy4coronaryy4arteryy4diseasey4w
ithouty4anginay4ANS:y 4 C
, Someoney4withy4ay4headachey4representsy4ay4persony4withy4any4illness.y4Any4illnessy4isy4madey4upy4ofy4they4
subjectivey4experiencey4ofy4they4individualy4andy4they4physicaly4manifestationy4ofy4disease.y4Ity4cany4bey4des
cribedy4asy4ay4responsey4characterizedy4byy4ay4mismatchy4betweeny4ay4person’sy4needsy4andy4they4resourcesy4
availabley4toy4meety4thosey4needs.y4Ay4persony4cany4havey4ay4diseasey4withouty4feelingy4ill.y4They4othery4cho
icesy4representy4disease.
DIF: Cognitivey4Level:y4Analyzey4(Analysis) REF: p.y46
5. Whichy4USy4reporty4isy4consideredy4ay4landmarky4documenty4iny4creatingy4ay4globaly4approachy4toy4health?
a. They41990y4Healthy4Objectivesy4fory4they4Nation:y4Ay4Midcoursey4Review
b. Healthyy4Peopley42020
c. Healthyy4Peopley42000
d. They4U.S.y4Surgeony4Generaly4Report
ANS:y 4 C
Healthyy4Peopley42000y4andy4itsy4Midcoursey4Reviewy4andy41995y4Revisionsy4werey4landmarky4documentsy4
iny4whichy4ay4consortiumy4ofy4peopley4representingy4nationaly4organizationsy4workedy4withy4USy4Publicy4He
althy4Servicey4officialsy4toy4createy4ay4morey4globaly4approachy4toy4health.
DIF: Cognitivey4Level:y4Remembery4(Knowledge) REF: p.y46
6. Whichy4ofy4they4followingy4representsy4ay4methody4ofy4primaryy4prevention?
a. Informationaly4sessiony4abouty4healthyy4lifestyles
b. Bloody4pressurey4screening
c. Interventionaly4cardiacy4catheterization
d. Diagnosticy4cardiacy4catheterization
ANS:y 4 A
Primaryy4preventiony4precedesy4diseasey4ory4dysfunction.y4Ity4includesy4healthy4promotiony4andy4specificy4pro
tectiony4andy4encouragesy4increasedy4awareness;y4thus,y4educationy4abouty4healthyy4lifestylesy4fitsy4thisy4defi
nition.y4Bloody4pressurey4screeningy4doesy4noty4preventy4disease,y4buty4insteady4identifiesy4it.
DIF: Cognitivey4Level:y4Applyy4(Application) REF: p.y411
7. Whichy4ofy4they4followingy4representsy4ay4methody4ofy4secondaryy4prevention?
a. Self–breasty4examinationy4education
b. Yearlyy4mammograms
c. Chemotherapyy4fory4advancedy4breasty4cancer
d. Completey4mastectomyy4fory4breasty4cancer
ANS:y 4 B
Screeningy4isy4secondaryy4preventiony4becausey4they4principaly4goaly4ofy4screeningsy4isy4toy4identifyy4individ
ualsy4iny4any4early,y4detectabley4stagey4ofy4they4diseasey4process.y4Ay4mammogramy4isy4ay4screeningy4tooly4
fory4breasty4cancery4andy4thusy4isy4consideredy4ay4methody4ofy4secondaryy4prevention.
DIF: Cognitivey4Level:y4Applyy4(Application) REF: p.y415
8. Whichy4ofy4they4followingy4representsy4ay4methody4ofy4tertiaryy4prevention?
a. Drunky4drivingy4campaign
b. Roady4blocksy4fory4drunky4driving
c. Emergencyy4surgeryy4fory4heady4traumay4aftery4ay4motory4vehicley4accident
d. Physicaly4andy4occupationaly4therapyy4aftery4ay4motory4vehicley4accident
y4withy4heady4traumay4ANS:y 4 D
, Physicaly4therapyy4andy4occupationaly4therapyy4arey4consideredy4tertiaryy4prevention.y4Tertiaryy4preventiony4
occursy4wheny4ay4defecty4ory4disabilityy4isy4permanenty4andy4irreversible.y4Ity4involvesy4minimizingy4they4ef
fecty4ofy4diseasey4andy4disability.y4They4objectivey4ofy4tertiaryy4preventiony4isy4toy4maximizey4remainingy4c
apacities.
DIF:y 4 y 4 Cognitivey4Level:y4Applyy4(Application) REF: p.y415
9. Iny4reviewingy4ay4person’sy4medicaly4claims,y4ay4nursey4realizesy4thaty4they4individualy4withy4moderatey4per
sistenty4asthmay4hasy4hady4severaly4emergencyy4departmenty4visitsy4andy4isy4noty4ony4inhaledy4steroidsy4as
y4recommendedy4byy4they4NHLBIy4asthmay4managementy4guidelines.y4They4nursey4discussesy4thisy4withy4t
hey4person’sy4primaryy4carey4provider.y4Iny4thisy4scenario,y4they4nursey4isy4actingy4asy4a(n):
a. advocate.
b. carey4manager.
c. consultant.
d. educator.
ANS:y 4 B
Carey4managersy4acty4toy4preventy4duplicationy4ofy4servicey4andy4reducey4cost.y4Carey4managersy4basey4
recommendationy 4 ony4reliabley4datay4sourcesy4suchy4asy4evidence-basedy4practicesy4andy4protocols.
DIF:y 4 y 4 Cognitivey4Level:y4Applyy4(Application) REF: p.y415
10. Duringy4ay4homey4visit,y4ay4nursey4assistsy4any4individualy4toy4completey4any4applicationy4fory4disabilityy
4services.y4They4nursey4isy4actingy4asy4a(n):
a. advocate.
b. carey4manager.
c. consultant.
d. educator.
ANS:y 4 A
They4advocacyy4roley4ofy4they4nursey4helpsy4individualsy4obtainy4whaty4theyy4arey4entitledy4toy4receivey4
fromy4they4healthy4carey4system,y4triesy4toy4makey4they4systemy4morey4responsivey4toy4individuals’y4com
munityy4needs,y4andy4assistsy4individualsy4iny4developingy4skillsy4toy4advocatey4fory4themselves.
DIF:y 4 y 4 Cognitivey4Level:y4Applyy4(Application) REF: p.y415
11. Duringy4ay4homey4visit,y4ay4nursey4discussesy4they4dangersy4ofy4smokingy4withy4any4individual.y4Iny4thi
sy4scenarioy4they4nursey4isy4actingy4asy4a(n):
a. advocate.
b. carey4manager.
c. consultant.
d. educator.
ANS:y 4 D
Healthy4educationy4isy4ay4primaryy4preventiony4techniquey4availabley4toy4avoidy4majory4causesy4ofy4dise
ase.y4Teachingy4cany4rangey4fromy4ay4chancey4remarky4toy4ay4plannedy4lesson.
DIF:y 4 y 4 Cognitivey4Level:y4Applyy4(Application) REF: p.y416
12. Ay4nursey4isy4askedy4toy4providey4any4experty4opiniony4abouty4they4developmenty4ofy4any4edu
cationy4programy4fory4newlyy4diagnosedy4diabetics.y4Iny4thisy4scenario,y4they4nursey4isy4actin
gy4asy4a(n):
a. advocate.
b. carey4manager.
c. consultant.
d. educator.
