Health Promotion Throughout the Life Span 10TH Edition
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Authors: Carole Edelman, Elizabeth Kudzma
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Chapter 01: Health Defined: Objectives for Promotion and Prevention
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Edelman: Health Promotion Throughout the Life Span, 10TH Edition
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MULTIPLE CHOICE v
Which model of health is most likely used by a person who
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does not believe in preventive health care?
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a. Clinical model v
b. Role performance model v v
c. Adaptive model v
d. Eudaimonistic model v
ANS: A v
The clinical model of health views the absence of signs and
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symptoms of disease as indicative of health. Peoplewho use
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this model wait until they are very sick to seek care.
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DIF: Cognitive Level: Remember (Knowledge)
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REF: p. 3 v
2. A person with chronic back pain is cared for by her primary care provider as
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well as receivesacupuncture. Which model of health does this person likely
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favor?
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a. Clinical model v
b. Role performance model v v
c. Adaptive model v
d. Eudaimonistic model v
ANS: D v
The eudaimonistic model embodies the interaction and interrelationships among physical,
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social, psychological, and spiritual aspects of life and the environment in goal attainment and
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creating meaning in life. Practitioners who practice the clinical model may not be enough for
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someone who believes in the eudaimonistic model. Thosewho believ e in the eudaimonistic
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model often look for alternative providers of care.
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DIF: v Cognitive Level: Apply (Application) v v v REF: p. 3 v
3. A state of physical, mental, spiritual, and social functioning that realizes a
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person‘s potential and isexperienced within a developmental context is known as:
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a. growth and development. v v
b. health.
c. functioning.
d. high-level wellness. v
ANS: B v
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a
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person‘s potentialand is experienced within a developmental context.
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, DIF: Cognitive Level: Remember (Knowledge)
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4. Which of the following best describes a client who has an illness?
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a. Someone who has well-controlled diabetes v v v v
b. Someone with hypercholesterolemia v v
c. Someone with a headache v v v
d. Someone with coronary artery disease v v v v
withoutangina
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e. ANS: C v
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 diseasewithout feeling ill. The
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other choices represent disease.
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DIF: Cognitive Level: Analyze (Analysis)
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5. Which US report is considered a landmark document in creating a global approach to health?
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a. The 1990 Health Objectives for the Nation: A Midcourse Review
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b. Healthy People 2020 v v
c. Healthy People 2000 v v
d. The U.S. Surgeon General Report
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ANS: C v
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark
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documents in which a consortium of people representing national organizations worked
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with US Public Health Service officials tocreate a more global approach to health.
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DIF: Cognitive Level: Remember (Knowledge)
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6. Which of the following represents a method of primary prevention?
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a. Informational session about healthy lifestyles v v v v
b. Blood pressure screening v v
c. Interventional cardiac catheterization v v
d. Diagnostic cardiac catheterization v v
ANS: A v
Primary prevention precedes disease or dysfunction. It includes health promotion and
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specific protection andencourages increased awareness; thus, education about healthy
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lifestyles fits this definition. Blood pressure screening does not prevent disease, but
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instead identifies it.
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DIF: v Cognitive Level: Apply (Application) v v v REF: p. 11 v
7. Which of the following represents a method of secondary prevention?
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a. Self–breast examination education v v
b. Yearly mammograms v
c. Chemotherapy for advanced breast cancer v v v v
d. Complete mastectomy for breast cancer v v v v
, ANS: B v
Screening is secondary prevention because the principal goal of screenings is to identify
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individuals in an early,detectable stage of the disease process. A mammogram is a screening
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tool for breast cancer and thus is considered a method of secondary prevention.
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DIF: v Cognitive Level: Apply (Application) v v v REF: p. 15 v
8. Which of the following represents a method of tertiary prevention?
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a. Drunk driving campaign v v
b. Road blocks for drunk driving v v v v
c. Emergency surgery for head trauma after a motor vehicle accident v v v v v v v v v
d. Physical and occupational therapy after a motor vehicle
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accident with headtrauma
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ANS: D v
Physical therapy and occupational therapy are considered tertiary prevention. Tertiary
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prevention occurs when a defect or disability is permanent and irreversible. It involves
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minimizing the effect of disease and disability. The objective of tertiary prevention is to
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maximize remaining capacities.
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DIF: v v Cognitive Level: Apply (Application) v v v v v REF: p. 15 v
9. In reviewing a person‘s medical claims, a nurse realizes that the individual with moderate
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vpersistent asthma hashad several emergency department visits and is not on inhaled steroids
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vas recommended by the NHLBI asthma management guidelines. The nurse discusses this
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vwith the person‘s primary care provider. In this scenario, the nurse is acting as a(n):
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a. advocate.
b. care manager. v
c. consultant.
d. educator.
ANS: B v
Care managers act to prevent duplication of service and reduce cost. Care managers base
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recommendationon reliable data sources such as evidence-based practices and protocols.
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DIF: Cognitive Level: Apply (Application) REF: v v v v v p. 15 v
10. During a home visit, a nurse assists an individual to complete an application for disability
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services. The nurseis acting as a(n):
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a. advocate.
b. care manager. v
c. consultant.
d. educator.
ANS: A v
The advocacy role of the nurse helps individuals obtain what they are entitled to receive
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from the health care system, tries to make the system more responsive to individuals‘
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community needs, and assists individuals indeveloping skills to advocate for themselves.
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DIF: v v Cognitive Level: Apply (Application) v v v v v REF: p. 15 v
, 11. During a home visit, a nurse discusses the dangers of smoking with an individual. In this
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scenario the nurseis acting as a(n):
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a. advocate.
b. care manager. v
c. consultant.
d. educator.
ANS: D v
Health education is a primary prevention technique available to avoid major causes of
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disease. Teaching canrange from a chance remark to a planned lesson.
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DIF: Cognitive Level: Apply (Application) REF: v v v v v p. 16 v
12. A nurse is asked to provide an expert opinion about the development of an
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education program fornewly diagnosed diabetics. In this scenario, the nurse is
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acting as a(n):
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a. advocate.
b. care manager. v
c. consultant.
d. educator.
ANS: C v
Nurses with a specialized area of expertise provide education about health promotion and
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disease prevention toindividuals and groups as consultants.
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DIF: v Cognitive Level: Apply (Application) v v v REF: p. 16 v
13. A nurse is planning to deliver an educational program to individuals with
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diabetes. Which of thefollowing should be the initial action taken by the nurse
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to ensure the success of the program?
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a. Assess the motivation level of the individuals v v v v v v
b. Assess the knowledge level of the individuals v v v v v v
c. Establish teacher-learner goals with the individuals v v v v v
d. Establish multiple teaching sessions with the individuals v v v v v v
ANS: B v
Selection of the methods most likely to succeed involves the establishment of teacher-learner
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goals. Thus, thefirst step by the nurse should be establishment of goals.
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DIF: Cognitive Level: Analyze (Analysis)
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14. The conscientious, explicit, and judicious use of current best evidence in making
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decisions about the careof individuals is known as:
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a. health-related quality of life. v v v
b. evidence-based practice. v
c. a Healthy People 2010 goal.
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d. the ecological model of health.
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ANS: B v
Evidence-based practice is defined as the conscientious, explicit, and judicious use of current
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best evidence inmaking decisions about the care of individuals.
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DIF: Cognitive Level: Remember (Knowledge)
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