v v v v v v v v
Canadian Fundamentals of Nursing 7th Edition v v v v v
Potter Test Bank v v v
Chapter 01: Health and Wellness
v v v v
Potter et al: Canadian Fundamentals of Nursing, 7th Edition
v v v v v v v v
MULTIPLE CHOICE v
1. The nurse is using the population health promotion model to develop actions for improving
v v v v v v v v v v v v v
health. After asking, “On what should we take action?”; “How should we take action?”; and
v v v v v v v v v v v v v v v
“Why should we take action?” the nurse will ask which of the following questions?
v v v v v v v v v v v v v v
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
v v v v v v v v v v v v v v
should we act?” The other choices are not questions included in this model.
v v v v v v v v v v v v v
DIF: Apply REF: 13, Figure 1-5 v v v
OBJ: Contrast distinguishing features of health promotion and disease prevention.
v v v v v v v v v
TOP: Implementation
v v MSC: CPNRE: Foundations of Practice v v v v
2. The principle “Health promotion is multisectoral” means which of the following?
v v v v v v v v v v
a. Relationships between individual, social, and environmental factors must be v v v v v v v v
recognized.
v
b. Physical, mental, social, ecological, cultural, and spiritual aspects of health must
v v v v v v v v v v
be recognized.
v vN R I G B.C M v v v v v
c. In order to change unhealthUy l i S
v v i n gNa n T
vd workiO
ng conditions, areas other than health
v v v v v v v v v
must also be involved.
v v v v
d. Health promotion involves the use of knowledge from disciplines such as social,
v v v v v v v v v v v
economic, political, environmental, medical, and nursing sciences, as well as from
v v v v v v v v v v v
first-hand experience.
v v
ANS: C v
The statement “Health promotion is multisectoral” is the principle explained by the necessity
v v v v v v v v v v v v
to involve areas other than health in order to change unhealthy living and working conditions.
v v v v v v v v v v v v v v v
DIF: Understand REF: 11 v
OBJ: Contrast distinguishing features of health promotion and disease prevention.
v v v v v v v v v
TOP: Planning
v MSC: CPNRE: Foundations of Practice
v v v v v
3. According to the World Health Organization, what is the best description of “health”?
v v v v v v v v v v v v
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
, Canadian Fundamentals of Nursing 7th Edition Potter Test Bank v v v v v v v v
The WHO defines health as “…the extent to which an individual or group is able, on the one
v v v v v v v v v v v v v v v v v
hand, to realize aspirations and satisfy needs; and, on the other hand, to change or cope with
v v v v v v v v v v v v v v v v v
the environment. Health is, therefore, seen as a resource for everyday life, not the objective of
v v v v v v v v v v v v v v v v
living; it is a positive concept emphasizing social and personal resources, as well as physical
v v v v v v v v v v v v v v v
capacities.” Nurses’ attitudes toward health and illness should account for the total person, as
v v v v v v v v v v v v v v
well as the environment in which the person lives. People free of disease are not equally
v v v v v v v v v v v v v v v v
healthy. Views of health have broadened to include mental, social, and spiritual well-being, as
v v v v v v v v v v v v v v
well as a focus on health at family and community levels. Conditions of life, rather than
v v v v v v v v v v v v v v v v
pathological states, are what determine health.
v v v v v v
DIF: Knowledge REF: 2 v
OBJ: Discuss ways that definitions of health have been conceptualized.
v v v v v v v v v
TOP: Evaluate
v MSC: CPNRE: Foundations of Practice
v v v v v
4. What priority strategy for health promotion in Canada is optional but seen as important to
v v v v v v v v v v v v v v
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
v v v v v v v v v v
veducation curricula. Nurses should think about policies that have contributed to health
v v v v v v v v v v v
problems, policies that would help to alleviate health problems, and how nursing champions
v v v v v v v v v v v v
vpublic policies. Disease prevention is an integral part of nursing curricula. Health promotion is
v v v v v v v v v v v v v
a fundamental part of nursing cu rricu la. B.CM
N R I G v
v v v v
USNT O
v
v v v
DIF: Understand REF: 11 | 12 v v v
OBJ: Analyze how the nature and scope of nursing practice are influenced by different
v v v v v v v v v v v v v
conceptualizations of health and health determinants.
v TOP: Planning v v v v v v
MSC: CPNRE: Foundations of Practice
v v v v v
5. Which of the following is a prerequisite for health, as identified by the Ottawa Charter for
v v v v v v v v v v v v v v v
v Health Promotion? v
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 Charter
v v v v v v v v v v v v v v v
for Health Promotion. Lack of social support and low self-esteem were identified as a
v v v v v v v v v v v v v v
psychosocial risk factors by Labonte (1993). Dangerous physical environments were
v v v v v v v v v v
videntified as socioenvironmental risk factors by Labonte (1993).
v v v v v v v
DIF: Understand REF: 4 v
OBJ: Discuss contributions of the following Canadian publications to conceptualizations of health
v v v v v v v v v v v
and health determinants: Lalonde Report, Ottawa Charter, Epp Report, Strategies for Population
v v v v v v v v v v v v
Health, Jakarta Declaration, Bangkok Charter, Toronto Charter. TOP: Planning
v v v v v v v v
MSC: CPNRE: Foundations of Practice
v v v v
, Canadian Fundamentals of Nursing 7th Edition Potter Test Bank v v v v v v v v
6. The determinant of health with the greatest effect on the health of Canadians is which of the
v v v v v v v v v v v v v v v v
following?
v
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 are the determinants of health that influence
v v v v v v v v v v v v
vmost other determinants. Some investigators suggest that literacy and education are important
v v v v v v v v v v v
vinfluences on health status because they affect many other health determinants.
v v v v v v v v v v
Approximately 25% of a population’s health status is attributed to the quality of its health care
v v v v v v v v v v v v v v v
vservices. Social support affects health, health behaviours, and health care utilization but is not
v v v v v v v v v v v v v
vthe most influential determinant of health.
v v v v v
DIF: Understand v REF: 6
v v v v
OBJ: Discuss key health determinants and their interrelationships and how they influence health.
v v v v v v v v v v v v
TOP: Planning
v MSC: CPNRE: Foundations of Practice
v v v v v
7. A paraplegic patient in the hospital for an electrolyte imbalance is receiving care at which
v v v v v v v v v v v v v v
prevention level?
v v
a. Primary prevention. v
b. Secondary prevention. v
c. Tertiary prevention. v
d. Health promotion. v
ANS: B v
The secondary prevention levNeU
v l fR
ocSuI sG
seN o nTeBa r.l yCd e M
v t e c t i o n of disease once pathogenesis has v v v v v v v v
occurred, so that prompt treatment can be initiated to halt disease and limit disability. The
v v v v v v v v v v v v v v v
primary prevention level focuses on health promotion, specific protection measures such as
v v v v v v v v v v v
immunizations, and the reduction of risk factors such as smoking. The tertiary prevention
v v v v v v v v v v v v v
level focuses on minimizing residual disability.
v v v v v v
DIF: Apply REF: 11 v
OBJ: Contrast distinguishing features of health promotion and disease prevention.
v v v v v v v v v
TOP: Implementation
v v MSC: CPNRE: Foundations of Practice v v v v
8. The nurse incorporates levels of prevention on the basis of patient needs and the type of
v v v v v v v v v v v v v v v
nursing care provided. Which of the following is an example of tertiary level preventive
v v v v v v v v v v v v v v
caregiving?
v
a. Teaching a patient how to irrigate a new temporary colostomy.
v v v v v v v v v
b. Providing a lesson on hygiene for an elementary school class.v v v v v v v v v
c. Informing a patient that immunizations for her infant are available through the
v v v v v v v v v v v
health department.
v v
d. Arranging for a hospice nurse to visit with the family of a patient with cancer.
v v v v v v v v v v v v v v
ANS: D v