,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 qq
1. Which model of health is most likely used by a person who does not believe in preventive health care?
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
a. Clinical model qq
b. Role performance model qq qq
c. Adaptive model qq
d. Eudaimonistic model qq
ANS: A q q
The clinical model of health views the absence of signs and symptoms of disease as indicative of health. Pe
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ople who use this model wait until they are very sick to seek care.
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DIF: Cognitive Level: Remember (Knowledge) qq qq qq REF: p. 3 qq
2. A person with chronic back pain is cared for by her primary care provider as well as rec
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eives acupuncture. Which model of health does this person likely favor?
qq qq qq qq qq qq qq qq qq qq
a. Clinical model qq
b. Role performance model qq qq
c. Adaptive model qq
d. Eudaimonistic model qq
ANS: D q q
The eudaimonistic model embodies the interaction and interrelationships among physical, social, psychologi
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cal, and spiritual aspects of life and the environment in goal attainment and creating meaning in life. Pract
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
itioners who practice the clinical model may not be enough for someone who believes in the eudaimonistic
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model. Those who believe in the eudaimonistic model often look for alternative providers of care.
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DIF: Cognitive Level: Apply (Application) qq qq qq REF: p. 3 qq
3. A state of physical, mental, spiritual, and social functioning that realizes a person’s potential a
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
nd is experienced within a developmental context is known as:
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a. growth and development. qq qq
b. health.
c. functioning.
d. high-level wellness. qq
ANS: B q q
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a person’s pote
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
ntial and is experienced within a developmental context.
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DIF: Cognitive Level: Remember (Knowledge) qq qq qq REF: p. 5 qq
4. Which of the following best describes a client who has an illness?
qq qq qq qq qq qq qq qq qq qq qq
a. Someone who has well-controlled diabetes qq qq qq qq
b. Someone with hypercholesterolemia qq qq
c. Someone with a headache qq qq qq
d. Someone with coronary artery disease witho qq qq qq qq qq
ut angina ANS: C
qq qq q q
, Someone with a headache represents a person with an illness. An illness is made up of the subjective expe
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
rience of the individual and the physical manifestation of disease. It can be described as a response charac
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terized by a mismatch between a person’s needs and the resources available to meet those needs. A person
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can have a disease without feeling ill. The other choices represent disease.
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DIF: Cognitive Level: Analyze (Analysis) qq qq qq REF: p. 6 qq
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 qq qq
c. Healthy People 2000 qq qq
d. The U.S. Surgeon General Report
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ANS: C q q
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark documents in which a
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
consortium of people representing national organizations worked with US Public Health Service officials to
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
create a more global approach to health.
qq qq qq qq qq qq
DIF: Cognitive Level: Remember (Knowledge) qq qq qq REF: p. 6 qq
6. Which of the following represents a method of primary prevention?
qq qq qq qq qq qq qq qq qq
a. Informational session about healthy lifestyles qq qq qq qq
b. Blood pressure screening qq qq
c. Interventional cardiac catheterization qq qq
d. Diagnostic cardiac catheterization qq qq
ANS: A q q
Primary prevention precedes disease or dysfunction. It includes health promotion and specific protection and
qq qq qq qq qq qq qq qq qq qq qq qq qq q
encourages increased awareness; thus, education about healthy lifestyles fits this definition. Blood pressure
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screening does not prevent disease, but instead identifies it.
qq qq qq qq qq qq qq qq qq
DIF: Cognitive Level: Apply (Application) qq qq qq REF: p. 11
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7. Which of the following represents a method of secondary prevention?
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a. Self–breast examination education qq qq
b. Yearly mammograms qq
c. Chemotherapy for advanced breast cancer qq qq qq qq
d. Complete mastectomy for breast cancer qq qq qq qq
ANS: B q q
Screening is secondary prevention because the principal goal of screenings is to identify individuals in an ea
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
rly, detectable stage of the disease process. A mammogram is a screening tool for breast cancer and thus i
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
s considered a method of secondary prevention.
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DIF: Cognitive Level: Apply (Application) qq qq qq REF: p. 15
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8. Which of the following represents a method of tertiary prevention?
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a. Drunk driving campaign qq qq
b. Road blocks for drunk driving
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c. Emergency surgery for head trauma after a motor vehicle accident
qq qq qq qq qq qq qq qq qq
d. Physical and occupational therapy after a motor vehicle accident with he
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ad trauma ANS: D
qq qq q q
, Physical therapy and occupational therapy are considered tertiary prevention. Tertiary prevention occurs wh
qq qq qq qq qq qq qq qq qq qq qq qq
en a defect or disability is permanent and irreversible. It involves minimizing the effect of disease and disa
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
bility. The objective of tertiary prevention is to maximize remaining capacities.
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DIF: q q q q Cognitive Level: Apply (Application)qq qq qq REF: p. 15 qq
9. In reviewing a person’s medical claims, a nurse realizes that the individual with moderate persistent asthma
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
has had several emergency department visits and is not on inhaled steroids as recommended by the NHL
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
BI asthma management guidelines. The nurse discusses this with the person’s primary care provider. In t
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
his scenario, the nurse is acting as a(n):
qq qq qq qq qq qq qq
a. advocate.
b. care manager. qq
c. consultant.
d. educator.
ANS: B q q
Care managers act to prevent duplication of service and reduce cost. Care managers base recommendati
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
on on reliable data sources such as evidence-based practices and protocols.
q q qq qq qq qq qq qq qq qq qq
DIF: q q q q Cognitive Level: Apply (Application)qq qq qq REF: p. 15 qq
10. During a home visit, a nurse assists an individual to complete an application for disability services. The
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
nurse is acting as a(n):
qq qq qq qq
a. advocate.
b. care manager. qq
c. consultant.
d. educator.
ANS: A q q
The advocacy role of the nurse helps individuals obtain what they are entitled to receive from the healt
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
h care system, tries to make the system more responsive to individuals’ community needs, and assists in
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
dividuals in developing skills to advocate for themselves.
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DIF: q q q q Cognitive Level: Apply (Application)qq qq qq REF: p. 15 qq
11. During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
nurse is acting as a(n):
qq qq qq qq
a. advocate.
b. care manager. qq
c. consultant.
d. educator.
ANS: D q q
Health education is a primary prevention technique available to avoid major causes of disease. Teaching
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
can range from a chance remark to a planned lesson.
qq qq qq qq qq qq qq qq qq qq
DIF: q q q q Cognitive Level: Apply (Application)qq qq qq REF: p. 16 qq
12. A nurse is asked to provide an expert opinion about the development of an education progra
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
m for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
qq qq qq qq qq qq qq qq qq qq qq qq qq
a. advocate.
b. care manager. qq
c. consultant.
d. educator.
qq qq qq qq qq qq qq qq qq
Edelman: Health Promotion Throughout the Life Span, 10th Edition
qq qq qq qq qq qq qq qq
MULTIPLE CHOICE qq
1. Which model of health is most likely used by a person who does not believe in preventive health care?
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
a. Clinical model qq
b. Role performance model qq qq
c. Adaptive model qq
d. Eudaimonistic model qq
ANS: A q q
The clinical model of health views the absence of signs and symptoms of disease as indicative of health. Pe
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
ople who use this model wait until they are very sick to seek care.
qq qq qq qq qq qq qq qq qq qq qq qq qq
DIF: Cognitive Level: Remember (Knowledge) qq qq qq REF: p. 3 qq
2. A person with chronic back pain is cared for by her primary care provider as well as rec
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
eives acupuncture. Which model of health does this person likely favor?
qq qq qq qq qq qq qq qq qq qq
a. Clinical model qq
b. Role performance model qq qq
c. Adaptive model qq
d. Eudaimonistic model qq
ANS: D q q
The eudaimonistic model embodies the interaction and interrelationships among physical, social, psychologi
qq qq qq qq qq qq qq qq qq qq qq
cal, and spiritual aspects of life and the environment in goal attainment and creating meaning in life. Pract
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
itioners who practice the clinical model may not be enough for someone who believes in the eudaimonistic
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
model. Those who believe in the eudaimonistic model often look for alternative providers of care.
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
DIF: Cognitive Level: Apply (Application) qq qq qq REF: p. 3 qq
3. A state of physical, mental, spiritual, and social functioning that realizes a person’s potential a
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
nd is experienced within a developmental context is known as:
qq qq qq qq qq qq qq qq qq
a. growth and development. qq qq
b. health.
c. functioning.
d. high-level wellness. qq
ANS: B q q
Health is defined as a state of physical, mental, spiritual, and social functioning that realizes a person’s pote
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
ntial and is experienced within a developmental context.
qq qq qq qq qq qq qq
DIF: Cognitive Level: Remember (Knowledge) qq qq qq REF: p. 5 qq
4. Which of the following best describes a client who has an illness?
qq qq qq qq qq qq qq qq qq qq qq
a. Someone who has well-controlled diabetes qq qq qq qq
b. Someone with hypercholesterolemia qq qq
c. Someone with a headache qq qq qq
d. Someone with coronary artery disease witho qq qq qq qq qq
ut angina ANS: C
qq qq q q
, Someone with a headache represents a person with an illness. An illness is made up of the subjective expe
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
rience of the individual and the physical manifestation of disease. It can be described as a response charac
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
terized by a mismatch between a person’s needs and the resources available to meet those needs. A person
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
can have a disease without feeling ill. The other choices represent disease.
qq qq qq qq qq qq qq qq qq qq qq
DIF: Cognitive Level: Analyze (Analysis) qq qq qq REF: p. 6 qq
5. Which US report is considered a landmark document in creating a global approach to health?
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
a. The 1990 Health Objectives for the Nation: A Midcourse Review
qq qq qq qq qq qq qq qq qq
b. Healthy People 2020 qq qq
c. Healthy People 2000 qq qq
d. The U.S. Surgeon General Report
qq qq qq qq
ANS: C q q
Healthy People 2000 and its Midcourse Review and 1995 Revisions were landmark documents in which a
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
consortium of people representing national organizations worked with US Public Health Service officials to
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
create a more global approach to health.
qq qq qq qq qq qq
DIF: Cognitive Level: Remember (Knowledge) qq qq qq REF: p. 6 qq
6. Which of the following represents a method of primary prevention?
qq qq qq qq qq qq qq qq qq
a. Informational session about healthy lifestyles qq qq qq qq
b. Blood pressure screening qq qq
c. Interventional cardiac catheterization qq qq
d. Diagnostic cardiac catheterization qq qq
ANS: A q q
Primary prevention precedes disease or dysfunction. It includes health promotion and specific protection and
qq qq qq qq qq qq qq qq qq qq qq qq qq q
encourages increased awareness; thus, education about healthy lifestyles fits this definition. Blood pressure
q qq qq qq qq qq qq qq qq qq qq qq qq
screening does not prevent disease, but instead identifies it.
qq qq qq qq qq qq qq qq qq
DIF: Cognitive Level: Apply (Application) qq qq qq REF: p. 11
7. Which of the following represents a method of secondary prevention?
qq qq qq qq qq qq qq qq qq
a. Self–breast examination education qq qq
b. Yearly mammograms qq
c. Chemotherapy for advanced breast cancer qq qq qq qq
d. Complete mastectomy for breast cancer qq qq qq qq
ANS: B q q
Screening is secondary prevention because the principal goal of screenings is to identify individuals in an ea
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
rly, detectable stage of the disease process. A mammogram is a screening tool for breast cancer and thus i
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
s considered a method of secondary prevention.
qq qq qq qq qq qq
DIF: Cognitive Level: Apply (Application) qq qq qq REF: p. 15
8. Which of the following represents a method of tertiary prevention?
qq qq qq qq qq qq qq qq qq
a. Drunk driving campaign qq qq
b. Road blocks for drunk driving
qq qq qq qq
c. Emergency surgery for head trauma after a motor vehicle accident
qq qq qq qq qq qq qq qq qq
d. Physical and occupational therapy after a motor vehicle accident with he
qq qq qq qq qq qq qq qq qq qq
ad trauma ANS: D
qq qq q q
, Physical therapy and occupational therapy are considered tertiary prevention. Tertiary prevention occurs wh
qq qq qq qq qq qq qq qq qq qq qq qq
en a defect or disability is permanent and irreversible. It involves minimizing the effect of disease and disa
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
bility. The objective of tertiary prevention is to maximize remaining capacities.
qq qq qq qq qq qq qq qq qq qq
DIF: q q q q Cognitive Level: Apply (Application)qq qq qq REF: p. 15 qq
9. In reviewing a person’s medical claims, a nurse realizes that the individual with moderate persistent asthma
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
has had several emergency department visits and is not on inhaled steroids as recommended by the NHL
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
BI asthma management guidelines. The nurse discusses this with the person’s primary care provider. In t
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
his scenario, the nurse is acting as a(n):
qq qq qq qq qq qq qq
a. advocate.
b. care manager. qq
c. consultant.
d. educator.
ANS: B q q
Care managers act to prevent duplication of service and reduce cost. Care managers base recommendati
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
on on reliable data sources such as evidence-based practices and protocols.
q q qq qq qq qq qq qq qq qq qq
DIF: q q q q Cognitive Level: Apply (Application)qq qq qq REF: p. 15 qq
10. During a home visit, a nurse assists an individual to complete an application for disability services. The
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
nurse is acting as a(n):
qq qq qq qq
a. advocate.
b. care manager. qq
c. consultant.
d. educator.
ANS: A q q
The advocacy role of the nurse helps individuals obtain what they are entitled to receive from the healt
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
h care system, tries to make the system more responsive to individuals’ community needs, and assists in
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
dividuals in developing skills to advocate for themselves.
qq qq qq qq qq qq qq
DIF: q q q q Cognitive Level: Apply (Application)qq qq qq REF: p. 15 qq
11. During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
nurse is acting as a(n):
qq qq qq qq
a. advocate.
b. care manager. qq
c. consultant.
d. educator.
ANS: D q q
Health education is a primary prevention technique available to avoid major causes of disease. Teaching
qq qq qq qq qq qq qq qq qq qq qq qq qq qq
can range from a chance remark to a planned lesson.
qq qq qq qq qq qq qq qq qq qq
DIF: q q q q Cognitive Level: Apply (Application)qq qq qq REF: p. 16 qq
12. A nurse is asked to provide an expert opinion about the development of an education progra
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq
m for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
qq qq qq qq qq qq qq qq qq qq qq qq qq
a. advocate.
b. care manager. qq
c. consultant.
d. educator.
