Test Bank for Potter and Perrys

Test Bank for Potter and Perry's Canadian Fundamentals of Nursing 7 th Edition By Barbara Astle (All Chapters 1-49, 100% Original Verified, A+ Grade) This is The Only Original and Complete Test Bank for 7 th

Edition, All Other Files in the Market are Fake/Old/Wrong Edition.Part1: Test Bank PN: Chapter 1-49 Part 2: Test Bank RN NCLEX: Chapter 1-49 1 / 4

Chapter 01: Health and Wellness

Astle & Duggleby: Potter and Perry’s Canadian Fundamentals of Nursing, 7th Edition

MULTIPLE CHOICE

1.The nurse is using the population health promotion model to develop actions for improving health. After asking, “On what should we take action?”; “How should we take action?”; and “Why should we take action?” the nurse will ask which of the following questions?a.“With whom should we act?” b.“When should we take action?” c.“Which government should take action?” d.“Where should we first act?”

ANS: A

The next question to ask when using the population health model approach is “With whom should we act?” The other choices are not questions included in this model.DIF: Apply REF: Population Health Promotion Model: Putting It All Together OBJ: Contrast distinguishing features of health promotion and disease prevention.

TOP: Implementation

MSC: CPNRE: Foundations of Practice | REx-PN: Foundations of Practice 2.The principle “Health promotion is multisectoral” means which of the following?a.Relationships between individual, social, and environmental factors must be recognized.b.Physical, mental, social, ecological, cultural, and spiritual aspects of health must be recognized.c.In order to change unhealthy living and working conditions, areas other than health must also be involved.d.Health promotion involves the use of knowledge from disciplines such as social, economic, political, environmental, medical, and nursing sciences, as well as from first-hand experience.

ANS: C

The statement “Health promotion is multisectoral” is the principle explained by the necessity to involve areas other than health in order to change unhealthy living and working conditions.DIF: Understand REF: Health Promotion and Disease Prevention OBJ: Contrast distinguishing features of health promotion and disease prevention.TOP: Planning MSC: CPNRE: Foundations of Practice | REx-PN: Foundations of Practice 3.According to the World Health Organization (WHO), which of the following is the best description of “health”?a.Simply the absence of disease.b.Involving the total person and environment.c.Strictly personal in nature.d.Status of pathological state.

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ANS: B

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

DIF: Knowledge REF: Classifications of Health Conceptualizations

OBJ: Discuss ways that definitions of health have been conceptualized.

TOP: Evaluation MSC: CPNRE: Foundations of Practice | REx-PN: Foundations of Practice

• What priority strategy for health promotion in Canada is optional but seen as important to

incorporate in nursing education curricula?

• Knowledge of disease prevention.
• Strategies for health promotion.
• Policy advocacy.
• Concepts of determinants of health.

ANS: C

Increasingly, policy advocacy is incorporated into nursing role statements and nursing education curricula. Nurses should think about policies that have contributed to health problems, policies that would help to alleviate health problems, and how nursing champions public policies. Disease prevention is an integral part of nursing curricula.Health promotion is a fundamental part of nursing curricula.

DIF: Understand REF: Health Promotion Strategies OBJ: Analyze how the nature and scope of nursing practice are influenced by different

conceptualizations of health and health determinants. TOP: Planning

MSC: CPNRE: Foundations of Practice | REx-PN: Foundations of Practice

• Which of the following is a prerequisite for health, as identified by the Ottawa Charter for

Health Promotion?

• Education.
• Social support.
• Self-esteem.
• Physical environment.

ANS: A

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

DIF: Understand REF: Historical Approaches to Health in Canada OBJ: Discuss contributions of the following Canadian publications to conceptualizations of health and health determinants: Lalonde Report, Ottawa Charter, Epp Report, Strategies for Population Health, Jakarta Declaration, Bangkok Charter, Toronto Charter. TOP: Planning 3 / 4

MSC: CPNRE: Foundations of Practice | REx-PN: Foundations of Practice

• Which determinant of health has the greatest effect on the health of Canadians?
• Education.
• Health services.
• Social support networks.
• Income and social status.

ANS: D

Income, income distribution, and social status are the determinants of health that influence most other determinants. Some investigators suggest that literacy and education are important influences on health status because they affect many other health determinants.Approximately 25% of a population’s health status is attributed to the quality of its health care services. Social support affects health, health behaviours, and health care utilization, but it is not the most influential determinant of health.

DIF: Understand REF: Social Determinants of Health OBJ: Identify key health determinants and their interrelationships and how they influence health.TOP: Planning MSC: CPNRE: Foundations of Practice | REx-PN: Foundations of Practice

• A patient with paraplegia who is in the hospital for an electrolyte imbalance is receiving

care at which prevention level?

• Primary prevention.
• Secondary prevention.
• Tertiary prevention.
• Health promotion.

ANS: B

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

DIF: Apply REF: Strategies to Influence Health Determinants OBJ: Describe the three levels of disease prevention. TOP: Implementation MSC: CPNRE: Foundations of Practice | REx-PN: Foundations of Practice

• When the nurse is incorporating levels of prevention on the basis of patient needs and the

type of nursing care provided, which following action would be an example of tertiary level preventive caregiving?

• Teaching a patient how to irrigate a new temporary colostomy.
• Providing a lesson on hygiene for an elementary school class.
• Informing a patient that immunizations for her infant are available through the

health department.

• Arranging for a hospice nurse to visit with the family of a patient with cancer.

ANS: D

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