Black & Hawks: Medical-Surgical Nursing, 8th Edition
Test Bank
Chapter 1: Health Promotion and Disease Prevention
MULTIPLE CHOICE
1. The nurse explains that the belief advancing the idea that disease is a result of an
organically caused disorder is the
a. biomedical model.
b. biopsychosocial theory.
c. Dunn’s high-level wellness model.
d. Travis’ health model.
ANS: A
The biomedical model describes disease as an organically caused disorder with consistent
clinical manifestations. The biopsychosocial theory claims that disease is caused by the
interaction of environmental, physical, and social factors. Dunn wrote about high-level
wellness. The model by Travis emphasizes that wellness requires work and attention.
DIF: Knowledge/Remembering REF: pp. 5-6 OBJ: Intervention
MSC: Health Promotion and Maintenance Health and Wellness
2. The nurse explains that the client’s ability to cope with stress dynamically will play a
significant role in the client attaining maximum potential. This approach is most consistent
with the model of
a. King.
b. Leninger.
, c. Levine.
d. Neuman.
ANS: A
King’s theory suggests that continuous adjustment to stressors, both internal and external,
with the use of one’s resources allows the person to attain maximum potential.
DIF: Comprehension/Understanding REF: p. 4 OBJ: Intervention
MSC: Psychosocial Integrity Coping Mechanisms
3. When the nurse encourages a Native American to seek health counsel from the tribe’s
shaman, the nurse is following the tenets of
a. King.
b. Leninger.
c. Pender.
d. Rogers.
ANS: B
Leninger postulates that health refers to culturally known and utilized practices that
maintain personal and group well-being.
DIF: Application/Applying REF: p. 4 OBJ: Intervention
MSC: Psychosocial Integrity Religious and Spiritual Influences on Health
4. The nurse using the World Health Organization (WHO) description of health bases care on
the premise that health is
a. a gift from a higher being.
b. any disease-free condition.
c. complete mental, physical, and social well-being.
, d. high-level functioning despite illness.
ANS: C
The most widely accepted definition is the classic 1947 WHO description of health as “a
state of complete physical, mental and social well being and not merely the absence of
disease or infirmity.”
DIF: Knowledge/Remembering REF: p. 3 OBJ: Intervention
MSC: Health Promotion and Maintenance Health and Wellness
5. The nurse planning a health promotion program with clients in the community will focus
least on
a. assisting the clients to make informed decisions.
b. organizing methods to achieve optimal mental health.
c. providing information and skills to maintain lifestyle changes.
d. reducing genetic risk factors for illness.
ANS: D
Health promotion programs are designed to improve the health and well-being of
individuals and communities by providing people with information, skills, services, and
support they need to undertake and maintain positive lifestyle changes. Genetic risks for
illness cannot be controlled to promote health.
DIF: Comprehension/Understanding REF: pp. 6-8 OBJ: Intervention
MSC: Health Promotion and Maintenance Health Promotion Programs
6. A holistic belief system by the nurse would be most evident if the nurse
a. accepts death as an outcome of life.
b. encourages behavior modification programs.
, c. incorporates client perceptions of health when planning care.
d. supports goal-directed learning to improve health.
ANS: C
The theories of Orem, Rogers, and Roy focus on the holistic view, which takes the client and
the client’s beliefs, values, and culture as necessary considerations to comprehensive care.
DIF: Application/Applying REF: p. 4 OBJ: Intervention
MSC: Health Promotion and Maintenance Health Promotion Programs
7. The nurse understands that the document he/she can use to plan community teaching
projects addressing the federal population-based health objectives is
a. Healthy People 2010.
b. Nursing’s Agenda for Healthcare.
c. the federal Medicare/Medicaid Acts.
d. the Goldmark Report.
ANS: A
Healthy People2010 contains federal population-based health objectives and identifies
leading indicators of health that apply to adults.
DIF: Knowledge/Remembering REF: pp. 8-9 OBJ: Planning
MSC: Health Promotion and Maintenance Health Promotion Programs
8. The nurse recognizes the activity that reflects primary prevention is
a. a self-initiated walking regimen.
b. collaboration with a physical therapist.
c. physician-prescribed exercise after a heart attack.
Test Bank
Chapter 1: Health Promotion and Disease Prevention
MULTIPLE CHOICE
1. The nurse explains that the belief advancing the idea that disease is a result of an
organically caused disorder is the
a. biomedical model.
b. biopsychosocial theory.
c. Dunn’s high-level wellness model.
d. Travis’ health model.
ANS: A
The biomedical model describes disease as an organically caused disorder with consistent
clinical manifestations. The biopsychosocial theory claims that disease is caused by the
interaction of environmental, physical, and social factors. Dunn wrote about high-level
wellness. The model by Travis emphasizes that wellness requires work and attention.
DIF: Knowledge/Remembering REF: pp. 5-6 OBJ: Intervention
MSC: Health Promotion and Maintenance Health and Wellness
2. The nurse explains that the client’s ability to cope with stress dynamically will play a
significant role in the client attaining maximum potential. This approach is most consistent
with the model of
a. King.
b. Leninger.
, c. Levine.
d. Neuman.
ANS: A
King’s theory suggests that continuous adjustment to stressors, both internal and external,
with the use of one’s resources allows the person to attain maximum potential.
DIF: Comprehension/Understanding REF: p. 4 OBJ: Intervention
MSC: Psychosocial Integrity Coping Mechanisms
3. When the nurse encourages a Native American to seek health counsel from the tribe’s
shaman, the nurse is following the tenets of
a. King.
b. Leninger.
c. Pender.
d. Rogers.
ANS: B
Leninger postulates that health refers to culturally known and utilized practices that
maintain personal and group well-being.
DIF: Application/Applying REF: p. 4 OBJ: Intervention
MSC: Psychosocial Integrity Religious and Spiritual Influences on Health
4. The nurse using the World Health Organization (WHO) description of health bases care on
the premise that health is
a. a gift from a higher being.
b. any disease-free condition.
c. complete mental, physical, and social well-being.
, d. high-level functioning despite illness.
ANS: C
The most widely accepted definition is the classic 1947 WHO description of health as “a
state of complete physical, mental and social well being and not merely the absence of
disease or infirmity.”
DIF: Knowledge/Remembering REF: p. 3 OBJ: Intervention
MSC: Health Promotion and Maintenance Health and Wellness
5. The nurse planning a health promotion program with clients in the community will focus
least on
a. assisting the clients to make informed decisions.
b. organizing methods to achieve optimal mental health.
c. providing information and skills to maintain lifestyle changes.
d. reducing genetic risk factors for illness.
ANS: D
Health promotion programs are designed to improve the health and well-being of
individuals and communities by providing people with information, skills, services, and
support they need to undertake and maintain positive lifestyle changes. Genetic risks for
illness cannot be controlled to promote health.
DIF: Comprehension/Understanding REF: pp. 6-8 OBJ: Intervention
MSC: Health Promotion and Maintenance Health Promotion Programs
6. A holistic belief system by the nurse would be most evident if the nurse
a. accepts death as an outcome of life.
b. encourages behavior modification programs.
, c. incorporates client perceptions of health when planning care.
d. supports goal-directed learning to improve health.
ANS: C
The theories of Orem, Rogers, and Roy focus on the holistic view, which takes the client and
the client’s beliefs, values, and culture as necessary considerations to comprehensive care.
DIF: Application/Applying REF: p. 4 OBJ: Intervention
MSC: Health Promotion and Maintenance Health Promotion Programs
7. The nurse understands that the document he/she can use to plan community teaching
projects addressing the federal population-based health objectives is
a. Healthy People 2010.
b. Nursing’s Agenda for Healthcare.
c. the federal Medicare/Medicaid Acts.
d. the Goldmark Report.
ANS: A
Healthy People2010 contains federal population-based health objectives and identifies
leading indicators of health that apply to adults.
DIF: Knowledge/Remembering REF: pp. 8-9 OBJ: Planning
MSC: Health Promotion and Maintenance Health Promotion Programs
8. The nurse recognizes the activity that reflects primary prevention is
a. a self-initiated walking regimen.
b. collaboration with a physical therapist.
c. physician-prescribed exercise after a heart attack.
