,Chapter 01: Health and Wellness
Potter et al: 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: 13, Figure 1-5
OBJ: Contrast distinguishing features of health promotion and disease prevention.
TOP: Implementation MSC: CPNRE: 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. N R I G B.C M
c. In order to change unhealthU
y liS
vingNanT
d workiO
ng 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: 11
OBJ: Contrast distinguishing features of health promotion and disease prevention.
TOP: Planning MSC: CPNRE: Foundations of Practice
3. According to the World Health Organization, what 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.
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: 2
OBJ: Discuss ways that definitions of health have been conceptualized.
TOP: Evaluate MSC: CPNRE: Foundations of Practice
4. What priority strategy for health promotion in Canada is optional but seen as important to
incorporate in nursing education curricula?
a. Knowledge of disease prevention.
b. Strategies for health promotion.
c. Policy advocacy.
d. 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.
N R I G B.C M
U S N T O
DIF: Understand REF: 11 | 12
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
5. Which of the following is a prerequisite for health, as identified by the Ottawa Charter for
Health Promotion?
a. Education.
b. Social support.
c. Self-esteem.
d. 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: 4
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
MSC: CPNRE: Foundations of Practice
, 6. The bdeterminant bof bhealth bwith bthe bgreatest beffect bon bthe bhealth bof bCanadians bis bwhich bof
thebfollowing?
b
a. Education.
b. Health bservices.
c. Social bsupport bnetworks.
d. Income band bsocial bstatus.
ANS: b D
Income, bincome bdistribution, band bsocial bstatus bare bthe bdeterminants bof bhealth bthat binfluence
bmost bother bdeterminants. bSome binvestigators bsuggest bthat bliteracy band beducation bare
bimportantb influences bon bhealth bstatus bbecause bthey baffect bmany bother bhealth bdeterminants.
Approximately b25% bof ba bpopulation‘s bhealth bstatus bis battributed bto bthe bquality bof bits bhealth
bcarebservices. bSocial bsupport baffects bhealth, bhealth bbehaviours, band bhealth bcare butilization bbut
bis bnotb
the bmost binfluential bdeterminant bof bhealth.
DIF: b b b Understand b b b b REF: b6
OBJ: bDiscuss bkey bhealth bdeterminants band btheir binterrelationships band bhow bthey binfluence
bhealth.bTOP: b Planning MSC: b CPNRE: bFoundations bof bPractice
7. A bparaplegic bpatient bin bthe bhospital bfor ban belectrolyte bimbalance bis breceiving bcare bat
bwhichbprevention blevel?
a. Primary bprevention.
b. Secondary bprevention.
c. Tertiary bprevention.
d. Health bpromotion.
ANS: b B
The bsecondary bprevention blevNeU l bfR
ocSuI sbG
seN onTeBa.
rlyCdeM
tection bof bdisease bonce bpathogenesis bhas
boccurred, bso bthat bprompt btreatment bcan bbe binitiated bto bhalt bdisease band blimit bdisability. bThe
primary bprevention blevel bfocuses bon bhealth bpromotion, bspecific bprotection bmeasures bsuch
basbimmunizations, band bthe breduction bof brisk bfactors bsuch bas bsmoking. bThe btertiary
bprevention blevel bfocuses bon bminimizing bresidual bdisability.
DIF: Apply REF: b11
OBJ: bContrast bdistinguishing bfeatures bof bhealth bpromotion band bdisease bprevention.
bTOP: b Implementation MSC: b CPNRE: bFoundations bof
bPractice
8. The bnurse bincorporates blevels bof bprevention bon bthe bbasis bof bpatient bneeds band bthe btype
bof bnursing bcare bprovided. bWhich bof bthe bfollowing bis ban bexample bof btertiary blevel
bpreventiveb caregiving?
a. Teaching ba bpatient bhow bto birrigate ba bnew btemporary bcolostomy.
b. Providing ba blesson bon bhygiene bfor ban belementary bschool bclass.
c. Informing ba bpatient bthat bimmunizations bfor bher binfant bare bavailable bthrough
btheb
health bdepartment.
d. Arranging bfor ba bhospice bnurse bto bvisit bwith bthe bfamily bof ba bpatient bwith bcancer.
ANS: b D
