Exam (elaborations)
Chapter 15. Health and Health Promotion
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- West Virginia School Of Osteopathic Medicine
Chapter 15. Health and Health Promotion
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Chapter 15: Health and Health PromotionMULTIPLE CHOICE
1. A nurse is frustrated because a patient does not make any needed health changes despite
ongoing and comprehensive education on the health-related topic. The best action by the nurse
would be to
a. ask the patient if he or she really wants to make changes.
b. assess for barriers to implementing the knowledge.
c. continue trying to education the patient on the topic.
d. find out whether the patient learns in a different way.
ANS: B
If the patient has the knowledge needed to make changes but does not, something is inhibiting
the patient’s ability or willingness to make the change. The nurse would be wise to assess for
things that are keeping the patient from changing.
Asking the patient whether he or she really wants to make changes will most likely sound
challenging to the patient and might result in the patient’s being defensive.
More education is not the key unless the patient does not have enough information.
Patients do learn in different ways, and tailoring the education to the patient’s strengths is a
good idea, but in this case, the nurse needs to determine whether something is keeping the
patient from making the needed changes.
DIF: Cognitive Level: Apply TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs: Health Promotion and Maintenance
2. The word holism was first used in print by
a. Dorothea Orem.
b. Halbert Dunn.
c. Jan Smuts.
d. Martha Rogers.
ANS: C
Jan Smuts wrote about holism in a 1926 book, describing holism as a dynamic striving toward
integration.
Dorothea Orem, a nursing theorist, developed a nursing theory around patients’ self-care
agency.
Halbert Dunn coined the phrase “high level wellness.”
Martha Rogers developed a nursing theory of people as unitary human beings who are more
than the sum of their parts.
DIF: Cognitive Level: Remember REF: 271
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs: Health Promotion and Maintenance
3. The nursing faculty member explains that dissatisfaction with the power imbalance in health
care in part led to
a. new ethical and professional standards.
b. requirements for patient education.
c. strict regulations on patient consent.
, d. the consumer wellness movement.
ANS: D
The consumer wellness movement was a direct result of dissatisfaction with paternalistic
health care and occurred at a time when consumers of health care were becoming better
educated.
New ethical and professional standards did not emerge from dissatisfaction with power
imbalances in health care.
Requirements for patient education did not change as a result of dissatisfaction with power
imbalances in health care.
New regulations on patient consent did not emerge from dissatisfaction with power
imbalances in health care.
DIF: Cognitive Level: Understand REF: 271
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs: Health Promotion and Maintenance
4. The nursing policy analyst explains to a class of nursing students that the consumer wellness
movement helped create
a.a surge in wellness and fitness centers across the nation.
b.market-based competition for customer services.
c.new types of health care insurance.
d.self-care focus in health policies and public health initiatives.
ANS: D
As a result of the influence of the consumer wellness movement, federal policies and
initiatives began incorporating self-care education for the general public.
A surge in wellness and fitness centers was not the direct result of the consumer wellness
movement, although in recent years, fitness center membership has grown, especially among
affluent individuals.
Market-based competition for health care services was not the direct result of the consumer
wellness movement.
New categories of insurance were not the direct result of the consumer wellness movement.
DIF: Cognitive Level: Understand REF: 271
TOP: Integrated Process: Teaching/Learning
MSC: NCLEX Client Needs: Health Promotion and Maintenance
5. The idea that health is the absence of disease is a predominant feature of the __________
model of health.
a.adaptive
b.clinical
c.eudaemonistic
d.role performance
ANS: B
The clinical model of health considers the absence of disease to be the defining characteristic
of health.
The adaptive model of health emphasizes continual adaptation and readjustment to demands.
The eudaemonistic model of health focuses on the complete development of human potential.
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