Potter: Basic Nursing, 7th Edition
Chapter 03: Community-Based Nursing Practice
Test Bank
MULTIPLE CHOICE
1. A student nurse is beginning her community health rotation. She anticipates that her assignment in community-based health care will most likely be at which of the following orga...
1. When planning care a nurse wants to use the goals of Healthy People 2010 because these goals:
A. aim to increase both quality and years of life by eliminating the nation’s health
disparities.
B. increase the life expectancy of all Americans.
C. reduce the percentage of communicable diseases in childhood.
D. identify gaps among ethnic minorities in regard to health promotion and disease
prevention.
ANS: A
The objectives of Healthy People 2010 focus on interventions designed to reduce or eliminate
illness, disability, and premature death or on broader issues such as improving availability and
distribution of health-related information. In the Healthy People 2010 model, individual biology
and individual behavior influence health through their interaction with each other and with a
person’s social and physical environments.
PTS: 1 DIF: Cognitive Level: Application REF: 6
OBJ: Describe the variables influencing health beliefs and health practices
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
2. The health-illness continuum can be used to:
A. define health and illness as absolute.
B. understand the relationships between attitudes toward health and health practices.
C. compare one patient’s health to another patient’s health.
D. consider a patient’s risk factors when identifying levels of health.
ANS: B
Health and illness are complex concepts. Health is more than just the absence of illness or
disease. Nursing models allow nurses to understand and predict patients’ behaviors, use of health
services, participation in therapy, and care for themselves. Risk factors are part of a patient’s
health beliefs and health practices.
PTS: 1 DIF: Cognitive Level: Analysis REF: 2
OBJ: Discuss the health belief, health promotion, basic human needs, and holistic health
models of health and illness to understand the relationship between patients’ attitudes toward
health and health practices TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
3. After assessing a patient’s risk factors, a nurse understands that risk factors are:
A. direct indicators of the presence of disease.
B. more common in adolescents than adults.
C. modifiable traits that can assist a patient with changing.
D. variables that increase vulnerability to develop illness or accident.
ANS: D
The presence of a risk factor does not mean that a disease will develop, but risk factors increase
the chances that the individual will experience a particular disease. Age increases susceptibility
to certain diseases. Risk factors influence health beliefs and practices if a person is aware of their
presence.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 10
OBJ: Discuss four types of risk factors and the process of risk factor modification
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
4. To evaluate a patient’s external variables, a nurse understands that health beliefs and practices
can be influenced by a patient’s:
A. emotional factors.
B. intellectual background.
C. developmental stage.
D. socioeconomic factors.
ANS: D
Emotional factors, intellectual background, and developmental stage represent internal variables;
socioeconomic factors are an external variable.
PTS: 1 DIF: Cognitive Level: Analysis REF: 6
OBJ: Describe the variables influencing health beliefs and health practices
TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
5. A nurse uses the concept of primary prevention when instructing a patient to:
A. get a flu shot on a yearly basis.
B. take blood pressure medication every day.
C. explore hiring a patient with a known disability.
D. undergo physical therapy following a cerebrovascular accident.
ANS: A
Taking blood pressure medication every day is a tertiary prevention because the patient is trying
to prevent further complications. Physical therapy after a cerebrovascular accident is intended to
prevent further complications and deterioration. Primary prevention is avoiding illness by getting
a flu shot.
PTS: 1 DIF: Cognitive Level: Application REF: 7
OBJ: Explain the three levels of prevention
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
6. A married father of four has recently been diagnosed with emphysema resulting from a long
history of smoking. At a family counseling session a nurse helps the family to understand that
this diagnosis is classified as a(n):
A. acute illness.
B. tertiary prevention.
C. chronic illness.
D. internal variable.
ANS: C
Acute illness is short term and severe. Tertiary prevention strives to prevent complications and
deterioration. Internal variables include a patient’s developmental stage, and intellectual,
emotional, and cultural background. Chronic illness is one that lasts more than 6 months.
PTS: 1 DIF: Cognitive Level: Analysis REF: 13
OBJ: Describe the impact of illness on the patient and family
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
7. Which of the following is the best definition of health?
A. State of complete well-being
B. Absence of disease
C. Vital signs within normal range
D. Maintenance of a normal weight
ANS: A
The World Health Organization defines health as a state of complete physical, mental, and social
well-being, not merely the absence of disease or infirmary. People without disease are not
necessarily healthy. An unhealthy person may have vital signs within normal limits. People with
a normal weight may be unhealthy.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: Discuss the health belief, health promotion, basic human needs, and holistic health
models of health and illness to understand the relationship between patients’ attitudes toward
health and health practices TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
8. Mrs. Kitchene, a 64-year-old patient with newly diagnosed diabetes, is concerned about her risk
for developing foot ulcers because her mother had a foot amputated as a result of the disease.
This an example of which of the following?
A. Health promotion
B. Health behavior
C. Health belief
D. Holistic health
ANS: C
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