,Chapter 01: Health and Wellness
f f f f
Potter et al: Canadian Fundamentals of Nursing, 7th Edition
f f f f f f f f
MULTIPLE CHOICE f
1. The nurse is using the population health promotion model to develop actions for
f f f f f f f f f f f f
improving health. After asking, ―On what should we take action?‖; ―How should we take
f f f f f f f f f f f f f f
action?‖; and ―Why should we take action?‖ the nurse will ask which of the following
f f f f f f f f f f f f f f f
questions?
f
a. ―With whom should we act?‖ f f f f
b. ―When should we take action?‖ f f f f
c. ―Which government should take action?‖ f f f f
d. ―Where should we first act?‖ f f f f
ANS: A f
The next question to ask when using the population health model approach is ―With whom
f f f f f f f f f f f f f f
should we act?‖ The other choices are not questions included in this model.
f f f f f f f f f f f f f
DIF: Apply REF: 13 (Figure 1-5) f f f
OBJ: Contrast distinguishing features of health promotion and disease prevention.
f f f f f f f f f
TOP: Implementation f MSC: NCLEX: Health Promotion and Maintenance f f f f f
2. The principle ―Health promotion is multisectoral‖ means which of the following?
f f f f f f f f f f
a. Relationships between individual, social, and environmental factors must be f f f f f f f f
recognized.
f
b. Physical, mental, social, ecological, cultural, and spiritual aspects of health must f f f f f f f f f f
be recognized.
f f
c. In order to change unhealthy living and working conditions, areas other than health
f f f f f f f f f f f f
must also be involved.
f f f f
d. Health promotion uses knowledge from disciplines such as social, economic,
f f f f f f f f f
political, environmental, medical, and nursing sciences, as well as from first-hand
f f f f f f f f f f f
experience.
f
ANS: C f
The statement ―Health promotion is multisectoral‖ is the principle explained by the
f f f f f f f f f f f
necessity to involve areas other than health in order to change unhealthy living and
f f f f f f f f f f f f f f
working conditions.
f f
DIF: Understand REF: 11 f
OBJ: Contrast distinguishing features of health promotion and disease prevention.
f f f f f f f f f
TOP: Planning
f MSC: NCLEX: Health Promotion and Maintenance
f f f f f f
3. According to the World Health Organization, what is the best description of ―health‖?
f f f f f f f f f f f f
a. Simply the absence of disease. f f f f
b. Involving the total person and environment. f f f f f
c. Strictly personal in nature. f f f
d. Status of pathological state. f f f
,ANS: B
f
, WHO defines health as ―. . .the extent to which an individual or group is able, on the one
f f f f f f f f f f f f f f f f f f
hand, to realize aspirations and satisfy needs; and, on the other hand, to change or cope
f f f f f f f f f f f f f f f f
with the environment. Health is, therefore, seen as a resource for everyday life, not the
f f f f f f f f f f f f f f f
objective of living; it is a positive concept emphasizing social and personal resources, as
f f f f f f f f f f f f f f
well as physical capacities.‖ Nurses‘ attitudes toward health and illness should consider the
f f f f f f f f f f f f f
total person, as well as the environment in which the person lives. People free of disease
f f f f f f f f f f f f f f f f
are not equally healthy. Views of health have broadened to include mental, social,and
f f f f f f f f f f f f f f
spiritual well-being, as well as a focus on health at family and community levels.
f f f f f f f f f f f f f f
Conditions of life, rather than pathological states, are what determine health.
f f f f f f f f f f
DIF: Knowledge REF: 2 f
OBJ: Discuss ways that definitions of health have been conceptualized.
f f f f f f f f f
TOP: Evaluate
f MSC: NCLEX: Health Promotion and Maintenance
f f f f f f
4. What priority strategy for health promotion in Canada is optional but seen as important to
f f f f f f f f f f f f f f
incorporate in nursing education curricula?
f f f f f
a. Knowledge of disease prevention. f f f
b. Strategies for health promotion. f f f
c. Policy advocacy. f
d. Concepts of determinants of health. f f f f
ANS: C f
Increasingly, policy advocacy is incorporated into nursing role statements and nursing
f f f f f f f f f f
education curricula. Nurses should think about policies that have contributed to health
f f f f f f f f f f f f
problems, policies that would help alleviate health problems, and how nurses champion
f f f f f f f f f f f f
public policies. Disease prevention, health promotion, and concepts of determinants of
f f f f f f f f f f f
health are integral parts of nursing curricula.
f f f f f f f
DIF: Understand REF: 11| 12 f f
OBJ: Analyze how the nature and scope of nursing practice are influenced by different
f f f f f f f f f f f f f
conceptualizations of health and health determinants. TOP: Planning f f f f f f
MSC: NCLEX: Health Promotion and Maintenance
f f f f f f
5. Which of the following is a prerequisite for health, as identified by the Ottawa Charter for
f f f f f f f f f f f f f f f
Health Promotion?
f f
a. Education.
b. Social support. f
c. Self-esteem.
d. Physical environment. f
ANS: A f
Education is one of the nine prerequisites for health that were identified in the Ottawa
f f f f f f f f f f f f f f
Charter for Health Promotion. Lack of social support and low self-esteem were identifiedas
f f f f f f f f f f f f f f
psychosocial risk factors by Labonte (1993). Dangerous physical environments were
f f f f f f f f f f
identified as socioenvironmental risk factors by Labonte (1993).
f f f f f f f f
DIF: Understand REF: 4 f
OBJ: Discuss contributions of the following Canadian publications to conceptualizations of
f f f f f f f f f
health and health determinants: Lalonde Report, Ottawa Charter, Epp Report, Strategies for
f f f f f f f f f f f f
Population Health, Jakarta Declaration, Bangkok Charter, Toronto Charter.
f TOP: Planning f f f f f f
MSC: NCLEX: Health Promotion and Maintenance
f f f f f f