Health Promotion In Nursing 3rd Edition by Janice A Maville – Test Bank
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Sample
Test
Chapter 3 Theoretical Foundations and Planning of Health
Promotion
MULTIPLE CHOICE
1. Which
of the following terms refers to a dynamic state of health that encompasses the
capability and potential of the individual in functioning at the individual,
environmental, cultural, and social levels?
|
a. |
Disease prevention |
|
b. |
Health promotion |
|
c. |
Health protection |
|
d. |
High level wellness |
ANS: D
PTS:
1
DIF: Easy
2. Which
of the following terms represents a disease-related focus?
|
a. |
Health promotion |
|
b. |
Health protection |
|
c. |
High level wellness |
|
d. |
Holistic health perspective |
ANS: B
PTS:
1
DIF: Easy
3. Risk
reduction would be an important activity of which of the following concepts?
|
a. |
Health behavior |
|
b. |
Health promotion |
|
c. |
Health protection |
|
d. |
Self-efficacy |
ANS: C
PTS:
1
DIF: Moderate
4. The
major themes of empowerment, lifestyle change, health enhancement, and
well-being are central in defining:
|
a. |
health promotion. |
|
b. |
health protection. |
|
c. |
disease prevention. |
|
d. |
wellness. |
ANS:
A
PTS:
1
DIF: Moderate
5. Theories
and models of human behavior and health are helpful in:
|
a. |
explaining factors and
interactions among issues that influence the health of individuals or groups. |
|
b. |
promoting a better
understanding of the relationship between environment and disease and
individual characteristics. |
|
c. |
proving that health-care
providers perform services vital to the promotion of health of individuals
and groups. |
|
d. |
showing a connection
between psychology, sociology, and physical well-being in individuals and
groups. |
ANS:
A
PTS:
1
DIF: Difficult
6. Any
activity that helps people to change or to maintain lifestyles that support a
stake of optimal health would be placed in which one of the following
categories?
|
a. |
Common information |
|
b. |
Disease prevention |
|
c. |
Health promotion |
|
d. |
Human behavior |
ANS:
C
PTS: 1
DIF: Easy
7. Statistics
from the National Center for Health Statistics show that the leading cause of
death in the United States is a result of which one of the following?
|
a. |
Accidents |
|
b. |
Cancer |
|
c. |
Diabetes |
|
d. |
Heart disease |
ANS:
D
PTS:
1
DIF: Easy
8. A
patient expresses a sense of lack of control over achieving a sustained program
of exercise. This behavior could best be explained through which of the
following?
|
a. |
Health Promotion Model |
|
b. |
PRECEDE-PROCEED Model |
|
c. |
Theory of Planned Behavior |
|
d. |
Theory of Social Behavior |
ANS:
C
PTS:
1
DIF: Difficult
9. A
nurse assisting a client to appraise perceived benefits of and barriers to taking
a particular action for better health is applying principles of which one of
the following theories or model?
|
a. |
Health Belief Model |
|
b. |
Protection Motivation
Theory |
|
c. |
Theory of Planned Behavior |
|
d. |
Theory of Social Behavior |
ANS: A
PTS:
1
DIF: Difficult
10. Which
of the following is fear-driven based on the appraisal of threats to health and
individual coping mechanisms that move an individual toward adopting a health
behavior?
|
a. |
Consumer Information
Processing Model |
|
b. |
Protection Motivation
Theory |
|
c. |
Theory of Planned Behavior |
|
d. |
Transtheoretical Model of
Behavior Change |
ANS:
B
PTS:
1
DIF: Difficult
11. The
first stage in the Transtheoretical Model of Behavior Change is:
|
a. |
action. |
|
b. |
contemplation. |
|
c. |
precontemplation. |
|
d. |
preparation. |
ANS:
C
PTS:
1
DIF: Moderate
12. A
client is thinking about making a change in behavior toward a healthier
lifestyle. This is representative of what stage of the Transtheoretical Model
of Behavior Change?
|
a. |
Contemplation |
|
b. |
Precontemplation |
|
c. |
Preparation |
|
d. |
Maintenance |
ANS:
A
PTS: 1
DIF: Moderate
13. The
Transtheoretical Model of Behavior Change is most helpful in understanding
which of the following?
|
a. |
Age-related psychosocial
factors impacting decision-making for behavior change |
|
b. |
How various models work together
to motivate individuals to change behavior |
|
c. |
The effect of developmental
stages on making behavior change decisions |
|
d. |
Why individuals do or do
not become involved in making healthy behavior changes |
ANS:
D
PTS: 1
DIF: Difficult
14. Which
of the following outcomes reflects concepts in the Consumer Information
Processing Model?
|
a. |
Child safety seat law |
|
b. |
Easy-to-read food labels |
|
c. |
Quarantine of fruits,
vegetables, and plants from foreign countries |
|
d. |
Tobacco sales to minors |
ANS:
B
PTS:
1
DIF: Moderate
15. The
Diffusion of Innovations Model has been found to be most useful for which of
the following activities?
|
a. |
Designing comprehensive
community initiatives |
|
b. |
Developing programs for
immediate effects |
|
c. |
Evaluating individual
achievement of health-promotion goals |
|
d. |
Planning for short-term
changes in communities |
ANS:
A
PTS: 1
DIF: Difficult
TRUE/FALSE
1. Health
promotion and disease
prevention are two terms that can be used interchangeably.
ANS:
F
PTS:
1
DIF: Easy
2. The
concepts of wellness, disease prevention, and health protection are subsumed in
the definition of health promotion.
ANS:
T
PTS:
1
DIF: Easy
3. It is
reported that 75% of all premature deaths are the result of unhealthy lifestyle
choices related to tobacco use, misuse of drugs and alcohol, sedentary
lifestyles, and accidents.
ANS:
F
PTS:
1
DIF: Moderate
4. Theories
of human behavior and health are expansions of health-promotion models.
ANS: F
PTS:
1
DIF: Moderate
5. The
Protection Motivation Theory has been most widely applied to areas related to
disease prevention and lifestyle enhancement.
ANS:
T
PTS: 1
DIF: Moderate
6. The
stages of the Transtheoretical Model of Behavior Change involve thought and
action over time.
ANS:
T
PTS:
1
DIF: Moderate
7. Health-promotion
models for groups, organizations, and communities are re-designed individual
health-promotion models.
ANS:
F
PTS:
1
DIF: Moderate
8. The
major limitation of the PRECEDE-PROCEED Model is that it does not go beyond
developing educational interventions.
ANS:
F
PTS:
1
DIF: Moderate
9. Pender’s
Health Promotion Model shows how individual characteristics have both a direct
and indirect effect on health-promotion behaviors.
ANS: T
PTS:
1
DIF: Easy
10. The
O’Donnell Model of Health Promotion Behavior differs from Pender’s Health
Promotion Model in that it shows how intentions toward a behavior are
influenced by beliefs and values.
ANS: T
PTS:
1
DIF: Moderate
MATCHING
Match the category of focus with the theory or model below to
which it is associated. Note that categories of focus may be used more than
once.
Categories of focus:
|
a. |
Human behavior |
|
b. |
Human behavior and health |
|
c. |
Individual health promotion |
|
d. |
Organizations and community
health protection |
1. Pender’s
Model of Health Promotion
2. Theory
of Planned Behavior
3. Transtheoretical
Model
4. PRECEDE-PROCEED
Model
5. Health
Belief Model
6. Consumer
Information Processing Model
1. ANS:
C
PTS:
1
DIF: Easy
2. ANS:
A
PTS:
1
DIF: Easy
3. ANS:
B
PTS: 1
DIF: Easy
4. ANS:
D
PTS:
1
DIF: Easy
5. ANS:
A
PTS:
1
DIF: Easy
6. ANS:
D
PTS:
1
DIF: Easy
Chapter 4 The Role of the Nurse in Health Promotion
MULTIPLE CHOICE
1. The
biological, psychological, sociological, environmental, political, spiritual,
intellectual, sexual, and technological domains are:
|
a. |
areas of concern affecting
a person’s optimal health. |
|
b. |
dependent on conditions
beyond a person’s individual control. |
|
c. |
fundamental nursing
health-care goals. |
|
d. |
negative dimensions
impacted by the disease process. |
ANS:
A
PTS:
1
DIF: Challenging
2. Mr.
& Mrs. Smith and their seven children live in a two-bedroom housing
project. The school nurse is concerned with the Smith children’s frequent
absences due to recurrent upper respiratory infections. Which of the following
health domains should the nurse consider when addressing the children’s
health-promotion needs?
|
a. |
Environmental |
|
b. |
Political |
|
c. |
Spiritual |
|
d. |
Technological |
ANS:
A
PTS:
1
DIF: Moderate
3. Cultural
values are considered a dimension of which of the following domains?
|
a. |
Biological |
|
b. |
Intellectual |
|
c. |
Political |
|
d. |
Sociological |
ANS:
D
PTS:
1
DIF: Easy
4. The
technological domain:
|
a. |
affects all of the other domains. |
|
b. |
determines realistic
outcomes. |
|
c. |
primarily addresses
computerized patient data. |
|
d. |
refers to digital
technology. |
ANS:
A
PTS:
1
DIF: Moderate
5. The
term Nursing
Process refers to:
|
a. |
a health-care approach
focusing on patient compliance and trust. |
|
b. |
a problem-solving method
for developing a plan of care. |
|
c. |
health-promotion approaches
that focus on wellness outcomes. |
|
d. |
legal standards guiding
nursing care. |
ANS:
B
PTS:
1
DIF: Easy
6. Mrs.
Cruz, a 68-year-old post–hip replacement surgery patient, is being discharged
but does not have anyone at home to help her during her recovery period. Her
nurse is aware of this and speaks to her doctor about her concerns about Mrs.
Cruz. In this situation the nurse has assumed which of the following
health-promotion roles?
|
a. |
Advocate |
|
b. |
Consultant |
|
c. |
Educator |
|
d. |
Role model |
ANS:
A
PTS: 1
DIF: Easy
7. When
developing a plan of care for a patient, the nurse must first:
|
a. |
address nursing diagnoses
that are specific to the patient. |
|
b. |
collect data as part of the
assessment phase. |
|
c. |
identify realistic and
measurable outcome goals. |
|
d. |
establish goals for
evaluation of the care plan. |
ANS:
B
PTS:
1
DIF: Moderate
8. Which
of the following most influences a person’s understanding of his or her disease
process?
|
a. |
Access to health care |
|
b. |
Educational level |
|
c. |
Gender |
|
d. |
Socioeconomic level |
ANS:
B
PTS:
1
DIF: Easy
9. Mary
‘s doctor suggests that Mary receive a mammogram. This is considered to be a
(an):
|
a. |
initial prevention. |
|
b. |
primary prevention. |
|
c. |
secondary intervention. |
|
d. |
tertiary prevention. |
ANS:
C
PTS:
1
DIF: Difficult
10. The
nurse acts as an empowering agent in health promotion by:
|
a. |
coordinating all of a
patient’s health care. |
|
b. |
focusing on the patient’s
anxiety and fears related to change. |
|
c. |
including the patient in
every aspect of care. |
|
d. |
motivating patient behavior
through description of negative outcomes. |
ANS: C
PTS:
1
DIF: Difficult
11. Mr.
Pesci is recuperating in a rehabilitation center following hospitalization for
surgery. Mr. Pesci’s rehabilitation at the center is an example of:
|
a. |
initial intervention. |
|
b. |
primary prevention. |
|
c. |
secondary intervention. |
|
d. |
tertiary prevention. |
ANS:
D
PTS:
1
DIF: Difficult
12. Mrs.
Lopez has a severe visual impairment and has been hospitalized twice for falls
occurring at home. Which of the following might be an appropriate nursing
diagnosis for her?
|
a. |
Ineffective health
maintenance related to knowledge deficit |
|
b. |
Ineffective health
maintenance related to safety hazards |
|
c. |
Potential risk for further
development |
|
d. |
Potential risk for
infection |
ANS:
B
PTS:
1
DIF: Difficult
13. Controllable
risk factors impacting health promotion include:
|
a. |
age. |
|
b. |
culture. |
|
c. |
genetics. |
|
d. |
lifestyle. |
ANS: D
PTS:
1
DIF: Easy
14. Which
of the following is essential for a successful health-promotion plan?
|
a. |
Assumption of personal
responsibility |
|
b. |
Detection of disease |
|
c. |
Early implementation of
therapy |
|
d. |
Virginia Henderson |
ANS:
A
PTS:
1
DIF: Moderate
15. The
North American Nursing Diagnosis Association:
|
a. |
defines appropriate
interventions for uncommon nursing problems. |
|
b. |
identifies nursing’s need
for patient documentation. |
|
c. |
identifies outcomes for
common nursing problems. |
|
d. |
provides a taxonomy or
classification structure for nursing diagnoses. |
ANS:
D
PTS:
1
DIF: Difficult
TRUE/FALSE
1. Health
promotion has been a fundamental goal of nursing for years.
ANS:
T
PTS:
1
DIF: Easy
2. Diseases
can be ethnic-specific.
ANS:
T
PTS:
1
DIF: Easy
3. Lifestyle
behavior changes cannot influence the biological domain.
ANS:
F
PTS:
1
DIF: Easy
4. Leadership
abilities are required for the nurse coordinating care.
ANS:
T
PTS:
1
DIF: Easy
5. Nurses
who empower clients emphasize the passive role of the patient.
ANS:
F
PTS:
1
DIF: Moderate
6. Women
are more at risk for high blood pressure than are men.
ANS: F
PTS:
1
DIF: Moderate
7. Health
promotion activities occur only in hospital settings.
ANS:
F
PTS:
1
DIF: Moderate
8. Nurses
are viewed as role models by students.
ANS:
T
PTS:
1
DIF: Easy
9. The
nursing care plan is developed with the patient’s potential problems or needs
in mind.
ANS:
T
PTS:
1
DIF: Moderate
10. In
primary prevention, the detrimental effects of a health condition have
occurred.
ANS:
F
PTS:
1
DIF: Easy
MATCHING
Match each nurse theorist to the description of their role.
|
a. |
Advocate |
|
b. |
Coordinator of care |
|
c. |
Empowering agent |
|
d. |
Role model |
|
e. |
Educator |
|
f. |
Proactive change agent |
1. Assures
appropriate sequence of events in patient care
2. Emphasizes
the highest ideals of nursing care
3. Emphasizes
self-directed, self-regulated care
4. Focuses
on the person’s ability to change
5. Increases
public awareness of potential and actual health risks
6. One
who pleads a cause before another person
1. ANS:
B
PTS:
1
DIF: Easy
2. ANS:
D
PTS:
1
DIF: Easy
3. ANS:
C
PTS:
1
DIF: Easy
4. ANS:
F
PTS:
1
DIF: Easy
5. ANS:
E
PTS: 1
DIF: Easy
6. ANS:
A
PTS:
1
DIF: Easy
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