Health Psychology 4th Canadian Edition By Shelley E Taylor – Test Bank

 

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Sample Test

Chapter 03

Health Behaviours

 

 

True / False Questions

1.   Health promotion is defined as helping people at risk for particular health problems by making healthy lifestyle changes.
FALSE

 

Blooms: Remember
Difficulty: 1 Easy
Learning Objective: 03-01 Describe and define health promotion.
Topic: 03-01 What is Health Promotion?

2.   By the age of 11 or 12, most children have fairly stable health habits that resemble those of adults.
TRUE

 

Blooms: Remember
Difficulty: 1 Easy
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-03 What Are Health Behaviours?

3.   Instilling good health habits and changing poor ones is the task of primary prevention.
TRUE

 

Blooms: Remember
Difficulty: 1 Easy
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-03 What Are Health Behaviours?

 

4.   The concept of the window of vulnerability refers to the fact that certain times are better for teaching particular health practices than others.
FALSE

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-07 Intervening with Children and Adolescents

5.   Health message communicators are more persuasive if they are likable and similar to the audience.
TRUE

 

Blooms: Apply
Difficulty: 2 Medium
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-12 Attitude Change and Health Behaviour

6.   Research has established that the more fear that a persuasive message elicits, the more effective it is for changing behaviour.
FALSE

 

Blooms: Apply
Difficulty: 2 Medium
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-12 Attitude Change and Health Behaviour

7.   Social cognition models of health behaviour change suggest that the beliefs that people hold about particular health behaviour motivate their decision to change that behaviour.
TRUE

 

Blooms: Analyze
Difficulty: 1 Easy
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-13 Social Cognition Models of Health Behaviour Change

 

8.   Cognitive-behaviour therapy approaches to health habit modification target behaviour itself, the conditions that elicit and maintain it and the factors that reinforce it.
TRUE

 

Blooms: Remember
Difficulty: 3 Hard
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-18 How are Cognitive-Behavioural Approaches Used to Change Health Behaviours?

9.   Social engineering approaches to health behaviour changes involve active methods.
FALSE

 

Blooms: Remember
Difficulty: 3 Hard
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-27 How can Other Methods be Used to Change Health Behaviours?

10.                Health risk assessments (HRA) identify employees’ specific risks based on current age, family history, and lifestyle factors.
TRUE

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-32 Work-Site Interventions

 

Multiple Choice Questions

11.                Which of the following is the best definition of health promotion?
A.A general philosophy that good health is a personal and collective achievement.
B. The practice of good health behaviours.
C. The avoidance of health-compromising behaviours.
D. Medical interventions designed to enhance and maximize good health.
E. A collection of behavioural management techniques for good health behaviours.

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 03-01 Describe and define health promotion.
Topic: 03-01 What is Health Promotion?

 

12.                According to the text, changing health behaviours
A.may reduce the number of deaths due to diseases related to lifestyle.
B. cannot be promoted to those who lead unhealthy lifestyles.
C. do not delay the onset of chronic disease.
D. will create jobs in the health services.
E. is beneficial only after illnesses have been treated.

 

Blooms: Understand
Difficulty: 1 Easy
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-03 What Are Health Behaviours?

13.                Health habits
A.are highly resistant to change, because they are continually reinforced by specific positive outcomes.
B. are unrelated to health behaviours.
C. require access to the health care delivery system.
D. are often performed without conscious awareness.
E. are something people are consciously aware of but choose to deny.

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-03 What Are Health Behaviours?

14.                According to the text, cancer deaths could be reduced by more than 50 percent simply by getting people to
A.avoid smoking.
B. increase their physical activity.
C. tell their doctor when their health changes.
D. eat more fruits and vegetables.
E. decrease their alcohol intake.

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-04 Role of Behavioural Factors in Disease and Disorder

 

15.                Which of these is NOT a good health habit as pointed out by scientists Belloc and Breslow (1972)?
A.Eating between meals.
B. Not smoking.
C. Eating breakfast each day.
D. Getting regular exercise.
E. Sleeping seven to eight hours a night.

 

Blooms: Understand
Difficulty: 1 Easy
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-03 What Are Health Behaviours?

16.                According to the demographic factors discussed in the text, which of the following individuals is most likely to practice good health behaviours?
A.Joe, a 45-year-old high school dropout who works two jobs in order to support his family
B. Dan, a 30-year-old high school graduate who works as a file clerk in a small insurance agency who expects to be married next month
C. Bill, a divorced 50-year-old corporate attorney
D. Sam, a 30-year-old assistant professor who has just celebrated his fifth wedding anniversary
E. Barbara, a high school senior in a small farming community

 

Blooms: Apply
Difficulty: 3 Hard
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-05 What Factors Influence the Practice of Health Behaviours?

17.                Perception of having one’s health under control is referred to as _______.
A.internal locus of control
B. external locus of control
C. health locus of control
D. optimistic locus of control
E. good locus of control

 

Blooms: Apply
Difficulty: 2 Medium
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-05 What Factors Influence the Practice of Health Behaviours?

 

18.                One aspect of health habits that makes them difficult to modify is that
A.the exact point for intervention is seldom clear.
B. they are interdependent—a change in one habit is often reflected in changes in others.
C. factors controlling health behaviour are generally consistent across the life span.
D. unhealthy habits do not develop until adulthood, when they have no apparent effect on health.
E. stable personalities make change difficult.

 

Blooms: Analyze
Difficulty: 2 Medium
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-06 Barriers to Modifying Poor Health Behaviours

19.                Considering the relationship of chronological age to health behaviours, health habits
A.are good in childhood.
B. deteriorate in adolescence and early adulthood.
C. improve among retired adults under 73.
D. deteriorate among adults 73 and older.
E. are relatively stable throughout the lifespan.

 

Blooms: Analyze
Difficulty: 1 Easy
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-07 Intervening with Children and Adolescents

20.                Which of the following is NOT considered a “teachable moment”?
A.A child’s first dental visit.
B. Pregnancy.
C. An adult with newly diagnosed coronary artery disease.
D. A crucial point at which a person is ready to modify a health behaviour.
E. Regular visits to the doctor.

 

Blooms: Understand
Difficulty: 3 Hard
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-07 Intervening with Children and Adolescents

 

21.                Research suggests that most people’s perceptions of their own health risks are
A.unrealistically optimistic.
B. unrealistically pessimistic.
C. insensitive to feedback.
D. generally accurate.
E. that their poor health behaviours are distinctive.

 

Blooms: Analyze
Difficulty: 2 Medium
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-08 Interventions with At-Risk People

22.                You are designing a health-promotion program for a retirement community. According to the text, which of the following behaviours would be the most important to target in your intervention?
A.Eliminating smoking.
B. Developing a regular exercise program.
C. Maintaining a healthy diet.
D. Getting regular vaccinations for influenza.
E. Learning meditation and relaxation techniques.

 

Blooms: Evaluate
Difficulty: 1 Easy
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-09 Health Promotion and the Elderly

23.                Smoking rates among Aboriginal youth are about ______ the rate for Canadians in general.
A.a quarter
B. half
C. three-quarters
D. twice
E. thrice

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-10 Ethnic and Gender Differences in Health Risks and Habits

 

24.                Which of the following is the best description of prospect theory?
A.Different presentations of risk information will change people’s perspectives and actions.
B. Messages that emphasize potential problems should work better for behaviours that have certain outcomes.
C. Messages that stress benefits may be more persuasive for behaviours with certain high risk outcomes.
D. Matching the framing of the message with the health behaviour does not impact the effectiveness of the message.
E. The emotional state of the message recipient is not important.

 

Blooms: Understand
Difficulty: 3 Hard
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-12 Attitude Change and Health Behaviour

25.                Julia is designing a public service message designed to encourage adults to engage in moderate exercise. To be most effective, her message should address
A.weight gain experienced by sedentary adults as they age.
B. decreased flexibility associated with lack of exercise.
C. positive mood and enhanced well-being associated with aerobic exercise.
D. decreased bone density as they age.
E. the strongest arguments in the middle of her message.

 

Blooms: Analyze
Difficulty: 2 Medium
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-12 Attitude Change and Health Behaviour

 

26.                The health belief model states that the practice of a particular health behaviour is a function of
A.an individual’s beliefs that he or she, rather than powerful others or chance, is in control of his or her own health.
B. an individual’s attitudes about a health behaviour, subjective normative beliefs, and self-efficacy.
C. an individual’s beliefs in a specific health threat and beliefs that a specific health behaviour can reduce that threat.
D. perceived self-efficacy and perceived invulnerability.
E. the fact that messages that emphasize potential problems should work better for behaviours that have uncertain outcomes.

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-13 Social Cognition Models of Health Behaviour Change

27.                _______________ is the belief that one is able to control one’s practice of a particular behaviour.
A.Health locus-of-control
B. Self-esteem
C. Self-control
D. Self-efficacy
E. Self-confidence

 

Blooms: Remember
Difficulty: 3 Hard
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-13 Social Cognition Models of Health Behaviour Change

28.                According to the theory of planned behaviour, behavioural intentions are a function of
A.attitude to a specific action, subjective norms, and perceptions of control.
B. general health attitudes, normative beliefs, and perceptions of control.
C. specific health attitudes and normative beliefs.
D. perceptions of vulnerability, magnitude of health threat, and self-efficacy.
E. planning and self-esteem.

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-13 Social Cognition Models of Health Behaviour Change

 

29.                Julian has decided that he needs to lose 15 pounds. He is concerned about the amount of fat he consumes and suspects that his cholesterol count is high. He has purchased a popular book on low-fat diets and has decided that he will begin walking three times a week after he buys a new pair of walking shoes next week. According to Prochaska et al.’s (1992) transtheoretical model of behavioural change, Julian is in the _______________ stage of health behaviour change.
A.precontemplation
B. contemplation
C. preparation
D. action
E. maintenance

 

Blooms: Apply
Difficulty: 1 Easy
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-15 The Transtheoretical Model of Behaviour Change

30.                Studies evaluating the effectiveness of Prochaska et al.’s (1992) transtheoretical model of behavioural change indicate that
A.interventions matched to the stage that an individual is in are more successful than those more appropriate for other stages.
B. interventions that teach skills relevant to action and behaviour maintenance have little effect on individual motivation.
C. the media has even less of an effect on an individual’s health behaviours than previously thought.
D. its applications have shown mixed success.
E. its applications have been shown to be extremely useful.

 

Blooms: Understand
Difficulty: 3 Hard
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-17 Using the Stages of Change Model

 

31.                Which of the following is NOT the best example of an implementation intention to increase exercise behaviour?
A.I want to exercise more.
B. I will go buy some new running shoes so that I can start running.
C. I will jog for 30 minutes in my neighbourhood every Tuesday and Thursday evening.
D. I will exercise 2 hours per week for the next 3 months.
E. I will complete three sets of 10 squats every day.

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-13 Social Cognition Models of Health Behaviour Change

32.                _________ is (are) important to consider when people are trying to make behaviour changes.
A.Self-control
B. Positive self-evaluations
C. Negative self-evaluations
D. Self-concept
E. Self-efficacy

 

Blooms: Understand
Difficulty: 3 Hard
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-15 The Transtheoretical Model of Behaviour Change

33.                _______________ focuses on the target behaviour and on the beliefs that people hold about their health habits.
A.Attitudinal therapy
B. Operant conditioning
C. Cognitive-behaviour therapy
D. Modelling
E. Classical conditioning.

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-18 How are Cognitive-Behavioural Approaches Used to Change Health Behaviours?

 

34.                _________________ trains individuals to recognize and modify negative internal monologues to promote health behaviour change.
A.Covert self-control
B. Self-efficacy
C. Contingency contracting
D. Assertiveness training
E. Behavioural assignment

 

Blooms: Understand
Difficulty: 3 Hard
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-24 The Self-Control of Behaviour

35.                The use of Antabuse in the treatment of alcoholism involves having the client sip his or her favourite drink while ingesting Antabuse. After several pairings, alcohol becomes associated with the Antabuse and elicits a(n) _______________.
A.conditioned response
B. conditioned stimulus
C. unconditioned response
D. unconditioned stimulus
E. extinction response

 

Blooms: Analyze
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-20 Classical Conditioning

36.                Classical conditioning modifies the _______________ of behaviour; operant conditioning modifies the _______________ of behaviour.
A.consequences; consequences
B. consequences; antecedents
C. antecedents; consequences
D. antecedents; antecedents
E. stimuli; responses

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-21 Operant Conditioning

 

37.                The use of rewards for weight loss (e.g., money or new clothing) in the treatment of obesity is an example of
A.shaping.
B. modelling.
C. operant conditioning.
D. classical conditioning.
E. conditioned response.

 

Blooms: Understand
Difficulty: 1 Easy
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-21 Operant Conditioning

38.                The use of ex-addicts as peer counsellors in drug treatment programs is an example of
A.shaping.
B. modelling.
C. operant conditioning.
D. classical conditioning.
E. mentoring.

 

Blooms: Understand
Difficulty: 1 Easy
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-22 Modelling

39.                A discriminative stimulus
A.is a central component of therapies based on classical conditioning.
B. becomes a reinforcer through pairing with the unconditioned stimulus.
C. serves as a cue that positive reinforcement will occur.
D. involves systematically rewarding the self to increase or decrease the occurrence of a target behaviour.
E. is often associated with shaping behaviour.

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-23 Stimulus Control

 

40.                Brenda has been trying to lose weight and control her seemingly insatiable sweet tooth. To meet her goal, she has removed all cookies, candy, and ice cream from the kitchen cabinets and refrigerator. She now keeps a bowl of fresh fruit on the kitchen counter for snacking. Brenda is practicing
A.vicarious self-control.
B. self-punishment.
C. stimulus control.
D. self-reinforcement.
E. discriminative stimuli.

 

Blooms: Apply
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-23 Stimulus Control

41.                Fred wants to lose 20 pounds. He places 20 one-pound boxes of lard in the refrigerator. As his weight-loss program proceeds, he removes one box of lard each time he succeeds in losing a pound. Fred’s behaviour is an example of ______.
A.positive self-punishment
B. negative self-punishment
C. positive self-reward
D. negative self-reward
E. positive self-punishment and negative self-reward

 

Blooms: Apply
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-24 The Self-Control of Behaviour

42.                Self-punishment
A.is as effective in changing behaviour as self-reward.
B. is most effective in changing behaviour when it is also coupled with self-reward.
C. is effective in behaviour change even when individuals stop performing the target behaviour.
D. becomes increasingly effective as the punishment becomes increasingly aversive.
E. is not usually recommended due to the lasting emotional problems associated with it.

 

Blooms: Apply
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-24 The Self-Control of Behaviour

 

43.                Rhonda entered into an agreement with her friend, Nancy, in an attempt to establish a regular exercise program. According to their agreement, Nancy pays Rhonda $1 every day that she exercises for at least 30 minutes after work. If she fails to do so, Rhonda must pay Nancy $1. This is an example of
A.shaping.
B. a token economy.
C. a contingency contract.
D. vicarious reinforcement.
E. negative reinforcement.

 

Blooms: Apply
Difficulty: 3 Hard
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-24 The Self-Control of Behaviour

44.                Internal monologues
A.are always positive and adaptive.
B. can function as antecedents and as consequences of target behaviour.
C. are resistant to change through standard techniques of reinforcement.
D. can function as antecedents but not as consequences of target behaviour.
E. are always negative and maladaptive.

 

Blooms: Understand
Difficulty: 3 Hard
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-24 The Self-Control of Behaviour

 

45.                Wanda’s weight loss counsellor has observed that she has a self-defeating pattern of beliefs and cognitions about her ability to control her overeating. Specifically, when she eats something that is not allowed on her diet, she thinks “I have no willpower; I’ll always be fat” and continues to binge. Wanda’s counsellor now is encouraging her to think “Well, I slipped on my diet at lunch. Relax, one slip isn’t that bad. I’ll get back on my diet right away!” The therapist is utilizing a technique called
A.cognitive restructuring.
B. positive reinforcement.
C. self-monitoring.
D. self-punishment.
E. theory of reasoned behaviour.

 

Blooms: Apply
Difficulty: 3 Hard
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-24 The Self-Control of Behaviour

46.                How can modelling be used to teach the client cognitive restructuring?
A.Model maladaptive behaviours first.
B. Model classical conditioning.
C. Model adaptive self-talk.
D. Model effective breathing techniques.
E. Model motivational learning.

 

Blooms: Analyze
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-24 The Self-Control of Behaviour

47.                The goal of social skills training is to
A.reduce the anxiety associated with social situations.
B. get the client to think through and express some of his or her own reasons for and against change.
C. learn relaxation procedures to cope more effectively with their anxiety.
D. learn to relax all the muscles in the body to discharge tension or stress.
E. increase motivation.

 

Blooms: Analyze
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-24 The Self-Control of Behaviour

 

48.                Motivational interviewing
A.is designed to reduce anxiety that occurs in social situations.
B. is used to train a client in cognitive restructuring
C. helps rid the environment of discriminative stimuli that evoke the problem of health behaviour.
D. is a client-centred counselling style designed to get people to work through ambivalence they may be experiencing about changing their health behaviours.
E. sets the stage for enlisting the patient’s joint participation early in the effort to modify health behaviours.

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-24 The Self-Control of Behaviour

49.                Which of these behaviours may not necessarily lead to permanent relapse?
A.Smoking only two cigarettes a day.
B. Having only a small drink daily.
C. Having a pint of ice cream on Saturdays only.
D. A single cigarette smoked at a cocktail party.
E. Five cigarettes smoked at a cocktail party.

 

Blooms: Apply
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-26 Relapse

50.                Relapse
A.is more likely to be observed in instances of declining motivation and lack of goals.
B. appears to be unrelated to situational factors; it is almost exclusively an individual problem.
C. has been found to have similar rates and patterns for alcohol and drug addiction, but relapse rates for smokers increase with the passage of time.
D. is unrelated to levels of perceived stress and social support.
E. usually occurs after a three month period of abstinence.

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-26 Relapse

 

51.                An abstinence violation effect is associated with
A.psychological reactance and an increased feeling of perceived control.
B. an increased feeling of perceived control and decreased likelihood of relapse.
C. a loss of perceived control and increased likelihood of relapse.
D. increased vigilance.
E. suppressed hypervigilance.

 

Blooms: Understand
Difficulty: 3 Hard
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-26 Relapse

52.                An important focus of relapse prevention programs is to _____ motivation, and ______ commitment of participants.
A.increase; increase
B. increase; decrease
C. decrease; decrease
D. maintain; maintain
E. increase; maintain

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-26 Relapse

53.                Relapse prevention techniques often adopt cue exposure techniques, which
A.extinguish the craving typically evoked by a cue, such as an alcoholic beverage.
B. decrease feelings of self-efficacy.
C. increase positive expectations associated with the addictive behaviour.
D. restrict the opportunity to practise coping responses.
E. increase feelings of guilt in the person.

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-26 Relapse

 

54.                _______________ involves modifying the environment to affect one’s ability to practise a particular health behaviour.
A.Social engineering
B. Reconstruction
C. Adaptive environmental change
D. Passive retraining
E. Occupational therapy

 

Blooms: Remember
Difficulty: 1 Easy
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-27 How can Other Methods be Used to Change Health Behaviours?

55.                Which of the following is NOT an example of social engineering to change health-related behaviours?
A.Legislating smoke-free indoor work environments.
B. Lowering the speed limit.
C. Interventions designed to get parents to reduce accidents in the home.
D. Legislation to eliminate the amount of trans fats allowed in foods.
E. Requiring immunizations for children before school entry.

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-27 How can Other Methods be Used to Change Health Behaviours?

56.                Work sites have typically dealt with employees’ health habits by
A.providing on-the-job health-promotion programs.
B. using a health risk assessment when employees meet with work-related illnesses.
C. providing only for employees working risky jobs.
D. providing designated areas for smokers.
E. providing diabetes awareness to those at risk.

 

Blooms: Understand
Difficulty: 1 Easy
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-32 Work-Site Interventions

 

57.                The family physician may be a particularly effective agent in promoting health-related attitudes and behaviour because
A.individuals are more likely to follow a suggested treatment if they pay for professional advice.
B. few social engineering solutions to health problems have been successful.
C. a one-to-one approach is the least expensive and most efficient vehicle for changing health habits.
D. a physician is a highly credible communicator and agent of health-habit change.
E. a physician can reduce the risk status of many people at one time.

 

Blooms: Apply
Difficulty: 1 Easy
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-28 The Health Practitioner’s Office

58.                Self-help groups ____.
A.are in person only
B. are online only
C. can be either in person or online
D. are held at night, so people can attend after work
E. are held only on weekends

 

Blooms: Remember
Difficulty: 1 Easy
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-30 Self-Help Groups

59.                The effectiveness of community interventions is ____.
A.very high, with a high success rate
B. very low, with a low success rate
C. very high, with a mixed success rate
D. unknown
E. controversial

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-33 Community-Based Interventions

 

60.                Evaluations of the efficacy of mass media health appeals suggest that
A.messages are often too concrete and specific, and thus it is difficult to glean useful information from mass media appeals.
B. including specific recommendations about health-related behaviours diminishes individual perceptions of self-efficacy.
C. mass media messages are unrelated to shifts in cultural climate.
D. media appeals are often important sources of information for alerting the public to unknown health risks.
E. mass media campaigns are successful at bringing about long-term change.

 

Blooms: Understand
Difficulty: 3 Hard
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-34 The Mass Media

61.                Which of the following is NOT one of the main messages conveyed by the Participation media campaign?
A.eat well
B. avoid illness
C. be physically active
D. feel good about yourself
E. have fun while being physically active

 

Blooms: Remember
Difficulty: 3 Hard
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-35 The Internet

 

Short Answer Questions

62.                Compare and contrast what health promotion means to individuals, medical practitioners, psychologists, and community and national policy makers.

Answers may vary.

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-01 Describe and define health promotion.
Topic: 03-01 What is Health Promotion?

 

63.                How have patterns of disease in Canada changed since the turn of the 20th century? Considering these trends, explain the importance of efforts to modify health behaviours and lifestyle rebalancing.

Answers may vary.

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-02 Why are Health Behaviours Important?

64.                Explain why the instability of health habits makes them difficult to change.

Answers may vary.

 

Blooms: Evaluate
Difficulty: 3 Hard
Learning Objective: 03-02 Explain why health behaviours are important.
Topic: 03-02 Why are Health Behaviours Important?

65.                Charles is a college student who smokes cigarettes. Use the health belief model and the theory of planned behaviour to explain why Charles continues to smoke even though he is aware of the Surgeon General’s warning about the relationship between cigarettes and cancer and heart disease.

Answers may vary.

 

Blooms: Apply
Difficulty: 3 Hard
Learning Objective: 03-03 Know the theories and models used for understanding health behaviour change.
Topic: 03-11 What Theories and Models are Used for Understanding Health Behaviour Change?

 

66.                Describe the problem of relapse. Explain how relapse prevention might be incorporated into a broad-spectrum cognitive-behaviour therapy treatment plan for (choose one) alcoholism, smoking, or obesity. Be sure to include in your answer specific cognitive-behaviour techniques and their role in the therapeutic plan.

Answers may vary.

 

Blooms: Understand
Difficulty: 3 Hard
Learning Objective: 03-04 Describe how cognitive-behavioural approaches are used to change health behaviours.
Topic: 03-18 How are Cognitive-Behavioural Approaches Used to Change Health Behaviours?

67.                List three types of venues used for health behaviour change and describe how each deals with health behaviour change. What are the advantages and disadvantages of each venue?

Answers may vary.

 

Blooms: Evaluate
Difficulty: 2 Medium
Learning Objective: 03-05 Understand other methods for changing health behaviours.
Topic: 03-27 How can Other Methods be Used to Change Health Behaviours?

 

Chapter 05

Health-Compromising Behaviours

 

 

True / False Questions

1.   Adolescence is a particularly vulnerable time for health compromising behaviours.
TRUE

 

Blooms: Understand
Difficulty: 1 Easy
Learning Objective: 05-01 Identify the characteristics of health-compromising behaviours.
Topic: 05-01 What are the Characteristics of Health-Compromising Behaviours?

2.   Many health compromising behaviours are more common in individuals from higher social classes.
FALSE

 

Blooms: Remember
Difficulty: 1 Easy
Learning Objective: 05-01 Identify the characteristics of health-compromising behaviours.
Topic: 05-01 What are the Characteristics of Health-Compromising Behaviours?

3.   Harm reduction focuses on completely eliminating substance use.
FALSE

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 05-02 Describe and define substance dependence.
Topic: 05-02 What is Substance Dependence?

 

4.   There are four main classes of illicit drugs.
TRUE

 

Blooms: Remember
Difficulty: 1 Easy
Learning Objective: 05-02 Describe and define substance dependence.
Topic: 05-03 Illicit Drug Use

5.   Psychological and social rewards associated with drinking include reduced anxiety and depression.
TRUE

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 05-03 Understand how alcoholism and problem drinking compromise health.
Topic: 05-07 Origins of Alcoholism and Problem Drinking

6.   Research supports the idea that most alcoholics eventually receive some form of inpatient or outpatient treatment.
FALSE

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 05-03 Understand how alcoholism and problem drinking compromise health.
Topic: 05-08 Treatment of Alcohol Abuse

7.   Trying cigarettes makes a person significantly more likely to use other drugs in the future.
TRUE

 

Blooms: Understand
Difficulty: 1 Easy
Learning Objective: 05-04 Explain how smoking is harmful for health and what factors influence smoking.
Topic: 05-14 How is Smoking Harmful for Health and What Factors Influence Smoking?

 

8.   Smokers have more accidents and injuries at work.
TRUE

 

Blooms: Analyze
Difficulty: 1 Easy
Learning Objective: 05-04 Explain how smoking is harmful for health and what factors influence smoking.
Topic: 05-14 How is Smoking Harmful for Health and What Factors Influence Smoking?

9.   Anorexia nervosa is classified as an obsessive disorder.
TRUE

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 05-05 Describe eating disorders.
Topic: 05-23 Anorexia Nervosa

10.                Individuals with bulimia are often thinner than those with anorexia nervosa.
FALSE

 

Blooms: Understand
Difficulty: 2 Medium
Learning Objective: 05-05 Describe eating disorders.
Topic: 05-24 Bulimia

 

Multiple Choice Questions

11.                Alcohol abuse and smoking share a window of vulnerability in
A.adolescence.
B. young adulthood.
C. middle age.
D. old age.
E. stressful times.

 

Blooms: Analyze
Difficulty: 1 Easy
Learning Objective: 05-01 Identify the characteristics of health-compromising behaviours.
Topic: 05-01 What are the Characteristics of Health-Compromising Behaviours?

 

12.                According to the DSM-5, substance use disorders arise when an individual experiences ______ from using a substance repeatedly.
A.hallucinations
B. cognitive decline
C. physical disabilities
D. functional impairment
E. social impairment

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 05-02 Describe and define substance dependence.
Topic: 05-02 What is Substance Dependence?

13.                Since he stopped smoking last week, John complains about fighting the urge for a cigarette, especially when he is around other smokers. This is an example of
A.addiction.
B. tolerance.
C. craving.
D. withdrawal.
E. aversion.

 

Blooms: Apply
Difficulty: 1 Easy
Learning Objective: 05-02 Describe and define substance dependence.
Topic: 05-02 What is Substance Dependence?

14.                Psychoactive substances
A.impact cognitive and affective processes and alter the way a person behaves when ingested.
B. do not include illicit drugs.
C. do not include alcohol.
D. include antibiotics.
E. include soda.

 

Blooms: Understand
Difficulty: 3 Hard
Learning Objective: 05-02 Describe and define substance dependence.
Topic: 05-03 Illicit Drug Use

 

15.                According to a recent international study on substance abuse in industrialized countries by the United Nations, Canada is one of the world leaders in
A.injection drug use
B. marijuana use
C. binge drinking
D. treatment programs for alcohol abuse
E. cocaine use

 

Blooms: Remember
Difficulty: 2 Medium
Learning Objective: 05-02 Describe and define substance dependence.
Topic: 05-02 What is Substance Dependence?

16.                Who is more likely to use prescription drugs without medical supervision?
A.Tara, an A-grader
B. Jim, a basketball champion
C. Elle, who drinks a lot of tea
D. Lisa, who has several tattoos on her body
E. Dora, who is a daily smoker

 

Blooms: Apply
Difficulty: 3 Hard
Learning Objective: 05-02 Describe and define substance dependence.
Topic: 05-03 Illicit Drug Use

17.                Anna consumed alcohol during her pregnancy, and Anna’s baby was born with some facial deformities, developmental disabilities, and mental health issues. The baby has _____.
A.sickle-cell anemia
B. Down’s syndrome
C. fetal alcohol syndrome
D. cerebral palsy
E. autism spectrum disorder

 

Blooms: Apply
Difficulty: 3 Hard
Learning Objective: 05-03 Understand how alcoholism and problem drinking compromise health.
Topic: 05-05 Scope of the Problem

 

18.                Which of the following individuals would be MOST at risk for developing alcoholism?
A.Shirley, whose identical twin, Fran, is an alcoholic
B. George, whose fraternal twin, Sam, is an alcoholic
C. Linda, whose adoptive mother, Gail, is an alcoholic
D. Adam, whose father, Ben, is an alcoholic
E. Sheila, whose mother, Sally, is a problem drinker

 

Blooms: Apply
Difficulty: 3 Hard
Learning Objective: 05-03 Understand how alcoholism and problem drinking compromise health.
Topic: 05-07 Origins of Alcoholism and Problem Drinking

19.                Individuals who experience _______________ are more likely to become problem drinkers than those without these risk factors.
A.positive life events
B. chronic stressors
C. enhanced social support
D. high achievement
E. high job autonomy

 

Blooms: Apply
Difficulty: 3 Hard
Learning Objective: 05-03 Understand how alcoholism and problem drinking compromise health.
Topic: 05-07 Origins of Alcoholism and Problem Drinking

20.                Compared to persons with more long-term drinking problems, people who become problem drinkers in late middle age are
A.less likely to control their drinking on their own.
B. less likely to be successfully treated.
C. more likely to use problem drinking as a coping method for managing stress.
D. more likely to have a higher tolerance for alcohol.
E. more likely to develop lung cancer.

 

Blooms: Apply
Difficulty: 3 Hard
Learning Objective: 05-03 Understand how alcoholism and problem drinking compromise health.
Topic: 05-07 Origins of Alcoholism and Problem Drinking

 

21.                Broad-spectrum cognitive-behavioural therapy of alcohol abuse includes
A.increasing the reinforcement associated with alcohol.
B. teaching new behaviours consistent with alcohol abuse.
C. introducing reinforcement for activities that involve alcohol.
D. treating the biological and environmental factors involved simultaneously.
E. medication only.

 

Blooms: Analyze
Difficulty: 3 Hard
Learning Objective: 05-03 Understand how alcoholism and problem drinking compromise health.
Topic: 05-08 Treatment of Alcohol Abuse

22.                Naltrexone, a medication, is used to
A.modify the action of GABA, a neurotransmitter.
B. prevent alcoholics from drinking by causing the body to negatively react to alcohol.
C. prevent relapse among individuals experiencing alcohol use disorder.
D. give alcohol a foul taste.
E. trick the brain into thinking that it is consuming alcohol when mixed with water.

 

Blooms: Remember
Difficulty: 3 Hard
Learning Objective: 05-03 Understand how alcoholism and problem drinking compromise health.
Topic: 05-08 Treatment of Alcohol Abuse

 

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