Deck 17: Building a Culture of Health through Community Health Promotion

Question 1

According to Leavell and Clark,primary prevention consists of:

A) health promotion and rehabilitation.
B) health promotion and specific protection.
C) early diagnosis and prompt treatment.
D) health maintenance and early diagnosis.

Answer 1

health promotion and specific protection.

Question 2

A nurse is utilizing a disease-oriented approach when providing care to a client.Which of the following interventions will the nurse most likely provide?

A) Promotion of a greater level of positive health
B) Education about common disease processes
C) Acute care management of chronic disease
D) Education about medication compliance

Answer 2

Education about medication compliance

Question 3

Which of the following describes one advantage of the Health Belief Model (HBM)?

A) It is one of the most recently developed models based on evidence-based practice principles.
B) It can reduce the incidence of diseases and disabilities.
C) It can assist with planning programs to increase an individual's motivation to take positive health action.
D) It promotes individual's participation in community-based screening programs.

Answer 3

It can assist with planning programs to increase an individual's motivation to take positive health action.

Question 4

When applying the integrative model for community health promotion,a nurse assesses the neighborhood for accessibility and adequacy of care to provide treatment for medical conditions.What client system does this describe?

A) Individual
B) Family
C) Aggregate
D) Community

Question 5

The biomedical model defines health as the:

A) avoidance of illness.
B) absence of disease.
C) promotion of healthy behaviors.
D) protection from illness and disease states.

Question 6

A nurse provides counseling to an obese client about the importance of good nutrition and regular exercise with the intention of helping the client avoid future chronic diseases associated with obesity.What client system and focus of care are being applied in this situation?

A) Family level health promotion
B) Individual level illness prevention
C) Aggregate level illness prevention
D) Individual level health promotion

Question 7

A nurse using the integrative model for community health promotion.Which of the following best describes how the nurse would apply the dimension of client system?

A) Concentrating on individual health behaviors
B) Studying client-centered initiatives
C) Providing multidimensional nursing care among various levels of clients
D) Focusing on disease-oriented care

Question 8

A 5-feet,6-inch,25-year-old female who weighs 120 pounds walks 5 miles a day because she has a long family history of early death from heart attacks and is refraining from a sedentary lifestyle.Which of the following best describes this example?

A) Health promotion
B) Illness prevention
C) Health maintenance
D) Health protection

Question 9

A community is searching for additional funding so that a bike trail can be built in the community.Which of the following best describes this example?

A) Health promotion
B) Illness prevention
C) Specific protection
D) Health protection

Question 10

A nurse is using Anderson and McFarlane's model to complete a community health assessment.Which of the following information about the community would the nurse be collecting?

A) Resources available to promote health
B) Interactions among subsystems
C) Physical environment
D) Demographics

Question 11

Which of the following statements is correct?

A) Genes, biology, and health behavioral choices account for 75% of population health.
B) Medical care accounts for 25% of population health.
C) Physical and social environments account for 75% of population health.
D) Genes, biology, and health behavioral choices account for 25% of population health.

Question 12

A 5-feet,6-inch,25-year-old woman who weighs 120 pounds runs 5 miles a day because it improves her mood and energy level.Which of the following best describes this example?

A) Health promotion
B) Illness prevention
C) Health maintenance
D) Health protection

Question 13

A nurse is using the HBM when developing health programs in the community.Which of the following is the nurse most likely involved in?

A) Conducting group risk appraisal and risk reduction
B) Considering the factors that will motivate the participants to change their health behaviors
C) Completing a community wellness inventory
D) Considering legislative changes that are necessary to improve environmental living conditions and sanitation

Question 14

The National Prevention Strategy provides:

A) recommendations on what can be done to improve population health.
B) assistance in interpreting Healthy People 2020.
C) a basis for public health nursing practice.
D) health risk appraisal instruments.

Question 15

A public health nurse (PHN)collaborates with local community leaders to develop a local campaign educating about the importance of wearing a seat belt.Which of the following client systems of the integrative model does this describe?

A) Community
B) Aggregate
C) Family
D) Individual

Question 16

The health-oriented perspective views:

A) health as the absence of disease.
B) human lifestyle based on one's prescribed regime.
C) humans as complex and interconnected with the environment.
D) community education as the role of the registered nurse.

Question 17

A nurse is educating the community about modifiable behaviors.Which of the following is the nurse most likely to discuss?

A) Smoking, poor diet, and alcohol consumption
B) Cancer, emphysema, and cardiovascular disease
C) Age and gender
D) Genetic abnormalities

Question 18

A PHN collaborates with a physician's clinic to increase the number of infants and toddlers who receive lead screening.According to the integrative model,what client system and focus of care are being addressed?

A) Aggregate level health promotion
B) Aggregate level illness prevention
C) Family level illness care
D) Individual level health promotion

Question 19

A client wears a seat belt whenever riding in an automobile.Which of the following best describes the client's behavior?

A) Illness prevention
B) Health promotion
C) Specific protection
D) Health protection

Question 20

A nurse provides a screening for school-aged children to screen for hearing deficits.Which of the following is being demonstrated by the nurse?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion

Question 21

A nurse is performing interventions at the individual level of care.Which of the following is the nurse most likely completing? (Select all that apply.)

A) Teaching well-balanced nutrition to a mother with a malnourished child
B) Providing a parent age-specific information for immunizations
C) Assessing the community for other cases of malnutrition
D) Assessing other families on the same street for similar problems
E) Planning a social marketing campaign about seat belt safety

Question 22

Which community-based programs resulted in equally favorable health risk changes for both control and treatment groups? (Select all that apply.)

A) Framingham Heart Study
B) Stanford Five-City Heart Disease Prevention Program
C) North Karelia Study
D) Minnesota Heart Health Program
E) Dutch Heart Health Community Intervention

Question 23

The Framingham Heart Study was successful in:

A) providing information on the effectiveness of risk-reduction interventions.
B) documenting the relationship between social variables and heart disease.
C) identifying factors contributing to the development of coronary heart disease (CHD).
D) demonstrating the effects of mass media in modifying high-risk behavior.