Deck 17: Promoting Healthy Communities Using Multilevel Participatory Strategies

Question 1

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

Answer 1

Absence of disease

Question 2

A public health nurse collaborates with local community leaders to develop a local campaign educating about the importance of wearing a seat belt.What client system of the integrative model does this describe?

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

Answer 2

Community

Question 3

Which community-based risk-reduction intervention resulted in equally favorable health risk changes for both control and treatment groups?

A) Framingham Heart Study
B) Stanford Heart Disease Prevention Program
C) North Karelia Study
D) Minnesota Heart Health Program

Answer 3

Minnesota Heart Health Program

Question 4

When would a nurse use The Guide to Clinical Preventive Services?

A) Conducting group risk appraisal and risk reduction
B) Providing recommendations for preventive interventions
C) Completing a community wellness inventory
D) Improving environmental living conditions and sanitation

Question 5

A nurse utilizing a disease-oriented approach would:

A) Promote a greater level of positive health.
B) Teach about common disease processes.
C) Provide acute care management of chronic disease.
D) Direct care toward disease prevention.

Question 6

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

Question 7

One advantage of health-risk appraisal instruments is that they:

A) Are suitable for all age-groups
B) Accurately reflect an individual's ability to initiate changes in lifestyle
C) Provide support to nurses in counseling individuals about self-care behaviors
D) Emphasize environmental factors

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 term best describes this example?

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

Question 9

When using the integrative model for community health promotion,the nurse would apply the dimension of client system by:

A) Concentrating on individual health behaviors
B) Studying client-centered initiatives
C) Providing multidimensional nursing care among various levels of clients
D) Focusing on health promotion, illness prevention, and illness care

Question 10

When applying the integrative model for community health promotion,a nurse assesses a 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 11

When using Anderson and McFarlane's model to complete a community health assessment,a nurse would collect information about the _____ the community.

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

Question 12

Screening school-age children for hearing deficits is an example of:

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

Question 13

Which statement best describes health risk appraisals?

A) Data about health practices are collected from families.
B) Primary prevention strategies are implemented by using the collected data.
C) Identified risks can be easily modified.
D) Individual health practices are compared with data from epidemiologic studies.

Question 14

The Guide to Clinical Preventive Services provides:

A) The most recent recommendations for preventive interventions
B) Assistance in interpreting Healthy People 2020
C) A basis for public health nursing practice
D) Health risk appraisal instruments

Question 15

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
D) Demonstrating the effects of mass media in modifying high-risk behavior

Question 16

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 term best describes this example?

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

Question 17

A woman has attended a weight reduction program for a year and lost 75 pounds.She now attends weekly meetings to keep the weight off.Which term best describes this example?

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

Question 18

According to Laffrey,Loveland-Cherry,and Winkler,the health 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 19

A client eats a nutritious,balanced diet on a daily basis to keep the current state of health.This is described as _____ behavior.

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

Question 20

Examples of modifiable behaviors include:

A) Smoking, poor diet, and alcohol consumption
B) Cancer, emphysema, and cardiovascular disease
C) Walking, running, and aerobic exercise
D) Genetic abnormalities

Question 21

Which intervention is being performed on the individual level? 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

Question 22

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 23

A public health nurse 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