Chapter 08: Health Promotion and Illness/Disability Prevention

Chapter 08: Health Promotion and Illness/Disability Prevention

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When the home health nurse assists the older adult patient with rearranging furniture within the home to prevent the patient from falling, the nurse is demonstrating:

a.	health promotion.
b.	health protection.
c.	health prevention.
d.	disease prevention.

 

 

ANS:  B

The overarching goals are to attain high-quality, long lives free of preventable disease, disability, and injury; to eliminate disparities; create social and physical environments that promote health; and optimize quality of life across the life span. Health protection targets five areas including unintentional injury. Rearranging furniture to prevent falls is a health protection activity.

 

DIF:    Applying (Application)                    REF:   N/A                OBJ:   8-1

TOP:   Nursing Process: Implementation     MSC:  Safe Effective Care Environment

 

2. The primary focus of the health belief model of health promotion is addressed when the nurse:

a.	accompanies the assisted living residents on a walk before dinner.
b.	asks a senior citizens’ group what health screening they want to have.
c.	plans a program on cooking diabetic-friendly meals in cooperation with a dietician.
d.	asks the patient if he believes smoking puts him at risk for lung cancer.

 

 

ANS:  D

The health belief model, which was developed to determine the likelihood of an individual’s participation in health promotion, health protection, and disease prevention services, includes assessing an individual’s perception of his or her susceptibility to developing an illness. Asking the patient about beliefs related to tobacco use and health is an activity that falls within this model. The other activities do not.

 

DIF:    Understanding (Comprehension)      REF:   Page 141        OBJ:   8-2

TOP:   Nursing Process: Assessment           MSC:  Health Promotion

 

3. Financial considerations are a major barrier to the older adult’s participation in health promotion because:

a.	most older adults have accepted poor health as a part of growing older.
b.	Medicare often does not cover the cost of preventive services.
c.	many already have been diagnosed with chronic illnesses.
d.	they generally place more value on saving their disposable income.

 

 

ANS:  B

Older adults must incur the cost of many preventive services because Medicare does not cover them all. This can be hard on the fixed, limited income of many older adults. It is not true that older adults accept poor health as inevitable. Health promotion activities can occur in the presence of chronic illnesses. Some older adults do place high value on saving money, but not all older adults are influenced by this desire.

 

DIF:    Understanding (Comprehension)      REF:   Page 148        OBJ:   8-4

TOP:   Nursing Process: Assessment           MSC:  Health Promotion

 

4. To engage the older adults who frequently attend a senior citizens’ center in primary disease prevention, the nurse:

a.	immunizes those attending a weekly luncheon against the H1N1 virus.
b.	arranges for a colorectal cancer screening at the center.
c.	schedules a speaker to discuss cooking for diabetic patients.
d.	surveys the members to identify health issues of interest to them.

 

 

ANS:  A

Primary prevention refers to specific action taken to optimize the health of the older individual by helping him or her to become more resistant to disease or to ensure that the environment will be less harmful. Providing immunizations would be included in this level of prevention. Colorectal cancer screening is secondary prevention. Cooking for diabetic patients is tertiary prevention. Surveying patients does not fall into any level of prevention.

 

DIF:    Applying (Application)                    REF:   N/A                OBJ:   8-5

TOP:    Nursing Process: Implementation          MSC:   Health Promotion