Deck 5: Concepts of Health

Question 1

Jenna,24 years old,is a single parent of two young children.She is unemployed,lives in subsidized housing,and has type 1 diabetes.What is the most significant social determinant of health for this family?

A) Gender
B) Housing
C) Income
D) Diabetes

Answer 1

Income

Question 2

What is a discourse according to Lupton?

A) Disorderly extended expression about social systems
B) A dialogue that has a major role in shaping relations of power and what is valued in society
C) A patterned system that can be identified in communications and located in social structures
D) A course of action that moves people away from health

Answer 2

A patterned system that can be identified in communications and located in social structures

Question 3

What approach would a nurse who is practising within a systems view of health use?

A) Identifying problems and finding solutions to health issues
B) Building trusting relationships and fostering clients' strengths
C) Predicting the causes of health events
D) Guarding the social order to ensure health

Answer 3

Building trusting relationships and fostering clients' strengths

Question 4

Which understanding of health is primary health care based on?

A) Traditional
B) Ecological
C) Biological
D) Medical

Question 5

A community health nurse working in a remote northern community has noticed a sharp increase in the number of teens coming to the clinic with sexually transmitted infections (STIs).What strategy is an example of a mid-stream approach to the increased incidence of STIs?

A) Schedule more nurses to work at the clinic to handle the increased caseload.
B) Have a condom machine installed in the washrooms at the high school.
C) Hold an educational session with the students on STIs.
D) Provide each individual with the appropriate medication to treat the STI.

Question 6

What model is primarily used by governments to fund health care in Canada?

A) Social determinants model
B) Systems model
C) Process model
D) Medical model

Question 7

When did health emerge as a central concept for nursing?

A) After the Lalonde Report
B) In the Ottawa Charter of Health Promotion
C) In the Canadian Nurses Association founding bylaws
D) In Florence Nightingale's writings

Question 8

What activity is an example of an upstream approach to health promotion?

A) A bike safety program for school-aged children in the elementary schools throughout the community
B) Rehabilitation for a child who experienced a traumatic brain injury due to a bicycle/vehicle collision
C) A local bike store sponsoring a bicycle-handling skills competition for adolescents
D) Bike helmet legislation with the provision of a free bike helmet to all children under 18 years of age

Question 9

A nurse has received funds to create a heart health project.Which project has the most potential benefit?

A) Delivering a heart health education session to a group of lawyers and executives
B) Counselling middle-aged married women to maintain a healthy weight through menopause
C) Encouraging men in a seniors' residence to quit smoking
D) Working together with a single mothers' support group to assist women as they return to work

Question 10

What population health model would most likely be used in a prenatal outreach program for young pregnant teens?

A) Upstream
B) Downstream
C) Side-stream
D) Mid-stream

Question 11

A community health nurse is writing a funding proposal that seeks to explore alternatives to the medical model.What argument would the nurse use to critique the medical model?

A) Does not make a healthy society
B) Serves the needs of society
C) Is based on prevention
D) Illuminates the political conditions that support health

Question 12

A nurse is practising within a systems view of health.What statement reflects the nurse's belief about health?

A) Created primarily through biological conditions
B) A resource for preventing illness and injury
C) Conceptualized as interrelated and integrated
D) The absence of disease

Question 13

Which statement best illustrates a view of health from the population health perspective?

A) Health is a state of static interrelatedness and disintegration.
B) Health involves refinements to achieve a perfectly functioning body.
C) Health is the capacity of people to adapt to or respond to life's challenges.
D) Health is the object of living for the population as a whole.

Question 14

What description is consistent with the "unfolding fulfillment" theme used to describe the lived experience of health and disease from the lay perspective?

A) One experiences wholeness and an accompanying attachment to the world.
B) When one is healthy there is sparkle and animation.
C) When healthy,one has a sense of harmony and balance.
D) Engaging with life's challenges is meaningful.

Question 15

What consistent theme would emerge if a nurse interviewed professionals and lay people about their definition of health?

A) Health is more than the absence of disease and is an objective state.
B) Health is desirable because it encompasses positive qualities.
C) Health is a state of well-being that is easily defined.
D) Health as a concept has always been embraced by medicine.

Question 16

Which is the best predictor of an individual's health?

A) Alcohol consumption
B) Yearly income
C) Cardiac risk factors
D) Smoking status

Question 17

A community health nurse recognizes that broad contextual factors,such as family,influence health.What health promotion perspective does this nurse use?

A) Biomedical
B) Lalonde approach
C) Ecological
D) Population health

Question 18

What is perceived by many community health nurses (CHNs)to be the key to health care reform?

A) Increases in health spending
B) Privatization of service delivery
C) Primary health care
D) Universal health care insurance

Question 19

The Novak family includes Jim,age 40;Brenda,age 39;Tim,age 18;and Lisa,age 15.Jim is a high school dropout and works as long-distance truck driver.Brenda has a high school education and works part time for the postal service.What social determinant of health would have the greatest impact on the development of life-threatening illnesses for this family?

A) Education levels
B) Place of residence
C) Poverty
D) Culture

Question 20

What was proposed in the Ottawa Charter document?

A) Five major strategies for promoting health
B) The family as the focus of health promotion efforts
C) The health-field concept of health
D) Health promotion as a science dominated by nursing

Question 21

Discuss three reasons why it is important for CHNs to be aware of the various discourses on health.

Question 22

Define and contrast the medical model and the systems view of health.

Question 23

Ben is a 50-year-old man who works part time in construction.His common-law partner,Joanne,is 47 years old and works full time at a large box store.They have one child,JP,age 25,who is going to a local college to become a plumber.Ben and Joanne have been together for 25 years.They live in a small duplex in an older working-class neighbourhood.Joanne has recently been diagnosed with lung cancer.Ben has been a smoker since leaving home at age 14.Joanne's mother died of lung cancer and her father died of emphysema.Ben and Joanne moved to Alberta from eastern Canada three years ago to find work and have no family,but they do have a large group of friends from "back home."
Describe the factors that influence the health of the above family,using five factors from a medical model and five factors from a systems view.