Which of the following is a characteristic of health-related hardiness known as 'challenge'?
- A. Confidence to appraise a health stressor
- B. Ability to modify responses to health stressors
- C. Viewing a health stressor as an opportunity for growth
- D. Optimal psychosocial adaptation to a health stressor
Correct Answer: C
Rationale: Challenge is the anticipation of change. The person with health-related hardiness, when confronted with a health stressor, possesses sufficient self-mastery and confidence to appraise and modify responses appropriately (control) and cognitively reappraises the health stressor so it is viewed as stimulating and beneficial or an opportunity for growth (challenge).
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Which of the following models view disability as directly caused by disease or trauma?
- A. Social
- B. Nursing
- C. Medical
- D. Collaborative
Correct Answer: C
Rationale: The medical model views disability as directly caused by disease, trauma, or another health condition. Disability, from the medical model perspective, necessitates medical care provided in the form of individual treatment by providers to 'correct' the problem with the individual. The social model of disability, conversely, sees disability as a socially created problem and not an inherent attribute of an individual.
Which of the following levels are part of the patient response to health care recommendations based on a continuum of self-care?
- A. Compliance
- B. Adherence
- C. Self-care
- D. Denial
- E. Acceptance
Correct Answer: A,B,C
Rationale: Compliance, adherence, and self-care make up the three levels of patient response to health care recommendations on a continuum of self-care. Compliance reflects coercion of the patient to engage in particular recommendations, whereas adherence implies conformity of the patient with the recommendations. Self-care connotes a therapeutic alliance between the patient and the provider. Adherence is now the term most widely accepted because it incorporates the notion of the patient agreeing with the treatment plan presented by the health care provider.
Set in motion and continue the trajectory projection and scheme' is a goal of management in which of the following trajectory phases?
- A. Pretrajectory
- B. Onset
- C. Comeback
- D. Downward
Correct Answer: C
Rationale: Set in motion and continue the trajectory projection and scheme' is a goal of management in the trajectory phase of comeback. Pretrajectory goal is to prevent the onset of chronic illness. The onset goal of management is to form an appropriate trajectory projection and scheme. The goal of the downward phase is to adapt to increasing disability.
Which of the following factors has a major impact on the development of chronic illness?
- A. Poverty
- B. Social stability
- C. Urban dwelling
- D. High school diploma
Correct Answer: A
Rationale: Poverty and socioeconomic disadvantage are recognized to have a major impact on the development of chronic illness. Social stability, urban living, and having a high school education are not factors contributing to the development of chronic illness.
Which of the following diseases has the highest proportion of chronic illness deaths in Canada?
- A. Cancer
- B. Diabetes
- C. Cardiovascular disease
- D. Chronic respiratory disease
Correct Answer: C
Rationale: Cardiovascular diseases (37%) were responsible for the highest proportion of global deaths in 2012, followed by cancers (7%), chronic respiratory diseases (8%), and diabetes (4%).
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