As people progress through a health profession education program, definitions of health become

a. easier to explain to others.

b. aligned with the client seeking care.

c. more abstract and technical.

d. well articulated and understandable.

27. In attempting to define health, what can occur?

a. Listing categories of health will enable understanding of health.

b. Ambiguity is resolved when health definitions are discussed.

c. Terms and meanings can be challenged by others.

d. A full acceptance can be achieved by all parties.

28. Health status and determinants are used to

a. account for health care expenditures.

b. enforce legislation pertaining to health.

c. determine federal dietary guidelines.

d. measure the health of a nation.

29. Healthy People 2010 represents

a. health policies providing monetary incentives to states who reach the benchmark goals by 2010.

b. a plan to improve the health of everyone in the United States in the ? rst decade of this century.

c. mandated legislation that will result in a healthier population by 2010.

d. a monitoring system evaluating the health of all citizens.

30. As with the many variant definitions of health, illness also has many meanings. Illness and the sick role assigned to it are legitimized by

a. the insurance company that pays for the illness treatment.

b. the person having the illness.

c. the health care profession that diagnoses the illness.

d. society’s view of the illness.

31. Among the sick role components is the

a. mandate of appearing ill and suffering from the illness.

b. necessity of taking medications and staying in bed.

c. exemption from performance of certain normal social obligations.

d. refusal to look to other sources of health care treatments beyond those prescribed.

32. During the stage of patient status, it is expected that

a. symptoms are being experienced, leading to a diagnosis.

b. the patient do all they can do to recover from their illness.

c. the illness is now socially recognized and identified.

d. the person shifts into the role as it is determined by society.

33. Assuming the sick role according to Suchman means the person

a. is aware that something is wrong and responds emotionally.

b. seeks scientific confirrmation that something is wrong.

c. seeks help and shares the problem with family and friends.

d. goes under the control of a physician who plans a treatment of care.

34. A person who has cancer may have followed this illness trajectory:

a. presenting symptoms, followed by treatment and recovery.

b. acute illness, unstable status, deterioration, and recovery.

c. diagnosis, treatment, unstable status, death.

d. presenting symptoms, followed by diagnosis and treatment.

35. When Suchman divides the illness experience into its various stages, the medical care contact stage implies the person is

a. cognitively and physically aware that something is wrong.

b. under medical control and following a prescribed treatment protocol.

c. seeking scientific c rather than lay diagnosis in order to interpret what it all means.

d. seeking help and information from family and friends. 10

36. While HEALTH is considered a balance of the person, ILLNESS would be considered

a. the imbalance of one’s being in and outside the world.

b. actual symptomatology physically manifested.

c. part of the human condition that all must experience.

d. the absence of elements that contribute to health.

37. While complementary alternative medical (CAM) treatments are used by people of all backgrounds, recent research indicates CAM use is greater by

a. men.

b. those who have never been hospitalized.

c. people with rudimentary education.

d. women.

38. Alternative medical traditions are considered

a. an essential component of a cultural heritage medical tradition.

b. for use in concert with other aspects of health care.

c. out of the realm of a person’s cultural heritage medical tradition.

d. traditional methods of health care.

39. The evil eye is defined differently by different populations. Evil is thought to be cast in the Philippines through the

a. mouth or eye.

b. eye or touch.

c. foot.

d. breath.

40. The saying, “An apple a day keeps the doctor away, an onion a day keeps everyone away,” is thought to protect HEALTH by

a. recognizing the special antibiotic properties contained within onions.

b. advertising that onions have special healing abilities.

c. protecting the person from coming in contact with those who might be ill.

d. affirming the belief in the power of onions to prevent disease.

41. Religion has an important role in HEALTH, and ILLNESS can be considered

a. violating dietary practices.

b. failure to wear special amulets to ward it off.

c. a necessary part of religious culture.

d. punishment for breaking a religious code.

42. Eucalyptus is a folk herbal remedy that has applications today. It is used for

a. nasal congestion and sore throat.

b. infant colic.

c. toothache pain.

d. fever.

43. Allopathic medicine terms alternative treatments as complementary or alternative. An alternative therapy for rehabilitation might include ________ as treatment.

a. macrobiotics

b. Santeria

c. Voodoo

d. biofeedback

44. The difference between complementary and alternative medicine is that complementary medicine

a. can be used together with allopathic medicine.

b. is never used with allopathic medicine.

c. lessens a patient’s discomfort with allopathic treatments.

d. replaces allopathic medicine as a primary form of treatment.

45. A reason why people seek alternative care treatments is

a. allopathic treatments may cause adverse effects that a person can’t tolerate.

b. training for alternative care practitioners is closely regulated and licensed.

c. insurance reimburses alternative care treatments at the same rate or better than allopathic treatments.

d. it has a better empirical basis than do allopathic treatments.

46. Many people of Catholic faith pray to ________ for the grace of a happy death.

a. St. Teresa of Avila

b. St. John of God

c. St. Roch

d. St. Joseph

47. While shrines that attract pilgrims can be religious or secular in nature, an essential component to all of them is the

a. feeling of peace and serenity that is conducive to healing.

b. location of the shrine.

c. presence of water so pilgrims can take samples home.

d. numbers of people who are attracted to that site.

48. Lourdes, France, is the site of a revered Roman Catholic shrine. Many people with illnesses visit the shrine with the hope of

a. becoming more prosperous.

b. gaining a better job.

c. receiving a cure through a miracle.

d. being able to live a long life.

49. Historically, early forms of HEALING for illness were equated with

a. performing set rituals to prevent illness.

b. finding the person causing the illness.

c. sacrificial offerings.

d. removing the evil causing the illness.

50. Among alternative treatment modalities utilized during an illness may be the

a. consultation of a healer outside the medical establishment.

b. strict adherence to the prescribed medical regimen.

c. willingness to seek a second medical opinion.

d. refusal to allow any medical treatment to be performed.

51. A potential explanation for healers being used in addition to or instead of traditional medical personnel is their

a. unique language that is characteristic of their calling.

b. exclusive dialogue with the person who is ill.

c. formal relationship with the client.

d. willingness to be available at any time.

52. An illness of the spirit is treated through repentance and is considered

a. physical healing.

b. spiritual healing.

c. inner healing.

d. deliverance.

53. The six-week postpartum check that women have after having a baby closely matches the crucial ________ day practice of ancient times.

a. seventh

b. fortieth

c. third

d. tenth

54. Baptism dates for children have significance within various religions. Water is the common element in baptism as water signifies

a. protecting the child from illness.

b. cleansing the child either from evil or other maladies.

c. the relation of the child to God.

d. dedication of the child to a family group.

55. Wearing white clothes in the Buddhist tradition indicates

a. mourning the death of a relative.

b. recognition of a religious holiday.

c. joy for the birth of an infant.

d. celebration for a marriage.

56. The decline in the use of patent medicine utilization in the United States began with

a. the passage of the Food and Drug Act.

b. increased popularity of over-the-counter medicines.

c. the rise in alternative health care practitioners.

d. Medicare reimbursement for prescription medications.

57. An important health protection practice among Black American Baptists is

a. drinking blackstrap molasses.

b. eating fresh lemons.

c. wearing camphor around the neck in the winter.

d. taking a daily shot of whiskey.

58. Chicken soup is considered a universal HEALTH restoration intervention in which tradition?

a. French

b. Pacific Islander

c. Eastern European Jewish

d. Italian

59. As a HEALTH maintenance practice, the use of cod liver oil is advocated by those of the

a. German Catholic tradition.

b. Italian Catholic tradition.

c. Iranian (U.S.) Islamic tradition.

d. English Episcopal tradition.

60. A HEALTH protection practice among Irish-American Catholics is drinking

a. senna tea.

b. yeast.

c. hot peppermint tea.

d. wine daily.

61. Fr. John’s medicine is suggested as a HEALTH protection practice from November to May for

a. English American Episcopalians.

b. Canadian Catholics.

c. Native American Baptists.

d. Italian American Catholics.

62. Among the HEALTH restoration practices for menstrual cramps for Irish American Catholics is

a. applying Vicks on the abdomen.

b. drinking cod liver oil in orange juice.

c. applying warm oil to the stomach.

d. drinking hot milk sprinkled with ginger.

63. Activities for HEALTH maintenance for Swedish-American Protestants include

a. walking distances on a regular basis.

b. dressing appropriately for the weather.

c. going to a physician twice a year whether needed or not.

d. starting each day with prayer.

64. While dressing properly for season and weather is an important HEALTH protection practice for Iranian-American Moslems, it is also important to

a. keep onions under the bed to keep nasal passages clear.

b. eat sorghum molasses.

c. keep feet from getting wet in the rain.

d. prevent evil spirits by not looking at a mirror at night.

65. A constant for any culture is the

a. ability for it to change quickly to adjust to new challenges.

b. requirement that all members of the culture act the same.

c. socialization into its traditions, language and practices.

d. necessity for its members to be homogenous in all their decisions.

66. Socialization into the health care culture includes an assumption that

a. effective treatment can only be done by educated and licensed professionals.

b. the more technological the intervention, the greater bene? t it yields.

c. interventions for health events must follow a prescribed protocol.

d. alternative complementary treatments have validity.

67. Contemporary per capita U.S. health care expenditures are expected to

a. increase as part of the overall gross domestic product.

b. decrease as health care becomes available for all citizens.

c. match those of other Western countries.

d. have the United States achieve the highest health status in the world.

68. Specified government efforts for health insurance have resulted in

a. decreasing the amount that Medicare covers for prescription medications.

b. decreasing the percentage of uninsured children under age 18.

c. increasing coverage for prenatal and well-baby care.

d. increasing the percentage of uninsured children under age 18.

69. Technology and scientific advances in health care have resulted in more conditions being treated than in previous decades. The most expensive costs for care are for which conditions?

a. Cardiac disease

b. Conditions resulting in transplantation

c. Diabetes care

d. Pulmonary disease

70. In the early part of the twentieth century, health care efforts focused on controlling infectious diseases and improving

a. maternal and child health.

b. the requirements of the medical profession.

c. chronic diseases.

d. health care costs.

71. The United State relies heavily on guest worker/migrant labor for its agriculture industry. Health care can be offered for this population but faces a potential barrier of

a. language.

b. access.

c. racism.

d. homelessness.

72. What differentiates CULTURALCARE from modern medical care in philosophy is that

a. sufficient money, technology and science are used to cure or remedy.

b. premature death must be avoided.

c. holistic care is predicated on cultural health traditions and needs.

d. disease and injury are avoided through health promotion and maintenance.

73. HEALTH for American Indians has a basis in the

a. curing of those conditions that affect the spirit.

b. respecting of others’ beliefs in healing traditions.

c. harmony between nature and the ability to survive.

d. optimism that life creates positive forces.

74. Evil spirits are associated with illness by the

a. Sioux.

b. Cherokee.

c. Passamaquoddy.

d. Hopi.

75. In determining the cause for illness, medicine men and women look for the

a. dietary practices of the person being seen.

b. past medical history as a determinant.

c. spiritual cause of the problem of the person seen.

d. physical symptoms displayed.

76. Use of sand paintings as diagnosis in the Navajo tradition helps to

a. provide an atmosphere of calming for the medicine man.

b. determine cause and treatment of the illness.

c. ensure that appropriate payment is made by the family.

d. create symbolic representations of the client and family.

77. A sequela related to alcohol abuse in American Indians is the rise in

a. malnourishment among children.

b. breast cancer rates.

c. domestic violence against women.

d. unintentional injuries.

78. The provision of health services through the Indian Health Service means

a. having one master health guideline blueprint for consistency of care.

b. partnering and assisting tribes in planning the best delivery of care.

c. allotting health resources based on population numbers.

d. following prescribed federal guidelines and procedures.

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