Kacmarek: Egan's Fundamentals of Respiratory Care, 10th Edition

Chapter 49: Patient Education and Health Promotion

Test Bank

MULTIPLE CHOICE

1. All of the following are among the top common causes of death in the United States, except:
a. heart disease
b. cerebrovascular disease
c. chronic obstructive lung disease
d. cystic fibrosis

ANS: D
The top five causes of death in the United States are heart disease, cancer, cerebrovascular
disease, chronic obstructive lung disease (bronchitis and emphysema), and accidents.

DIF: Recall REF: p. 1269 OBJ: 1

2. All of the following are acceptable phrases for writing an educational objective except:
a. “At the end of the lesson, the patient will be able to list…”
b. “At the end of the lesson, the patient will be able to understand…”
c. “At the end of the lesson, the patient will be able to describe…”
d. “At the end of the lesson, the patient will be able to demonstrate…”

ANS: B
Format for writing an objective:
1. Begin with the phrase “At the end of the lesson, the patient will be able to:”
2. Write the action verb (e.g., list, describe, demonstrate, etc.).
3. Write a condition if needed (e.g., with or without the use of notes).
4. Write a standard if needed (e.g., how fast, how accurate, etc.).

DIF: Recall REF: p. 1270 OBJ: 1

3. All of the following are learning domains except:

a. cognitive
b. affective
c. psychomotor
d. analytical

ANS: D
Learning occurs in three domains: cognitive, psychomotor, and affective.

DIF: Recall REF: p. 1270 OBJ: 1

Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
 Test bank 49-2

4. Teaching physical skills to patients is learning in what domain?

a. cognitive
b. affective
c. psychomotor
d. analytical

ANS: C
The cognitive domain is very important because it will address the knowledge patients need
regarding their illness and how to treat it.

DIF: Recall REF: p. 1270 OBJ: 1

5. Teaching facts to patients involves learning in what domain?

a. cognitive
b. affective
c. psychomotor
d. analytical

ANS: A
The psychomotor domain addresses the skills the patient will need to acquire to perform
specific treatment modalities (e.g., metered-dose inhalers).

DIF: Recall REF: p. 1270 OBJ: 1

6. What type of information is associated with teaching in the affective domain?

a. motivation and attitude
b. tasks and skills
c. knowledge and facts
d. organization and definitions

ANS: A
The patient’s attitude and motivation influences his or her ability to learn. Demonstrate
genuine concern for yourself by using your oxygen therapy correctly.

DIF: Recall REF: p. 1271 OBJ: 1

7. The objective that states “Verbalize willingness to use oxygen properly and safely” falls in
which domain?
a. cognitive
b. affective
c. psychomotor
d. analytical

ANS: B
Objectives in the affective domain, using the oxygen therapy example mentioned earlier,
might include the following: Demonstrate genuine concern for yourself by using your oxygen
therapy correctly.

Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
 Test bank 49-3

DIF: Recall REF: p. 1271 OBJ: 1

8. What concept will be MOST emphasized in teaching new skills to patients?

a. handouts and illustrations
b. repetition
c. proper evaluation
d. use of a pretest

ANS: B
Repeat, repeat, repeat!

DIF: Recall REF: p. 1271 OBJ: 1

9. Which of the following may be necessary with children before learning can take place?
a. television shows
b. patience
c. games
d. reward system

ANS: D
Children may need a more obvious reward system in place before learning can take place.

DIF: Recall REF: p. 1272 OBJ: 2

10. Which of the following is used to evaluate cognitive objectives?

a. verbal exam
b. demonstration
c. written exam
d. performance checklist

ANS: C
Cognitive objectives are often evaluated through the use of a written examination.

DIF: Recall REF: p. 1272 OBJ: 3

11. Which of the following is used to evaluate the affective and psychomotor domains?
a. verbal exam
b. demonstration
c. written exam
d. performance checklist

ANS: D
Objectives in the affective and psychomotor domains are evaluated through the use of
performance checklists.

DIF: Recall REF: p. 1272 OBJ: 3

Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
 Test bank 49-4

12. Which of the following is the primary goal of health education?

a. Cure the disease.
b. Prevent the disease.
c. Change the behavior.
d. Provide knowledge about the disease.

ANS: C
The primary goal of health education is behavior change.

DIF: Recall REF: p. 1273 OBJ: 4

13. Which of the following is the primary goal of health promotion?

a. Cure the disease.
b. Prevent the disease.
c. Change the lifestyle.
d. Provide knowledge about the disease.

ANS: C
Health promotion helps people change their lifestyle in a variety of settings, from the home or
school to the workplace or health care agency or institution.

DIF: Recall REF: p. 1273 OBJ: 5

14. All of the following factors are linked to one of the major causes of death in the United States
except:
a. use of tobacco
b. high-fat diet
c. excessive alcohol use
d. high-sodium diet

ANS: D
Primary causes include tobacco use, poor diet, physical inactivity, and excessive alcohol use.

DIF: Recall REF: p. 1276 OBJ: 5

15. Which of the following is the goal of tertiary prevention?

a. to prevent acceleration of the disease process once it has occurred
b. to cure the disease
c. to prevent related diseases
d. to stop recurrent episodes

ANS: A
The goal of tertiary prevention is to prevent acceleration of the disease process once it has
occurred, with pulmonary rehabilitation being a good example.

DIF: Recall REF: p. 1281 OBJ: 5

Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
 Test bank 49-5

16. Which of the following examples of health care represents tertiary prevention?
a. pulmonary rehabilitation
b. mammogram
c. immunization
d. bronchial provocation testing

ANS: A
The goal of tertiary prevention is to prevent acceleration of the disease process once it has
occurred, with pulmonary rehabilitation being a good example.

DIF: Recall REF: p. 1281 OBJ: 5

17. Which of the following are broad goals of Healthy People 2010?
1. to reduce mortality by chronic obstructive pulmonary disease
2. to eradicate communicable diseases
3. to eliminate health disparities
4. to increase quality and years of healthy life
a. 1 and 2
b. 1, 2, and 3
c. 1, 2, 3, and 4
d. 3 and 4

ANS: D
The two broad goals of this plan are (1) to increase quality and years of healthy life and (2) to
eliminate health disparities.

DIF: Recall REF: p. 1276 OBJ: 6

18. What percentage of smokers has been reported to want to stop the smoking habit?
a. 10%
b. 25%
c. 50%
d. 70%

ANS: D
Seventy percent of smokers report that they would like to quit but cannot.

DIF: Recall REF: p. 1277 OBJ: 6

19. All of the following are involved in work site wellness activities performed by respiratory
therapists except:
a. performing pulmonary function and/or blood pressure screenings
b. developing and implementing stress management or nicotine intervention
programs
c. consulting on policies related to smoking and occupational or environmental
exposure to foreign dusts such as silica or asbestos or noxious fumes such as smog

Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
 Test bank 49-6

d. prescribing nicotine patches

ANS: D
Respiratory therapists may find themselves involved in work site wellness by participating in
the following: (1) performing pulmonary function and/or blood pressure screenings; (2)
developing and implementing stress management or nicotine intervention programs; and (3)
consulting on policies related to smoking and occupational or environmental exposure to
foreign dusts such as silica or asbestos or noxious fumes such as smog.

DIF: Recall REF: p. 1281 OBJ: 6

20. Which of the following are verbs the respiratory therapist can use within the cognitive domain
to educate patients?
1. cite
2. Define
3. identify
4. recognize
a. 1 and 2 only
b. 2 and 3 only
c. 1, 2, and 3 only
d. 1, 2, 3, and 4

ANS: D
See Table 49-1.

DIF: Recall REF: p. 1271 OBJ: 6

21. When instructing children on asthma management, which factors should be considered in
teaching children versus adults on such a topic?
1. motivated by external factors
2. directed by others
3. limited experience
4. learn slowly
a. 1 only
b. 2 and 3 only
c. 1, 2, and 3 only
d. 1, 2, 3, 4

ANS: C
See Box 49-1.

DIF: Application REF: p. 1271 OBJ: 2

Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.