H&h practice questions ch 3 PDF

Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ Chapter 03: Community Healt...

Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ Chapter 03: Community Health Nursing in Canada: Settings, Functions, and Roles MacDonald/Jakubec: Stanhope and Lancaster's Community Health Nursing in Canada, 4th Edition MULTIPLE CHOICE 1. Which statement best describes the concept of public health? a. A population health approach designed to prevent disease, promote health, and protect populations b. Health care provision offered in primary and secondary institutions or in clients’ homes c. Provision of health care services in institutions located in the community but outside the hospital d. Use of the nursing process and evidence-informed practice to meet the objectives for community health improvement ANS: A In Canada, public health takes a population health approach to protecting and promoting health and preventing disease for all Canadians. Public health nurses (PHNs) work with many partners, both within the public health unit or health authority (e.g., nutritionists, epidemiologists, dental hygienists, health inspectors) and external to the health unit (e.g., community coalitions for heart health, cancer screening, diabetes, and obesity prevention; school and hospital administrators; regional planners; social service and child-care workers; lobbyists for health issues such as antismoking legislation and homelessness). PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: The Public Health Nurse OBJ: 3.10 TOP: Health Promotion and Maintenance 2. The increasing complexity of societal needs and rapid changes in public health no longer allow for adequate time for on-the-job training and education. As a result, what is the current minimum level of educational preparation for a public health nurse? a. Training as a registered practical nurse b. Training as a registered nurse c. A baccalaureate degree in nursing d. A master of science degree in nursing ANS: C Educational preparation for public health nurses should be at least a baccalaureate degree. PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Definitions in Public Health Nursing OBJ: 3.1 TOP: Safe and Effective Care Environment 3. What is a core competency required of public health nurses (PHNs)? a. Advanced knowledge in the use of high-technology diagnostics b. Familiarity with current life-support technology c. Highly tuned skills for assessment of critically ill clients d. Skill in developing policy and planning programs to improve health ______________________________________________________________________________________________ 13 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ ANS: D Skill in developing policy and planning programs to improve health is part of the set of core public health competencies, which are divided into the following eight domains: (1) Public Health and Nursing Sciences; (2) Assessment and Analysis; (3) Policy and Program Planning, Implementation, and Evaluation; (4) Partnerships, Collaboration, and Advocacy; (5) Diversity and Inclusiveness; (6) Communication; (7) Leadership and Professional Responsibility; and (8) Accountability. The other competencies listed are better suited to nurses who work in tertiary facilities, such as hospitals. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: The Public Health Nurse OBJ: 3.1 TOP: Safe and Effective Care Environment 4. A health centre administrator is in the process of hiring a new community health nurse (CHN). Which statement by a potential employee would raise the greatest concern for the employer? a. “I like to be the only person working on a project because individual team members have their own ideas and plans, and the resulting debate slows progress.” b. “I prefer to work in teams because no single person has too much responsibility and the burden is shared.” c. “Teamwork is better than work done by individuals because teamwork incorporates different perspectives.” d. “Whether teamwork is better than work done by individuals depends on the nature of the work being performed.” ANS: A Working in collaborative partnerships is an essential routine function of any community health nurse. Partnerships and collaboration among groups are much more powerful in making changes than are the individual client and the CHN working separately. Part of the reason for this is that multiple perspectives are examined in the process of arriving at the best solution. PTS: 1 DIF: Cognitive Level: Analysis/Analyze REF: The Public Health Nurse OBJ: 3.4 TOP: Safe and Effective Care Environment 5. Which one of the following is a primary prevention activity for decreasing the incidence of communicable diseases? a. Identifying and treating clients in a clinic for sexually transmitted infections (STIs) b. Partnering with schoolteachers to teach handwashing to elementary school children and observe their techniques c. Providing case management services that link clients with communicable diseases to health care and community support services d. Providing directly observed therapy (DOT) to clients with active tuberculosis (TB) ANS: B An example of primary prevention is to educate daycare centres, schools, and the general community about the importance of hand hygiene to prevent transmission of communicable diseases. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: Box: Levels of Prevention Related to Health Education OBJ: 3.3 ______________________________________________________________________________________________ 14 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ TOP: Health Promotion and Maintenance 6. What activity is the public health nurse (PHN) participating in when tracing the sexual contacts of clients with sexually transmitted infections (STIs) for potential screening purposes? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Secondary and tertiary prevention ANS: B Secondary prevention activities include contacting and tracing individuals exposed to a client with an active case of TB or an STI. Once contact has been made, the actual screening is another secondary prevention activity. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: Box: Levels of Prevention Related to Public Health Nursing OBJ: 3.3 TOP: Health Promotion and Maintenance 7. Which community health nursing activity demonstrates tertiary prevention related to mental health? a. Disseminating information about mental health to community organizations b. Partnering with public health nurses (PHNs) for early identification of children with mental health challenges c. Providing case management services that link clients with serious mental illnesses to mental health and community support services d. Screening clients at high risk for mental disorders ANS: C An example of tertiary prevention is the provision of case management services that link clients identified with serious mental illnesses to mental health and community support services. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: Box: Levels of Prevention Related to Health Education OBJ: 3.8 TOP: Health Promotion and Maintenance 8. Which of the following represents the main difference between parish nursing and all other fields of nursing? a. Affiliation with a church or congregation b. Incorporation of spiritual aspects into nursing care c. Provision of holistic nursing care d. Residence within the community of service ANS: A Parish nurses are found in faith congregations, including communities that serve diverse cultures. Parish nurses also serve faith communities in other countries. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: The Parish Nurse OBJ: 3.16 TOP: Safe and Effective Care Environment ______________________________________________________________________________________________ 15 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ 9. Which statement by a parish nurse exhibits a misunderstanding of the concept of pastoral care? a. “By working with my clients to help them identify their spiritual strengths, I am drawing on the pastoral care aspects of practice.” b. “I incorporate pastoral care in my practice when I involve the pastor in ministering to the members of the congregation.” c. “I am practising pastoral care when I emphasize the spiritual dimension of nursing while providing care.” d. “Lending support to clients during their times of joy as well as times of sorrow is part of providing pastoral care.” ANS: B Pastoral care by a parish nurse implies providing care by stressing the spiritual dimension of nursing, lending support during times of joy and sorrow, guiding the person through health and illness throughout life, and helping identify the spiritual strengths that assist in coping with particular events. The parish nurse is able to provide pastoral care; she or he does not have to involve the pastor. PTS: 1 DIF: Cognitive Level: Analysis/Analyze REF: The Parish Nurse OBJ: 3.16 TOP: Safe and Effective Care Environment 10. What is the central difference between home health care and other types of health care? a. Home health care is individualized care for the client and family. b. Home health care is provided in the client’s environment. c. Reimbursement for home health care is different from that of care provided in institutions. d. Home health care focuses on community health. ANS: B Home health care differs from other types of health care in that home health care providers practice in the client’s environment. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: The Home Health Nurse OBJ: 3.9 TOP: Safe and Effective Care Environment 11. A community health nurse (CHN) is part of a palliative consultation team that provides care for people living on the streets, in parks, or in shelters or who are unwilling or unable to come to the clinic, hospital, or hospice to receive end of life care. How can this type of nursing service be best classified? a. Community-oriented nursing b. Home health nursing c. Outpost nursing d. Private duty nursing ANS: B Home health nursing is provided in the client’s environment, wherever that may be. “Home” may be a house, apartment, trailer, boarding and care home, shelter, car, makeshift shelter under a bridge, or cardboard box. PTS: 1 DIF: Cognitive Level: Comprehension/Understand ______________________________________________________________________________________________ 16 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ REF: The Home Health Nurse OBJ: 3.9 TOP: Safe and Effective Care Environment 12. Which of the following is the best way for a home health nurse (HHN) to help a client who has right-sided paresis secondary to a stroke? a. Arranging for private duty nurses to assist the client with daily needs b. Assisting the client with activities of daily living (ADLs) c. Teaching self-care to the client d. Teaching the family to assist the client with ADLs ANS: C Because home health care is often intermittent, a primary objective for the HHN is to facilitate self-care. This allows clients to have some control over their lives and activities and can help prevent hopelessness and a loss of self-esteem. Although assistance may be provided occasionally, this comes after helping clients help themselves. PTS: 1 DIF: Cognitive Level: Analysis/Analyze REF: The Home Health Nurse OBJ: 3.9 TOP: Physiological Integrity 13. A home health nurse (HHN) in training states, “I don’t understand why we have to collaborate with so many other disciplines. Doesn’t this conflict with the concept of holistic nursing practice?” What would be the best response by an experienced colleague? a. “The nurse still functions holistically; however, interdisciplinary collaboration is necessary to prevent fragmentation of care.” b. “Holistic nursing is a concept applied to care in tertiary facilities such as hospitals, where materials are centrally located in one facility. In home health, this is not possible.” c. “Even though home health nursing is not as holistic as other areas of community health nursing, each discipline contributes to client needs from its special knowledge base.” d. “Yes, it does create conflict, but we as nurses are mandated to practise interdisciplinary collaboration.” ANS: A Home health nursing involves interdisciplinary care. Coordination of care provided by an interdisciplinary team is an essential indirect function of the HHN. Team conferences are an ideal time for enhancing collaboration and continuity of services for optimal client care and use of resources and services. Without effective collaboration, there would be no continuity of care and the client’s home care program would be fragmented. This does not conflict with the concept of holism, however. Holism does not require that the HHN provide all services (i.e., direct client care). Many services, such as coordination of care, provide indirect care and contribute to holistic nursing care provision. PTS: 1 DIF: Cognitive Level: Analysis/Analyze REF: The Home Health Nurse OBJ: 3.9 TOP: Safe and Effective Care Environment 14. A family member asks an home health nurse (HHN) to explain the concept of hospice care. Which action would the HHN need to include as the fundamental underlying philosophy of hospice? a. Making it possible for the client to die at home ______________________________________________________________________________________________ 17 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ b. Ensuring that the client’s living will is honoured c. Placing experts in the position of power of attorney d. Providing respite and comfort measures before death ANS: D Hospice care refers to the delivery of palliative care to the very ill and dying, offering both respite and comfort. If the client and family agree, hospice care can be comfortably delivered at home with family involvement under the direction and supervision of health care providers, especially a home health nurse. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: Hospice Palliative Care OBJ: 3.9 TOP: Safe and Effective Care Environment 15. In an effort to prevent drug abuse among junior high–school students, a public health nurse (PHN) has enlisted the assistance of high-school role models in the areas of both sports and scholarship for an antidrug presentation. What is the level of prevention represented by this activity? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Both primary and secondary prevention ANS: A PHNs partner with the community to develop programs in response to identified needs. Primary prevention interventions by the PHN include educating children and adolescents about the effects of illegal drugs (e.g., marijuana, cocaine, and heroin) and alcohol abuse. By educating students, the PHN helps them stay away from these harmful substances. It is not both primary and secondary because secondary prevention involves screening, which would not take place in this instance. PTS: 1 DIF: Cognitive Level: Application/Apply REF: Box: Levels of Prevention Related to Public Health Nursing OBJ: 3.10 TOP: Health Promotion and Maintenance 16. The community health nurse (CHN) has arranged for students in all classes at the local school to receive visual acuity testing to determine if they need glasses. What is the level of prevention represented by this activity? a. Primary b. Secondary c. Tertiary d. Both primary and secondary ANS: B CHNs implement screening programs for genetic disorders or metabolic deficiencies in newborns; breast, cervical, and testicular cancers; diabetes; hypertension; and sensory impairments in children. They also ensure follow-up services for clients with positive test results. Secondary prevention involves screening children for illnesses or conditions. In this instance, visual acuity testing is being used to screen for visual problems requiring corrective lenses. PTS: 1 DIF: Cognitive Level: Application/Apply ______________________________________________________________________________________________ 18 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ REF: Box: Levels of Prevention Related to Health Education OBJ: 3.10 TOP: Health Promotion and Maintenance 17. A community health nurse (CHN) is demonstrating the use of a peak flow meter to help children with chronic asthma recognize when they need to use a rescue inhaler. What is the level of prevention represented by this activity? a. Primary b. Secondary c. Tertiary d. Both primary and secondary ANS: C CHNs provide direct care and counselling as well as health education, and a variety of other practices for people with chronic conditions living in the community. Tertiary prevention includes caring for children with long-term health concerns, such as asthma, and disabling conditions. At first glance, this appears to have elements of primary and secondary prevention, but this is not the case because primary prevention aims at ensuring that a condition does not develop (whereas these children already have the disease). Furthermore, although the children are being taught techniques for recognizing respiratory danger, it is in the context of disease management (i.e., when to use an inhaler). PTS: 1 DIF: Cognitive Level: Analysis/Analyze REF: Box: Levels of Prevention Related to Health Education OBJ: 3.3 TOP: Health Promotion and Maintenance 18. What practice is being implemented by the occupational health nurse (OHN) who removes a foreign body from a client’s eye? a. Primary care b. Primary prevention c. Secondary prevention d. Tertiary prevention ANS: A The nurse is implementing primary care of the client. This action does not meet the criteria for injury prevention because the injury has already occurred and the OHN is providing treatment for the injury. Prevention strategies will need to follow treatment to prevent recurrence and to prevent development of secondary problems related to the foreign body. PTS: 1 DIF: Cognitive Level: Application/Apply REF: Functions and Roles of Occupational Health Nurses OBJ: 3.1 | 3.11 TOP: Health Promotion and Maintenance 19. What practice is being implemented by the occupational health nurse (OHN) who periodically conducts spirometry testing of employees working with hazardous gases? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Tertiary care ANS: B ______________________________________________________________________________________________ 19 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ Secondary prevention involves health surveillance and periodic screening to identify an illness at the earliest possible stage and elimination or modification of the hazard-producing situation. PTS: 1 DIF: Cognitive Level: Application/Apply REF: Box: Levels of Prevention Related to Occupational Health Nursing OBJ: 3.11 TOP: Health Promotion and Maintenance 20. An employee in a laboratory drops a flask, resulting in the chemical splashing into her eyes. What is the agent in this scenario? a. Chemical b. Employee c. Flask d. Laboratory ANS: A The agents, or factors associated with illness and injury, comprise occupational exposures that are classified as biological and infectious, chemical, ergonomic, physical, or psychosocial hazards. PTS: 1 DIF: Cognitive Level: Application/Apply REF: Practice Settings for Occupational Health Nurses OBJ: 3.11 TOP: Health Promotion and Maintenance 21. A hospital nurse working in employee health notes that several nurses from one unit are missing from work after having contracted a communicable disease from a client. In this scenario, what is considered to be the host? a. Each sick nurse b. The communicable disease c. The hospital d. The client ANS: A The host is described as any susceptible human being; each sick nurse represents a host within the worker population group. PTS: 1 DIF: Cognitive Level: Application/Apply REF: Practice Settings for Occupational Health Nurses OBJ: 3.11 TOP: Health Promotion and Maintenance 22. What hazard tends to particularly affect employees who work in two-week shifts? a. Biological hazards b. Environmental hazards c. Physical hazards d. Psychosocial hazards ANS: D Psychosocial hazards are factors and situations encountered or associated with one’s job or work environment that create or potentiate stress, emotional strain, or interpersonal problems. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: Practice Settings for Occupational Health Nurses OBJ: 3.11 ______________________________________________________________________________________________ 20 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ TOP: Psychosocial Integrity 23. What is the primary role of the forensic nurse in Canada? a. Health promoter b. Disaster planner c. Sexual assault nurse examiner (SANE) d. Outreach worker ANS: C In Canada, forensic nurses primarily work as sexual assault nurse examiners (SANEs). PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Practice Settings for Forensic Nurses OBJ: 3.15 TOP: Safe and Effective Care Environment - Management of Care 24. From which health care professional is a rural resident with asthma more likely to receive health care services? a. Allergist b. Nurse practitioner c. Pediatrician d. Pulmonologist ANS: B In rural communities, often a health care professional may live and practice in a community for decades, also providing care to people who live in several other communities. A limited number of CHNs, such as PHNs or nurse practitioners, may offer a full range of services for all residents in a specified area, which may span more than 150 km. Consequently, rural physicians and CHNs provide care to individuals and families with all kinds of conditions, in all stages of life, and across several generations. In urban communities, residents are more likely to seek care from a medical specialist. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: The Nurse Practitioner OBJ: 3.12 | 3.13 TOP: Safe and Effective Care Environment 25. In addition to the common barriers faced by most rural residents, what is an additional barrier to health care that a Mexican migrant farm worker is more likely to encounter? a. Absence of culturally appropriate care b. Availability of specialists c. Distance of health care facilities from the place of residence d. Lack of anonymity ANS: A Barriers to health care affecting all rural clients may be the availability, affordability, or accessibility of services and professionals. Two pertinent identified barriers to health care in rural areas are language barriers and lack of culturally appropriate care and services. PTS: 1 DIF: Cognitive Level: Comprehension/Understand REF: Outreach OBJ: 3.12 TOP: Psychosocial Integrity ______________________________________________________________________________________________ 21 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ 26. For the community health nurse (CHN) who plans to move from an urban centre to a rural region of the country, which one of the following statements should be included in the advice on preparing for role alterations? a. “Community members will probably hold you in higher regard and will look up to you.” b. “Expect to have less autonomy than you have working as a CHN in the city.” c. “You can expect more resources and supplies because there are fewer clinics.” d. “You will need to focus on developing specialized knowledge and skills.” ANS: A CHNs working in rural areas have a prestigious status in the community and are viewed as role models. They have greater (not less) independence and autonomy as well as fewer (not more) resources, and they need to have more generalist (not specialized) knowledge and skills. PTS: 1 DIF: Cognitive Level: Application/Apply REF: Definitions of Rural and Outpost Nurses OBJ: 3.12 TOP: Psychosocial Integrity 27. Which of the following primarily distinguishes case management from managed care? a. Case management is a tool for health maintenance organizations. b. Case management is targeted toward a specific segment of the population. c. Case management is implemented with individual clients. d. Case management is used to monitor the health status, resources, and outcomes for an aggregate. ANS: C Case management, in contrast to managed care, comprises activities implemented with individual clients in the system. PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Case Management OBJ: 3.8 TOP: Safe and Effective Care Environment 28. Research demonstrates that exercise is important for general wellness and weight control. The community health nurse (CHN) can use this information to implement primary prevention by doing which of the following? a. Developing individualized exercise programs for overweight children b. Drafting policy for increases in noncompetitive physical activity programs c. Monitoring body mass index in children to identify elevations before they become difficult to manage d. Notifying parents or guardians of their child’s height–weight scale in comparison with national norms ANS: B ______________________________________________________________________________________________ 22 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Stanhope and Lancaster’s Community Health Nursing in Canada, 4th Edition (MacDonald, 2022) ______________________________________________________________________________________________ At the primary prevention level, campaigns to support regular exercise, greater emphasis on school-based physical education programs, and environmental and policy initiatives to create or enhance places for physical activity in communities can make significant contributions to improving the lifestyle of sedentary children. Developing individualized exercise programs for overweight children is an example of tertiary prevention. Monitoring body mass index in children to identify elevations before they become difficult to manage is an example of secondary prevention. Notifying parents or guardians of their child’s height–weight scale in comparison with national norms increases family awareness but does not meet the definition of a preventive measure. PTS: 1 DIF: Cognitive Level: Application/Apply REF: Box: Levels of Prevention Related to Health Education OBJ: 3.3 TOP: Health Promotion and Maintenance 29. The ability to access, comprehend, evaluate, and communicate information as a way to promote, maintain and improve health in a variety of settings across the life-course is defined as: a. Health promotion b. Health literacy c. Health advocacy d. Health maintenance ANS: B Health literacy is a component of literacy that the CHN must assess. It is defined by the Public Health Agency of Canada as the ability to access, comprehend, evaluate and communicate information as a way to promote, maintain and improve health in a variety of settings across the life-course. Literacy assessment is a component of community health nursing. Many individuals are limited in their ability to read, write, and communicate clearly; however, being illiterate does not equate to cognitive or intellectual disability. PTS: 1 DIF: Cognitive Level: Knowledge/Remember REF: Literacy and Health Literacy Assessment OBJ: 3.3 TOP: Health Promotion and Maintenance ______________________________________________________________________________________________ 23 | P a g e Downloaded by: epeprah1809 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?