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NU629/ NU 629 EXAM 1: (202 5 / 2026 ) ADVANCED
HEALTH PROMOTION & DISEASE PREVENTION| QS & AS|
GRADE A| 100% CORRECT (VERIFIED ANSWERS)
King's Interacting Systems Model - ANS ✓Conceptual system provides a comprehensive view of three dynamic interacting systems—personal, interpersonal, and social. Her theory of goal attainment has been used as the basis for practice, education, research, and administration. According to this theory, the goal of nursing is to help individuals maintain their health so they can function in their roles. Rogers's Unitary Human Beings Model - ANS ✓Theory to describe humans and the life process in humans. Four critical elements are basic to the proposed system: energy fields, open systems, pattern, and pan dimensionality. Roper, Logan, And Tierney's Activities Of Living Model - ANS ✓This model consists of five components: activities of daily living, life span, dependence- independence continuum, factors influencing activities of daily living, and individuality in living.
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Peplau's Interpersonal Relations Model - ANS ✓Includes four concepts: the view of the person, health, nursing, and environment. This model describes the individual as a system with physiological, psychological, and social component. The individual is viewed an unstable system for which equilibrium is a desirable state but occurs only through death. Neuman's Healthcare Systems Model - ANS ✓The major concepts are the person, health, nursing, and the environment. Uses a systems approach to explain how these elements interact in ways that provide nurses with guidance to intervene with patients, families, or communities. Health is that of a continuum rather than a dichotomy of health versus illness. goals of health promotion - ANS ✓help people of all ages stay healthy, optimize what health is for those with disease, create healthy environments definition of health - ANS ✓The state of complete mental, physical, and social wellbeing and not merely the absence of disease Four reasons the U.S health system lags behind others in life-expectancy and health - ANS ✓ 1 - health systems: limited access to primary care, lapses in quality of care outside of the hospital, high uninsured rate
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2 - optimize health 3 - create healthy environments history of health - ANS ✓from Greeks- health cannot be separated from physical and social environment, illness is an upset of the equilibrium between environmental forces and individual habits health as a concept began in 1000AD - ANS ✓-healthy means in tune with nature
- unhealthy means unbalanced what is the concept of illness in history - ANS ✓Health is the absence of disease History of mental health - ANS ✓19th century, often viewed as evil spirits. In WWII we began to identify mental health as an illness Landmark definition of health - ANS ✓Health is a state of complete physical, mental, and social well-being and not merely the absence of disease. this definition reflects wholeness
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WHO definition of mental health - ANS ✓State of wellbeing in which individuals realize their potential, can manage usual life stresses, work effectively, and participate in their community (p.8) T/F: health and illness are qualitatively different however interrelated - ANS ✓True Health as stability theorist - ANS ✓Florence and Johnson: Health is based on homeostasis, health is the degree to which an individual can adjust to their environment health as actualization theorist - ANS ✓Newman, Orem, Roy, Rogers: health is actualization of human potential health as actualization and stability theorist - ANS ✓King: health is the realization of human potential through goal directed behavior, competent self- care, and satisfying relationships with others while adapting to meet the demands of everyday life and maintain harmony with social and physical environment Six conceptions of health promotion - ANS ✓participation, empowerment, holism, intersectional equity, sustainability, multiple strategies (p.20)
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ecological approach to health - ANS ✓multi-tiered, multidimensional and layered, comprehensive and environment interactions from the 1960's to the present the emphasis of health shifted to... - ANS ✓prevention goals of healthy people 2020 - ANS ✓ 1 - attain high quality longer lives free of preventative disease, injury, and premature death 2 - achieve health equity, eliminate disparities, improve the health of all groups 3 - create social and physical environments that promote good health for all 4 - promote quality of life, health development, and healthy behaviours across all life stages according to healthy people 2020, who is responsible for interventions - ANS ✓individual is responsible for lifestyle and behaviours healthcare providers offer preventative services and behavior monitoring community partnerships promote health Transtheoretical model of health promotion - ANS ✓a model used to explain behavior changes, used successfully for stress management, sun exposure, smoking cessation, alcohol and drug cessation, medication compliance, diet and weight, breast and cervical cancer screening,
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evidence-based practice - ANS ✓nursing care provided that is supported by sound scientific rationale When planning health promotion, needs are prioritized based on what 3 things - ANS ✓Nursing process Maslow’s Hierarchy of needs Growth and developmental level vulnerability - ANS ✓susceptibility "at risk for health problems, either physical, psychological, or social" six groups with greater-than average risk of health problems - ANS ✓young children, elderly, racial minorities, pregnant women, poor, handicapped Concepts and theory match - ADAY - ANS ✓variable influencing health care Concepts and theory match - Sebastian - ANS ✓marginalization Concepts and theory match - Lessick - ANS ✓persons within systems Concepts and theory match - Flaskerud - ANS ✓resource availability
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social work: definitions and history.. - ANS ✓the act of directly representing, defending, supporting, or recommending on behalf of one or more individuals others why are healthcare services provided by an interdisciplinary approach? - ANS ✓limited resources, financial and otherwise, interdisciplinary approaches ensure effective and efficient use of resources cultural competence definition - ANS ✓a way of providing care that takes into account culture differences between the nurse and the patient while meeting the health needs of a patient Three factors which influence resilience - ANS ✓Self-efficacy, hope, coping Article mechanic and tanner - ANS ✓Americans implicitly believe in individual initiative and responsibility and many interventions require individuals taking initiative. population initiatives are meant to benefit populations broadly without increasing disparities... justice orientation vs. caring orientation - ANS ✓justice orientation: ethics defined by universal truth caring orientation: ethics defined in relationship to caring
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distributive justice - ANS ✓equal distribution of goods and services in this country. focus on equality Social justice - ANS ✓concern for the equitable measuring of benefits and burdens in society. focus on equity market justice - ANS ✓people are entitled to only those goods and services that they acquire according to guidelines of entitlement, inequality can exist as long as people earned it a thought from iris young - ANS ✓social justice transformation is preferred over social justice amelioration. amelioration only furthers dependence on the privileged. transformation requires changing structures literacy statistics - ANS ✓1/4-1/3 of American adults are functionally illiterate 1/2 have poor to non-existent literacy skills provider tools to impact literacy - ANS ✓literacy level of pamphlets/readability match message to the clients skills obtain baseline literacy measurements use multiple modes of information develop recommendations to improve literacy
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Roger' unity human being model - ANS ✓critical energy fields, open systems, pattern, pan dimensionality. AKA pattern appraisal, mutual patterning, evaluation Roper, Logan, and Tierney activities of living model - ANS ✓United Kingdom model of nursing, five components: ADL's, life span, dependence-independence continuum, factors influencing ADLs, individuality in living Peplau's interpersonal relations model - ANS ✓individual as a system with physiological, psychological, and social fluidity. four phases, orientation , identification, exploration and revolution. view of person, health, nursing, and environment Neuman's healthcare systems model - ANS ✓systems approach to the nursing model. successfully used in anxiety. Focuses on views of person, health, nursing, and environment. health is viewed as a continuum. self-efficacy - ANS ✓system of self-monitoring where an individual judges his/her capability to carry out a behavior Bandura's theory - ANS ✓social cognitive theory, self efficacy as an important mediator. self efficacy expectations and outcome expectations
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Leininger definition of care - ANS ✓"this assistive, supportive, and enabling experiences or ideas toward others with evident or anticipated needs to ameliorate or improve human conditions or life ways. based on a unique cultural caring perspective cultural imposition - ANS ✓when nurses and other healthcare professionals impose their own beliefs, practices, and values on another culture because they believe their ideas are superior culturally congruent care - ANS ✓beneficial, satisfying, and meaningful to individuals, families, and community health belief model purpose - ANS ✓developed in 1950, describe why some people who are free of illness will take actions to prevent illness, whereas others fail to do so. when will individuals take action (2) - ANS ✓ 1 - there is a perceived threat 2 - the individual believes the benefits of taking action outweighs the barriers that will be encountered
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what is the foundation of a health promotion-prevention plan - ANS ✓a thorough assessment of health and health behavior what are the enhanced national standards for culturally and linguistically appropriate services - ANS ✓provide a practical guide to culturally and linguistically sensitive care what is meaningful use as it applies to electronic health records - ANS ✓meeting objectives that positively impact patient care, ie records to patient within 3 days of request benefits of screening/when to use - ANS ✓screenings uncover health problems when the population has a high prevalence of a disease, treatment is available, and screening is valid and reliable Nuremberg Code - ANS ✓benefits outweigh risk, scientifically necessary, 10 principles related to consent, subjects can withdraw Declaration of Helsinki - ANS ✓1964 code of ethics for medical community Belmont Report - ANS ✓respect, beneficence, justice
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Amendments to food, drug, and cosmetic act - ANS ✓related to thalidomide community based participatory research (CBPR) - ANS ✓guided by Israel framework: 1 - community is unit of study 2 - build on present strengths 3 - continually facilitate collaboration and partnership in each phase 4-integrate knowledge and action that are meaningful 5 - promote elevation of social inequality by co=learning 6 - use an iterative process: circular process not linear 7 - focus on wellness and an ecological perspective of health 8 - partner in research dissemination What is still the largest literacy study to date in the U.S. - ANS ✓The 2003 National Assessment of Adult Literacy (NAAL) remains the largest study on adult literacy carried out in the United States (n = 26,000). This study went far beyond establishing the reading grade level of participants and tested their performance in three areas High-risk mothers and infants-of-concern - ANS ✓high rates of teenage pregnancy and poor prenatal care, leading to birth-weight problems and infant mortality. Affected groups include very young women, African American women,
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disorders seriously interfere with activities of daily living and interpersonal relationships. Alcohol and other substance abusers - ANS ✓The wide array of substances that are abused includes drugs, alcohol, cigarettes, and inhalants (such as glue). Intoxication results in chronic disease, accidents, and, in some cases, criminal activity. Young male adults in their late teens and early twenties are more likely to smoke, drink, and take drugs. Persons exhibiting suicide- or homicide-prone behavior - ANS ✓Rates of suicide and homicide differ by age, sex, and race, with elderly white and young Native American men being most likely to kill themselves and young African American, Native American, and Hispanic men being most likely to be killed by others. Abusive families - ANS ✓Children, the elderly, and spouses (overwhelmingly women) are likely targets of violence within the family. Although older children are more likely to be injured, young female children older than 3 years of age are consistently at risk for sexual abuse. Homeless persons - ANS ✓Hard to identify. Because of ongoing problems in identifying this population, it is reasonably certain that the estimated prevalence
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rates at any given time are low and vary across the country. Generally, more young men are homeless, but all homeless individuals are likely to suffer from chronic diseases and are vulnerable to violence. Immigrants/refugees - ANS ✓Health care for immigrants, refugees, and temporary residents is complicated by the diversity of languages, health practices, food choices, culturally based definitions of health, and previous experiences with American bureaucracies Health Disparity - ANS ✓a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage Vulnerability - ANS ✓general concept meaning of "susceptibility" and has a specific connotation in health care as "at risk for health problems." Patient Advocacy - ANS ✓safeguarding autonomy, acting on the patient's behalf, and championing social justice Health Access - ANS ✓the ability of a person to receive healthcare related services Resilience - ANS ✓the ability to adapt effectively in the face of threats
