Intro (determinants, nursing, wellness, health promotion, client, health perception/management, and values & beliefs)

Question 1

What are a UNB’s 5 abilities within the program

Answer 1

1. Knowledge and its application
2. Communication
3. Critical thinking/skills of analysis
4. Professional identity and ethics
5. Social justice and effective citizenship

Question 2

What are the 4 metaparadigms?

Answer 2

1. Client and person
2. Environment
3. Health
4. Nursing

Question 3

What is a metaparadigm?

Answer 3

broadest concepts of collective body of knowledge that provide framework

Question 4

How does WHO (1947) define health?

Answer 4

“A state of complete physical, mental, and social well-being, and not merely the absence of disease and infirmary.”

Question 5

How does WHO revised definition of health look (1984)?

Answer 5

“Health is viewed as the extent to which an individual or group is able to on the one hand realize aspirations and satisfy needs, and on the other hand to change and cope with environment. Health is therefore seems as RESOURCE FOR EVERYDAY LIFE, NOT THE OBJECTIVE OF LIVING; it is a POSITIVE CONCEPT that emphasizes SOCIAL AND PERSONAL RESOURCES as well as PHYSICAL CAPACITY.”

Question 6

What is the main change that the WHO does to their definition of health?

Answer 6

They add in the ENVIRONMENTAL aspects that effect health and SELF FULFILMENT

Question 7

What is the difference between disease and illness?

Answer 7

• Disease is objective
• Illness is subjective
  (no single definition of health; some uses terms interchangeably and others differently)

Question 8

What is the difference between wellness and health?

Answer 8

• Health is objective
• Wellness is subjective
  (can be used interchangeably)

Question 9

Health promotion and disease prevention take _________ __ ______ into consideration.

Answer 9

determinants of health

Question 10

What are the 12 determinants of health?

Answer 10

1. Income/social status/food security
2. Social support networks
3. Education/literacy
4. Employment/work conditions
5. Physical environment/ housing
6. Personal health practices and coping skills
7. Healthy childhood development
8. Biology and genetic endowment
9. Health services
10. Gender
11. Culture
12. Social environment

Question 11

Expand on the determinant of health, income and social status.

Answer 11

income has the biggest impact because finances affect other determinants of health (lack of material, more stress, less time)

Question 12

Expand on the determinant of health, social support networks.

Answer 12

social support affects health through practice, emotional, information and affirmational support

Question 13

Expand on the determinant of health, education and literacy.

Answer 13

education affects other determinants (if unable to read labels instruction etc., or hire ability)

Question 14

Expand of the determinants of health, employment and work conditions.

Answer 14

affect social, mental and physical health

Question 15

Expand on the determinant of health, physical environment and housing.

Answer 15

housing, indoor air quality, and community planning are important (environmental factors)

Question 16

Expand on the determinant of health, personal health practice and coping.

Answer 16

effective coping skills help people face challenges without resorting to risky behaviour

Question 17

Expand on the determinant of health, healthy childhood development.

Answer 17

All determinants influence healthy childhood development however it is important because of its life long affect.

Question 18

Expand on the determinant of health, biological and genetic endowment.

Answer 18

heredity is strongly influenced by social and physical environment (prenatal care)

Question 19

Expand on the determinant of health, health services.

Answer 19

Quality and accessibility to primary health care, home care, longterm care, hospital care and public health services are important.

Question 20

Epand on the determinant of health gender.

Answer 20

gender is an array of societal determined roles. personality traits, attitudes, behaviour, values, relative power, and influence that society ascribes to two sexes on a differential basis

Question 21

Expand on the determinant of health, culture.

Answer 21

effects interaction with the health care system

Question 22

Expand on the determinant of health, social environment.

Answer 22

values and norms of a society and their effect on your health choices (policies, peers)

Question 23

What is health promotion?

Answer 23

directed toward increasing the level of wellbeing and self actualization

Question 24

What is disease prevention?

Answer 24

action to avoid illness

Question 25

Health promotion and disease prevention are _________.

Answer 25

interrelated

Question 26

What are health disparities?

Answer 26

differences in health

Question 27

What is Nutbeam's 1998 definition of HEALTH PROMOTION (found in Potter and Perry)?

Answer 27

"Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals, but also action directed toward changing social, environmental and economic conditions so as to alleviate their impact on the public and individual health. Health promotion is the process of enabling people to take control over their determinants of health and thereby improve health. Participation is essential to sustain health promotion action." p. 10

Question 28

What are the 3 levels of disease prevention?

Answer 28

1. Primary level (protects before there are issues) 2. Secondary prevention (early screening & prompt txt) 3. Tertiary prevention (minimize residual disability from disease)

Question 29

What are the 3 approaches to health in Canada?

Answer 29

MEDICAL (medical intervention 'we'll fix it') BEHAVIOURAL (individual habits 'your responsible') SOCIO-ENVIRONMENTAL (outside factors)

Question 30

What are the HEALTH PROMOTION STRATEGIES to promote health in a POPULATION (from ottawa charter)?

Answer 30

1. Build healthy public policy 2. Create supportive environment 3. Strengthen community action 4. Develop personal skills 5. Reorient health services

Question 31

What is at the centre of the nursing process?

Answer 31

The person

Question 32

Nurses are aware of their potential to deliver care ______ the ________.

Answer 32

beyond the individual.

Question 33

What are 4 dimensions of all people?

Answer 33

biological psychological social spiritual

Question 34

What are the 7 nursing roles to health promotion?

Answer 34

1. advocate 2. deliver serves/direct care 3. educate 4. research 5. communicate 6. community building 7. policy formulator

Question 35

What are Gordon's 11 functional health patterns?

Answer 35

1. HEALTH PERCEPTION and MANAGEMENT**** 2. Nutritional-medibolic 3. Activity and exercise 4. Elimination 5. cognitive perceptual 6. Sleep and rest 7. Self perception and self-concept 8. Role-relationship 9. Sexuality-Reproduction 10. Coping & Stress tolerance 11. VALUES and BELIEFS****

Question 36

What do you assess of the clients health perception?

Answer 36

PERCEIVED HEALTH - view of personal health - health practices - level of commitment to maintaining health - understanding of health health practices contribute to health status (assess health status and usual behaviours)

Question 37

For Gordon's functional pattern 'HEALTH PERCEPTION-HEALTH MANAGEMENT' what questions should be considered?

Answer 37

- how does the person describe current or general state of health? - what does the person do to maintain or improve their health - what does the person know about healthy lifestyle choices and overall health? - are their risk factors present for illness or injury? - does the person generally follow advice of the health care provider - can the person report meds taken & purpose? - what does the person know about any health problems in the family? - does the person preform reg screening activity? - have their been any reports of illness, injury, hospitalization in the persons life?

Question 38

What impact do goals beliefs and values have on health?

Answer 38

they guide choices or decisions

Question 39

For Gordon's function health pattern of VALUES AND BELIEFS what does you assess?

Answer 39

- identification od valued people and possessions - source of support and strength - religious practices, spiritual values, belief and goals

Question 40

When assessing beliefs and goals what do you need to be successful?

Answer 40

base health promotion on individual values system

Question 41

What questions might you consider when assessing Gordon's functional pattern of values and beliefs?

Answer 41

- what values did the person learn as a child that are still important to her/him? - does the person identify with any culture, ethnic, religious community or other group? - what support system does the person currently have?