Lecture 4

Question 1

Health

Answer 1

state of complete physical, mental and social well being, not merely the absence of disease or infirmity.

Question 2

Healthy People 2020

Answer 2

came from the US department of health and US services

Question 3

How do I define health?

Answer 3

exercise, food pyramid, myplate.gov, drink water, meditation, eat healthy, healthy relationships

Question 4

Social Determinants of Health

Answer 4

conditions in the places where people live, learn, work, and play affect a wide range of health risks and outcomes

CDC and Health People 2020 are trying to bridge the gap to promote a healthier lifestyle

Question 5

Health Behaviors

Answer 5

a persons ideas, convictions, and attitudes about health and illness

may be based on facts or misinformation, commons sense, or myths

can positively or negatively affect a client’s level or health

Question 6

Internal Variables

Answer 6

developmental stage
intellectual background
perception of functioning
emotional factors
spiritual factors

Question 7

External Variables

Answer 7

Family
psychosocial and socioeconomic factors
Culture

Question 8

Health Belief Model

Answer 8

how you believe something will affects your behavior

Question 9

Maslow’s Hierarchy of Need

Answer 9

Self actualization, self-esteem, love and belonging needs, physical safety/psychological safety, physiological(oxygen, fluids, nutrition, shelter, sex)

Question 10

***Holistic Health Model

Answer 10

Physical, Social, Spiritual, and psychological

where they all meet is optimum health

Nurses look at all concepts, must look at all the concepts to make sure an individual is doing okay.

Question 11

Stages of Change

Answer 11

Individuals contemplate changing behaviors and as they do they go through stages of change

Question 12

Health Promotion

Answer 12

Health education, health screening, disease prevention

healthcare is more focused on health promotion

Question 13

**Primary=Prevention

Answer 13

population health

help the whole population prevent disease

Immunizations, healthy diet, exercise

Question 14

**Secondary= Screening

Answer 14

acute care

focuses on those who have a disease or who are at risk to develop a disease

Question 15

**Tertiary= Treatment

Answer 15

Chronic disease or disability

occurs when a disease or disability is irreversible

focuses on rehabilitation

Question 16

Nurses role in health promotion

Answer 16

teach clients, educate them, advocate in the community

Question 17

Risk factors

Answer 17

Variables that increase the vulnerability of an individual or group to an illness or accident

age- elderly and falls 
genetic and physiological factors:
environment
lifestyle
exercise habits
smoking
sitting long periods of time eating habits
sun exposure without suncreen

Question 18

childhood obesity

Answer 18

serious health problem

not moving and not watching what we eat

Question 19

HDL

Answer 19

good cholesterol, unrestricted blood flow, to liver for removal from the body

Question 20

LDL

Answer 20

bad cholesterol, restricted blood flow, fatty plaque build up

Question 21

Causes high triglycerides

Answer 21

genetics, poor diet, your lipid profile, poor glucose control, not enough exercise

Question 22

**Illness

Answer 22

is the way that individuals and families react to disease, wheres disease is a malfunctioning of biological and psychological processes

A state in which a person’s physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished or impaired

not the same as disease; nurse needs to be concerned about the effects of the illness on functioning and well-being in all ways

Question 23

illness behaviors

Answer 23

how people monitor their bodies, define and interpret their symbols, take remedial actions, and use the health care systems

Question 24

impact of illness

Answer 24

behavior and emotional changes, body image, self concept, family roles, family dynamics

Question 25

nurses role in health and illness

Answer 25

take care of yourself, educate, encourage, support and advocate, provide care and support during illnesses and promote health every chance you get

Question 26

Stress

Answer 26

organisms response to a stressor such as an environmental condition or stimulus body's method of reacting to a challenge(good or bad, real or even imagined) mental or physical

Question 27

Good stress | Eustress

Answer 27

small doses, can help meet daily challenges, motivates you to reach your goals

Question 28

bad stress | Distress

Answer 28

too much can be detrimental, stress around for weeks or months can damage the body, less able to accomplish task causes anxiety

Question 29

two main chemicals are secreted into the bloodstream during stressful events

Answer 29

adrenaline and cortisol

Question 30

**Adrenaline

Answer 30

dilated pupils, increased heart rate, peripheral vessels constrict, increased blood pressure, sweat, decreased bowel movements prolonged secretion can affect negatively stroke, heart failure, kidney disease, heart attack, thickening of arteries, irritable bowel syndrome, insomnia

Question 31

Cortisol

Answer 31

weight gain, excessive hunger, thinning, acne, fatigue, depression obesity, diabetes, intensified chronic pain, more pain increase in glucose levels

Question 32

Chronic stress

Answer 32

Occurs in stable conditions and results from stressful roles

Question 33

Acute

Answer 33

time limited events that threaten a person for a relatively brief period provoke acute stress

Question 34

Posttraumatic stress disorder

Answer 34

begins when a person experiences, witnesses or is confronted with a traumatic event ; may include flashbacks

Question 35

what factors determine how one copes

Answer 35

situational factors, maturational factors, sociocultural

Question 36

situational factors

Answer 36

arise from job changes, illness, caregiver stress

Question 37

maturational factors

Answer 37

vary with life stages

Question 38

sociocultural factors

Answer 38

environmental, social, and cultural stressors perceived by children, adolescents, and adults

Question 39

assessment for stress

Answer 39

``` establish a trusting relationship open ended questions assess note subjective findings note objective findings ```

Question 40

implement

Answer 40

health promotion

Question 41

teaching strategies

Answer 41

maintain a calm manner decrease stimuli in environment encourage the client to talk about thoughts and feelings plan to follow up

Question 42

ineffective coping

Answer 42

three parts inability to form a valid appraisal of internal and external AND/OR inadequate choice of practiced responses AND/OR Inability to access or use available resources

Question 43

Crisis

Answer 43

stress overwhelms a persons usual coping mechanisms and demands mobilization of all available resources

Question 44

crisis intervention

Answer 44

protect the client- can be suicidal and homicidal reduce anxiety the goal is to create stability for the person

Question 45

Evaluate

Answer 45

evaluate success through patients perspective takes time adjust interventions if not successful