NUR 201: exam 2

Question 1

define health and how health influences persons.

Answer 1

Health: state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity
Health is influenced by values, personality and lifestyle (dynamic state of being)

Question 2

describe the models of health and illness.
-Health belief model

Answer 2

addresses the relationship between a person’s belief and behaviors

Question 3

describe the models of health and illness.
-Health Promotion Model

Answer 3

defines health as a positive, dynamic state, not merely the absence of disease (increases patient’s level of well-being)

Question 4

describe the models of health and illness.
-Maslow’s Hierarchy of Needs

Answer 4

nurses use this to understand the interrelationships of basic human needs, these are necessary for human survival and health (example: a patient who has just had a mastectomy may need love and belongingness or pain management or other needs)

Question 5

discuss the health-illness continuum.

Answer 5

The Illness-Wellness Continuum proposes that individuals can move farther to the right, towards greater health and wellbeing, passing through the stages of awareness, education, and growth. Worsening states of health are reflected by signs, symptoms, and disability. In addition, a person’s outlook can affect wellness

Question 6

Differentiate the internal and external variables influencing persons’ health beliefs and practices.
-Internal

Answer 6

Internal Variables
-Genetics
-Sex
-Age
-Developmental Stage

Question 7

Differentiate the internal and external variables influencing persons’ health beliefs and practices.
-External

Answer 7

External Variables
-Cultural
-Economics
-Ethics
-Law
-Politics
-Society
-Technology

Question 8

describe the three levels of health prevention; primary, secondary, and tertiary.

Answer 8

1. Primary: goal is improved health outcomes, promotes wellness and prevents disease
   -Education, exercise, counseling, immunization, nutrition, protection
2. Secondary: detect and prevent the spread of disease, illness or infection
   -Early diagnosis-screenings, early treatment education about primary prevention stages
3. Tertiary: goal is to minimize the effects of a long-term disease or disability and prevent complications
   -Rehabilitation and recovery, education, accommodations

Question 9

list Suchman’s five stages of illness and apply to a client situation.

Answer 9

Symptom Behavior
Acceptance of illness
Medical care contact
Dependent patient role
Recovery & rehabilitation

Question 10

describe the factors and impact of illness on persons including the individual, family and community.

Answer 10

Behavioral and emotional changes:
Impact on body image
Impact on self-concept
Impact on family roles
Impact on family dynamics

Question 11

discuss the nurse’s role in health promotion and illness prevention and treatment.

Answer 11

nurse’s role is to teach primary, secondary, and tertiary health promotion to prevent illness and education patient’s on the treatment they are going to receive