NUR 258
NUR 258 Exam 1 Questions and
Answers Graded A+ 2026
Describes the impact of different types of public health interventions and provides a
framework to improve health. Focus on lower levels of the pyramid tends to be more
effective because it reaches broader segments of society and requires less individual
effort.
Health Impact Pyramid
Describes the scope of public health nursing practice by type of intervention and level of
practice (systems, community, individual/family), rather than by the more traditional
"site" of service.
Public Health Nursing Intervention Wheel
Suggests that people's beliefs about health problems, perceived benefits of action and
barriers to action, and self-efficacy explain engagement (or lack of engagement) in
health-promoting behavior. A stimulus, or cue to action, must also be present in order to
trigger the health-promoting behavior.
Health Belief Model (HBM)
An interrelationship of multiple factors that contribute to the occurrence of a disease.
Web of Causation
Involves progress through five stages of change. Assesses an individual's readiness to act
on a new healthier behavior, and provides strategies, or processes of change to guide
the individual process through a series of stages.
Transtheoretical Model (TTM)
Defines health as a positive dynamic state rather than simply the absence of disease.
Describes the multidimensional nature of persons as they interact within their
environment to pursue health.
Health Promotion Model
Consists of an external agent, a susceptible host, and an environment that brings the
host and agent together.
Epidemiological Triad
NUR 258
, NUR 258
Essential to the maintenance of population-based services, describes the public health
activities that all communities should undertake.
Core Functions and Essential Services
Incorporates the four major concepts of nursing often referred to as the nursing
metaparadigms (Person, Environment, Health, and Nursing). These provide the
framework for the community assessment.
Community as Partner Model
Systems model with multiple bands of influence - developed to further the
understanding of the dynamic interrelations among various personal and environmental
factors.
Social Ecological Model
primary prevention
1. both promotes health and protects against threats to health
2. keeps problems from occurring in the first place
3. promotes resiliency and protective factors or reduces susceptibility and exposure to
risk factors
secondary prevention
1. detects and treats problems in their early stages
2. keeps problems from causing serious or long-term effects or from affecting others
3. identifies risks or hazards and modifies, removes, or treats them before a problem
becomes more serious
tertiary prevention
1. limits further negative effects from a problem
2. keeps existing problems from getting worse
3. alleviates the effects of disease and injury and restores individuals to their optimal
level of functioning
determinants of health: social/societal characteristics including total ecology
1. income or sex
2. where a person lives, including especially air, water, and sanitation quality
3. level of education achieved
4. quality of the surrounding built environment
5. quality of schools
6. ability to work
NUR 258
NUR 258 Exam 1 Questions and
Answers Graded A+ 2026
Describes the impact of different types of public health interventions and provides a
framework to improve health. Focus on lower levels of the pyramid tends to be more
effective because it reaches broader segments of society and requires less individual
effort.
Health Impact Pyramid
Describes the scope of public health nursing practice by type of intervention and level of
practice (systems, community, individual/family), rather than by the more traditional
"site" of service.
Public Health Nursing Intervention Wheel
Suggests that people's beliefs about health problems, perceived benefits of action and
barriers to action, and self-efficacy explain engagement (or lack of engagement) in
health-promoting behavior. A stimulus, or cue to action, must also be present in order to
trigger the health-promoting behavior.
Health Belief Model (HBM)
An interrelationship of multiple factors that contribute to the occurrence of a disease.
Web of Causation
Involves progress through five stages of change. Assesses an individual's readiness to act
on a new healthier behavior, and provides strategies, or processes of change to guide
the individual process through a series of stages.
Transtheoretical Model (TTM)
Defines health as a positive dynamic state rather than simply the absence of disease.
Describes the multidimensional nature of persons as they interact within their
environment to pursue health.
Health Promotion Model
Consists of an external agent, a susceptible host, and an environment that brings the
host and agent together.
Epidemiological Triad
NUR 258
, NUR 258
Essential to the maintenance of population-based services, describes the public health
activities that all communities should undertake.
Core Functions and Essential Services
Incorporates the four major concepts of nursing often referred to as the nursing
metaparadigms (Person, Environment, Health, and Nursing). These provide the
framework for the community assessment.
Community as Partner Model
Systems model with multiple bands of influence - developed to further the
understanding of the dynamic interrelations among various personal and environmental
factors.
Social Ecological Model
primary prevention
1. both promotes health and protects against threats to health
2. keeps problems from occurring in the first place
3. promotes resiliency and protective factors or reduces susceptibility and exposure to
risk factors
secondary prevention
1. detects and treats problems in their early stages
2. keeps problems from causing serious or long-term effects or from affecting others
3. identifies risks or hazards and modifies, removes, or treats them before a problem
becomes more serious
tertiary prevention
1. limits further negative effects from a problem
2. keeps existing problems from getting worse
3. alleviates the effects of disease and injury and restores individuals to their optimal
level of functioning
determinants of health: social/societal characteristics including total ecology
1. income or sex
2. where a person lives, including especially air, water, and sanitation quality
3. level of education achieved
4. quality of the surrounding built environment
5. quality of schools
6. ability to work
NUR 258
