NUR 258 - Exam 1 Questions with
Correct Answers 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
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
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
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
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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
what is illness?
A state in which a person's physical, emotional, intellectual, social, developmental, or
spiritual functioning is diminished or impaired.
what is:
a state of complete physical, mental, and social well-being, not merely the absence of
disease or infirmity
health
what is:
an active process of becoming aware of and making choices toward a healthy and
fulfilling life
more than being free from illness, it is a dynamic process of change and growth
wellness
what is health in a community look like?
where people
live, work, play, learn and worship
what is:
Any combination of health education and related organizational, economic, and
environmental supports for behavior of individuals, groups or communities conductive
to health
health promotion
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what is:
Behaviors in which one engages with the intent to prevent disease, to detect disease in
the early stages or to maximize health within the constraints of disease
health protection
what is modifiable risk?
aspects of a health a person has control over
(Diet, smoking, alcohol intake, etc)
what is a non-modifiable risk?
aspects of health an individual has no control over
(Genetics, age, race)
what is:
proactive process where individuals participate in behaviors that enable them to react to
actual or potential threats to their health
risk reduction
what is:
process through which the public receives information regarding possible or actual
threats to health.
risk communication
what is a nurse's role in health promotion?
The nurse collaborates with other health professionals and the public in promoting
community, national, and international efforts to meet health needs.
looks at trends and uses frameworks/models to develop interventions for:
health promotion
disease prevention
risk reduction
health program planning
what three aspects are in the epidemiological triad?
host, agent and environment
what is a host?
person, family, group or community whose health status is a concern
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