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Determinants of Health - ANSWERS-· Social/societal characteristics, including the
total ecology: income or sex. where a person lives, including especially air, water,
and sanitation quality. Level of education achieved, quality of the surrounding
built environment, quality of schools, and ability to work.
· Medical care: quality health care, insurance coverage
· Health behaviors: smoking, eating habits, physical activity, substance abuse.
· Genes and biology: sex, age, genetic makeup
· Role of Nurse in Health Promotion
o Minimize risk and improve quality of care in populations:
§ Health promotion
§ Disease prevention
§ Risk reduction
§ Health program planning
Poverty is the primary cause of - ANSWERS-vulnerability (leads to health disparity)
Core functions of public health - ANSWERS-1. Assessment
2. Policy Development
3. Assurance
(10 essential services)
, community as a partner - ANSWERS-Consists of a core dimension surrounded by 8
subsystems
Core is the people, demographics, values, beliefs and history
The 8 subsystems are:
physical environment
education
safety and transportation
politics and government
health and social services
communication
economic
recreation
History of Public Health Nursing - ANSWERS-Florence Nightingale recognized as
founder of modern nursing, but Lillian Wald is considered the founder of Public
Health Nursing - Page 423 in text
· Her work addressed health disparities among expectant mothers and children.
The interventions she planned and implemented focused on the health priorities
of the population
· She addressed health reform for sanitation and public health and developed
prevention programs for mothers, infants, and children.
· Public health nursing criteria:
o Combines nursing, public health & social sciences
o Focus on entire populations possessing similar health concerns or
characteristics
o Guided by an assessment of community needs