Chamberlain College of Nursing
NR222 – Health & Wellness
Blueprint Exam 1
Chapters 1, 3*, 6, 7, & 10 (*See course schedule for specific pages in Chap. 3)
1. Chapter 1 Health Defined
Definitions of
i. Health - Total functioning of a person’s living experience; complete physical, mental, and
social well being, not just the absence of disease and infirmity within a developmental
context.
ii. Illness - is composed of the subjective experience of the individual and the physical
manifestation of disease. Both are social constructs in which people are in an imbalanced,
unsustainable relationship with their environment and are failing in their ability to survive
and create a higher quality of life.
iii. High level Wellness - conceptualized as a sense of well-being, life satisfaction, and quality of
life.
iv. Wellness - is a positive state in which incremental increases in health can be made beyond
the midpoint
m
Models of health –
er as
i. Clinical - In the clinical model, health is defined by the absence and illness by the
co
conspicuous presence of signs and symptoms of disease. People who use this model may not
eH w
seek preventive health services or they may wait until they are very ill to seek care.
o.
ii. Role Performance - defines health in terms of individuals’ ability to perform social roles.
rs e
Role performance includes work, family, and social roles, with performance based on
ou urc
societal expectations. Illness would be the failure to perform roles at the level of others in
society. This model is the basis for occupational health evaluations, school physical
examinations, and physician-excused absences.
o
iii. Adaptive - people’s ability to adjust positively to social, mental, and physiological change is
the measure of their health. Illness occurs when the person fails to adapt or becomes
aC s
vi y re
maladaptive to these changes.
iv. Eudaemonistic Model - exuberant well-being indicates optimal health. This model
emphasizes the interactions between physical, social, psychological, and spiritual aspects of
life and the environment that contribute to goal attainment and create meaning. Illness is
ed d
reflected by a denervation or languishing, a lack of involvement with life.
ar stu
Levels of prevention – 5 steps
i. Primary - health promotion (education) and specific protection (immunization), genetic
screening, nutrition, seatbelts, helmets
ii. Secondary - early diagnosis, prompt treatment, and disability limitation, providing screening
is
activities and treating early stages of disease to limiting disability by averting or delaying the
Th
consequences of advanced disease. Mammo, colonoscopy, BP check
iii. Tertiary - restoration and rehabilitation, retraining and therapy, improve QOL, BP meds
Healthy People Initiative – and overarching goals
i. 1979 Surgeon General’s Report: Healthy People: Health Promotion and Disease Prevention
sh
ii. 5 areas of focus:
iii. Smoking
iv. Hypertension
v. Alcohol and Drug Abuse
vi. Poor Nutrition
vii. Decrease Exercise
viii. Four Overarching Goals:
Jan2017
This study source was downloaded by 100000829725281 from CourseHero.com on 09-30-2021 02:47:01 GMT -05:00
https://www.coursehero.com/file/21515644/Blueprint-Exam-1-Mar2017/
, ix. Attain longer lives, free of preventable disease, disability, injury
x. Eliminate health disparities
xi. Create environment that promotes health
xii. Increase quality of life, healthy development, and healthy behaviors
2. THE 13 FOCUS AREAS IN HEALTHY PEOPLE 2020
3. • Adolescent Health
4. • Blood Disorders and Blood Safety
5. • Dementias, Including Alzheimer’s Disease
6. • Early and Middle Childhood
7. • Genomics
8. • Global Health
9. • Healthcare-Associated Infections
10. • Health-Related Quality of Life and Well-Being
11. • Lesbian, Gay, Bisexual, and Transgender Health
12. • Older Adults
13. • Preparedness
14. • Sleep Health
15. • Social Determinants of Health
m
er as
Nurse’s role in health promotion - requires nurses “to promote health and a safe environment”
co
through health teaching and evaluation of teaching effectiveness in clinical practice
eH w
Roles of the nurse
o.
i. Advocate - As advocates nurses help individuals obtain what they are entitled to receive
rs e
through the health care system, try to make the system more responsive to individual and
ou urc
community needs, and help persons develop the skills to advocate for themselves.
ii. Case manager - to prevent duplication of services, maintain quality and safety, and reduce
costs.
o
iii. Consultant - provide knowledge about health promotion and disease prevention to
aC s
individuals and groups as a consultant
vi y re
iv. Deliverer of service - The core role of the nurse is the delivery of direct services such as
health education, flu shots, and counseling in health promotion
v. Educator - Teaching may range from a chance remark by the nurse, based on a perception of
desirable individual behavior, to structurally planned teaching according to individual needs.
ed d
vi. Healer - requires the nurse to help individuals integrate and balance the various parts of their
ar stu
lives. Healing resides in the ability to glimpse or intuit the “interior” of an individual, to
sense and identify what is important to that other person, and to incorporate the specific
insight into a care plan that helps that person develop his or her own capacity to heal.
is
vii. Researcher - use evidence-based findings as their foundation for clinical decision-making.
When nurses or other clinicians use research findings and the best evidence possible to make
Th
decisions, the outcome is termed evidence-based practice.
Nurse leaders and nursing theorists
i. Florence Nightingale, the founder of modern nursing. Described and explained what is
nursing is and what nursing is not
sh
ii. Lilian Wald – Founded Henry Street Settlement in 1893 and based on Manhattan's Lower
East Side, delivers a wide range of social service, arts and health care programs to more than
60,000 New Yorkers each year. - appalled by the lack of medical care, ignorance, and living
conditions of the poor in 1893, developed a settlement program in New York City that trained
nurses, provided care to families, and developed education programs for the community.
Wald, a leader in political activism, spearheaded organized public health in the direction of
health promotion for families and communities
Jan2017
This study source was downloaded by 100000829725281 from CourseHero.com on 09-30-2021 02:47:01 GMT -05:00
https://www.coursehero.com/file/21515644/Blueprint-Exam-1-Mar2017/
NR222 – Health & Wellness
Blueprint Exam 1
Chapters 1, 3*, 6, 7, & 10 (*See course schedule for specific pages in Chap. 3)
1. Chapter 1 Health Defined
Definitions of
i. Health - Total functioning of a person’s living experience; complete physical, mental, and
social well being, not just the absence of disease and infirmity within a developmental
context.
ii. Illness - is composed of the subjective experience of the individual and the physical
manifestation of disease. Both are social constructs in which people are in an imbalanced,
unsustainable relationship with their environment and are failing in their ability to survive
and create a higher quality of life.
iii. High level Wellness - conceptualized as a sense of well-being, life satisfaction, and quality of
life.
iv. Wellness - is a positive state in which incremental increases in health can be made beyond
the midpoint
m
Models of health –
er as
i. Clinical - In the clinical model, health is defined by the absence and illness by the
co
conspicuous presence of signs and symptoms of disease. People who use this model may not
eH w
seek preventive health services or they may wait until they are very ill to seek care.
o.
ii. Role Performance - defines health in terms of individuals’ ability to perform social roles.
rs e
Role performance includes work, family, and social roles, with performance based on
ou urc
societal expectations. Illness would be the failure to perform roles at the level of others in
society. This model is the basis for occupational health evaluations, school physical
examinations, and physician-excused absences.
o
iii. Adaptive - people’s ability to adjust positively to social, mental, and physiological change is
the measure of their health. Illness occurs when the person fails to adapt or becomes
aC s
vi y re
maladaptive to these changes.
iv. Eudaemonistic Model - exuberant well-being indicates optimal health. This model
emphasizes the interactions between physical, social, psychological, and spiritual aspects of
life and the environment that contribute to goal attainment and create meaning. Illness is
ed d
reflected by a denervation or languishing, a lack of involvement with life.
ar stu
Levels of prevention – 5 steps
i. Primary - health promotion (education) and specific protection (immunization), genetic
screening, nutrition, seatbelts, helmets
ii. Secondary - early diagnosis, prompt treatment, and disability limitation, providing screening
is
activities and treating early stages of disease to limiting disability by averting or delaying the
Th
consequences of advanced disease. Mammo, colonoscopy, BP check
iii. Tertiary - restoration and rehabilitation, retraining and therapy, improve QOL, BP meds
Healthy People Initiative – and overarching goals
i. 1979 Surgeon General’s Report: Healthy People: Health Promotion and Disease Prevention
sh
ii. 5 areas of focus:
iii. Smoking
iv. Hypertension
v. Alcohol and Drug Abuse
vi. Poor Nutrition
vii. Decrease Exercise
viii. Four Overarching Goals:
Jan2017
This study source was downloaded by 100000829725281 from CourseHero.com on 09-30-2021 02:47:01 GMT -05:00
https://www.coursehero.com/file/21515644/Blueprint-Exam-1-Mar2017/
, ix. Attain longer lives, free of preventable disease, disability, injury
x. Eliminate health disparities
xi. Create environment that promotes health
xii. Increase quality of life, healthy development, and healthy behaviors
2. THE 13 FOCUS AREAS IN HEALTHY PEOPLE 2020
3. • Adolescent Health
4. • Blood Disorders and Blood Safety
5. • Dementias, Including Alzheimer’s Disease
6. • Early and Middle Childhood
7. • Genomics
8. • Global Health
9. • Healthcare-Associated Infections
10. • Health-Related Quality of Life and Well-Being
11. • Lesbian, Gay, Bisexual, and Transgender Health
12. • Older Adults
13. • Preparedness
14. • Sleep Health
15. • Social Determinants of Health
m
er as
Nurse’s role in health promotion - requires nurses “to promote health and a safe environment”
co
through health teaching and evaluation of teaching effectiveness in clinical practice
eH w
Roles of the nurse
o.
i. Advocate - As advocates nurses help individuals obtain what they are entitled to receive
rs e
through the health care system, try to make the system more responsive to individual and
ou urc
community needs, and help persons develop the skills to advocate for themselves.
ii. Case manager - to prevent duplication of services, maintain quality and safety, and reduce
costs.
o
iii. Consultant - provide knowledge about health promotion and disease prevention to
aC s
individuals and groups as a consultant
vi y re
iv. Deliverer of service - The core role of the nurse is the delivery of direct services such as
health education, flu shots, and counseling in health promotion
v. Educator - Teaching may range from a chance remark by the nurse, based on a perception of
desirable individual behavior, to structurally planned teaching according to individual needs.
ed d
vi. Healer - requires the nurse to help individuals integrate and balance the various parts of their
ar stu
lives. Healing resides in the ability to glimpse or intuit the “interior” of an individual, to
sense and identify what is important to that other person, and to incorporate the specific
insight into a care plan that helps that person develop his or her own capacity to heal.
is
vii. Researcher - use evidence-based findings as their foundation for clinical decision-making.
When nurses or other clinicians use research findings and the best evidence possible to make
Th
decisions, the outcome is termed evidence-based practice.
Nurse leaders and nursing theorists
i. Florence Nightingale, the founder of modern nursing. Described and explained what is
nursing is and what nursing is not
sh
ii. Lilian Wald – Founded Henry Street Settlement in 1893 and based on Manhattan's Lower
East Side, delivers a wide range of social service, arts and health care programs to more than
60,000 New Yorkers each year. - appalled by the lack of medical care, ignorance, and living
conditions of the poor in 1893, developed a settlement program in New York City that trained
nurses, provided care to families, and developed education programs for the community.
Wald, a leader in political activism, spearheaded organized public health in the direction of
health promotion for families and communities
Jan2017
This study source was downloaded by 100000829725281 from CourseHero.com on 09-30-2021 02:47:01 GMT -05:00
https://www.coursehero.com/file/21515644/Blueprint-Exam-1-Mar2017/
