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NR222 Health and Wellness Final Exam| 197 questions and answers

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NR222 Health and Wellness Final Exam| 197 questions and answers * Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? {elaborations} - Moving from an acute illness to a health promotion, illness prevention model. Health care reform also affects how health care

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Nursing NR222 Exam 1 Health and Wellness | NOTES
and Summary

Health Care Models { ELABORATION}- Health Belief model
Health Promotion model
Transteoretical model
Holistic model

Health belief model { ELABORATION}- what the patient believes, perception, behavior
to plan care that is most effective when assisting this patient.

has 3 components:
1) individual perceptions of susceptibility to an illness
2) modifying factors to the seriousness of the illness
3) likelihood of action that a person will take preventative action

Health promotion model { ELABORATION}- defines health as a positive, dynamic
states, not merely the absence of disease.

passive and active, passive is having awareness but active is doing it and engaging

Focuses on three areas,
1. individual characteristics and experiences
2) behavior-specific knowledge and effect
3) behavioral outcomes, in which patient commits to changes

Transtheoretical Model { ELABORATION}- Model of behavior change that identifies six
distinct stages people go through in altering behavior patterns; also called the stages of
change model

precontemplation, contemplation, preparation, action, maintenance, relapse

Holistic Model { ELABORATION}- encompasses the physiological, mental, emotional,
social, spiritual, and environmental aspects of health

whole body, mind, spirit, natural method of healing like alternative medicine like music
therapy, relaxation technique

Maslow's Hierarchy of Needs { ELABORATION}- the understanding the interrelationship
of basic human needs.

Physiological (food, oxygen, shelter), safety & security (physical and psychological),
love & belonging, self-esteem, self-actualization

,Healthy people 2020 { ELABORATION}- Promotes a society which all people live a long
healthy life road map for improving the health of all people in the US

How many overarching goals of Healthy people 2020? { ELABORATION}- 4
overarching goals
1) Attain high quality of life, free of preventable diseases
2) Achieve healthy equity, eliminating health disparities & improve the health
3) Create social and physical environment that promotes good health
4) Promote quality of life, healthy development and healthy behaviors

Leading Health Indicators of Health people 2020 { ELABORATION}- 11 leading health
indicators
examples
1) access to health care
2) clinical preventative services
3)environmental quality
4) injury and violence
5) maternal, infant and child health
6) mental health
7) nutrition, physical activity, and obesity
8) oral health
9) reproductive and sexual health
10) social determinants
11) tobacco

Levels of prevention { ELABORATION}- primary, secondary, tertiary

Primary prevention { ELABORATION}- are true preventions that lower the chance to
develop diseases. For example healthy life choices, disease prevention, screening for
risk factors

Primary prevention examples:
immunizations
health education
proper nutrition
maternal/child health care
family planning
control of diseases

Secondary prevention { ELABORATION}- Early diagnosis and prompt treatment before
disease becomes advanced and disability severe. You are actively looking for the
disease

examples:
emergency care

, acute med-surge care
radiological procedures for acute problems - x-rays or CT scans
crisis prevention
psychiatric nursing
intensive care

Tertiary Prevention { ELABORATION}- managing a disease or disability. You have the
disease now you are looking to get back to optimal health

provision of medically related services and equipment to patients and families in their
homes for example:
Home health
rehabilitation
restorative
respiratory therapy
speech therapy
continuing care in hospice or assisted living

Risk factors { ELABORATION}- any situation, habit, or other variables such as social,
environmental, physiological, psychological, developmental, intellectual, or spirtiual that
increases the vulnerability of an individual or group to an illness or accident.

Pre-contemplation Stage { ELABORATION}- Stage of change in which people are
unwilling to change behavior

Contemplation stage { ELABORATION}- stage of change in which people are
considering changing behavior in the next 6 months

Preparation Stage { ELABORATION}- stage of change in which people are getting
ready to make a change within the coming month

Action Stage { ELABORATION}- Stage of change in which people are actively changing
a negative behavior or adopting a new, healthy behavior

Maintenance Stage { ELABORATION}- sustained change over time; begins six months
after an action has started and continued indefinitely

Health Variables { ELABORATION}- influences a patient health belief and practice
through internal and external variables

Internal Variables { ELABORATION}- developmental stage
intellectual background perception of functioning
emotional factors
spiritual factors

External Variables { ELABORATION}- family practices

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