Primary Care: The Art and Science of Advance Practice Nursing
Chapter 3 2019
1. health promotion: can be defined as activities and preventive measures that contribute to an individual's state of optimal
health.
Pivotal role in educating the patient and the community about health-promoting behaviors
2. Primary prevention: Primary prevention: the prevention of disease (i.e. immunizations, prenatal care, and dental fluoride).
3. Secondary prevention:: early screening and detection of disease (i.e. mammography and colonoscopy)
4. Tertiary prevention:: the restoration of health after illness or disease has occurred (i.e. use of anti-hypertensives or
cholesterol lowering medications).
5. Screening: early signs of chronic disease surface in midlife or between 40 and 65 years.
6. Nonmodifiable risk factors: include sex, age, and genetic/family history.
7. Nonmodifiable: means the risk factors cannot be changed in any way.
8. Health literacy: is commonly defined as the degree to which individuals have the capacity to obtain, process, and
understand basic information and services needed to make appropriate decisions regarding their health (Affordable Care Act,
2010).
9. Many instruments are available to assess a person's level of health literacy: •Newest Vital Scale (N V S)
instrument;
•Test of Functional Health literacy in Adults (T O F H L A); and
•Rapid Estimate of Adult Literacy in Medicine-Short Form (R E A L M-S F).
10. Three major government initiatives that have had great impact on health promotion in the United States
are: the National Prevention Strategy, Healthy
People 2020, and the U.S. Preventive Services Task Force
11. Seven Priorities of NPS are identified to reduce the burden of the leading causes of preventable death
and major illness: •Tobacco-Free Living
•Preventing Drug Abuse and Excessive Alcohol Use
•Healthy Eating
•Active Living
•Injury and Violence-Free Living
•Reproductive and Sexual Health
•Mental and Emotional Well-being
12. Immunization Practices: §Children should receive approximately 25 vaccines by age 5 years.
§Should continue to receive one Tdap every 10 years.
§Recommendations for adults include annual flu immunizations, as well as pneumococcal, meningococcal, Hep A, and Hep B
immunizations for those with certain risk factors related to their health, job, or lifestyle.
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Chapter 3 2019
1. health promotion: can be defined as activities and preventive measures that contribute to an individual's state of optimal
health.
Pivotal role in educating the patient and the community about health-promoting behaviors
2. Primary prevention: Primary prevention: the prevention of disease (i.e. immunizations, prenatal care, and dental fluoride).
3. Secondary prevention:: early screening and detection of disease (i.e. mammography and colonoscopy)
4. Tertiary prevention:: the restoration of health after illness or disease has occurred (i.e. use of anti-hypertensives or
cholesterol lowering medications).
5. Screening: early signs of chronic disease surface in midlife or between 40 and 65 years.
6. Nonmodifiable risk factors: include sex, age, and genetic/family history.
7. Nonmodifiable: means the risk factors cannot be changed in any way.
8. Health literacy: is commonly defined as the degree to which individuals have the capacity to obtain, process, and
understand basic information and services needed to make appropriate decisions regarding their health (Affordable Care Act,
2010).
9. Many instruments are available to assess a person's level of health literacy: •Newest Vital Scale (N V S)
instrument;
•Test of Functional Health literacy in Adults (T O F H L A); and
•Rapid Estimate of Adult Literacy in Medicine-Short Form (R E A L M-S F).
10. Three major government initiatives that have had great impact on health promotion in the United States
are: the National Prevention Strategy, Healthy
People 2020, and the U.S. Preventive Services Task Force
11. Seven Priorities of NPS are identified to reduce the burden of the leading causes of preventable death
and major illness: •Tobacco-Free Living
•Preventing Drug Abuse and Excessive Alcohol Use
•Healthy Eating
•Active Living
•Injury and Violence-Free Living
•Reproductive and Sexual Health
•Mental and Emotional Well-being
12. Immunization Practices: §Children should receive approximately 25 vaccines by age 5 years.
§Should continue to receive one Tdap every 10 years.
§Recommendations for adults include annual flu immunizations, as well as pneumococcal, meningococcal, Hep A, and Hep B
immunizations for those with certain risk factors related to their health, job, or lifestyle.
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