NSG300 / NSG 300 Exam 1
Student Exam 1 Blueprint
Foundations of Nursing - GCU
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TOPICS FEATURED
Topic 1: Chapter 6 + 29
Topic 2: Chapters 28 + 38
Topic 3: Chapters 38 + 39
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NSG 300 EXAM #1 BLUEPRINT
Topic 1: Chapter 6 + 29
1.1 Examine concepts of health and the health continuum.
● Definition of health: A state of complete, physical, mental, and social well-being, not merely the
absence of disease or infirmity (WHO)
○ Health is a state of being that people define in relation to their own values, personality,
and lifestyle.
● Health promotion: helps individuals maintain or enhance present health
○ Health promotion activities require a person to be actively involved in measures taken to
improve a condition and reduce the risk for disease.
● Health education: Helps people develop a greater understanding of their health and how to
better manage their health risks.
● Health beliefs:
○ Positive health behaviors: immunizations, proper sleep patterns, adequate exercise,
stress management, and nutrition.
○ Negative health behaviors: smoking, drug or alcohol abuse, poor diet, refusing necessary
medications
■ Health belief model: addresses relationship between a person’s beliefs and
behaviors
● First component: Individual perceptions of susceptibility to an illness
● Second component: individual’s perception of seriousness of illness
● Third component: likelihood a person will take preventative action
○ Preventative actions: lifestyle changes, increased adherence to
medical therapies, or a search for medical advice/treatment.
● Analysis of perceived benefits of preventive action
■ Health promotion model:
● 1. Individual characteristics and experiences
● 2. Behavior-specific knowledge and affect
● 3. Behavioral outcomes
● Models of health and wellness:
○ Maslow’s hierarchy of needs: used to understand the interrelationships of basic human
needs (food, water, safety, and love)
○ Holistic health model: attempts to create conditions that promote optimal health
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NSG 300 EXAM #1 BLUEPRINT
■ Patients at center of care, empowers patients to engage in their own recovery
● Illness prevention: Protects people from actual or potential threats to health
● Illness behavior: people reacting different ways because of attitudes about illness
● Define illness: A state in which a person’s physical, emotional, intellectual, social,
developmental, or spiritual functioning is diminished or impaired
○ Acute illness: short duration and severe
○ Chronic illness: Persists longer than 6 months
● Differentiate and describe the three levels of preventative care:
○ Primary prevention: True prevention that lowers the chance that a disease will develop
■ Include health education programs, nutritional programs, and physical fitness
activities
■ Aimed at health promotion and includes health education programs,
immunizations, and physical and nutritional fitness activities before an illness
occurs.
○ Secondary prevention: Focuses on those who have health problems or illnesses and
are at risk for developing complications or worsening conditions
■ Activities are directed at diagnosis and prompt intervention
○ Tertiary prevention: Occurs when a defect or disability is permanent or irreversible
■ Activities are directed at rehabilitation to achieve high level of functioning
■ Minimize the impact of ongoing illness or injury that has lasting effects
● Four types of risk factors that affect health (Box 6.1)
○ Internal variables:
■ Developmental stage
■ Intellectual background
■ Perception of functioning, illness, and nature of illness
■ Emotional factors - can include stress!
■ Spiritual factors
■ Locus of control
■ Coping skills
○ External variables
■ Family role and practices
■ Visibility of symptoms
■ Social group
■ Cultural background - cultural beliefs
■ Employment status
■ Social determinants of health - economics, accessibility to healthcare
● Variables that influence illness behavior in clients and families
○ Nonmodifiable risk factors: age, gender, genetics, and family history
○ Modifiable risk factors: lifestyle practices and behaviors
■ Some risk factors put individuals at risk for developing specific diseases.
■ Chronic illness modifiable behavior risk factors include unhealthy diet, physical
inactivity, tobacco use, alcohol abuse, poor control of HTN, and elevated
lipid/glucose levels
■ Ages 10-24: behaviors that lead to unintentional injuries (texting while driving)
○ Environment: physical environment in which a person works or lives can increase the
likelihood that certain illnesses will occur, work-related diseases from exposure
● Impact of illness on the patient and family
○ Behavioral and emotional changes
○ Impact on body image