Community Health Nursing A Canadian Perspective, 5th
Edition TEST BANK by Stamler
discourse - ANSWER:shape relations of power and what is valued by society -
through language
social determinants of health - ANSWER:a discourse on health within the systems
view
discourses on health in Canada - ANSWER:medical model and the systems view
health, according to the medical model - ANSWER:absence of disease
health according to the systems view - ANSWER:physical/mental/social well-being
(not just the absence of infirmity)
a competing discourse to the medical view - ANSWER:systems model
prerequisites for health (Ottawa Charter, 1986) - ANSWER:peace, shelter, education,
food, income, stable ecosystem, sustainable resources, social justice, and equity
Document published by WHO in 1986 - ANSWER:The Ottawa Charter for Health
Promotion
Document published by the Canadian Government in 1974 - ANSWER:The Lalonde
Report
The Lalonde Report - ANSWER:health is not achievable from medical care alone;
interplay between human biology, lifestyles, the environment, and health care
systems.
How can nurses orient their practice to the social determinants of health? -
ANSWER:educating the public about risky behaviours, participating in reorienting the
health system, and advocating for healthy public policy.
What are the elements of primary care? - ANSWER:reducing exclusion and social
disparities in health (universal coverage reforms);
organizing health services around people's needs and expectations (service delivery
reforms);
integrating health into all sectors (public policy reforms);
pursuing collaborative models of policy dialogue (leadership reforms); and
increasing stakeholder participation.
, What is the difference between the medical model and systems view of health? -
ANSWER:Absence of disease PLUS physical/spiritual/psychological well-being
What is the challenge to nurses working within the two discourses of health? -
ANSWER:He/she must integrate the two into their practice; role of the expert
collecting data to determine the problem while engaging in relational practice and
focusing on wholeness and that individual's experiences.
abiding vitality - ANSWER:when healthy, person has sparkle and animation
transitional harmony - ANSWER:when healthy, one has a sense of harmony and
balance
rhythmical connectedness - ANSWER:when healthy, one experiences wholeness and
an attachment to the world --> positive sense of personal contribution, effectiveness
& identity
unfolding fulfillment - ANSWER:engaging with life's challenges is meaningful
active optimism - ANSWER:one can cope with life and its challenges if they have the
attitude/resources to do so
population health model - ANSWER:framework that suggests three streams to
promoting health
downstream - ANSWER:individual-focused orientation to treatment and cure (eg.
pharm, surgery, rehab)
mid-stream - ANSWER:support at the community/organization level, create
environments conducive to living healthfully (eg. opportunity for physical activity,
prenatal care etc)
upstream - ANSWER:healthy public policy, programs and services deal with macro-
level issues of employment, education, and health care access in the community.
biomedical approach - ANSWER:health = absence of disease
target risk factors = physiological (eg. hypertension)
strategies = screening, patient education, immunization
success = decrease morbidity/mortality rates and less prevalence of physiological
risk factors
behavioral approach - ANSWER:health = functioning and well-being
target risk factors = behavioral (eg. smoking)
strategies = education, social marketing, regulation/public policy
success = decrease in behavioral risk factors and enactment of health public policy
Edition TEST BANK by Stamler
discourse - ANSWER:shape relations of power and what is valued by society -
through language
social determinants of health - ANSWER:a discourse on health within the systems
view
discourses on health in Canada - ANSWER:medical model and the systems view
health, according to the medical model - ANSWER:absence of disease
health according to the systems view - ANSWER:physical/mental/social well-being
(not just the absence of infirmity)
a competing discourse to the medical view - ANSWER:systems model
prerequisites for health (Ottawa Charter, 1986) - ANSWER:peace, shelter, education,
food, income, stable ecosystem, sustainable resources, social justice, and equity
Document published by WHO in 1986 - ANSWER:The Ottawa Charter for Health
Promotion
Document published by the Canadian Government in 1974 - ANSWER:The Lalonde
Report
The Lalonde Report - ANSWER:health is not achievable from medical care alone;
interplay between human biology, lifestyles, the environment, and health care
systems.
How can nurses orient their practice to the social determinants of health? -
ANSWER:educating the public about risky behaviours, participating in reorienting the
health system, and advocating for healthy public policy.
What are the elements of primary care? - ANSWER:reducing exclusion and social
disparities in health (universal coverage reforms);
organizing health services around people's needs and expectations (service delivery
reforms);
integrating health into all sectors (public policy reforms);
pursuing collaborative models of policy dialogue (leadership reforms); and
increasing stakeholder participation.
, What is the difference between the medical model and systems view of health? -
ANSWER:Absence of disease PLUS physical/spiritual/psychological well-being
What is the challenge to nurses working within the two discourses of health? -
ANSWER:He/she must integrate the two into their practice; role of the expert
collecting data to determine the problem while engaging in relational practice and
focusing on wholeness and that individual's experiences.
abiding vitality - ANSWER:when healthy, person has sparkle and animation
transitional harmony - ANSWER:when healthy, one has a sense of harmony and
balance
rhythmical connectedness - ANSWER:when healthy, one experiences wholeness and
an attachment to the world --> positive sense of personal contribution, effectiveness
& identity
unfolding fulfillment - ANSWER:engaging with life's challenges is meaningful
active optimism - ANSWER:one can cope with life and its challenges if they have the
attitude/resources to do so
population health model - ANSWER:framework that suggests three streams to
promoting health
downstream - ANSWER:individual-focused orientation to treatment and cure (eg.
pharm, surgery, rehab)
mid-stream - ANSWER:support at the community/organization level, create
environments conducive to living healthfully (eg. opportunity for physical activity,
prenatal care etc)
upstream - ANSWER:healthy public policy, programs and services deal with macro-
level issues of employment, education, and health care access in the community.
biomedical approach - ANSWER:health = absence of disease
target risk factors = physiological (eg. hypertension)
strategies = screening, patient education, immunization
success = decrease morbidity/mortality rates and less prevalence of physiological
risk factors
behavioral approach - ANSWER:health = functioning and well-being
target risk factors = behavioral (eg. smoking)
strategies = education, social marketing, regulation/public policy
success = decrease in behavioral risk factors and enactment of health public policy
