NR 222 Exam 3
1. Health Education: involves providing relevant information but also facilitating health
related behavior changes
facilitates the development of health knowledge, skills and attitudes through the
application of theories and models
providing accurate health information and teaching health skills to help people make
healthy decisions
1) involves the use of teaching learning strategies
2) learners provide voluntary control over the decision to make changes
3) health education focuses on behavior changes that improve health status A goal is
empowerment
2. Empowerment: people who believe they can make a difference in health and who are
involved in decision making are more likely to change
3. Nursing Scope and Standards of Practice: describes health teaching and health
promotion as
primary nursing responsibilities
educating people about healthy lifestyles, risk reduction, developmental needs and
preventive self care
teaching and counseling is based on individual interests and decisions to enable
individuals to make informed decisions regarding their own health
goal is to improve the health and well-being of all individuals, communities, and
populations through the significant and visible contributions of registered nursing using
standards-based practice
4. Health People 2020: priority to promote positive health behaviors, increase health
literacy and reduce health disparities early health literacy
, NR 222 Exam 3
developing healthy citizens not only by delivering basic health promotion and disease
prevention concepts and encouraging risk reduction behaviors but also demonstrating the
value of the connection between the individual and the community
Nurses are the link between people and Healthy People 2020
Goal is to increase the quality, availability, and effectiveness of educational and
community based programs designed to prevent disease and injury, improve health and
enhance the quality of all lives
5. Strategies to promote health literacy: Create a shame free environment encourage
questions show respect and empathy invite friends and family simplify care and
treatment regimens
Use Clear Purposeful
Communication avoid
medical jargon limit key
points to less than 3 face
person when speaking
Communication in a Person
Centered Manner identify persons
personal motivators assess unique
interests and activities address
persons main concerns
6. Health Literacy: the degree to which individuals have the capacity to obtain, process
and understand health information and services to be able to make appropriate health
decisions about communicating health information clearly and understanding it
correctly
includes the ability to read, write, speak and comprehend and then be able to apply those
skills in health situations
, NR 222 Exam 3
ability to communicate clearly with people from all literacy levels is important in being
able to provide person centered health education
7. Health Disparities: systematic, potentially avoidable health differences that adversely
affect socially disadvantaged groups
addressing health literacy levels and providing culturally sensitive health education is
crucial to reducing health disparities and achieving health equity
8. Box 10-3 How to Facilitate Learning: Use methods that stimulate the senses
Involve the person in an active learning process
Establish Comfortable Environment
Access the Readiness of the learner
Make the Information Relevant
Use Repetition
Make the Learning Positive
Start with what is known and proceed to what is unknown
Move from simple to Complex
Pace the learning
9. Health Behavior: Any health-related action undertaken by a person to prevent or
detect disease, protect health, or promote a higher level of health.
any activity that an individual undertakes to enhance health, prevent disease and detect
and control symptoms of disease
beliefs, attitudes and values contribute to the motivation and behavior and are underlying
factors in making any decision to change a behavior
Identifying and teaching people about lifestyle behaviors that need to be changed is the
1st step in assisting individuals in moving from knowledge to action
Personal attributes, beliefs, motives, values, ect., personality characteristics, that relate to
health maintenance, to health restoration, and to health improvement
, NR 222 Exam 3
10. Health Belief Model: used to predict and explain health behavior
developed to describe why people failed to participate in programs that detect
or prevent disease explains the roles of values and beliefs in predicting
treatment outcomes and adherence
Suggests that an individual's decision to adopt healthy behaviors is based upon their
perception of susceptibility to an illness
helps assist the nurse in formulating an action plan that meets the needs and capabilities
of the individual making health care behavior changes
11. Social Cognitive Theory: Bandura
theory that states that people learn how to behave and shape attitudes by observing the
behaviors of others aka behavior from direct observation and replication of actions of
others the influence of self efficacy on health behavior
describes the roles of reinforcement and observational learning in explaining health
behavior
modeling and imitating used to demonstrate the desired behavior
12. Self Efficacy: an individuals belief in being personally capable in performing the
behavior required to influence ones own health
13. Transtheoretical Model (TTM): stages of change
Used to determine where a person is in relation to making a behavior change
5 stages (Precontemplation, Contemplation, Planning/ Preparation, Action, Maintenance)
1. Health Education: involves providing relevant information but also facilitating health
related behavior changes
facilitates the development of health knowledge, skills and attitudes through the
application of theories and models
providing accurate health information and teaching health skills to help people make
healthy decisions
1) involves the use of teaching learning strategies
2) learners provide voluntary control over the decision to make changes
3) health education focuses on behavior changes that improve health status A goal is
empowerment
2. Empowerment: people who believe they can make a difference in health and who are
involved in decision making are more likely to change
3. Nursing Scope and Standards of Practice: describes health teaching and health
promotion as
primary nursing responsibilities
educating people about healthy lifestyles, risk reduction, developmental needs and
preventive self care
teaching and counseling is based on individual interests and decisions to enable
individuals to make informed decisions regarding their own health
goal is to improve the health and well-being of all individuals, communities, and
populations through the significant and visible contributions of registered nursing using
standards-based practice
4. Health People 2020: priority to promote positive health behaviors, increase health
literacy and reduce health disparities early health literacy
, NR 222 Exam 3
developing healthy citizens not only by delivering basic health promotion and disease
prevention concepts and encouraging risk reduction behaviors but also demonstrating the
value of the connection between the individual and the community
Nurses are the link between people and Healthy People 2020
Goal is to increase the quality, availability, and effectiveness of educational and
community based programs designed to prevent disease and injury, improve health and
enhance the quality of all lives
5. Strategies to promote health literacy: Create a shame free environment encourage
questions show respect and empathy invite friends and family simplify care and
treatment regimens
Use Clear Purposeful
Communication avoid
medical jargon limit key
points to less than 3 face
person when speaking
Communication in a Person
Centered Manner identify persons
personal motivators assess unique
interests and activities address
persons main concerns
6. Health Literacy: the degree to which individuals have the capacity to obtain, process
and understand health information and services to be able to make appropriate health
decisions about communicating health information clearly and understanding it
correctly
includes the ability to read, write, speak and comprehend and then be able to apply those
skills in health situations
, NR 222 Exam 3
ability to communicate clearly with people from all literacy levels is important in being
able to provide person centered health education
7. Health Disparities: systematic, potentially avoidable health differences that adversely
affect socially disadvantaged groups
addressing health literacy levels and providing culturally sensitive health education is
crucial to reducing health disparities and achieving health equity
8. Box 10-3 How to Facilitate Learning: Use methods that stimulate the senses
Involve the person in an active learning process
Establish Comfortable Environment
Access the Readiness of the learner
Make the Information Relevant
Use Repetition
Make the Learning Positive
Start with what is known and proceed to what is unknown
Move from simple to Complex
Pace the learning
9. Health Behavior: Any health-related action undertaken by a person to prevent or
detect disease, protect health, or promote a higher level of health.
any activity that an individual undertakes to enhance health, prevent disease and detect
and control symptoms of disease
beliefs, attitudes and values contribute to the motivation and behavior and are underlying
factors in making any decision to change a behavior
Identifying and teaching people about lifestyle behaviors that need to be changed is the
1st step in assisting individuals in moving from knowledge to action
Personal attributes, beliefs, motives, values, ect., personality characteristics, that relate to
health maintenance, to health restoration, and to health improvement
, NR 222 Exam 3
10. Health Belief Model: used to predict and explain health behavior
developed to describe why people failed to participate in programs that detect
or prevent disease explains the roles of values and beliefs in predicting
treatment outcomes and adherence
Suggests that an individual's decision to adopt healthy behaviors is based upon their
perception of susceptibility to an illness
helps assist the nurse in formulating an action plan that meets the needs and capabilities
of the individual making health care behavior changes
11. Social Cognitive Theory: Bandura
theory that states that people learn how to behave and shape attitudes by observing the
behaviors of others aka behavior from direct observation and replication of actions of
others the influence of self efficacy on health behavior
describes the roles of reinforcement and observational learning in explaining health
behavior
modeling and imitating used to demonstrate the desired behavior
12. Self Efficacy: an individuals belief in being personally capable in performing the
behavior required to influence ones own health
13. Transtheoretical Model (TTM): stages of change
Used to determine where a person is in relation to making a behavior change
5 stages (Precontemplation, Contemplation, Planning/ Preparation, Action, Maintenance)
