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NURS 480
NURS 480/ NURS480 – Advanced Medical Surgical
Health Nursing | WCU | 2026–2027 | Final Exam
Review with Verified Questions and Answers
1. Historical Trauma: Theories Guiding Population Models
Physical, psych, and socioeconomic vulnerable impact across
generations due to historical experienced trauma - ex: slavery
2. Social Status Syndrome: Theories Guiding Population Models
Your place on the social gradient ladder directly drives your health
3. Allostatic Load Theory: Theories Guiding Population Models
With chronic exposure to stress, your body never gets to go back to
homeostasis ability-> always on fight or flight mode which effects health short-
term and long-term - stop those constant sources of chronic stress!
4. Weathering Hypothesis: Theories Guiding Population Models
Dominant groups promote their own cultural groups in order to maintain
dominance over other groups
NURS
,- ex: early fertility patterns in AA mothers as a way of survival in high poverty
urban areas
- consider social inequalities that are attached to those practices because
they are happening for survival
5. Fundamental Causes: Theories Guiding Population Models
Social conditions are fundamental causes of health inequalities-> drive health
inequalities
6. Fetal Origin Theory: Theories Guiding Population Models
What's happening in the mother (SES and environment) trans-utero
transcends and predicts the trajectory of the fetus later in life
- your stress impacts your future child-> domino effect
7. Epigenetics: Theories Guiding Population Models
Different people's bodies express different proteins which reflect different
traits and attributes
8. Community Health Nursing: Extends the realm of public health to include
organized health efforts at the community level through both government
, 3
NURS 480
and private efforts-> focuses on a group of individuals within a
geographically or culturally defined group
- ex: AHA, American Red Cross; actions to improve education, reduce
unemployment, or enhance a community's built environment.
- collaborative, initiatives, and empowerment
9. Public Health: The art and science of 1) preventing disease, 2)
prolonging life, and 3) promoting health through organized community
efforts to benefit each citizen-> social justice!!
10. Social Justice: Entitles all people to basic necessities such as
adequate income and health protection, and accepts collective burdens to
make it possible
11. Public Health Nursing: Focuses on population health (inequities
and sub-population needs) through surveillance and assessment of SDOH
with the intent to promote health and wellness, prevent disease,
disability, and premature death
- primary prevention with a goal of health equity
NURS
, - key areas: racism, poverty (SDOH), refugee health, emergency
preparedness, environmental justice, population health, violence
12. Context: Community as a _______________
- settings in which people live and work
- how you are looking at the health and wellbeing of people within the
context of the community in which they live
- looking at environment, at parks and recreation
13. Client: Community as a _______________
- large scale interventions directed at
communities can have larger impact than individual
interventions-> impact community context
- at level of: community, population, aggregate
individuals
14. Setting/Care Environment: Community as a _______________
- home care (acute and long term)
- case/care management
NURS 480
NURS 480/ NURS480 – Advanced Medical Surgical
Health Nursing | WCU | 2026–2027 | Final Exam
Review with Verified Questions and Answers
1. Historical Trauma: Theories Guiding Population Models
Physical, psych, and socioeconomic vulnerable impact across
generations due to historical experienced trauma - ex: slavery
2. Social Status Syndrome: Theories Guiding Population Models
Your place on the social gradient ladder directly drives your health
3. Allostatic Load Theory: Theories Guiding Population Models
With chronic exposure to stress, your body never gets to go back to
homeostasis ability-> always on fight or flight mode which effects health short-
term and long-term - stop those constant sources of chronic stress!
4. Weathering Hypothesis: Theories Guiding Population Models
Dominant groups promote their own cultural groups in order to maintain
dominance over other groups
NURS
,- ex: early fertility patterns in AA mothers as a way of survival in high poverty
urban areas
- consider social inequalities that are attached to those practices because
they are happening for survival
5. Fundamental Causes: Theories Guiding Population Models
Social conditions are fundamental causes of health inequalities-> drive health
inequalities
6. Fetal Origin Theory: Theories Guiding Population Models
What's happening in the mother (SES and environment) trans-utero
transcends and predicts the trajectory of the fetus later in life
- your stress impacts your future child-> domino effect
7. Epigenetics: Theories Guiding Population Models
Different people's bodies express different proteins which reflect different
traits and attributes
8. Community Health Nursing: Extends the realm of public health to include
organized health efforts at the community level through both government
, 3
NURS 480
and private efforts-> focuses on a group of individuals within a
geographically or culturally defined group
- ex: AHA, American Red Cross; actions to improve education, reduce
unemployment, or enhance a community's built environment.
- collaborative, initiatives, and empowerment
9. Public Health: The art and science of 1) preventing disease, 2)
prolonging life, and 3) promoting health through organized community
efforts to benefit each citizen-> social justice!!
10. Social Justice: Entitles all people to basic necessities such as
adequate income and health protection, and accepts collective burdens to
make it possible
11. Public Health Nursing: Focuses on population health (inequities
and sub-population needs) through surveillance and assessment of SDOH
with the intent to promote health and wellness, prevent disease,
disability, and premature death
- primary prevention with a goal of health equity
NURS
, - key areas: racism, poverty (SDOH), refugee health, emergency
preparedness, environmental justice, population health, violence
12. Context: Community as a _______________
- settings in which people live and work
- how you are looking at the health and wellbeing of people within the
context of the community in which they live
- looking at environment, at parks and recreation
13. Client: Community as a _______________
- large scale interventions directed at
communities can have larger impact than individual
interventions-> impact community context
- at level of: community, population, aggregate
individuals
14. Setting/Care Environment: Community as a _______________
- home care (acute and long term)
- case/care management
