NURS 3600 Exam -2 questions with answers

NURS 3600 Exam #2 questions |\ |\ |\ |\ |\




with answers |\




Why do nurses implement health teaching, prevention, and
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promotion? - CORRECT ANSWERS ✔✔To *CHANGE* and
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*INFLUENCE* behaviors and to *IMPROVE* health. |\ |\ |\ |\ |\




What does promotion mean? - CORRECT ANSWERS ✔✔Positive
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actions such as *EDUCATION FOR HEALTHY LIVING* and
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promotion of favorable environmental conditions.
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What does prevention mean? - CORRECT ANSWERS ✔✔-Specific
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protections at *3 levels* (i.e., primary, secondary, and tertiary).
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-Actions to reduce the threat of *SPECIFIC* diseases and injuries.
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Describe the disease-oriented perspective: - CORRECT ANSWERS
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✔✔-Absence of *DISEASE*. |\ |\




-*Objective* view. |\




-*FOCUS ON REPAIR*. |\ |\




Describe the health-oriented perspective: - CORRECT ANSWERS
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✔✔-Recognizes *HUMAN COMPLEXITIES*. |\ |\




-*HOLISTIC*.
-Interactions with the *environment*. |\ |\ |\

,-*UPSTREAM THINKING* (focus is on health, goal is improving and |\ |\ |\ |\ |\ |\ |\ |\ |\


maintaining).
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Why are theories important? - CORRECT ANSWERS ✔✔A working
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knowledge of theory is important in understanding *why people|\ |\ |\ |\ |\ |\ |\ |\ |\


act* as they do and *why they may* or *may not* follow advice
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given to them by *medical professionals*.
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What theories are individual-focused (health promotion)? -
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CORRECT ANSWERS ✔✔-*Health Belief Model* (Pender's Health
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Promotion Model, sociological) |\ |\




-*TTM/Stages of Change* (i.e., lifestyle modification) |\ |\ |\ |\ |\




What theories are community/population-focused (health
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promotion)? - CORRECT ANSWERS ✔✔-*Social-Ecological Model* |\ |\ |\ |\ |\




-*Empowerment Model* |\




What is the Health Belief Model? - CORRECT ANSWERS ✔✔-Focus
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is on *BEHAVIOR* and *MOTIVATION*.
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-Found that *information alone* is rarely enough to motivate one
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to act, must know *what* and *how* to do it, should relate to
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*individual's needs*. |\




1) *Individual perceptions* (POWERFUL): perceived susceptibility,
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severity, benefits (of preventative action), and *BARRIERS* (to
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prevent action). For example, being influenced to wear a
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motorcycle helmet after friend gets injured. |\ |\ |\ |\ |\




2) *Modifying factors*: demographic and sociopsychological
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variables (i.e., change environment, get family involved),
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,perceived threat, *CUES TO ACTION* (information, reminders,
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persuasive communication, experience). |\ |\




3) *Likelihood of action*: likelihood of taking recommended
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preventative health *ACTION*. |\ |\




What is the Transtheoretical Model (TTM)? - CORRECT ANSWERS
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✔✔-*STAGES OF CHANGE*, similar to an *assessment tool* (helps
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determine where an individual is on a continuum).
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1) *Pre-contemplation*: when individuals aren't really thinking
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about things (e.g., teens and unprotected sex).
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2) *Contemplation*: thinking about things but just a thought,
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nothing has been done. |\ |\ |\




2) *Preparation*: individuals are getting ready to do something
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(e.g., teens getting information, buying condoms).
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4) *Action*: individuals do something and take that big step.
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5) *Maintenance*: becoming used to action, becomes a
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habit/routine (e.g., teens having protected sex).
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6) *Termination*: not exactly possible, action is ingrained in
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individuals that it becomes a part of them/life.
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-Relates to the *Change Theory* (unfreezing, changing, and
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refereezing).


What is the Socio-Ecological Model? - CORRECT ANSWERS ✔✔-
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Dynamic system, *community* as *client*: *individual*,
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*interpersonal*, *organizational*, *community*, *society*. |\ |\ |\




-Use the model to *GO BEYOND SIMPLE EDUCATION*!
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-Determine *actions* at the *various levels* that will augment
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education:

, >*Laws* - societal level because it tends to involve national
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laws/policies.
>*Family involvement* - interpersonal level because it surrounds
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the individual, acts as a network for a person.
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>*Environmental changes* - community level because its |\ |\ |\ |\ |\ |\ |\


associated with a larger group (e.g., neighborhoods, workplaces). |\ |\ |\ |\ |\ |\ |\




How does the Socio-Ecological Model relate to health
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promotion/teaching? - CORRECT ANSWERS ✔✔-Health education
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*alone* is *not as effective* as addressing the problem at
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*MULTIPLE LEVELS* - achieves change. |\ |\ |\ |\




-By applying the *socio-ecological model*, we can change the
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*built environment* and *laws*, conduct *community organizing*,
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and *social marketing* to promote change.
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-For example, *individual* and *society* levels related to mother-
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in-law and the *smoking law change* for air travel.
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-For example, only *18.4%* received the vaccine for H1N1, the
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other *65%* related it to SEM (e.g., individual issue, no money,
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no time). |\




Nurses at the Health Department Clinic use cues to action. What
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are they doing? - CORRECT ANSWERS ✔✔A. Teaching healthy
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diets.
B. Warning clients of dangers of the flu.
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C. Conducting health assessments.
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*D. Sending reminder cards when annual mammograms are
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due.*