NURS 2115 MT Questions and
Correct Answers | Latest Update
Health promotion
✓ ~:- - needs to go beyond simply strengthening ppls kills and abilities to
manage their own health and move towards social, environmental
and economic conditions.
✓ - need to understand the needs of the population from their
perspective and work with those perspectives to set up conditions to
facilitate healthy change
✓ -Ottawa Charter for Health Promotion: health promotion is the process
of enabling people to increase control over, and to improve, their
health
✓ Health promotions has a positive and action-oriented nature
population health promotion model
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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/2025
✓ ~:- Promoting the health and well-being of the entire population, not
just of those who are at risk for disease (or at risk for exposure to
disease).
✓ • Actions for population health promotion are described by the level
(population), the strategies, and the context (DOH)
✓ Guides actions to improve health through questioning:
✓ • What should we take action on (DoH)
✓ • With whom are we targeting (Level of action - IFCSP)
✓ • How should we take action (Ottawa Charter strategies for health
promotion)
✓ • Based on values and assumptions and evidence-based decision
making (Hamilton & Bhatti, 1996)
Ottawa Charter for Health Promotion
✓ ~:- 1. Build Healthy Public Policy
2. Create Supportive Environments
3. Strengthen Community Action
4. Develop personal skills
5. Reorient health services"
Levels of prevention
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✓ ~:- · Primordial prevention (distal level) & primary prevention (proximal
level)
1. Promote health through upstream approach
2. Identify potential risk factors and mobilization of policy/public awareness to
avoid injury/illness
3. Primordial = preventing risk factors from existing
4. Primary = risk factors may occur
5. Illness has not yet occurred
6. Focus is AVOIDANCE of injury before they become risk factors or identifying
specific risk factors/targeting certain groups and intervening to
prevent/reduce risk through health promotion activities
7. Nursing interventions = promoting properly installed car seats, offering
smoking cessation programs, public education to stop spread of STIs, safe
housing, sanitation, nutrition, immunizations
· Secondary prevention
1. Focus is to halt illness if possible and effect a cure or slow progression
2. Ex. Screening measures (cancer), blood tests (diabetes), testicular self-
exam, yearly cholesterol tests, colonoscopies
3. Pap smears and BP tests at grocery stores
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· Tertiary Prevention
1. Goal is to limit disability and rehabilitate or restore affected person to
maximum possible capability, maximize their QoL and meet self-identified
goals
2. Ex. Rehab for those experienced a stroke, counselling for rape
3. Nurses can intervene on many levels, example during the flood, they
provide first aid, emotional support, safety and sanitation
4. Community level tertiary interventions include consultation and connecting
people to basic necessities
· Quaternary Prevention
1. Draws attention to identify people who may be at risk for medical mishaps
(over-medicalization) to address issues such as patient safety
2. Focus shifts to ethical practices that examine unnecessary investigations or
treatment that may lack benefit or create harm
3. Ex. Recognition of trauma in a population affected by natura
Downstream approach
✓ ~:- deals with problems after they have occured
upstream approach
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