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NR577 Midterm Exam Study
Guide(1) latest 2025
NR577 Midterm Exam Study Guide for Weeks 1-4
If you understand the concepts below and how to diagnose, treat, and manage, you will be
successful on the midterm exam.
Week 1: Health Promotion for Adolescents and Adults
Principles of primary care
• Health promotion
• Prevention of illness
• Management of those who become sick
• Advocacy for all patients
• Community involvement
In broader terms, primary care providers strive to ensure:
• Equitable distribution of health care
• Community participation
• Effective coordination of services with appropriate health care and
• Community sectors
• Appropriate use of technology
Primary Care should be:
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• Accountable
• Acceptable
• Appropriate
• Continuous
• Accessible
• Affordable
• Adequate
• Complete
• Available
Adolescence
1. Goals of adolescence
HEALTHY PEOPLE 203O GOALS
Completion of puberty and growth
Social, emotional, and cognitive development
Development of abstract thinking
Establishment of independent identity
Preparation for career or life work
BASELINE
Increase the proportion of adolescents who have an adult they can talk to about serious
problems — AH - 03 Links to an external site.
Reduce chronic school absence among early adolescents — AH - 07 Links to an
external site.
Increase the proportion of children and adolescents who receive care in a medical home
— MICH - 19 Links to an external site.
Increase the proportion of adolescents who walk or bike to ge t places — PA - 11 Links
to an external site.
Increase the proportion of children and adolescents who play sp orts — PA - 12 Links
to an external site.
Increase the proportion of high school students who get en ough sleep — SH - 04
Links to an external site.
DEVELOPMENTAL
Increase the proportion of trauma-informed early childcare settings and elementary and
secondary schools — AH - D01 Links to an external site.
Increase the proportion of schools with policies and practices that promote health and
safety — EH - D01 Links to an external site.
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Reduce the number of young adults who report 3 or more adverse childhood
experiences — IVP - D03 Links to an external site.
RESEARCH
Increase the proportion of adolescents in foster care who show signs of being ready for
adulthood — AH - R02 Links to an external site.
Increase the proportion of 8th-graders with reading skills at or above the proficient level
— AH - R04 Links to an external site.
Increase the proportion of 8th-graders with math skills at or above the proficient level —
AH - R05 Links to an external site.
Increase the proportion of parents who follow AAP recommendations on limiting screen
time for children aged 6 to 17 years — PA - R02 Links to an external site.
2. Bright Futures-
• Life-long health of families and communities
• Family support
• Health for children and youth with special health care needs
• Healthy development
• Mental health
• Healthy weight
• Healthy nutrition
• Physical activity
• Oral health
• Healthy sexual development and sexuality
• Healthy and safe use of social media
• Safety and injury prevention
3. Morbidity and mortality
The top five causes of yearslost to Disablities due to morbidity in individuals aged 10-19 years
• Unipolar depressive disorders
• Iron deficiency anemia
• Asthma
• Back and neck pain
• Anxiety disorders
Alcohol use disorder is also a common cause of morbidity in males between the ages of 15-19
years
RISKY BEHAVIORS
Sexual Activity
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