100 % CORRECT ANSWERS
1. Public Health: A specialty of community-oriented nursing. Combination of nurs-
ing and public health science, health promotion and maintenance. Focused mostly
on primarily and secondary prevention of acute and chronic illness with devastating
consequences and the prevention of injuries and illnesses that lead to early death.
More policy making and execution than direct nursing care. Policy making guided by
epidemiology and statistics.
2. Behavior modification: The most effective method of preventing premature
illness and death is through health-related (alcohol,
tobacco, drug use, seatbelts, helmets, exercise, wellness visits, etc.)
3. Behavior Modification: About 70% of what makes us sick/kills us early can be
prevented through health related
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,4. Primary Prevention: Primary is Prevention: Prevention of the problem before it
ever occurs; prevention of illness or injury, like helmet or seat belt campaigns, or
immunizations.
5. Secondary Prevention: Secondary is Screening. Early identification for early
intervention. Early detection preventing complications, attempt to reverse the course.
Routine screening recommendations (mammogram, yearly blood pressure screen-
ing, pap smears)
6. Tertiary Prevention: Tertiary is Treatment. Management of disease to reduce the
symptoms and improve quality of life. Medications, low Na+ diet, checking blood
glucose in diabetic, weight loss for someone with HTN or T2DM, etc.
7. Uninsured and underinsured: these individuals generally receive less preven-
tive care , are Dx'd at more advanced stages of disease, and receive fewer thera-
peutic care once Dx'd than those with high quality health insurance.
8. Affordable Care Act: This law improved access to healthcare through providing
government subsidies for those who couldn't afford employer based or private
insurance and through mandates that required individuals to carry health insurance
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, or be penalized. It did not reduce the costs of high tech medical care. It shifted the
focus toward population level interventions. it also expanded Medicaid eligibility.
9. Uninsured individuals, access to quality health care based on insured
status, longer life expectancy, baby boomers, affordable care act, unemploy-
ment.: What is impacting health care system in the US?
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