Concept of Health correct answers -Health: holistic state of well-being including soundness of
mind, body, and spirit
-Wellness: health plus the capacity to develop a person's potential leading to a fulfilling and
productive life
-Illness: state of being relatively unhealthy
Definitions of Health: correct answers -World Health Organization - "Health is a state of
complete physical, mental, and social well-being and not merely the absence of disease or
infirmity." (1958)
-"The extent to which an individual or group is able, on the one hand to realize aspirations and
satisfy needs; and on the other hand change or cope with the environment. Health is therefore
seen as a resource for everyday life, not the objective of living; it is a positive concept
emphasizing social and personal resources, as well as physical capacities" (1986)
Determinants of Health: correct answers -income and social status
-social support
-education and literacy (regular & health related)
-employment/working conditions
-housing
-transportation
-personal health practices
-coping skills
-healthy child development
-biology
-genetic endowment
-health services
-gender
Health Continuum: (see image) correct answers -never 100% healthy or sick
-people move back and forth along continuum
Nursing Roles in Health Promotion and Protection: correct answers -advocate
-care/case manager
-consultant
-deliverer of services (variety of outpatient settings)
-educator
-researcher (conduct or at least utilize)
Health Promotion: correct answers -All efforts to move people closer to optimal well-being or
higher levels of wellness
-Goals: Healthy People 2020
-Attain high quality, longer lives free of preventable disease, disability, injury, and premature
death
-Achieve health equity, eliminate disparities, and improve the health of all groups
,-Create social and physical environments that promote good health for all
-Promote quality of life, healthy development and healthy behaviors across all life stages
Leading Health Indicators: correct answers -physical activity
-overweight and obesity
-tobacco use (3rd hand smoke (toxins on clothing)can lead to SIDS, ear infections)
-substance use
-responsible sexual behavior
-mental health (affects physical health and vice versa)
-injury and violence (inner-city kids can suffer from PTSD from gun violence; falls)
-environmental quality (indoor (mold, roach & rodent feces) vs. outdoor (air quality, noise)
-immunization
-access to health care (triangle: access, quality & cost)
Healthy People 2020 Objectives: correct answers -1980s National government began to
formulate national objectives for health.
-Healthy People 2020 Vision: A society in which all people live long, healthy lives.
-Topics of high priority health issues that represent threats to US public health.
Core Public Health Functions: correct answers -assessment: regular collection, analysis, and info
sharing about health conditions, risks, and resources in a community
-policy development: use of info gathered during assessment to develop local and state health
policies and to direct resources toward these policies.
-assurance:
-assurance: focuses on the availability of necessary health services throughout the community. It
includes maintaining the ability of both public health agencies and private providers to manage
day-to-day operations and the capacity to respond to critical situations and emergencies.
Essential Public Health Services by Core function: correct answers -Assessment:
-Monitor health status to identify community health problems.
-Diagnose and investigate health problems and health hazards in the community.
-Research for new insights and innovative solutions to health problems.
-Policy Development:
-Inform, educate, and empower people about health issues.
-Mobilize community partnerships to identify and solve health problems.
-Develop policies and plans that support individual and community health efforts.
-Research for new insights and innovative solutions to health problems.
-Assurance:
-Enforce laws and regulations that protect health and ensure safety.
-Link people to needed personal health services and assure the provision of health care when
otherwise unavailable.
Essential Public Health Services: correct answers -Ensure a competent public health and personal
health care workforce.
, -Evaluate effectiveness, accessibility, and quality of personal and population-based health
services.
-Research for new insights and innovative solutions to health problems.
Levels of Prevention: correct answers -Primary prevention activities
-prevention of problems before they occur
-immunizations
-Secondary prevention activities
-early detection and intervention
-screenings (e.g., PPD, mammogram, VDRL test for syphilis for marriage license applicants)
-Tertiary prevention activities
-correction and prevention of deterioration of disease
-teaching insulin administration
Primary Prevention: correct answers -Precedes disease/dysfunction
-Interventions
-Health promotion (e.g., education)
-Specific protection (e.g., immunization, reducing exposure to carcinogens, occupational
hazards)
-Focus: Maintain/improve general individual/family/community health
-Passive-not personally involved
-Public health efforts-clean water/sewer
-Active-personally involved
-Lifestyle changes—physical activity
Secondary Prevention: correct answers -Screening
-Goal: Identify individuals in early, detectable stage of disease
-Treating early stages of disease
-Limiting disability
-Interventions similar to primary prevention but applied to individuals/ populations with disease
Tertiary Prevention: correct answers -Defect/disability permanent or irreversible (e.g., stroke)
-Minimizing effect to prevent complications/deterioration
-Objective: Return to useful place in society, maximize remaining capacity
-Surveillance
-Maintenance
-Rehabilitation
The U.S. Health Care System: correct answers -It's Unique
-it's not a system
-no universal health care financed by taxes
-no entitlement
-no other developed country operates like the U.S.
-changes due to cost, access and quality