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Nurs 404 Final Notes 1 Questions With Complete Solutions

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NURS 404 FINAL NOTES 1 QUESTIONS WITH COMPLETE SOLUTIONS

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NURS 404 FINAL NOTES 1 QUESTIONS WITH
COMPLETE SOLUTIONS

1854 John Snow (Cholera in London) Correct Answers - Major
interest in cholera, which was a major problem in England
- Power of observation
- Germs had not been seen under the microscope
- Mapped out cholera cases in Soho district

- Which company do you get your water from?
- Southwark&Vauxhall Co. or Lamberth Co.
- 315 deaths per 100 000 households - pumps associated with
Southwark&Vauxhall Co.
- Their water was contaminated from the sewer line
- Observations can sometimes precede our biological
understanding

3 Domains of Learning Correct Answers 1. cognitive (learn
through brain/thoughts)

2. affective (learn through emotions)

3. psychomotor (learn through actions)

3 Dominant Approaches to Health Promotion Correct Answers
1. biomedical
2. behavioural
3. socio-environmental

Ability to learn is affected by: Correct Answers 1. physical
factors

,2. psychological factors
3. intellectual factors
4. socioeconomic factors
5. cultural factors

Adult Learning Principles (Andragogy) Correct Answers - The
learner's need to know
- Self-concept of the learner
- Prior experiences of the learner
- Readiness to learn
- Orientation to learning
- Learning styles - visual, auditory, and kinetic
- Motivation to learn

Antecedents: empowerment Correct Answers - mutual trust
and respect
- education and support
- participation and commitment

Assessing readiness to learn Correct Answers 1. motivation
- provides incentive
- starts by clients "need to know"
- difficult to assess

2. adherence or non-adherence
- follow or not to follow the plan
- informed choices

3. sensory and physical state
- pain, fatigue, analgesia, disability

,4. literacy level
- average adult reading level is grade 8
- many adults read 3-5 grades below the highest level of school
completed

Assessment Methods in health promotion: Challenges Correct
Answers - communities are complex social systems
- assessment must draw from many different aspects and
components that make up a community
- connection between precede-proceed model of planning and
community health assessment

- phase 1: social assessments
- phase 2: epidemiological assessment
- phase 3: educational and ecological assessment
- phase 4: administrative and policy assessment and intervention
alignment

Assessments Methods in Health Promotion Correct Answers 1.
needs based assessment
2. deficiency based assessment
3. capacity based assessment

Behavioural Correct Answers - lifesyles
- behavioural models to explain behaviour
- social marketing
- community based programs

Behavioural Approach to Health ushered in with the Lalonde
Report (1974) Correct Answers - concluded that traditional
medical care was inadequate

, - health determinants defined as: lifestyle, environment, human
biology, organization of health care
- health is viewed as energy, physical wellness, and appropriate
disease preventing lifestyles
- goal: to change individual risk factors through behavioural
change

Biomedical Correct Answers - communicable disease
prevention
- screening
- health education
- harm reduction

Biomedical Approach Correct Answers - stability model to
health = absence of disease
- arose dramatically after WWII
- dominant approach until 1970s
- goal: prevent disease and risk factors through early
identification and intervention

Blood borne diseases: Correct Answers - Examples: Hepatitis
B, HIV, Hepatitis C etc.
- Huge implications - blood supply etc. how do you keep blood
bag intact?

- Canada has a reasonably good integrity of blood bank system -
did have a problem with hepatitis C a few years back

Capacity Based Assessments Correct Answers - Focus on
assets and strengths of a community

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