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Targeted NR222 Review Material with Chamberlain Faculty-Verified Final Exam Keys

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Learners utilize comprehensive assessment tools that evaluate not only physical health but also psychological resilience, social determinants, and spiritual well-being. The rationale is to move beyond reductionist biomedical models and embrace holistic care paradigms in chronic disease prevention.

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Institution
NR 222
Course
NR 222

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Uploaded on
June 5, 2025
Number of pages
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Written in
2024/2025
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Targeted NR222 Review Material with Chamberlain
Faculty-Verified Final Exam Keys
Health - State of physical, mental, spiritual, and social functioning within developmental
context

Adaptation and reaction to environment

Health promotion - the concept is to promote healthy living. The model details individual
characteristics and experiences, behavior-specific cognitions and affect, as well as behavior
outcomes. The end result is a commitment to a plan of action or health promoting behaviors.
This model adapts as an individual develops over a life time.

Illness - Composed of the subjective experience of individual and physical manifestation
of disease

Disease - Failure of a person's adaptive mechanisms

Results in functional or structural disturbances

Models of health - Clinical model

Role performance model

Adaptive model

Eudaemonistic model

Clinical model - In the clinical model, health is defined by the absence of signs and
symptoms of disease and illness is defined by the presence of signs and symptoms of disease.

Role performance model - The role performance model of health defines health in terms
of individuals' ability to perform social roles. Role performance includes work, family, and social
roles, with performance based on societal expectations.

Adaptive model - In the adaptive model of health, people's ability to adjust positively to
social, mental, and physiological change is the measure of their health. Illness occurs when the
person fails to adapt or becomes maladaptive to these changes.

Eudaimonistic - In the eudaimonistic model, exuberant well-being indicates optimal
health. This model emphasizes the interactions between physical, social, psychological, and
spiritual aspects of life and the environment that contribute to goal attainment and create
meaning. Illness is reflected by a denervation or languishing, a lack of involvement with life. A

,Health beliefs-internal variables - Developmental stage

Intellectual Background

Perception of Functioning

Emotional Factors

Spiritual Factors

Health beliefs-external variables - Family practices

Socioeconomic factors

Cultural background

Healthy People 2020 - 4 Overarching goals:

1. Attain high quality, longer lives free of preventable disease, disability, injury, and premature
death.

2. Achieve health equity, eliminate disparities, and improve the health of all groups

3. Create social and physical environments that promote good health for all

4. Promote quality of life, healthy development, and healthy behaviors across all life stages

Healthy People 2020 (LHI)-Leading Health Indicators - For example, under the Tobacco
topic, one LHI is listed as "Adults who are current cigarette smokers" (USDHHS, 2016a, para. 13).
Cigarette smoking, as you will explore later, is "the single most preventable cause of disease,
disability, and death in the United States" (USDHHS, 2016b, para. 1).

Levels of prevention - Primary

Secondary

Tertiary

Primary - The goal of primary prevention is to stop illness or injury before it happens. For
instance, antismoking laws are a form of primary prevention, as are immunizations, seat belts,
sunscreen, and nursing education about health promotion, nutrition, and safety.

Secondary - Secondary prevention prevents an existing illness or injury condition from
becoming worse. For example, heart attack patients are prescribed an aspirin a day to reduce
their chance of further heart problems. Another secondary prevention measure is screening to
detect a disease of which an individual is unaware of having, such as breast cancer, diabetes, or

, colon cancer. Detecting the disease allows for treatment and hopefully prevents worsening of
the condition.

Tertiary - After an injury has been treated or an illness enters a chronic phase, tertiary
prevention prevents the lasting effects of the condition or tries to lessen their impact. For
example, a recovering stroke patient will need rehabilitation and physical therapy to strengthen
and condition the individual to live with his or her new disabilities.

Risk factors - Variables that increase the vulnerability of an individual or a group to an
illness or accident

Risk factors include:

Genetic and physiological factors

Age

Environment

Lifestyle

Nursing Roles - Advocate

Care manager

Consultant

Deliverer of services

Educator

Communicator

Researcher

Benner - Benner's stages of nursing proficiency:

Novice

Advanced beginner

Competent

Proficient

Expert
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