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Fundamentals of Nursing Chapter 6
Health and Wellness
29
Nursing
Undergraduate 2
01/12/2010

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Term
What are the two overarching goals for Healthy People 2010?
Definition
1)To increase quality and years of healthy life.
2) to eliminate health disparities.
Term
What are the four areas of the Healthy People 2010?
Definition
1)Promoting healthy behaviors, 2) promoting healthy and safe communities, 3) improving systems for personal and public health, 4) preventing and reducing diseases and disorders
Term
What is the WHO's definition of health?
Definition
"A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity."
Term
What do Pender, Murdaugh, and Parsons define health as?
Definition
The actualization of inherent and acquired human potential through goal-directed behavior, competent self-care, and satisfying relationships with others, while adjustments are made as needed to maintain structural integrity and harmony with the environment
Term
What are Health Beliefs?
Definition
They are a person's ideas, convictions, and attitudes about health and illness. They can be based on fact, common sense, or myths.
Term
What does the Health belief model address?
What does it predict?
Definition
The relationship between a person's beliefs and behaviors. It predicts how clients will behave in relation to their health and how they will comply with health care therapies.
Term
What does the Health promotion model define health as? What is it directed at?
Definition
a positive, dynamic statem, not merly the absence of disease. It is directed at increasing a client's level of well-being.
Term
What does the health promotion model focus on?
Definition
1) Individual characteristics and experiences, 2) behavioral specific knowledge and affect, 3) behavioral outcomes.
Term
In maslows hierarchy of needs starting with the most basic needs to least important needs list them.
Definition
1st Most Important:
Physiological;

Oxygen, fluids, nutrition, body temperature, elimination, shelter, sex.

2nd most important: Safety and security;

Physical safety, psychological safety.

3rd most important: Love and belonging needs

4th most important Self-esteem

5th most important Self-actualization.
Term
If following Maslow's hierarchy of needs is it required to always give the most important needs first? Explain.
Definition
No, This is given by the example of a house fire. The physical safety is much more important than that of love and belonging needs. However, in the example of the mastectomy the needs of the patient to feel love, belonging, and self-esteem are often more important than pain control.
Term
What are some factors that have been reported to affect older adults willingness to engage in health promotion activities?
Definition
They may include: Socioeconomic factors, beliefs and attitudes for clients and providers, encouragement by a health care professional, specific motivation based on efficacy beliefs, access to resources, age, number of chronic illnesses, mental and physical health, marital status, and cognitive status.
Term
What are teh stages of Health behavior change?
Definition
Precontemplation, contemplation, preparation, action, maintenance stage.
Term
What are internal variables that influence health and health beliefs and practices?
Definition
Developmental Stage, Intellectual background, perception of functioning, emotional factors, spiritual factors.
Term
What are external variables that influence health and health beliefs and practices?
Definition
Family practices, socioeconomic factors, cultural background.
Term
What should a nurse consider when exploring information about cultures?
Definition
We should consider beliefs, values, daily practices, spirituality, and their implications for the way a client understands illness, perceives treatment plans, and makes health care decisions.
Term
What are some implications for practice when working with a culture different than our own?
Definition
Be aware of the impact of culture on a clien'ts view and understanding of illness. When teaching clients about their illness and treatment regiments, it is important for nurses to understand that unique cultural perceptions exist regarding the cause fo an illness and its treatment. We should focus on clients traditions, values, beliefs, and how these dimensions may affect health, wellness and illness.
Term
What could be health promotion activities?
Definition
Routine exercise and good nutrition.
Term
Wellness education teaches people what?
Definition
How to care for themselves in a healthy way and includes topics such as physical awareness, stress management, and self-responsibility.
Term
Give an example of an illness prevention activity.
Definition
immunization programs
Term
What are some of the parts of primary prevention? Who does it focus on?
Definition
Some parts aimed at are health education programs, immunizations, and physical and nutritional fitness activities. It focuses on the individual or general population, developing specific diseases, and general health of individuals, families, and communities.
Term
What does secondary prevention focus on?
What are activities focused on?
Definition
It focuses on individuals who are experiencing health problems or illnesses and who are at risk for developing complications or worsening conditions. Activities are focused on immediate interventions reducing severity and enabling the client to return to a normal level of health.
Term
What does tertiary prevention try to do for the patient?
Definition
It involves minimizing the effects of long term disease or disability by interventions directed at preventing complications and deterioration.
Term
What are some risk factors?
Definition
Genetic and physiological factors, age, environment, lifestyle,
Term
What is the first step in health promotion, wellness education, and illness prevention activities?
Definition
Identifying risk factors
Term
Define illness
Definition
a state in which a person's physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished or impaired compared with previous experience.
Term
Is illness synonymous with disease?
Definition
No, it isn't.
Term
What are teaching strategies for helping with a lifestyle change?
Definition
active listening-ask the client how he or she prefers to learn, get a baseline knowledge the patient has of health risks related to poor lifestyle. Ask what barriers and benefits he or she perceieves with the planned lifestyle change. assist in establishing goals for change. Establish time lines with the client for change, page 79 lists others.
Term
What are internal variables that influence illness and illness behavior?
Definition
1) If the illness disrupts their daily activities the patient is more likely to go for medical care.
2)If the patient thinks they are serious or lifethreatening they are more likely to come in.
3) extreme changes in health such as chest pains in the middle of the night can bring about an internal change.
Term
What are some external variables that inflence illness and illness behavior?
Definition
visible symptoms of an illness, social groups that the patient belongs to, families, friends, etc.
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