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Nurse 299 Exam 1: Health Models, Prevention, & Culture, Exams of Nursing

A comprehensive set of questions and answers related to key concepts in nursing, including health models, levels of prevention, cultural competence, and health disparities. It covers topics such as the clinical model, role performance model, adaptive model, and eudaemonistic model of health, as well as primary, secondary, and tertiary prevention. The document also explores cultural values, health care issues of native americans, and the homeless population. It is a valuable resource for nursing students preparing for exams or seeking a deeper understanding of these fundamental concepts.

Typology: Exams

2024/2025

Available from 02/12/2025

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Nurse 299 Exam 1 Questions With
Correct Detailed Answers.
Values and beliefs pattern - ANSWER- Values, beliefs or goals that guide choices or
decisions
Smith (1983) describes four distinct models of health in her classic work: - ANSWER-
Clinical model
Role performance
Adaptive Model
Eudaemonistic Model
Clinical Model - ANSWER- Health is defined by the absence and illness of disease.
With this model, people may wait to seek healthcare until they are sick. They often don't
seek preventative healthcare.
Role performance Model - ANSWER- Health is defined in terms of individuals' ability to
perform social roles. In this model, you are sick when you can't function in your role (i.e.,
need to miss school or work).
Adaptive Model - ANSWER- People's ability to adjust positively to social, mental, and
physiological change is the measure of their health. In this model a person gets sick
when he fails to adapt to change.
Eudaimonistic Model - ANSWER- embodies the interaction and interrelationships
among physical, social, psychological, and spiritual aspects of life and the environment
in goal attainment and creating meaning in life. Those who believe in this model often
look for alternative providers of care. (e.g., a person has a primary care provider and
someone he sees for acupuncture.)
Wellness - ANSWER- A positive state in which incremental increases in health can be
made beyond the midpoint. These increases involve improved physical and mental
health states.
Health - ANSWER- A state of physical, mental, spiritual, and social functioning that
realizes a person's potential and is experienced within a development context.
Illness - ANSWER- Composed of the subjective experience of the individual and the
physical manifestation of disease. People are in an imbalanced, unsustainable
relationship with their environment and are failing in their ability to survive and create a
higher quality of life.
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Nurse 299 Exam 1 Questions With

Correct Detailed Answers.

Values and beliefs pattern - ANSWER- Values, beliefs or goals that guide choices or decisions Smith (1983) describes four distinct models of health in her classic work: - ANSWER- Clinical model Role performance Adaptive Model Eudaemonistic Model Clinical Model - ANSWER- Health is defined by the absence and illness of disease. With this model, people may wait to seek healthcare until they are sick. They often don't seek preventative healthcare. Role performance Model - ANSWER- Health is defined in terms of individuals' ability to perform social roles. In this model, you are sick when you can't function in your role (i.e., need to miss school or work). Adaptive Model - ANSWER- People's ability to adjust positively to social, mental, and physiological change is the measure of their health. In this model a person gets sick when he fails to adapt to change. Eudaimonistic Model - ANSWER- embodies the interaction and interrelationships among physical, social, psychological, and spiritual aspects of life and the environment in goal attainment and creating meaning in life. Those who believe in this model often look for alternative providers of care. (e.g., a person has a primary care provider and someone he sees for acupuncture.) Wellness - ANSWER- A positive state in which incremental increases in health can be made beyond the midpoint. These increases involve improved physical and mental health states. Health - ANSWER- A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a development context. Illness - ANSWER- Composed of the subjective experience of the individual and the physical manifestation of disease. People are in an imbalanced, unsustainable relationship with their environment and are failing in their ability to survive and create a higher quality of life.

Goals of Healthy People - ANSWER- 1. Attain high quality, longer lives free of preventable disease, disability, injury and premature death

  1. Achieve health equity, eliminate disparities and improve the health of all groups
  2. Create a social and physical environments that promote good health for all
  3. Promote quality of life, healthy development and healthy behaviors across all life stages Nurse's Role - ANSWER- - Advocate
  • Care Manager
  • Consultant
  • Deliverer of Services
  • Educator
  • Healer
  • Researcher Advocate - ANSWER- Help individuals obtain the care they are entitled to receive through the health care system. The nurse strives to ensure that all persons receive high-quality, appropriate, safe, and cost-effective care Care Manager - ANSWER- Prevent duplication of services, maintain quality and safety and reduce costs. This role depends on a collaborative relationship among the this role, other nurses and physicians, the individual and his or her family, the insurance provider and other care providers who work with the person. Facilitating communication among parties is one of the most important functions of this role Consultant - ANSWER- Providing knowledge about health promotion and disease prevention to individuals or groups as this role. All nurses need to develop these skills that can be integrated into practice and allow the individual nurse to take advantage of the opportunities to provide support on an individual level or for future development at the organization level. Deliverer of Services - ANSWER- Delivery of direct services such as health education, flu shots, and counseling in health promotion. Educator - ANSWER- Health practices in the U.S. are derived from the theory that health components such as good nutrition, industrial and highway safety, immunization, and specific drug therapy should be within the grasp of the total population. Health education is one of the primary prevention techniques available to avoid the major causes of disability and death today and is a critical role for nurses. Healer - ANSWER- Requires the nurse to help individuals integrate balance the various parts of their lives. Healing resides in the ability to glimpse or intuit the "interior" of an individual, to sense and identify what is important to that other person, and to incorporate the specific insight into a care plan that helps that person develop his/her own capacity to heal

Cultural Competence - ANSWER- Nurses must be on the cultural influences in daily lives of individuals through cultural humanity. Disregard personal biases and treat everyone with respect. Racism - ANSWER- Devaluing of the beliefs, values, and customs of others. Ethnocentrism - ANSWER- evaluation of other cultures according to preconceptions originating in the standards and customs of one's own culture. Health Disparities - ANSWER- An umbrella term that includes disparities in health and in health care. These disparities adversely affect groups of who have systematically experienced greater obstacles health wise, based on race, ethnicity, religion, socioeconomic status, gender, age, mental health, cognitive, sensory, mental disability, sexual orientation or gender identity, and geographic location. Cultural Values - ANSWER- Unique, individual expressions of a particular culture that have been accepted as appropriate over time. They guide actions and decision-making that facilitate self esteem and worth. Culture - ANSWER- An element of ethnicity, refers to integrated thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious or social groups. Values - ANSWER- Beliefs about the worth of something and serve as standards that influence behavior and thinking. Value Orientations - ANSWER- Learned and shared through the socialization process, reflect the personality type of a particular society. The dominant value orientations are shared by the majority of the group Minority Group - ANSWER- Consists of people who are living within a society in which they are usually disadvantaged in relation to power, control of their own lives and wealth. Ethnicity - ANSWER- Dynamic and institutionalized ideas and practices that allows people to identify or to be identified with groups in regards to language, history, nation or region of origin, religion, names, physical appearance, genealogy or ancestry. Health Care Issues of Native Americans - ANSWER- - Heart Disease

  • Cancer
  • Accidents
  • Diabetes
  • Stroke
  • Mental Health and Suicide
  • Substance Abuse
  • Obesity

- SIDS

  • Teenage Pregnancy Homeless Population and Contributing Factors - ANSWER- - Poor Health
  • Behavioral, social and environmental risks
  • Exposure to extreme temperatures, unsanitary living conditions, poor nutrition, crowded shelters, and unsafe situations, addictions, stress, malnutrition Poverty and Healthcare - ANSWER- Lack of affordable housing, lack of affordable healthcare, domestic violence, mental illness , and addiction can contribute to Homelessness. Focus of National Institutes of Health (NIH) - ANSWER- Significant effort into addressing and reducing heath disparities involving cancer, diabetes, infant mortality, AIDS, cardiovascular illnesses and many other diseases. Transcultural Nursing - ANSWER- Nurses have responsibilities to be aware of specific health needs and respond to illness in all populations. Complimentary and Alternative Medicine (CAM) - ANSWER- - Acupuncture
  • Biofeedback
  • Relaxation
  • Music Therapy
  • Massage
  • Art
  • Music
  • Dance Therapy Health Related Cultural Aspect of Latinos/Hispanic Americans - ANSWER- - Dislocation of internal organs
  • Hot and Cold Imbalances
  • Natural Diseases
  • Emotional or Mental issues Health Related Cultural Aspect of Asian Americans and Pacific Islanders - ANSWER- - Taoism(foundation of Chinese medicine)
  • Yin and Yang balance of energy (Chi)
  • Jing(sexual energy) Health Related Cultural Aspect of Arab Americans - ANSWER- - Family Values
  • Hospitality around food, family and friends
  • Dietary rules
  • Prescribed rituals for praying and washing
  • View the future uncertain
  • Religion and religious behavior

former generations contribute to individuals' health behavior. Nurses provide this when they identify and use cultural norms, values, and communication and time patterns. Estimated Average Requirement (EAR) - ANSWER- Amount of nutrient needed to meet the basic requirements of half the individuals in a specific group that represents the population. Used to determine the basis for setting RDA's Recommended Dietary Allowance (RDA) - ANSWER- Level of nutrient intake sufficient to meet the needs of almost all healthy individuals of a life-stage and gender group. Some nutrients have not an RDA but an AI. Adequate Intake (AI) - ANSWER- The approximate level of an average nutrient intake determined by the observation of or experimentation with a particular group. Used when insufficient data to set an RDA Tolerable Upper Intake Level (UL) - ANSWER- Level of nutrient intake that should not be exceeded to prevent adverse health risks. Includes total consumption of foods, fortified foods and supplements. Acceptable Macronutrient Distribution Ranges (AMDLs) - ANSWER- Daily percentage intake values for the macronutrients fat,, carbohydrate, and protein

  • 45 - 65% Carbs
  • 20 - 35% Fats
  • 10 - 35% Protein Carbohydrates - ANSWER- - Fuel
  • Sugars, starches, fibers Simple: fruits, milk, honey sugars(brown,white), HFCS Complex: cereals, grains, pastas, fruits and veggies kcal: 4 Proteins - ANSWER- - Energy
  • Roles in the structure of bones, muscles, enzymes, hormones, blood, cell membranes and the immune system
  • 20 amino acids
  • Too much is a problem kcal: 4 Fats - ANSWER- - Densest form of energy
  • Components of cell structure
  • Production of hormones
  • Provide padding for body structures
  • Essential fatty acids, and fat-soluble vitamins A, D, E & K kcal: 9

Vitamins - ANSWER- Compounds that assist other nutrients through the processes of digestion, absorption, metabolism and excretion.

  • Provide no energy but aid in the release of energy from carbs, fats and proteins. Minerals - ANSWER- Serve structural purposes in the body and are found in body fluids. These affect the nature of the fluids which influence muscle function and the CNS Water - ANSWER- - Major part of every tissue in the body
  • Can live only a few days without water
  • Functions to facilitate in the breaking down of materials and reformed for use by the body.
  • Means of transportation for nutrients to and from cells Undernutrition - ANSWER- Consumption of not enough energy or nutrients in comparison with dietary reference intake values Overnutrition - ANSWER- Consumption of too many nutrients and too much energy in comparison with dietary reference intake values. Malnutrition - ANSWER- Condition resulting from an imbalanced nutrient and/or energy intake. It is both undernutrtion and overnutrition. NHANES - ANSWER- Focuses on data from the dietary intake, medical history, biochemical evaluation, physical examination and measurements of American population groups who are carefully chosen to represent the population Disease Prevention - ANSWER- 1. Primary Prevention
  1. Secondary Prevention
  2. Tertiary Prevention Primary Prevention - ANSWER- Activities to avert the initial development of a disease of poor health. Eat a variety of foods to avert nutrient deficiencies. Low fat, high fiber diet Secondary Prevention - ANSWER- Involves early detection to halt or reduce the effects of a disease or illness. Some diseases cannot be prevented, but early detection can minimize negative health effects. Controlling the intake of certain nutrients can decrease the severity of some disorders. Tertiary Prevention - ANSWER- Occurs after a disorder develops. Purpose is to minimize further complications or to assist in the restoration of health. Continued medical care and educating on the illness and diet therapy Six Dimensions of Health - ANSWER- 1. Physical Health
  3. Intellectual Health
  4. Emotional Health
  5. Social Health