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HEALTH PROMOTION THROUGH THE LIFE SPAN 8TH EDITION EDELMAN Chapter 1 Health Promotion

HEALTH PROMOTION THROUGH THE LIFE SPAN 8TH EDITION EDELMAN Chapter 1 Health Promotion

HEALTH PROMOTION THROUGH THE LIFE SPAN 8TH EDITION EDELMAN Chapter 1 Health Promotion

Last updated 19 September 2021

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Health
____ is a state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a developmental context.
 
Healthy People 2010
_____ is the federal government's health objectives for the nation
 
the study of health and disease in society
What is epidemiology?
 
wellness-illness continuum and perspective developmental phenomenon of unitary pattering of the person-environment
The definitions of health in the nursing literature can be classified broadly within what two major paradigms
 
wellness-illness continuum
______ is a dichotomized portrayal of health and illness ranging from high-level wellness at the positive end to depletion of health at the negative end
 
high-level wellness
____ is a sense of well-being, life satisfaction, and quality of life
 
developmental perspective of health
The _____ has been conceptualized as expanding consciousness, pattern or meaning recognition, personal transformation, and, tentatively, self-actualization
 
a more recent and comprehensive developmental approach useful for promoting health at individual, family, community, and societal levels
What is the ecological model of health
 
a person's ability to fulfill a role in society
As the national economy expanded during and after World War II in the 1940s and 1950s, health became linked to ...
 
quality
More recently, emphasis is being placed on the _____ of a person's life as a component of health
 
functional health or health-related quality of life
There are multiple factors contributing to a person's perception of his or her health, sometimes referred to as ...
 
the ability to function cognitively and physically
1. clinical model
2. role performance model
3. adaptive model
4. eudaimonistic model
What are the four distinct models of health that Smith describes in her classic work
 
clinical
In the ____ model health is defined by the absence, and illness by the conspicuous presence, of signs and symptoms of disease. People who use this model may not seek preventive health services or they may wait until they are very ill to seek care. This model is the conventional model of the discipline of medicine.
 
role performance
The _____ model of health defines health in terms of individuals' ability to perform social roles which includes work, family, and social roles, with performance based on societal expectations. Illness would be the failure to perform roles at the level of others in society. This model is the basis for occupational health evaluations, school physical examinations, and physician-excused absences. The idea of the "sick role."
 
...
In the _____ 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.
 
adaptive
Ex. spirituality can be useful in adapting to a decreased level of functioning in older adults
 
eudaimonistic
In the ______ 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.
 
eudaimonistic
In the _____ model, a person dying of cancer may still be healthy if she is finding meaning in her life at this stage of development.
 
eudaimonistic
Those who adopt a ______ model of health may find that practitioners working under a clinical model do not address their more comprehensive health needs. They may instead seek out a practitioner of alternative medicine or the council of a priest, rabbi, or minister to complement the services of the more traditional health provider.
 
wellness
_____ is 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-illness continuum
Dunn developed a _____ that assessed a person not only in terms of his or her relative health compared with that of others but also in terms of the favorability of the person's environment for health and wellness
 
 
health-illness
The second dimension to the _____ continuum created a matrix in which a favorable environment allows high-level wellness to occur and an unfavorable environment allows low-level wellness to exist.
 
High-level wellness
_____ involves progression toward a higher level of functioning, an open-ended and ever-expanding future with its challenge of fuller potential and the integration of the whole being
 
eudaimonistic
High-level wellness contains ideas similar to those in the ____ model of health
 
function
One of the defining characteristics of life is the ability to ______
 
Functional health
____ can be characterized as being present or absent, high level or low level, and influenced by neighborhood and society.
 
physical, mental, and social
What are the 3 levels of function that are reflected in terms of performance and social expectations
 
Loss of function
____ is a good indicator that the person may need nursing intervention.
 
Disease
____ literally means "without ease."
 
Disease
____ may be defined as the failure of a person's adaptive mechanisms to counteract stimuli and stresses adequately, resulting in functional or structural disturbances.
 
Illness
____ is made up of the subjective experience of the individual and the physical manifestation of disease
 
 
Illness
____ can be described as a response characterized by a mismatch between a person's needs and the resources available to meet those needs.
 
1. Increase the span of healthy life
2. Reduce health disparities
3. Create access to preventive services for all
What are the 3 broad goals that Healthy People 2000 set out
 
1. Increase quality and years of healthy life
2. Eliminate health disparities
What are the two main goals of Healthy People 2010
 
health disparities
Eliminating _____ addresses the continuing problems of access to care; differences in treatment based on race, gender, ability to pay; and related issues such as urban versus rural health, insurance coverage, Medicare and Medicaid reimbursement for care, and satisfaction with service delivery.
 
longevity
Health disparities are directly and indirectly linked to _____ and quality of life issues.
 
ethnocentrism
_____ is the assumption that an individual's own perspective is correct and shared by others
 
racism
_____ can lead to a devaluing of the beliefs, values, and customs of others
 
cultural competence
_____ is the ability to give care to an individual that demonstrates awareness of and sensitivity to the underlying personal and cultural reality of the individual by identifying and using cultural norms, values, and communication and time patterns in collecting and interpreting assessment information.
 
empathy
____ is the ability to view other persons' situations from their perspective without losing personal identity and perspective.
 
responsibility
Another important feature of Healthy People 2010 is its emphasis on ______.
 
 
...
Individuals need to accept responsibility for their lifestyle choices and behaviors. This emphasis on personal responsibility gives each individual a role in the quality of his or her life and the length of healthy life each may have.
 
health promotion
Healthy People 2010 emphasizes the efforts of partnerships and partnership building as essential to ________.
 
Step Up to Health
A program called ______ was a project to increase physical activity in senior housing and senior centers through interactive planning and consumer ownership of the activities.
 
True
T/F: With regard to the first goal, Increase Quality and Years of Healthy Life, life expectancy continues to improve, with women living longer than men and Whites living longer than Blacks.
 
True
T/F: For the second goal of Eliminating Health Disparities,trend data indicated that, overall, disparities have not changed significantly.
 
True
T/F: Data from the Mid-Course Review and the data being analyzed for Healthy People 2020 support the need for increased effort and more targeted funding for health promotion and disease prevention, particularly among men, racial/ethnic groups, and those with high school or less education.
 
Asset planning
____ is a planning approach that, given the realities of the present, helps focus the family and their providers on the building blocks for their future. It focuses on the assets or strengths of the individual, the family, and the community, applying those assets to improve or maintain the current level of functioning.
 
Prevention
_____, in a narrow sense, means averting the development of disease in the future. In a broad sense, it consists of all measures, including definitive therapies, that limit disease progression.
 
primary, secondary, and tertiary
What are the three levels of prevention
 
Primary prevention
______ precedes disease or dysfunction and is therapeutic in that it includes health as beneficial to well-being, it uses therapeutic treatments, and, as a process or behavior towards enhancing health, it involves symptom identification when teaching stress reduction techniques.
 
 
health promotion, specific protection
Primary prevention intervention includes ______, such as health education about risk factors for heart disease, and _____, such as immunization against hepatitis B.
 
primary prevention
The purpose of ____ is to decrease the vulnerability of the individual or population to disease or dysfunction.
 
Health promotion
_____ is the science and art of helping people change their lifestyle to move toward a state of optimal health. The process of advocating health to enhance the probability that person (individual, family, and community), private (professional and business), and public (federal, state, and local government) support of positive health practices will become a societal norm.
 
1. The Theoretical Basis of Health Promotion
2. The Social Nature of Health Promotion
3. The Active and Passive Nature of Health Promotion
4. An Application of Theory to the Practice of Health Promotion
What are the 4 types of health promotion in primary prevention
 
passive, active
Two strategies of health promotion in primary prevention involve the individual and may be either _____ or _____.
 
Passive
_____ strategies involve the individual as an inactive participant or recipient.
 
passive strategies
Examples of public health efforts to maintain clean water and sanitary sewage systems to decrease infectious diseases and improve health, and efforts to introduce vitamin D in all milk to ensure that children will not be at high risk for rickets when there is little sunlight is called _______
 
Active
____ strategies depend on the individual becoming personally involved in adopting a proposed program of health promotion.
 
active strategies
Two examples of lifestyle change are daily exercise as part of a physical fitness plan and a stress-management program as part of daily living is called _______
 
Transtheoretical Model (TTM)
The _____ Model is an excellent example and can be applied to an Application of Theory to the Practice of Health Promotion
 
1. Precontemplative - Not considering change
2. Contemplative - Aware of but not considering change soon
3. Preparation - Planning to act soon
4. Action - Has begun to make behavioral change (recent)
5. Maintenance - Continued commitment to behavior (long-term)
6. Relapse - Reverted to old behavior
List the 6 stages of change in the Transtheoretical Model (TTM)
 
self-efficacy
Encouraging people and suggesting changes to their environment that support behavioral change can increase their _____ and their chances of maintaining a change.
 
Transtheoretical Model (TTM)
The _______ Model recognizes that people need multiple opportunities to make behavioral change before achieving success and that relapse should be expected
 
Concept of risk
_____ is the most basic of all health concepts, since health promotion and disease protection are based on this concept.
 
Good nutrition
_____ is known to enhance the immune system, enabling individuals to fight off infections that could lead to disabling illnesses.
 
lifestyle change
It must be emphasized that health promotion requires _______.
 
True
T/F: The Nursing: Scope and Standards of Practice document requires nurses "to promote health and a safe environment" through health teaching and evaluation of teaching effectiveness in clinical practice
 
Specific protection
_____ is the aspect of primary prevention that focuses on protecting people from injury and disease, for example, by providing immunizations and reducing exposure to occupational hazards, carcinogens, and other environmental health risks.
 
incentive
An ____ is a reward designed to influence an individual to make a desired change where he/she might otherwise not make the behavioral change solely on the intrinsic benefit of the changed behavior.
 
Secondary prevention
______ ranges from providing screening activities and treating early stages of disease to limiting disability by averting or delaying the consequences of advanced disease.
 
Tertiary prevention
______ occurs when a defect or disability is permanent and irreversible. The process involves minimizing the effects of disease and disability by surveillance and maintenance activities aimed at preventing complications and deterioration. It focuses on rehabilitation to help people attain and retain an optimal level of functioning regardless of their disabling condition.
 
tertiary prevention
When a person has a stroke, rehabilitating this individual to the highest level of functioning and teaching lifestyle change to prevent future strokes are examples of ______
 
community-based care
Emphasis is shifting from acute, hospital-based care to preventive, _________, which is provided in nontraditional health care settings in the community.
 
evidence-based practice (EBP)
The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals is known as ______
 
1. Advocate
2. Care Manager
3. Consultant
4. Deliverer of Services
5. Educator
6. Healer
7. Researcher
List the 7 roles of a nurse.
 
advocates
As _______, nurses help individuals obtain what they are entitled to receive from the health care system, try to make the system more responsive to individual and community needs, and help persons develop the skills to advocate for themselves.
 
advocate
In the role of an ______, the nurse strives to ensure that all persons receive high-quality, appropriate, and cost-effective care
 
care manager
The nurse acts as a ______ to prevent duplication of services and to reduce costs.
 
care manager's
Facilitating communication among parties is one of the ________ most important functions.
 
consultant
Nurses may provide knowledge about health promotion and disease prevention to individuals and groups as a ________.
 
delivery of direct services
The core role of the nurse is the ______ such as health education, flu shots, and counseling in health promotion.
 
educators
It is incumbent on nurses to be excellent health ______.
 
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
The role of ____ requires the nurse to help individuals integrate and balance the various parts of their lives
 
research
To provide optimal health care, nurses need to use _____ findings as their foundation for clinical decision-making.
 
(1) promoting health and preventing disease
(2) improving quality of life
(3) eliminating health disparities
(4) setting directions for end-of-life research
List the 4 themes that the National Institute of Nursing Research (NINR) has identified.
 
...
Notice that health promotion is the basis for all of these themes
 
health literacy
The ability of people to obtain, process, and understand basic health information to make appropriate health decisions, known as ______.
 
qualitative studies
Research studies that describe phenomena or define the historical nature, cultural relevance, or philosophical basis of aspects of nursing care is known as _______.
 
quantitative studies
Research studies that describe situations, correlate different variables related to care, and test causal relationships between variables related to nursing care is known as ________.
 
Applied research
Research that is done to directly affect clinical practice is known as _____.
 
Cultural
______ and socioeconomic changes within the population unequivocally influence lay concepts of health and health promotion.
 
chronic conditions, heart disease, cerebrovascular accident (stroke), and cancer
List the 4 major causes of death today.
 
individual involvement and government involvement
Solutions are neither simple nor easy, but they can be focused in what two major directions
 
Motivational
_____ factors play a large role in influencing attitudinal change.
 
Financial
_____ incentives for prevention may be another motivating factor, and health advocacy by professionals in the health field is critical.
 
governmental
Bicycle safety, seat belts, and a graduated tax on cigarettes are specific areas for ______ intervention
 
secondary
Screening for specific illness such as developmental disabilities, cancer, or hypertension is what level of prevention
 
secondary
Nursing interventions designed to prevent complications such as administering medication is what level of prevention
 
secondary
Initiating dietary changes to promote elimination is what level of prevention
 
primary
Risk assessment for specific diseases is what level of prevention
 
primary
Health education about preventing illness is what level of prevention
 
primary
 
 
What are the concepts of health?
1. Wellness
2. Illness
3. Disability
4. Functioning
 
What are the two paradigms that define health in nursing literature?
1. Wellness-illness continuum: High level wellness (+) to depletion of health (-); "well-being"; quality of life; satisfaction = health and illness

2. Perspective development: unitary patterns of person environment; personal transformation; self-actualization; recognition
 
What is Ecological model of health?
A more comprehensive developmental approach that is useful in promoting health at an individual, family, community, and societal level; adaptation and eudemonia
 
What is social determinants of health?
Factors in society that influence health and the options available to people to improve or maintain health; form basis for Health People 2020
 
Why is it beneficial to recognize the different entities for the meaning health?
1. It can clarify outcomes and expectations in health promotion
2. Enhance the quality of care
 
What are some different ways health can be described?
1. Philosophy of care- Health promotion and maintenance
2. System- Health care delivery system
3. Practices- evidenced based health practices
4. Behaviors- Personal Health behaviors
5. Cost- Health care cost
6. Insurance- uninsured health care
 
How was health different before 1940?
1. it was viewed as the absence of disease
2. No state involvement in addressing public health and wellness issues
 
How did the dynamic of health change?
1940s-1950s
1. Became linked to a person ability to fill a role in society
2. Government funding hospitals for expansion
3. Department of Health, Education, and Welfare (DHEW)
and Department of Health and Human Services (DHHS)
were implemented
4. Introduction to concepts of disability and rehabilitation
1960s
5. Nurse Practitioners aimed to involve individuals and their families in the person-centered care and teaching responsibilities and lifestyle choices
6. Became linked to individuals reactions to the environment (adaptation)
 
What are some of the factors that contribute to functional health or health-related quality of life (HRQoL)?
1. Self rated cognitively and physically
2. Self-rated function (self measures of physical and mental health)
 
Who established a general measuring tool for quality of life?
World Health Organization
 
What are the four models of health?
1. Clinical Model
2. Role Performance Model
3. Adaptive Model
4. Eudaimonistic Model
 
Which health model defines health by the absence and illness by the conspicuous presence of signs and symptoms of disease?
 
Which model is the conventional model of discipline of medicine?
Clinical MODEL
 
Give and example of clinical model
Individual that may not seek preventative health or wait until they are very ill to seek care
 
Which health model defines health as an individuals ability to perform social roles including work, family, social roles, with performance based on societal expectation?
Role Performance
 
Which health model can consist of an illness in which a person fails to perform at the level of others in society and consist of physician-excused absences?
Role Performance
 
What health model consist of the measurement of adjusting positively to social, mental, and physiological change and has become more accepted?
Adaptive Model
 
Give an example of the Adaptive Model.
Spirituality used to adapt to the decrease in functioning in older adults
 
Which model exuberant well-being indicates optimal health?
Eudaimonistic Model
 
What does the Eudiamonistic Model emphasize?
Interactions between physical, social, psychological, and spiritual aspects of life and the environment that contribute to goal attainment and create meaning
 
Name that model: Illness is reflected by the denervation or languishing, a lack of involvement with life
Eudaimonistic Model
 
Aspects of the Clinical Health Model come before the aspects of the Eudaimonistic Model. True or False.
False. Aspects of the Eudaimonistic Model predate the clinical model of health
 
 
Name that model: A person dying of cancer can still be healthy if they find meaning in life at this stage of development.
Eudaimonistic Model
 
Which model of health does the wellness-illness continuum fit under?
Clinical health model
 
Name two things that high-level wellness emphasizes.
Interrelationship between the
1. Environment
2. Ability to achieve health on personal and societal level
 
True or False. A loss of function indicates that a person may need nursing intervention.
True
 
According to World Health Organizaton (WHO), what is health?
The state of physical, mental, and social well-being and not merely the absence of disease and infirmity
 
What is the difference between WHO's definition of health and health-dictionary definition of health?
Health dictionary of health includes spiritual, developmental, and environmental aspects over time in addition to physical, mental, and social functioning
 
What are the four metaparadigms of nursing?
1. Person
2. Health
3. Environment
4. Nursing
 
What is disease?
Failure of a person adaptive mechanisms to counteract stimuli and stresses adequately resulting in functional or structural disturbances
 
What is illness?
Composed of subjective experience of the individual and the physical manifestation of disease ; imbalance ; unsustainable relationship with their environment; failure in the ability to survive and create a higher quality of life
 
True or False: Healthy People originally idetified 4 national health goals to reduce the death of older adults and children and reduce the amount of sick days in adults for the next 10 years
False. 5 national health goals; reduce death in adults and children and reduce amount of sick day in OLDER adults for the next 10 years
 
 
What were the three causes of major health issues identified in the original Health People in the US?
1. Careless Habits
2. Environmental Pollution
3. Harm Social Conditions (poverty, hunger, ignorance)
 
What three things hindered the execution of the Healthy People in the progression of reaching its objectives?
1. Change in political leadership
2. Lack of social and political will power
3. Spiraling cost of hospital based care
 
What are the three goals of Health People 2000?
1. Increase the span of health life
2. Reduce Health Disparities
3. Create Access to preventative services for all
 
What are the three goals of Health People 2010?
1. Increase quality and years of life (address ppl living longer but with chronic illnesses so combining quality of life was essential)
2. Eliminate Health Disparities
 
What are the four goals of Health People 2020?
1. Attain high quality, longer lives free of preventable disease, disability, and injury, and premature death
2. Achieve health equity, eliminate disparities, and improve 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
 
A person who assumes that their beliefs, values, and customs are correct and shared by others is called what?
Ethnocentrism
 
Devaluning the beliefs, values, and customs of other is called ?
Racism
 
A nurse who views her patient's situations through their respective is exercising what?
Empathy
 
The ability to give care to an individual that demonstrates awareness of and sensitivity to the underlying personal and cultural reality of the individual by identifying and using cultural norms, values, and communication and time patterns in collecting and interpreting assessment information.
Cultural Competency
 
Which Act requires primary care providers to provide free wellness services to older adults and other, and provide patient-centered care?
The Patient Protection and Affordable Care Act
 
 
What are some ways to implement patient centered care and promote health for Healthy People 2020?
1. Build partnerships with community nursing centers to provide health ed and screenings
2. Have partners serve as active participants on community boards and advisory committees so that partners can become aware of health issue going on in the community and resources available to meet those needs
3. Getting work sites and communities involved in providing opportunities for ppl like flexable work schedules , wellness programs, safe parks, gardens, exercise facilities, and etc.
4. Church, temples, mosque, faith communities can break economic, social, racial barriers
5.Public health officials attending partnership meetings for policy development, data collection, assurance, and provides serves in the workforce
 
What is important to remember when interviewing an obese or overweight patient?
1. Set and effective tone= non judgmental zone, get history, habits cultural influences, and desire to loose weight
2.Asses motivation/ readiness to loose weight; explain BMI, methods of data collection, risk factors and comorbidities
3. Build a relationship= determine what they are welling to do to achieve weight goals;use best practice for weight management and weight loss that is affordable for them; listen to their stories about food; set activity goals; use caloric diets
 
What is Asset planning?
A planning approach that focuses the family and the providers on the building blocks for their future, given the realities of the present; focus on assets and strengths of the individual, family, and community and using the asses to improve or maintain current level of functioning; ex: reevaluate the decision to continue working after a heart attack .. avoid jeopardizing health again
 
What are the 13 focus areas for Healthy People 2020?
1. Adolescent health
2. Blood disorders and blood safety
3. Dementias including Alzheimer's
4. Early and middle childhood
5. Genomics
6. Global Health
7. Healthcare-Associated infections
8. Health related quality of life and well-being
9. Lesbian gay, bisexual, and transgender
10. Older Adults
11. Preparedness
12. Sleep health
13. Social determinants of health
 
Read National Health Prevention and Disease Prevention Objectives for Nutrition and Weight Status
p. 11
 
Give an example of primary prevention.
It involves public health; health education risk factors about heart disease
 
Give an example of specific protection.
Getting an immunization against Hepatitis B
 
Secondary prevention include advocating for policies that promote the health of the community and electing public officials who will enact legislation that protects the health of the public. True or false.
False. Primary prevention
 
What is Primary prevention?
1. Therapeutic b/c it involves help as a beneficial to well-
being
2. Uses therapeutic treatments
3. Involves symptom identification when teaching stress
reduction techniques
 
Describe two things about the social nature of health promotion?
1. Health promotion limits the constant increase in health care cost
2. Efforts must be made to identify multiple dimensions of health, determine relevant health promotion strategies and delineate issue relevant to social justice and access to care
3. individuals families and communities must be active participants
 
 
Active or Passive: Public efforts to maintain clean water and sanitary sewage systems to decrease infectious diseases and improve health.
Passive
 
Active or Passive: Efforts to introduce vitamin D in all milk to ensure children will not be at risk for rickets when living in areas where sunlight is scarce.
Passive
 
Passive strategy entails an individual becoming personally involved in adopting a proposed program of health promotion. T/F
False: Active Strategy
 
What are some examples of active strategy in public health?
1. Performing daily exercise as a part of physical fitness
2. Adopting a stress-management program as part of daily living
 
What are the four signs of the Transtheoretical Model (TTM)?
1. Stages of Change (readiness)
2. Decisional Balance (benefits and
detractors)
3. Self-Efficacy (personal confidence in
making change)
4. Processes of Change (cognitive, affective,
and behavioral activities facilitating
change)
 
Not considering change. Which stage of the transtheorectical model is this?
Precontemplative
 
Aware of, but not considering change. Which stage of the transtheorectical model is this?
Contemplative
 
Planning to act soon. Which stage of the transtheorectical model is this?
Preparation
 
Has began to make behavioral change recently. Which stage of the transtheorectical model is this?
Action
 
Continued commitment to behavior (long-term). Which stage of the transtheorectical model is this?
Maintenance
 
Reverted to old behavior.Which stage of the transtheorectical model is this?
Relapse
 
Protecting people from injury and disease by providing immunizations and reducing exposure to occupational hazards, carcinogens, and other environmental health risk. What is this called?
Specific protection
 
Giving influenza injections in clinics and offices and creating a nut-free school to protect hypersensitive children from n life threatening allergic reactions to nut products is an example of what?
Specific protection
 
Providing screening activities and treating early stages of disease to limiting disability by averting or delaying the consequences of advanced disease is called?
Secondary prevention
 
What is the difference between primary and and secondary health ed and disease prevention activities?
In secondary prevention, they are applied to the person/population with the existing disease
 
What type of prevention occurs when a defect or disability is permanent and irreversible ?
Tertiary prevention
 
What does the tertiary prevention process involve?
1.Minimizing the effects of the disease and disability by surveillance and maintenance to prevent complications
2. Return the affected individual to the useful place in society
 
How is the nurse role changing in public health?
1. Community-based care is becoming more prevalent
2. Increasing blended roles with a knowledge base that prepares them to practice across settings using evidence based practice
3. Can be more independent
4. Place greater emphasis in promotion and maximizing health
 
What is the role of a nurse?
1. Advocate-strive to ensure that all persons receive high-quality , appropriate, safe, and cost effective care; obtain what they are entitled to through the health care system

2.Care manager- prevent duplication of services, maintain quality and safety, and reduce cost; collaborative relationships with workers and insurance provider; facilitating communication among parties

3. Consultant- providing knowledge about health promo and disease prevention and using their specialty to offer advice about different types of health promo activities that should be considered on a community planning board

4. Deliverer of Services- health ed, flu shots, and counseling in health promotion; knowledgable and competent

5.Educator- teach effectively ; know essential facts about how people learn and the teaching-learning process/goals

6. Healer-idetifiy wat is important to the individual and incorporate into care plan that helps the person develop his or her own capacity to heal

7. Researcher- interpret research that will enhance the quality and value of individual care;optimal health care involves evidence based findings as the foundation for clinical decision making
 
In evidence-based practice, quantitative studies does what?
Describes situations, correlate different variables related to care, or test casual relationships between variables related to care
 
In evidence-based practice, qualitative studies does what?
Describe phenomena or define the historical nature, cultural relevance, or philosophical basis of aspects of nursing care
 
What is necessary for developing social policy concerning health
Analysis of social and economic environment
 
In addition to changes in the ethic and racial distribution within the population, the projected changes in __________ __________ will affect health promotion practice.
Age Distribution
 
What are two solutions to improving public health?
Individual involvement and government involvement
Clinical Model
 
 
Immunization against specific illness is what type of prevention
What is functional health

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