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NURS 1130 Exam 1 With
Complete Solution

Concept of Health - ANSWER -Health: holistic state of well-being including
soundness of mind, body, and spirit

-Wellness: health plus the capacity to develop a person's potential leading to
a fulfilling and productive life

-Illness: state of being relatively unhealthy

Definitions of Health: - ANSWER -World Health Organization - "Health is a
state of complete physical, mental, and social well-being and not merely the
absence of disease or infirmity." (1958)

-"The extent to which an individual or group is able, on the one hand to
realize aspirations and satisfy needs; and on the other hand change or cope
with the environment. Health is therefore seen as a resource for everyday
life, not the objective of living; it is a positive concept emphasizing social and
personal resources, as well as physical capacities" (1986)

Determinants of Health: - ANSWER -income and social status

-social support

-education and literacy (regular & health related)

-employment/working conditions

-housing

-transportation

,-personal health practices

-coping skills

-healthy child development

-biology

-genetic endowment

-health services

-gender

Health Continuum: (see image) - ANSWER -never 100% healthy or sick

-people move back and forth along continuum

Nursing Roles in Health Promotion and Protection: - ANSWER -advocate

-care/case manager

-consultant

-deliverer of services (variety of outpatient settings)

-educator

-researcher (conduct or at least utilize)

Health Promotion: - ANSWER -All efforts to move people closer to optimal
well-being or higher levels of wellness

-Goals: Healthy People 2020

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

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

-Create social and physical environments that promote good health for all

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

Leading Health Indicators: - ANSWER -physical activity

-overweight and obesity

-tobacco use (3rd hand smoke (toxins on clothing)can lead to SIDS, ear
infections)

-substance use

-responsible sexual behavior

-mental health (affects physical health and vice versa)

-injury and violence (inner-city kids can suffer from PTSD from gun violence;
falls)

-environmental quality (indoor (mold, roach & rodent feces) vs. outdoor (air
quality, noise)

-immunization

-access to health care (triangle: access, quality & cost)

Healthy People 2020 Objectives: - ANSWER -1980s National government
began to formulate national objectives for health.

-Healthy People 2020 Vision: A society in which all people live long, healthy
lives.

, -Topics of high priority health issues that represent threats to US public
health.

Core Public Health Functions: - ANSWER -assessment: regular collection,
analysis, and info sharing about health conditions, risks, and resources in a
community

-policy development: use of info gathered during assessment to develop
local and state health policies and to direct resources toward these policies.

-assurance:

-assurance: focuses on the availability of necessary health services
throughout the community. It includes maintaining the ability of both public
health agencies and private providers to manage day-to-day operations and
the capacity to respond to critical situations and emergencies.

Essential Public Health Services by Core function: - ANSWER -Assessment:

-Monitor health status to identify community health problems.

-Diagnose and investigate health problems and health hazards in the
community.

-Research for new insights and innovative solutions to health problems.

-Policy Development:

-Inform, educate, and empower people about health issues.

-Mobilize community partnerships to identify and solve health problems.

-Develop policies and plans that support individual and community health
efforts.

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