NUR 388 Midterm Exam Concordia University 2024/2025
What are the social determinants of health? - (answer)- Economics- access to jobs, advancement,
financial situation, expenditures, COL
- Environment-safe housing, access to transport, safe water/air
- Education- access to, cost, literacy, language
Language
- Food- access to decent food, affordability
- Community/social climate-Social support, community integration, discrimination, stress,
violence
- Health access- coverage, access to care, access to primary care
What is health literacy? - (answer)The degree to which individuals have the capacity to obtain,
process, and understand basic health information needed to make appropriate health decisions.
Low health literacy is more prevalent in:
- Older adults
- Minorities
- low socioeconomic status
- Medically underserved people
What are the three levels of prevention? - (answer)- Primary (think disease avoidance) - prevent
disease and harm before it occurrs
Teach classes, give education
- Secondary- screening and early detection
This is not stopping, catching early before complications
Look at lab results/screening
- Tertiary- implemented after a disease is found, attempts to prevent complications/disability
Minimize damage/effects of disease
Disease is present and evident
, What are health indicators? - (answer)standard statistics that are used to measure and compare
health status (Mortality rates, disease prevalence, activity level, obesity, substance use)
What do community nurses do? - (answer)Determine community health by examining the degree
to which the community's needs are met. A community health nurse is one who practices in the
community (health departments, community health clinic).
What is a community? - (answer)A group of people and institutions that share geographic , civic,
and/or social parameters.
Public Health Nursing Roles - (answer)- Interacting and establishing contracts with community
partners serving the community at large
- Witnessing the interaction between community programs and the response of the client to the
services
- Identifying future services based upon the visible needs of community members and population
groups
- Disease prevention and changing behaviors
- Promotion actions, national and social policies
What is the primary care system's role? - (answer)First level, delivered in a variety of community
settings (urgent-care, physician's office, ect)
What is the public health system's role? - (answer)Mandate through laws developed by the
nation, state, or local level. (mandated immunizations for school, local water supply monitoring)
What is the federal system's role? - (answer)US Department of Health and Human Services
(HHS). (Administering programs like Medicaid, addressing national emergencies).
Describe public health infrastructure - (answer)Provides the necessary foundation for all public
health services (ex:vaccinations, disease prevention programs). A strong infrastructure includes a
capable and qualified workforce, up-to-date data and information systems, and agencies that can
assess and respond to public health needs.
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