Nur 352 Exam 3 Questions and
Complete Solutions
Self efficacy ✅having the confidence in one's knowledge and abilities to reach a
desired outcome
Patient engagement ✅linked to self-efficacy and refers to having the knowledge, skills,
ability, and willingness to be an active participant in one's health and health care
Health education ✅any combination of learning experiences designed to help patients
and their caregivers improve health (or a chronic condition) by enhancing their
knowledge, skills, and confidence or influencing their attitudes
Patient-provider relationship ✅patients take responsibility for their health (or chronic
condition) and the "provider," which represents members of the health care team as well
as the health system in which care is being provided, serves as the vehicle through
which optimal self-management occurs
Disease management ✅system of coordinated health care interventions and
communications for patients with chronic conditions that require significant self-
management efforts.
Attributes ✅central feature of self-management
Patient-centered care ✅a strong patient-provider relationship is essential to patient-
centered care in which patients' needs, concerns, problems, and values remain at the
center of care, and self-management approaches are responsive to patients' unique
needs and preferences
Healthy people 2020 goals ✅-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; and
-promote quality of life, healthy development, and healthy behaviors across all life
stages.
• health belief model ✅addresses the relationship between a person's beliefs and
behaviors. The health belief model helps you understand factors influencing patients'
perceptions, beliefs, and behavior to plan care that will most effectively help patients
maintain or restore health and prevent illness.
• maslow's hierarchy ✅a model that nurses use to understand the interrelationships of
basic human needs
, • health promotion ✅activities such as routine exercise and good nutrition help patients
maintain or enhance their present levels of health. They motivate people to act
positively to reach more stable levels of health
Wellness ✅education teaches people how to care for themselves in a healthy way and
includes topics such as physical awareness, stress management, and self-
responsibility. Wellness strategies help people achieve new understanding and control
of their lives
Illness prevention ✅activities such as immunization programs protect patients from
actual or potential threats to health. They motivate people to avoid a decline in health or
functional levels
Primary prevention ✅true prevention; it precedes disease or dysfunction and is applied
to patients considered physically and emotionally healthy. Primary prevention aimed at
health promotion includes health education programs, immunizations, nutritional
programs, and physical fitness activities. It includes all health promotion efforts and
wellness education activities that focus on maintaining or improving the general health
of individuals, families, and communities
Secondary prevention ✅focuses on individuals who are experiencing health problems
or illnesses and are at risk for developing complications or worsening conditions.
Activities are directed at diagnosis and prompt intervention, thereby reducing severity
and enabling the patient to return to a normal level of health as early as possible. A
large portion of nursing care related to secondary prevention is delivered in homes,
hospitals, or skilled nursing facilities. It includes screening techniques and treating early
stages of disease to limit disability by averting or delaying the consequences of
advanced disease. Screening activities also become a key opportunity for health
teaching as a primary prevention intervention
Tertiary prevention ✅occurs when a defect or disability is permanent and irreversible.
It involves minimizing the effects of long-term disease or disability by interventions
directed at preventing complications and deterioration. Activities are directed at
rehabilitation rather than diagnosis and treatment. For example, a patient with a spinal
cord injury undergoes rehabilitation to learn how to use a wheelchair and perform adls
independently. Care at this level helps patients achieve as high a level of functioning as
possible, despite the limitations caused by illness or impairment.
Risk factor ✅is any situation, habit, or other variable such as social, environmental,
physiological, psychological, developmental, intellectual, or spiritual that increases the
vulnerability of an individual or group to an illness or accident. An example would be risk
factors for falls, such as impaired gait, reduced vision, and lower extremity weakness
