NUR288 Exam Questions And
Accurate Answers
What are the five principles of Primary Health Care? - Answer 1. accessibility:
universally available to all people
2. public participation: public is encouraged to make decisions
3. health promotion: allowing public to understand SDoHs to improve their health
4. appropriate technology: modes of care are available based on society's social,
economic and cultural development
5. intersectoral collaboration: needed to establish national and local health goals and
evaluation of health services
What are the 8 elements of PHC? - Answer 1. education about health problems and
prevention techniques
2. promotion of food supply and proper nutrition
3. adequate supply of safe water and basic sanitation
4. maternal and child health care; family planning
5. immunization against major infectious disease
6. prevention and control of locally endemic diseases
7. appropriate treatment of common disease and injuries using PHC principles
8. provision of essential drugs
What is the upstream approach? - Answer Addressing structural determinants such as
social status, income, racism and marginalization and policies to prevent illness or
injury
What are examples of upstream healthcare approaches? - Answer - socializing with
seniors to promote wellbeing and preventing loneliness
- nutrition education for elementary school kids to reduce obesity and diabetes
What is the downstream approach? - Answer Immediate health needs of individuals and
populations by acute care services focused mainly on individual treatment
What are examples of a downstream healthcare approach? - Answer - implementing a
walker for a senior after having a fall
,- prescribing an antibiotic after acquiring a bacterial infection
What are the 5 stages of Tuckman's Team Development Theory? - Answer 1. forming
2. storming
3. norming
4. performing
5. adjourning
What happens in the forming stage? - Answer Team acquaints and establishes ground
rules
What happens in the storming stage? - Answer Members start to communicate their
feelings but still view themselves as individuals versus a team. Conflicts can emerge.
What happens in the norming stage? - Answer People feel like part of the team.
Realization of achievements and team work/unity is developed.
What happens in the performing stage? - Answer The team works in an open and
trusting atmosphere where flexibility is key and hierarchy is not important.
What happens in the adjourning phase? - Answer The team conducts an assessment
and ends the team membership.
What is community? - Answer A group of people who live, learn, work and play in an
environment at a given time. The core of a community is it's people
What is population? - Answer A larger more diverse group of people, often (not always)
within a particular geographic locality
What is community health nursing? - Answer A nursing practice specializing in
promoting the health of individuals, families, communities and populations and
promoting an environment that supports health
What is health promotion? - Answer Health promotion aims to reduce differences in
health status and vulnerability, and to ensure equal opportunities and resources to
enable all people to achieve their fullest health potential and quality of life.
What are some characteristics of health promotion? - Answer - enabling people to
increase control over and to improve their health
- positive and action orientated
- builds on healthiness
What is population health? - Answer An approach to health that aims to improve the
health of the entire population
, What are the 12 SDoHs? - Answer 1. income and social status
2. social support networks
3. education
4. employment working conditions
5. social environment
6. physical environment
7. personal health practice and coping skills
8. healthy child development
9. culture
10. gender
11. health services
12. biology and genetic endowement
Income and social status - Answer health status improves at each step up in social
hierarchy
social support networks - Answer support from families, friends, and communities is
associated with better health
education - Answer health status improves with level of education
employment/ working conditions - Answer unemployment, underemployment and
stressful work are associated with poorer health
social environments - Answer the values and norms of a society affect the health and
well-being of individuals and populations
physical environment - Answer physical factors in the natural environment are key
influences on health
personal health practices and coping skills - Answer social environments that enable
and support healthy choices and lifestyles
healthy child development - Answer early childhood experiences have an effect and
subsequent health, well-being and coping skills
culture - Answer culture comes from both personal history and wider situational social,
political, geographic and economic factors
Gender - Answer refers to the many different roles, personality traits, attitudes,
behaviors, values, relative powers and influences that society assigns to the two sexes
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