GNUR 207 Exam
1. Attain high-quality longer lives
2. Achieve health equity
3. Create social and physical environments that promote health
4. Promote quality of life, healthy development, and healthy behaviors - ANS-What are
the 4 overarching goals of Health People 2020?
Health and illness were viewed as extremes on a continuum with the absence of
clinically recognizable disease being equated with the presence of health. - ANS-What
was the historical definition of health during the science era?
total well-being - ANS-In 1947, the World Health Organization defined health in terms of
___________ and discouraged the conceptualization of health as simply the absence of
disease.
Health for All - ANS-1995 initiative set forth by the WHO that aimed to prepare countries
to meet the challenges of the 21st century. Emphasized the need to set health as
central to human development and societal growth.
Steps to a Healthier U.S. - ANS-Community-based chronic disease prevention program
created by the U.S. Department of Health and Human Services (USDHHS) in 2003.
(This program is now called the Healthy Communities Program within the CDC.)
Healthy People 2020 - ANS-Plan developed by the USDHHS that monitors progress
related to the nation's health, the impact of prevention activities, and the movement
toward health for all. It is the most current plan to improve the nation's health and is
designed to achieve 4 overarching goals. Progress towards attaining these goals is
monitored by data from national surveys such as the National Health and Nutrition
Examination Survey (NHANES) and the National Health Care Survey (NHCS) as well
as data from the CDC.
1. Individuals
2. Families
3. Groups/Communities
4. Populations - ANS-Health promotion is a major goal of the community/public health
nurse. Some direct nursing interventions include health promotion and disease
prevention. What 4 client types do community/public health nurses serve?
,WHO definition of health - ANS-A complete state of physical, mental, and social
well-being, and not merely the absence of disease or infirmity
National Prevention Strategy - ANS-Created in June 2011, this is America's plan for
better health and wellness. Uses the goals set forth by HP 2020, it establishes a
cohesive federal response that focuses on prevention and prioritizes interventions that
will prevent the leading causes of death such as obesity and tobacco use.
The strategy is also designed to strengthen collaborative efforts between the public and
private sectors including businesses, community groups, and health care organizations.
Major components include tobacco-free living, preventing drug abuse and excessive
alcohol use, healthy eating, active living, injury and violence-free living, reproductive
and sexual health, and mental and emotional well-being.
Healthy People 2000 - ANS-Effort to reduce preventable deaths, disabilities, and
diseases for Americans by the year 2000.
First planned effort by the US government to set health promotion goals for the nation
(1) Health
(2) Wellness - ANS-(1) _________ is a static state while (2) _________ is the process
of moving toward integrating human functioning and maximizing human potential.
Health promotion - ANS-The process of helping people enhance their well-being and
actualizing the health potential of individuals, families, communities, and societies. Its
focus is on changing patterns of behavior or environmental structures to promote health
rather than simply to avoid illness by using a combination of education, organizational
involvement, economics, and political influences. The goal is to enable people to
exercise control over their well-being and ultimately improve their health, focusing on
persons and populations as a whole and not solely on people who are at risk for specific
diseases. It is often frequently interchanged with the term wellness.
1. Lifestyle
2. Biological/genetic factors
3. Environmental - both physical and sociocultural
4. Health care systems and services (part of the environment) - ANS-What influences
one's health?
, 25% - ANS-According to HP 2020, an estimated __________ of preventable illnesses
worldwide can be attributed to poor environmental quality
1. High cost
2. Lack of health insurance - ANS-What are 2 barriers to accessing health care?
(1) 100%
(2) primary care provider - ANS-The target for HP 2020 is for (1)_________ of the
population to have health insurance and to increase the percent of people having a
specific (2)_____________.
Patient Protection and Affordable Care Act - ANS-Law passed in March 2010 which
provided structure for efforts to provide accessible and affordable care, such as helping
more children get health coverage, ending lifetime and annual insurance limits, giving
patients access to recommended preventive services, discounting prescription
medications for seniors, and programs to reduce health disparities.
Primary prevention - ANS-Level of prevention aimed at preventing the onset of disease
or disability by reducing risks to health, decreasing vulnerability to illness, and
promoting health and well-being
Examples: immunizations, family planning, smoking cessation classes, fluoride
supplements to water, exercise classes
Secondary prevention - ANS-Level of prevention aimed at diagnosis and treatment of
illness at an early stage, thereby halting further progression of disease and assisting
persons to return to normal functioning. Includes case finding for individuals and
screening of high-risk groups for the presence of disease.
Examples include: Physical exams, hypertension screening, breast self-exam,
mammography, and pregnancy testing
Tertiary prevention - ANS-Level of prevention that focuses on the restoration of optimal
functioning once a condition becomes irreversible by limiting the extent of disability that
may occur and by assisting clients to function at an optimal level within the constraints
of their existing disabilities
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