Final Exam: NR222 / NR 222 (Latest Update 2024/ 2025) Health & Wellness Review| Complete Guide with Questions and Verified Answers| 100% Correct -Chamberlain
Final Exam: NR222 / NR 222 (Latest Update
2024/ 2025) Health & Wellness Review|
Complete Guide with Questions and Verified
Answers| 100% Correct -Chamberlain
Q: What is situational stress?
Answer:
stress that occurs from an unexpected event and can occur at anytime such as work related
problems
Q: What is maturational stress?
Answer:
Stress that occurs with the stages of life such as the birth of a child or the death of a parent
Q: What is sociocultural stress?
Answer:
Environmental or social stressors such as homelessness or living under conditions of violence
Q: What is Pender’s Health Promotion Model and what are the three compo- nents?
Answer:
A model used for increasing a person’s well-being
1.individual characteristics and experiences
2.Behavior-specific knowledge and affect
3.Behavioral outcomes
Q: Define health
Answer:
a state of complete physical, mental, and social well-being and not merely the absence of disease
Q: Define wellness
Answer:
Positive state of health that is continually changing
Q: Define illness
Answer:
Functional or structural disturbance
Q: Define disease
Answer:
Physical indicators and subjective experience
Q: What are the 8 dimensions of wellness?
Answer:
Emotional, environmental, financial, intellectual, occupational, physical, social, spiritual
Q: What are internal variables affecting health?
Answer:
Developmental stage, intellec- tual background, perception of functioning, and emotional and
spiritual factors
Q: What are external variables affecting health?
Answer:
Family practices, psychosocial and socioeconomic factors, and cultural background
Q: What is the illness-wellness continuum?
Answer:
a model that illustrates the full range of health between the extremes of illness and wellness
Q: What is the health belief model and what are it’s three components?
Answer:
A model used to understand factors influencing clients’ perceptions, beliefs and be- haviors
1.Individual perceptions
2.Modifying factors
3.Likelihood of action
Q: What ischemic holistic health model?
Answer:
All dimensions of an individual con- tribute to health and wellness (includes emotional and
spiritual well being)
Q: What is the transtheoretical model of change and it’s five dimensions?
Answer:
A model used to conceptualize the process of intentional behavior change in cases such as
alcohol or smoking
1.Pre-contemplation: thinking there is no need to change
2.Contemplation: thinking about change
3.Preparation: planning for change
4.Action: actively changing behavior
5.Maintenance: maintaining changed behavior
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What are the five components of chamberlain care? 1. Care for community2. Care for faculty3. Care for students4. Care for partners5. Care for patients
What is compassion fatigue? state of burnout and secondary traumatic stress
What are four ways to prevent compassion fatigue? 1. Establish professional boundaries2. Practice self-care measures 3. Ponder self-awareness4. Learn more about compassion fatigue
What are signs of compassion fatigue? 1. Physical/psychological symptoms2. Absenteeism3. Drug and alcohol misuse4. Emotional symptoms5. Personal relationships6. Professional symptoms
What are ways of preventing compassion fatigue? 1. Avoid working excessive hours of overtime2. Attend debriefing sessions when traumatic events occur3. Exercise daily and spend time with friends
What are the three stages of Selye’s stress adaptation theory?
Adults should get at least _ minutes of intensity activity each _. 1. 1502. Moderate3. Aerobic4. Week
What is situational stress? stress that occurs from an unexpected event and can occur at anytime such as work related problems
What is maturational stress? Stress that occurs with the stages of life such as the birth of a child or the death of a parent
What is sociocultural stress? Environmental or social stressors such as homelessness or living under conditions of violence
What is Pender’s Health Promotion Model and what are the three components?
Define health a state of complete physical, mental, and social well-being and not merely the absence of disease
Define wellness Positive state of health that is continually changing
Define illness Functional or structural disturbance
Define disease Physical indicators and subjective experience
What are the 8 dimensions of wellness? Emotional, environmental, financial, intellectual, occupational, physical, social, spiritual
What are internal variables affecting health? Developmental stage, intellectual background, perception of functioning, and emotional and spiritual factors
What are external variables affecting health? Family practices, psychosocial and socioeconomic factors, and cultural background
What is the illness-wellness continuum? a model that illustrates the full range of health between the extremes of illness and wellness
What is the health belief model and what are it’s three components?
What ischemic holistic health model? All dimensions of an individual contribute to health and wellness (includes emotional and spiritual well being)
What is the transtheoretical model of change and it’s five dimensions? A model used to conceptualize the process of intentional behavior change in cases such as alcohol or smoking1. Pre-contemplation: thinking there is no need to change2. Contemplation: thinking about change3. Preparation: planning for change4. Action: actively changing behavior5. Maintenance: maintaining changed behavior
What is Maslow’s hierarchy of needs from lowest to highest? 1. Physiological needs2. Safety and security needs3. Love and belonging needs4. Self-esteem5. Self-actualization
Examples of physiological needs Oxygen, fluids, nutrition, body temp, elimination, shelter, sex
Examples of safety and security needs Physical and psychological safety, financial security, health and well-being
Examples of love and belonging needs Friendships, intimacy, trust, acceptance, love
Examples of self-esteem needs Need for respect, dignity, independence, achievement
Examples of self-actualization needs Potential, self-fulfillment, personal growth, problem solving
What are the four levels of prevention? 1. Primordial: prevention of risk factors2. Primary: intervening before health effects occur3. Secondary: screening to identify diseases in the earliest stages4. Tertiary: managing disease post-diagnosis to slow, stop, or manage progression
Examples of primordial prevention Improving access to safe playgrounds and sidewalks, prenatal nutrition program to ensure healthy newborn delivery, prevent the legalization of marijuana
Examples of primary prevention Smoking cessation, using an infant car seat properly, immunizations
Examples of secondary prevention Annual mammogram screening for women over 45, monitoring blood glucose in clients with diabetes, treating hypertension to prevent cardiovascular disease
Examples of tertiary prevention Breathing training for COPD, cardiac rehabilitation after myocardial infarction,rehabilitation after spinal cord injury
What is active health promotion? Individuals are personally involved in healthy behaviors (weight reduction or smoking cessation program)
What is passive health promotion? Individuals benefit from the activities of others without acting themselves (fluoridation of the county’s drinking water)
What is the healthy people initiative? A program to promote, strengthen, and evaluate the nation’s efforts to improve the health and well-being of all people
What are training-specific therapies? biofeedback, acupuncture, therapeutic touch, and spinal manipulation
What is biofeedback? Uses devices to teach self-regulation and voluntary self-control over specific physiologic responses
What are the four core nursing values? Advocacy, responsibility, accountability, confidentiality
What is provision 1? The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person
What is provision 2? The nurses primary commitment is to the patient
What is Provision 3? The nurse promotes, advocates for, and protects the rights, health, and safety of the patient
What is provision 4? The nurse has authority, accountability, and responsibility for nursing practice
What is provision 5? The nurse owes the same duties to self as to others
What is provision 6? The nurse establishes, maintains, and improves the ethical environment of the work setting
What is provision 7? The nurse advances the profession through research and scholarly inquiry
What is provision 8? The nurse collaborates with other health professionals
What is provision 9? The profession of nursing must articulate nursing values and maintain the integrity of the profession
What is autonomy? Respecting the client’s decision
What is beneficence? The nurse acts with the best interests of the client at all times
What is nonmaleficience? To do good for the clients butto do no harm to the clients
What is Justice? Fairness and equitable access to care
What is fidelity? Faithfulness or the agreement to keep promises
What is veracity? “Virtue” telling the truth
What is standard 1-6?
What is standard 7? Ethics
What is standard 8? Advocacy
What is standard 9? Respectful and equitable practice (cultural humility and inclusiveness)
What is standard 10? Communication
What is standard 11? Collaboration
What is standard 12? Leadership
What is standard 13? Education
What is standard 14? Scholarly inquiry
What is standard 15? Quality of practice
What is standard 16? Professional practice evaluation
What is standard 17? Resource stewardship
What is standard 18? Environmental health
Why do nurses need a license? To protect the public
What are the four major responsibilities of each Board of Nursing (BON)? 1. Evaluating licensure applications2. Issuing licenses3. Renewing licenses 4. Taking disciplinary action
How can nurses practice in other states? With a compact license
What is the nursing process? Assessment: collect and analyze dataDiagnosis: determine health-related problemsPlanning: set goals of cafe and desired outcomes, the identify appropriate nursing actions Implementation: perform actions identified during the planning processEvaluation: determine if the goals and expected outcomes are achieved
What is acculturation? process of adapting to and acquiring another culture
What is assimilation? process of becoming part of another culture instead of original culture
What is enculturation? learning one’s own culture
What is ethnocentrism? evaluation of other cultures according to preconceptions originating in the standards and customs of one’s own culture.
What is cultural humility? Continual process of examining one’s own beliefs and cultural values
What is cultural competence? Having the knowledge, abilities, and skills to deliver care matching the patient’s cultural beliefs and practices
What are the five components of cultural competence? Desire, Awareness, Encounter, Knowledge, Skill
What are social determinants of health? External factors that impact healthEx: poverty, food insecurity, access to healthcare, poor air quality, exposure to violence.
What are health disparities? preventable differences in a population’s ability to achieve optimal healthEx: poor health status, disease risk factors, poor health outcomes, limited access to healthcare.
What are the five SDOH according to Healthy People 2030? Education access and quality, healthcare access ad quality, neighborhood and built environment, social and community context, economic stability.
What is durability? The ability to withstand pressure and form a system of support
What is resiliency? The family can cope with expected and unexpected stressors
What is diversity? Each family is unique
What is dynamic? Family interactions are affected by family configuration, structure, function, problem-solving, and coping capacity.
What is a nuclear family? Consists of two adults and sometimes one or more childrenEx: husband, wife, and daughter
What is an extended family? Consists of relatives (aunts, uncles, grandparents, and cousins) in addition to the nuclear family.Ex: husband, wife, kids, grandparents
What is a blended family? Formed when parents bring children from previous relationships into a new joint-living situation Ex: husband, wife, kid from wife’s previous marriage
What is an alternative family? May include multi-adult households, grand families (grandparents caring for grandchildren), communal groups with children, adults living alone, and cohabiting partners
What is the teach-back method? A way to check client understanding by asking the client to state in their own words what they need to know or do about their health.
What are the three domains of learning? Cognitive (understanding) Affective (attitudes) Psychomotor (motor skills)
What are the four phases of the therapeutic relationship? preinteraction, orientation, working, termination
What is cephalocaudal growth? Head and brain develop faster than arm and leg coordination
What is proximodistal growth? Organ systems in the trunk of the body develop before the arms and legs
What is Erik Erikson’s theory of psychosocial development? Individuals need to accomplish a particular task before successfully mastering the developmental stage and progressing to the next one
What is Jean Piaget’s theory of cognitive development? Children move from one stage of development to another, seeking cognitive balance and building mental structures to adapt to the world
What is Lawrence Kohlberg’s Theory of Moral Development? Changes in an individuals thoughts, emotions, and behaviors that influence their beliefs about what is right and wrong.
What stage of psychosocial development occurs in an infant? Trust vs. mistrust
What stage of psychosocial development occurs during toddlerhood? Autonomy vs. shame and doubt
What stage of psychosocial development occurs during preschool-aged child? Initiative vs. guilt
What stage of psychosocial development occurs during school-aged child? Industry vs. inferiority
What stage of psychosocial development occurs during adolescence? Identity vs. role confusion
What stage of psychosocial development occurs in young adults? Intimacy vs. isolation
What stage of psychosocial development occurs in middle adults? Generativity vs. stagnation
What stage of psychosocial development occurs in older adults? Integrity vs. despair
What are the four phases of cognitive development? 1. Sensorimotor (0-2): explore world with five senses2. Pre-operational (2-7): transitions from egocentricity to social awareness and the ability to consider others viewpoints3. Concrete operational (7-11): progress from making judgments based off what they can to judgments based on what they can reason 4. Formal operational (12+): capacity for abstract thinking is developed. Thinking is beyond the present. Can draw logical conclusions from a set of observations
What is object permanence? the understanding that things continue to exist when they are out of sight
What is egocentrism? The child’s ability to to only see objects or people from their own point of view
What is animism? The child’s belief that inanimate objects have feelings and thoughts
What is reversibility? Children can mentally picture the steps of an action and reverse the steps to get back to the starting point
What are the three levels of moral development? Preconventional (0-6)Conventional (7-11)Postconventional (11+)
What happens in the preconventional level? Behavior is guided by punishment or reward. Right behavior is based on that which satisfies one’s own needs.
What happens in the conventional level? The individual wants others to approve of their behavior. (Good boy-nice girl; society-maintaining)
What happens in the postconventional level? An individual finds a balance between basic human rights and an obligation to societal rules. (Societal contract; universal ethical principle)
What is the primary means of communication for a newborn and young infant? Crying
How long should breastfeeding occur? At least 2 years and beyond if possible. Solid foods may be introduced starting at 6 months of age.
When can an infant be switched to whole cow’s milk? At 1 year
What type of play does an infant exhibit? Solitary and exploratory