Health Prevention Strategies Quiz

Questions and Answers

What is the central concept that uniquely characterizes nursing?

Knowledge

Advocacy

Commitment

Caring (correct)

Which attribute of caring involves the nurse being fully present in the patient’s experience?

Courage

Knowing

Advocacy

Authentic presence (correct)

How does caring in nursing differ from caring in medicine?

Caring in medicine focuses on emotional support.

Caring in nursing is primarily focused on physical health.

Caring is only theoretical in nursing.

Caring in nursing is directly connected to the knowledge base. (correct)

What does the attribute of 'courage' refer to in the context of nursing?

The ability to confront ethical dilemmas. Signup and view all the answers

What does existential advocacy entail in nursing practice?

Being a partner and affirming the patient's humanity. Signup and view all the answers

What is the focus of primary prevention in health promotion?

Education and lifestyle modifications Signup and view all the answers

Which screening is considered a form of secondary prevention?

Cervical cancer screenings Signup and view all the answers

What is the primary goal of tertiary prevention?

To manage and reduce complications of existing diseases Signup and view all the answers

Who is credited with the 'laws of sickness and laws of health' concept?

Florence Nightingale Signup and view all the answers

What was revised by NONPF in 2006?

The domains and core competencies for NPs Signup and view all the answers

Which of the following models emphasizes the holistic assessment of a patient?

Shuler's NP practice model Signup and view all the answers

What is the primary focus of the Circle of Caring model?

Holistic patient-centered care Signup and view all the answers

What does the term 'nurse coaching' refer to?

Promoting integrative health approaches Signup and view all the answers

Which component is NOT part of the '7 domains' of NP competencies?

Professional role in education Signup and view all the answers

What does Ryan's Integrated Theory of Health Behavior Change emphasize?

Client-collaborative intervention for behavior change Signup and view all the answers

Which model discusses the limitations of self-care and functioning?

Snyder and Mirr model Signup and view all the answers

What is an example of a method used in the spirit function model?

Counseling and emotional support Signup and view all the answers

Which intervention strategy is NOT associated with nurse coaching?

High-pressure medical interventions Signup and view all the answers

Which dimension is considered in the holistic patient database of Shuler's model?

Social and cultural factors Signup and view all the answers

What type of knowing incorporates values and morals in nursing practice?

Ethical knowing Signup and view all the answers

What does the acronym OLD CART stand for in the diagnostic process?

Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatment Signup and view all the answers

Which ethical principle focuses on truth-telling in nursing?

Veracity Signup and view all the answers

Which of the following describes a living will?

Specifies medical treatment preferences when unable to communicate Signup and view all the answers

What is the primary focus of deontological ethics?

Moral obligations based on duty and rules Signup and view all the answers

Which term refers to a person authorized to make medical decisions on behalf of someone else?

Health care proxy Signup and view all the answers

What does teleological ethics primarily evaluate?

The outcomes or consequences of actions Signup and view all the answers

Which element is NOT part of the CSOC in the diagnostic process?

Family history Signup and view all the answers

What is required for a successful malpractice claim?

Establishment of duty to patient and harm resulting from deviation Signup and view all the answers

What aspect does the principle of justice in healthcare refer to?

Fairness and equity in treatment Signup and view all the answers

Which is NOT a characteristic of empiric knowing?

Intuitive and personal experience Signup and view all the answers

What is a primary dilemma in nursing ethics?

Conflicting values resulting in multiple solutions Signup and view all the answers

What does the concept of nonmaleficence signify in healthcare?

Avoiding harm and injury to patients Signup and view all the answers

Which element is part of functional health patterns in nursing assessment?

Marjory Gordon's Nursing questions Signup and view all the answers

What role does 'authentic presence' play in nursing practice?

It centers on being genuinely attentive to the patient's experience. Signup and view all the answers

Which attribute of caring emphasizes the commitment to values and ethical grounding in nursing?

Courage Signup and view all the answers

How does nursing uniquely characterize caring compared to other human-based services?

Nursing integrates caring within its foundational knowledge base. Signup and view all the answers

What does the term 'existential advocacy' in nursing entail?

Nurses act as full partners respecting the patient's humanity. Signup and view all the answers

Which of the following best describes the essence of caring in nursing?

The nurturing of individuals living and growing in caring. Signup and view all the answers

Which of the following describes primary prevention in health promotion?

Educating on nutrition and promoting immunizations Signup and view all the answers

Which screening is an example of secondary prevention?

Height and weight measurements Signup and view all the answers

What is the aim of tertiary prevention?

To reduce the impact of an ongoing disease Signup and view all the answers

Which model suggests a necessity for an autonomous basis of nursing practice?

Martha Rogers' model Signup and view all the answers

Which of the following is NOT included in the 7 domains of NP competencies?

Facilitating interdisciplinary education Signup and view all the answers

What is a key focus of the Circle of Caring model?

Individualized therapeutic plans incorporating family input Signup and view all the answers

Which of the following best characterizes nurse coaching?

Emphasizing nonjudgmental acceptance and motivational interviewing Signup and view all the answers

Which intervention is a part of Shuler's NP practice model?

Holistic assessment including spiritual dimensions Signup and view all the answers

Which of the following is emphasized in Ryan's Integrated Theory of Health Behavior Change?

Health promotion as a component of overall wellness Signup and view all the answers

Which of the following reflects a misunderstanding of symptom management?

Symptoms are solely physical manifestations of illness Signup and view all the answers

What aspect does Shuler's NP practice model prioritize in patient assessment?

Patient's cultural background and preferences Signup and view all the answers

What is a notable limitation of traditional medical practice as discussed in the content?

Narrow specialization of medical practitioners Signup and view all the answers

Which of the following most closely describes the role of preemptive education?

Focusing on prevention through health education and lifestyle changes Signup and view all the answers

Which of the following elements is included in the OLD CART diagnostic process?

Duration of symptoms Signup and view all the answers

What does the ethical principle of beneficence require in healthcare?

Taking positive actions that balance harm and benefits Signup and view all the answers

Which statement best describes a healthcare proxy?

A legal representative who can make medical decisions for someone Signup and view all the answers

Which of the following factors does the nursing code of ethics emphasize?

Promoting the rights and health of the patient Signup and view all the answers

Which ethical framework focuses on the consequences of actions?

Teleology Signup and view all the answers

In the context of ethical principles, what does autonomy refer to?

The right of patients to make informed decisions about their care Signup and view all the answers

What is a living will primarily used for?

To document end-of-life medical preferences Signup and view all the answers

What does the principle of nonmaleficence emphasize in healthcare?

Avoiding harm to patients Signup and view all the answers

Which approach is utilized in differential diagnosis?

Prioritizing a list of potential diagnoses based on symptoms Signup and view all the answers

What aspect does humility relate to in nursing practice?

Accepting limitations and being open to learning Signup and view all the answers

Which statement accurately describes the role of diagnostic tests in healthcare?

They help to confirm, rule-out, or screen for conditions Signup and view all the answers

What is a common conflict faced by nursing professionals regarding commitment?

Dealing with economically driven care versus patient wishes Signup and view all the answers

Which of the following best defines empiric knowing in nursing?

Knowledge derived from scientific evidence and observation Signup and view all the answers

What is the main purpose of the review of systems (ROS) in patient assessment?

To conduct a general to specific questioning of patient symptoms Signup and view all the answers

Study Notes

Prevention Strategies

Primary Prevention: Aims to prevent disease before it occurs through immunizations, health education, lifestyle modifications, and protective measures.
Secondary Prevention: Involves early detection and management of diseases through screenings for conditions like cancers, diabetes, and hypertension.
Tertiary Prevention: Focuses on managing established diseases to prevent further complications and improve quality of life.

Evolution of Nursing and Primary Care

Florence Nightingale's contributions in 1861 established foundational health laws.
Lavinia Dock created a community health nursing model in the early 20th century.
Virginia Henderson emphasized the importance of health within people's living environments.
Standardized nursing protocols originated from early public health nursing efforts.
Martha Rogers advocated for independent nursing practice to enhance autonomy.

Advanced Practice Nursing Framework

In 1990, Benner's model outlined a progression from novice to expert, guiding NP curricula.
The 2006 NONPF revision incorporated 7 domains covering essential NP competencies such as patient management and culturally sensitive care.

Conceptual Models in Nursing

Swanson's model highlights the significance of the human spirit in nursing.
Shuler's practice model stresses a holistic approach considering physical, social, and spiritual dimensions.
Symptoms are viewed through three dimensions: experience, management strategies, and outcomes.

Health Behavior and Chronic Care Management

Ryan's 2009 theory accentuates health promotion for both well and chronically ill individuals, leveraging APNs to support behavior changes.
Cumbie, Conley, and Burman's model tailors interventions based on client needs and collaboration.
Nurse coaching integrates various therapeutic approaches to foster behavioral change.

Changing Medical Practices

Traditional roles are reevaluated in light of advancements in therapeutics and the need for a balance between cure and care.
The Circle of Caring model emphasizes individualized care plans, integrating traditional and complementary therapies to enhance patient outcomes.

Caring as the Essence of Nursing

Caring is central to nursing identity, differentiating it from other human services.
Key attributes of nursing include courage, authentic presence, knowing, commitment, patience, and advocacy.

Diagnostic Process and Assessment Tools

Old CART: Method for taking patient histories — covers onset, location, duration, characteristics, aggravating/relieving factors, and previous treatments.
CSOC: Focused on identifying the chief complaint through targeted questioning.
The physical examination, medical history, family history, and social history contribute to a comprehensive diagnostic process.

Ethical Considerations in Nursing

Ethics govern the moral choices made in healthcare.
ANA's code of ethics includes principles like compassion, advocacy, and professional accountability.
Major ethical theories such as deontology and teleology help frame moral decision-making in healthcare.

Health Care Directives

Power of Attorney (POA): Designates someone to make medical decisions when a patient cannot.
Living Will: Specifies medical treatment preferences and ensures care aligns with a patient's wishes.
Health Care Proxy: Authorizes a person to make medical decisions based on the patient's preferences.

Reimbursement and Liability

APRNs face unequal pay and challenges with Medicare and Medicaid reimbursement.
Malpractice requires duty to patient, deviation from care standards, and resultant harm.
Insurance policies like claims-based and occurrence-based policies outline coverage terms for malpractice claims.