Chapter 2

Question 1

What is Healthy People 2020?

Answer 1

federal health promotion and disease prevention agenda developed to improve the health of Americans

Question 2

What is the Health People 2020 vision?

Answer 2

a society in which all people live long, healthy lives

Question 3

Overarching goals that Health People 2020 hopes to achieve by 2020 are:

Answer 3

Attain high-quality, longer lives free of preventable disease, disability, injury and premature death
Achieve health equity, eliminate disparities and improve health of all groups
Create social and physical environments that promote good health for all
Promote quality of life, healthy development, and healthy behaviors across all life stages

Question 4

What are some of the determinants that affect societal health outcomes?

Answer 4

the physical environments, the social environment, available health services, and individual behavior as its affects biological and genetic risk factors

Question 5

Action Step 1 for CHANGE:

Answer 5

Identify and assemble a diverse team of 10 to 12 individuals

Question 6

Action Step 2 for CHANGE:

Answer 6

Develop team strategy to complete CHANGE as a whole team or divide into subgroups

Question 7

Action Step 3 for CHANGE:

Answer 7

Review all CHANGE sectors

Question 8

Action Step 4 for CHANGE:

Answer 8

Gather data from individual site or location within each sector

Question 9

Action Step 5 for CHANGE:

Answer 9

Review data gathered with the community team

Question 10

Action Step 6 for CHANGE:

Answer 10

Enter data

Question 11

Action Step 7 for CHANGE:

Answer 11

Review consolidated data to determine areas of improvement

Question 12

Action Step 8 for CHANGE:

Answer 12

Build the Community Action Plan by developing and organizing annual objectives that reflect the collected data

Question 13

Physical activity

Answer 13

bodily movement that is produced by the contraction of skeletal muscle and that substantially increases energy expenditure

Question 14

Moderate physical activity

Answer 14

activities that use large muscle groups, such as walking, swimming, housework, bicycling and occupational activities

Question 15

Vigorous physical activity

Answer 15

rhythmic, repetitive physical activities that use large muscle groups at 70% or more of maximum heart rate for age

Question 16

Screening:

Answer 16

checking for pathology when there are no symptoms of disease

Question 17

Common screening activities:

Answer 17

Screening for lifestyle factors (amount of exercise, stress, weight, and sports activities)
Screening posture for scoliosis
Identifying high risk factors for slipping, tripping or falling of older adults
Performing pre work screenings to ID risk factors in the workplace and the health status of potential workers

Question 18

Examination:

Answer 18

taking the client’s history, reviewing the body systems for potential pathology, and performing specific tests and measures guided by the initial screening

Question 19

What is the most common and powerful nonverbal behavior?

Answer 19

eye contact

Question 20

LEARN model L=

Answer 20

listen with sympathy and understanding to the client’s perception of the problem

Question 21

LEARN model E=

Answer 21

Explain your perceptions of the problem

Question 22

LEARN model A=

Answer 22

Acknowledge and discuss the differences and similarities

Question 23

LEARN model R=

Answer 23

Recommend a course of action

Question 24

LEARN model N=

Answer 24

Negotiate an agreement

Question 25

What questions are sensitive for screening for depression during a screening?

Answer 25

During the past month, have you often been bothered by feeling down, depressed, or hopeless?
During the past month, have you often been bothered by little interest or pleasure in doing things?

Question 26

Signs of poor mental health:

Answer 26

an obsession with negative thoughts and negative consequences, loss of creative and imaginative thoughts and ideas, unclear decision making or foggy mental state

Question 27

Holmes and Rahe Social Readjustment Rating Scale

Answer 27

questionnaire to determine the stress of life events and correlate it to potential illness

Question 28

Yeaworth’s Adolescent Life Change Event Scale

Answer 28

lists personal, social and negative changes in a person’s life may contribute to that individual’s stress

Question 29

What does a wellness screening include?

Answer 29

a broad range of questions reviewing social, physical, emotional, career/leisure, intellectual, environmental and spiritual wellness

Question 30

What are some risks to development?

Answer 30

Method of delivery, length of gestation, birth complications, mother’s health status during pregnancy

Question 31

A

Answer 31

asymmetry in lesion

Question 32

B

Answer 32

borders: irregular or poorly circumscribed

Question 33

C

Answer 33

color variation (melanomas tend to have color variations that include tan, brown, black, white, red and blue)

Question 34

D

Answer 34

diameter greater than 6mm (size of pencil eraser) because cancerous lesions tend to grow

Question 35

E

Answer 35

elevation; normal skin lesions tend to be flat, raised lesions represent abnormal growth. Could also be used for evolving=new symptoms

Question 36

Which infants are at risk for ear infections?

Answer 36

Infants who drink from bottles while lying on their backs

Question 37

What are risk factors for pathology of the mouth and throat?

Answer 37

include pain (such as toothache, jaw pain, sore throat, or lesions in the mouth or throat), altered taste or changes in the mouth or throat region

Question 38

Signs and symptoms of sickle cell anemia?

Answer 38

joint pain, fatigue, rapid HR, breathlessness, delayed growth and puberty, ulcers on LE, jaundice, attacks of abdominal pain, or fever

Question 39

What does the endocrine system control?

Answer 39

the pituitary, thyroid, parathyroid, adrenal gland, pancreas and gonads

Question 40

During which system should you screen for diabetes?

Answer 40

endocrine system

Question 41

CAGE quesionnaire

Answer 41

questionnaire is most efficient and widely used for drinking screen

Question 42

C

Answer 42

Cut down on drinking

Question 43

A

Answer 43

Annoyance with criticisms about drinking

Question 44

G

Answer 44

Guilt about drinking

Question 45

E

Answer 45

Eye opener about using alcohol

Question 46

Questions for intimate partner violence:

Answer 46

Have you been hit, kicked, punched, or otherwise hurt by someone in the past year?
Do you feel safe in your current relationship?
Is there a partner from a previous relationship who is making you feel unsafe now?