Exam 1 - Chapter 3 Flashcards
What is meant by “thinking upstream”?
Focus on economic, political, and environmental factors
What is a weakness among the many nursing theories created throughout the years on the most appropriate ways to approach patient care?
Most nursing theories focus on microscopic individual concerns
A patient did not attend the clinic for required follow-up care after his extensive surgery. What might the nurse appropriately conclude?
The health care system is not meeting the pt’s perceived needs
What assumption can make Dorothea Orem’s theory difficult to use?
That the client is able to control his or her environment
What is the major assumption of the health belief model created and used by social psychologists?
Major determinant of preventive health behavior is avoiding disease
What assumption inherent in the health belief model (HBM) is problematic?
A person has both free will and access to health resources
What did Nancy Milio suggest was the most effective way to improve the health of clients?
Create appropriate national health policies
What is the advantage of using Nancy Milio’s approach to caring for a client?
Encourages nurses to assess the personal and society resources of the client
What health-related variable does critical theoretical perspective examine?
Social inequalities
What would a nurse working from a critical theoretical perspective attempt to do in daily practice?
Expose and make explicit social values underlying decisions and health care system itself
As Healthy People 2020 suggests, by thinking and acting strategically, what will be the most effective way to improve the health and well-being of American citizens?
Addressing root cause of health problems
Which listed factor is most closely associated with morbidity and mortality outcomes?
Insurance status
What characteristics of the nurse are crucial to success when nursing in the community?
Listening and showing respect
Which nurse is using a macroscopic rather than microscopic approach?
One who provides testimony to legislators concerning proposed legislation
From a community health nurse’s perspective, what are the major problems with the health belief model?
Ignores need to reduce health system barriers to action
Choice and burden for acting are entirely with the client
