Test #1 lecture 2

Question 1

What is the Health Belief Model:

Answer 1

Perception of susceptibility to illness
perception of seriousness of illness
likelihood that patient will take preventive action

Question 2

What is the health promotion model?

Answer 2

Positive dynamic state
directed at increasing level of well-being
Focuses on: Individual characteristics/ experiences, Behavior-specific knowledge and affect, Behavioral outcomes

Question 3

What is the Holistic Health Model?

Answer 3

more focused on holistic needs
promote the patient’s optimal level of health
nurses consider patients to be the ultimate experts in regards to their own health

Question 4

What is Maslow’s hierarchy of needs?

Answer 4

Basic human needs are elements necessary for survival and health
extent to which basic needs are met determines level of health

Question 5

What is the definition of internal needs?

Answer 5

disrupt normal routine

more likely to seek care

Question 6

What is the definition of external needs?

Answer 6

A patient with visible symptoms is more likely to seek care than someone with no visible symptoms.

Question 7

What are internal variables?

Answer 7

developmental stage- fear, anxiety
intellectual background- knowledge, cognitive skills
perception of functioning- fatigue, pain

Question 8

What are external variables?

Answer 8

Family practices- How family uses health care services
socioeconomic factors- stability, lifestyle habits
cultural background- influences- beliefs, customs, beliefs about causes of illness

Question 9

What is health promotion?

Answer 9

Helps individuals maintain or enhance their present health.

Question 10

What is health education?

Answer 10

Helps people develop a greater understanding of their health and how to better manage their health risks.

Question 11

What are socioeconomic factors that influence health and health beliefs?

Answer 11

stability of key relationship
lifestyle habits
occupational environment
social networks/desire for approval & support
economic variables influence when the patient accesses care and whether he complies with care
may try to decrease costs by taking meds every other day, or water down infant formula

Question 12

What is caring?

Answer 12

The essence of excellent nursing practice

Question 13

What does caring look like in nursing practice?

Answer 13

Providing presence
touch
listening
knowing the patient
spiritual caring
relieving pain and suffering
family-centered care

Question 14

What does providing presence mean?

Answer 14

conveying closeness & sense of caring
being there
eye contact, body language, voice tone, listening and positive attitude contribute to development of trust
important during stressful events

Question 15

What does touch mean?

Answer 15

provides comfort
creates connection
non-contact touch: eye contact
contact touch: touching shoulder

Question 16

What are the 3 types of touch?

Answer 16

Task-oriented touch: skillful, gentle care
Caring touch: enhances comfort, security, self-esteem, mental well-being
protective touch: prevents injury

Question 17

What is listening?

Answer 17

essential for meaningful interactions with patients

engages patient in nonjudgmental way, accepting manner

Question 18

What is knowing the patient?

Answer 18

understanding of the patient and the individualized nursing plan of care
avoids assumptions, focus on patient, engage in caring relationship

Question 19

Which caring element is foundational to patient-centered care?

Answer 19

knowing the patient

Question 20

What is spiritual caring?

Answer 20

spiritual health- balance between life values, goals & belief systems of self/others
beliefs and expectations impact physical well-being

Question 21

What is relieving pain and suffering?

Answer 21

encompasses caring actions that: promote comfort, dignity, respect, peace, maintain patient care environment that is clean, pleasant, comfortable and soothes/heals mind, body, spirit, assess/ treat pain

Question 22

What is family durability?

Answer 22

system of support and structure within a family that extend beyond the walls of the househould

Question 23

What is family resiliency?

Answer 23

ability to cope with expected and unexpected stressors

Question 24

What is family diversity?

Answer 24

uniqueness of each family

A family does not have to be blood relatives

Question 25

What is a family?

Answer 25

What an individual believes the family to be.

Question 26

What are factors influencing family forms?

Answer 26

Changing economic status
homelessness
domestic violence
presence of acute or chronic illnesses
family caregivers

Question 27

What is family structure?

Answer 27

based on the ongoing membership of the family and the pattern of relationships

Question 28

What is family function?

Answer 28

involves the processes used by a family to achieve its goals.

Question 29

What is the most important part of family centered care?

Answer 29

Include the family in assessment, planning and implementation of care

Question 30

What are the elements of the discharge plan?

Answer 30

Evaluation
discussion
planning
determining
referrals
arranging