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DUSON Spring '18 > Wellness Exam 2 > Flashcards

Wellness Exam 2 Flashcards

1
Q

Ecological Model

A

Bronfenbrenner. Intrapersonal -> Interpersonal -> Organization -> Community -> Policy. Useful in health promotion interventions, child development. The more circles we hit the more change we will see.

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2
Q

Health Belief Model

A

Perceived susceptibility and perceived severity, Demographic Factors, and Cues to Action all influence someone’s Perceived Threat.

The Perceived Threat, Self-Efficacy, and Benefits of Action minus Barriers to Action all lead to the Likelihood of Action

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3
Q

Self-Efficacy

A

Confidence in one’s ability to take action/overcome barriers - I can do this! “If I am going to engage in an activity I will be able to do it and be good at it”.

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4
Q

Social Cognitive Theory

A

Bandura. Money see, monkey do.

Behavior - Environment - Person/Cognitive

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5
Q

Reciprocal determinism

A

The dynamic interaction fo the person, behavior, and environment in which the behavior is performed. Consider multiple avenues to behavioral change.

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6
Q

Observational learning

A

Behavioral acquisition that occurs by watching the actions and outcomes of others’ behavior

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7
Q

Behavioral capability

A

Knowledge on how to perform behavior

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8
Q

Transtheoretical model of change

A

Precontemplative - Contemplation - Preparation - Action - Maintenance

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9
Q

5 A’s

A

Ask
Advise - quitting is best for your health
Assess - readiness to change (scale of 1-7 if
Assist - provide resources and treatment
Arrange

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10
Q

What is health education?

A

Information and skills that facilitate behavior change and self-management. Combined set of planned learning experiences that provide individuals and communities with the opportunity to acquire tools needed to make positive health decisions.

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11
Q

What is health literacy?

A

The capacity of an individual to obtain, process, and understand health information and services in order to make appropriate health decisions.

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12
Q

What influences health literacy?

A 
Culture
Education level
Communication style
Learning style
Developmental stage
Cognitive level
Special needs and considerations
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13
Q

What are the goals of health education?

A

To help individuals, families, and communities achieve, through their own initiative, optimal levels of health. To improve health literacy.

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14
Q

What are the domaines of learning and associated teaching strategies? (3)

A

Cognitive - thinking, discussion etc

Affective - feeling, role play, simulation

Psychomotor - acting/doing, demonstration and practice

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15
Q

SMART objectives are….

A

….specific, measurable, achievable, relevant, time-bound

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16
Q

Steps in the teaching/learning process (4)

A

Assess
Develop SMART goals
Develop/implement the teaching plan (cognitive, affective, psychomotor)
Evaluate using teach back, return demo, pre/post test, survey

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17
Q

What are some ways to promote health literacy?

A 
Shame free environment
Provide privacy
Don't assume people understand
Encourage questions
Use short, clear phrases
Avoid medical jargon
Reinforce the spoken word
Person-centered communication
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18
Q

Why is self care important for nurses?

A

Enhances our ability to care for others if we take care of ourselves. Decreases likelihood of burnout, enhances our quality of life

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19
Q

DIG approach

A

Deliberate in thoughts and actions through reflection or intention setting
Inspired to make new choices
Go! Take action.

20
Q

Strategies to promote resilience

A 
Add positives to your day
Practice gratitude
Recognize impermanence and keep perspective
Embrace change
Be optimistic and hopeful
Know when to let go vs when to take action
Set realistic expectations
Connect with others
21
Q

Resistance definition

A

Refusing to comply, attempting to prevent

22
Q

Acceptance definition

A

Willingness to tolerate and cope - leads to better outcomes

23
Q

How can you assist a patient in making a quit plan?

A 
Should be within 2-4 weeks
Tell family, friends, coworkers
Anticipate challenges
Remove tobacco from the environment
Give tobacco quit line/community resources
Discuss pharmacotherapy options
24
Q

What are some dangers of 2nd and 3rd hand smoke?

A

Exposure to toxins can increase the risk of cancer and other conditions (asthma, ear infections, breathing problems, skin problems)

25
Q

5 R’s

A 
Relevance 
Risk
Reward
Roadblocks
Repeat
26
Q

Exercise definition?

A

Planned, structured, repetitive body movement used to maintain or improve physical fitness?

27
Q

Aerobic exercise

A

Uses large muscle groups, improves CV endurance, fat is fuel

28
Q

Anaerobic exercise

A

Short bursts of intense activity, increase power, speed, strength, uses phosphagen and glycogen as fuel

29
Q

What are the exercise recommendations for children?

A

60 minutes/day of mostly aerobic activity.
3 days/week vigorous activity
3+ days/week bone and muscle strengthening (within those 60 minutes)

30
Q

What are the exercise recommendations for adults/older adults?

A

150 min/wk of moderate aerobic activity per week with 2+ days of muscle strengthening or 75 minutes of vigorous aerobic activity per week, with 2+ days of muscle strengthening.

31
Q

What are the exercise recommendations for pregnant women?

A

Same as the exercise recommendations for adults but need to consult with provider before engaging in vigorous activity

32
Q

How do you measure physical exertion in adults?

A

Moderate - can talk but can’t sing
Vigorous - can only say a few words at a time; HR and breathing rate are significantly increased
Borg scale for rating perceived exertion

33
Q

Borg scale for rating perceived exertion

A

6-20 (multiply x 10 to get estimated HR)
11-14 moderate intensity
15+ vigorous

34
Q

How do you measure physical exertion in children?

A

Moderate - walking briskly around the playground; HR and BR are somewhat elevated
Vigorous - playing tag; HR and BR are elevated

35
Q

What is an exercise Rx?

A

Frequency
Intensity
Time
Type (aerobic vs muscle strengthening)

36
Q

What is gender?

A

Attitudes, feelings, behaviors that a given culture associates with a person’s biological sex

37
Q

What is sex?

A

Assigned at birth based on the assessment of external genitalia, chromosomes, or gonads

38
Q

What is gender identity?

A

One’s view of oneself as male, female, both, neither, or something else

39
Q

Transgender definition

A

An individual whose gender identity does not align with the sex assigned to them at birth

40
Q

Gender nonconforming

A

Gender expression si at odds with cultural/societal expectations

41
Q

Gender expression

A

Associated with one’s physical presentation, communication patterns, and behaviors used to express aspects of gender identity or role

42
Q

Cisgender

A

Individual whose gender identity aligns with the sex assigned to them at birth

43
Q

Nonbinary gender identity and expression

A

Doesn’t fall in to to the traditional gender binary; maybe referred to as gender fluid or gender expansive

44
Q

Gender creative expression

A

Does not experience gender dysphoria and has a gender identity that matches their sex assigned at birth, but may have a gender expression that is at odds with cultural expectations

45
Q

How can you integrate gender-affirming approaches in to providing care?

A 
Don't make assumptions
Mirror their language
Ask for clarification
Use gender neutral terms/pronouns
Be sensitive when asking questions/conducting a physical exam
Don't ask unrelated questions
Use the two step approach (sex assigned at birth and current gender identity)
Document preferences and pronouns 
Need to assess based on current anatomy

DUSON Spring '18 (7 decks)

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