Kozier Ch 16 Health Promotion - Fundamentals Of Nursing (Elisa)

Front 1

1.What is Health Promotion?

Back 1

A philosophy of wholeness, wellness, and well-being
(Slide 1.)

Front 2

Health Promotion is Enhanced when nurses understand:

Back 2

-Individuality
-Holism
-Homeostasis
-Human needs
P. 267, 280, 281 (Slide 1.)

Front 3

2. What should nurses remember about Individuality?

Back 3

-Each individual is unique
P. 276 (Slide 2.)

Front 4

What is Total care context?

Back 4

- all the principles that apply when taking care of clients of that age and condition
P. 276 (Slide 2.)

Front 5

What is Individualized care context?

Back 5

- using total care principles that apply to the particular individual at the present time
P. 276 (Slide 2.)

Front 6

3. What are 4 things to remember about Holism ?

Back 6

-Concerned with individual as a whole, not an assembly of parts or systems
-Explores how one area of concern relates to the whole person
-Considers relationship of individuals to environment and to others
-Interventions directed toward restoring overall harmony
P. 276 (Slide 3.)

Front 7

4. 4 things to remember about Physiological Homeostasis

Back 7

-Self-regulatory
-Compensatory mechanism
-Negative feedback, positive feedback
-Interventions to maintain or regain homeostasis
P. 276,277 (Slide 4.)

Front 8

4 things to remember about Psychological Homeostasis

Back 8

-Emotional or psychological balance, mental well-being
-Stable physical environment - safety and security
-Stable psychological environment – development of trust and love
-Social environment - healthy role models
-Life experiences that provide satisfactions
P. 276,277 (Slide 4.)

Front 9

5. Human Needs
What are Maslow’s five levels of human needs ?

Back 9

-Physiological needs
-Safety and security needs
-Love and belonging needs
-Self-esteem needs
-Self-actualization needs
P. 278 (Slide 5.)

Front 10

6. What is Developmental stage theories?

Back 10

-Describe (typical behaviors) within a certain age group
-(Explain the significance )of those behaviors
-(Predict behaviors )that might occur in a given situation
-(Provide rationale) to control behavioral manifestations
-Can be used in parental and client( education, counseling), and anticipatory( guidance)
P. 279, 280 (Slide 6.)

Front 11

7. What are 2 important components to Healthy People 2020 and who is involved?

Back 11

-Belief that individual health and community health are closely linked
-Partnerships important to improve individual and community health
-Business, local government, and civic, professional, and religious organizations
P.280 (Slide 7.)

Front 12

8. When considering Health Promotion what are the Three levels of prevention?

Back 12

-Primary - focus on health promotion, protection against specific health problems
-Secondary - focus on early identification and prompt intervention for health problems
-Tertiary - focus on restoration and rehabilitation; goal to return individual to optimal level of functioning
P.280,281 (also see table 16-1)(Slide 8.)

Front 13

9. Define Health promotion

Back 13

- behavior motivated by desire to increase well-being and actualize human health potential
P.281 (Slide 9.)

Front 14

Define Disease prevention or health protection

Back 14

- behavior motivated by desire to actively avoid illness, detect it early, or maintain functioning with constraints of illness
P.281 (Slide 9.)

Front 15

10. Discuses Health Promotion Model (flow chart)

Back 15

-Motivation for behavior change - based on individual’s subjective value of the change
-Individual characteristics and experiences
---Personal factors
---Prior related behaviors
-Behavior-specific cognition and affect
---Perceived benefits of action
---Perceived barriers to action
---Perceived self-efficacy
---Activity-related affect
---Interpersonal influences
---Situational influences
-Commitment to a plan of action
-Competing demands and preferences
-Behavioral outcome
(see table 16-4 flow chart) P.283 (Slide 10.)

Front 16

11. What are the 6 Stages of Health Behavior Change?

Back 16

-Pre-contemplation
-Contemplation
-Preparation
-Action
-Maintenance
-Termination
P.285, 286 (also see table 16-5)(Slide 11.)

Front 17

12. What is the Nurse’s Role in Health Promotion? (Describe 5 of 9)

Back 17

-Model healthy lifestyle
-Facilitate client involvement
-Teach self-care strategies
-Assist individuals, families, and communities to increase levels of health
-Educate clients to be effective health care consumers
-Assist clients to develop and choose health-promoting options
-Guide development of effective problem solving and decision making
-Reinforce clients’ personal and family health-promoting behaviors
-Advocate in the community for changes that promote a healthy environment
P.287 (also see Box 16-6)(Slide 12.)

Front 18

13. What are Nursing interventions/the nursing process related to health promotion?

Back 18

-Review and summarize assessment data
-Reinforce strengths and competencies
-Identify health goals
-Identify behavioral outcomes
-Develop a behavior-change plan
-Reiterate benefits of change
-Address environmental and interpersonal facilitators and barriers
-Determine a time frame
-Formalize commitment
-Implement Health Promotion Plans
-Explore available resources
-Provide and facilitate support
-Provide health education
P.287-294 (slide 13.)

Front 19

14. What are 5 Factors Affecting Older Adults in relation to health promotion?

Back 19

-Maximizing strength, maintaining optimal function and quality of life
-Physical limitations, chronic illness, cognitive or emotional changes
-Ability to access health care
-Presence of support system
-Environmental safety
P. 290 (slide 14.)

Front 20

15. What are 4 Factors Affecting Children in relation to health promotion?

Back 20

-Children as young as 2 years are overweight
-Childhood overweight contributes to long-term health problems
-Promote health eating habits and adequate exercise
-Encourage adults to provide healthy choices and be role models
P. 290 (slide 14.)

Front 21

16. A nurse and a primary care provider inform a client that chemotherapy is recommended for the diagnosis of cancer. Which of the following nursing actions is most representative of the concept of holism?
-A. Offering to go to the client’s home to provide needed physical care
-B. Contacting the client’s spiritual adviser
-C. Inquiring how this will affect other aspects of the client’s life
-D. Providing the client with information about how to join a support group

Back 21

(Slide 17.)
A.Arranging for home care may be appropriate, but a holistic approach involves examining, with the client, ways in which the illness influences the client’s life.
B.Although facilitating spirituality may be appropriate, the nurse begins a holistic approach by examining, with the client, how the illness affects various segments of the client’s life.
**C.Correct. Holism implies consideration of all aspects of the client’s life. Assessment should always precede intervention.
D.Offering coping resources may be appropriate, but the nurse begins a holistic approach to care by examining, with the client, how the illness influences the various segments of the client’s life.

Front 22

18. A client who is 46 pounds overweight tells you, “I was just born to be fat. I don’t have the willpower.” Although weight loss occurred while attending two previous programs that “guaranteed” weight loss, the weight returned along with extra pounds after each program. According to the Health Promotion Model, the nurse is most likely to focus on which behavior-specific cognition and affect variable for this client?
A. Perceived barriers to action
B. Perceived self-efficacy
C. Interpersonal influences
D. Situational influences

Back 22

(slide 19.)
a.Option A (barriers to action) is a person’s perceptions about available time, inconvenience, expense, and difficulty performing the activity.
**b.Correct. Perceived self-efficacy is the confidence the person has to achieve the desired outcome.
c.Option C (interpersonal influences) is the person’s perceptions about the behaviors, beliefs, or attitudes of others.
d.Option D (situational influences) refers to the person’s perception of the environment and how it assists or detracts from the healthy behavior.

Front 23

20. Using Maslow’s framework, which statement characterizes the highest level of need?
A.“Nurse, my pain is severe. Is it time for my shot?”
B.“I felt welcomed when I first joined the group and I look forward to the monthly meetings.”
C.“I’m very proud of receiving the Employee of the Month award.”
D.“There have been home break-ins with burglary in our neighborhood. We are thinking of moving.”

Back 23

(slide 21.)
a.Pain is a physiological need.
b.Feeling welcomed is a love and belonging need.
**c.Correct. Pride in receiving an award is a self-esteem need.
d.Robbery in a client’s neighborhood relates to a safety and security need.