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BSNC 1000 Exam #1 Questions With 100% Correct Answers 2024 Health - Correct Answer-state of complete physical, mental and social well-being and not merely the absence of disease or infirmity Homeostasis - Correct Answer-Maintenance of physiological, functional, & social norms leading to adaptation & homeostasisFeeling in control over one's life and living conditions Human potential - Correct Answer-Actualization of human potential through goal-directed behaviour, competent self- care & satisfying relationships with othersHaving a sense of purpose Harmony - Correct Answer-Adjustment to maintain structural integrity & harmony with relevant environmentsFeeling connected to the community Community definition - Correct Answer-People & relationships Share = agencies, institutions, physical environment Defined by = geography common interest or focus shared status or special interest groupCan be a client population - Correct Answer-eg. School of health sciences aggregate - Correct Answer-Groups that form a population. eg. BCIT student in BSN program Population health - Correct Answer-Measured by determinants of health (DoH) & health status indicators Improves the health of populations & decreased inequitiesScope consists of the following 5 elements -think of these as clients ( individuals, families, groups, communities, population) 9 key elements of a population health approach - Correct Answer-1. focuses on the health of populations 2. addresses the determinants of health and their interactions 3. makes decisions based on evidence 4. increases upstream investments 5. applies multiple interventions and strategies 6. collaborates actress sectors and levels 7. employs mechanisms for public involvement 8. establishes partnership with clients and stakeholders prepathogenesis - Correct Answer-no disease is present but susceptibility to disease exists pathogenesis - Correct Answer-is a period from early pathogenesis to convalescence Medical diagnosis - Correct Answer-MD / NP. Strict protocol as previous slide. Declares that an individual has a medical diagnosis or a disease Nursing diagnosis - Correct Answer-Nurses [non NPs]. Describes health care problems via clinical judgement. Diagnoses actual & potential health problems within the domain of nursing. More in Nursing Practice. Nurses do NOT diagnose a medical condition or a disease, unless they are a nurse practitioner DoH - Correct Answer-Broad range of personal, social, economic, and environmental factors that determine individual and population health. Factors that influence the risk for or distribution of health outcomes. Generally 12. SDoH - Correct Answer-Social conditions and broader forces -politics and economics. Interact to influence risks to health and well-being. Affect how vulnerable or resilient people are to disease and injury. Mikkonen & Raphael - consider 14 SDoH. Critical thinking - Correct Answer-1.Upstream thinking 2.Midstream thinking 3.Downstream thinking Midstream thinking - Correct Answer-policies intended for regional, local, community, or organizational entities Upstream thinking - Correct Answer-beyond the individual ... more like a big picture Downstream thinking - Correct Answer-individual curative stance ... negates viewing the influences of sociopolitical, economic, and/or environmental circumstances Primary prevention - Correct Answer-activities that prevent the development of a disease based on the natural history of a disease or an injury. No pathology (prepathogenesis stage)------> susceptible to disease or injury Secondary prevention - Correct Answer-activities that detect disease early in its progression (pathogenesis stage) / before clinical signs and symptoms become apparent to make a diagnosis & begin treatment Screening helps determines likelihood that disease will develop. tertiary prevention - Correct Answer-activities in middle and later periods of pathogenesis. Goals: interrupt disease's course, reduce disability & begin rehabilitation. Can be delivered in specialized clinics, hospitals, rehab centres, community and primary care settings Chronic Disease Management - Correct Answer-DoH & the levels of prevention equipping client to manage their condition building upon their strengths. Periodical interactions with HC system and/or informal support systems. Client centered approach, integrated across sectors & comprehensive Expanded Chronic Care Model - Correct Answer-a) Health system and community b) Self-management / personal skills c) Delivery system design / re-orient health services d) Decision support e) Information systems f) Healthy public policy g) Supportive environments h) Community action. can control any symptoms or health problems you have so that they do not interfere with the things you want to do?" Use a 1-10 scale, from not at all important to very important advise - Correct Answer-- Provide specific personalized information about health risks and benefits of change - Make the source of the advice clear - Personalize lab values, health status and how choices affect outcomes - Provide the level of information clients need to make decisions - Ask the client to restate what you said agree - Correct Answer-- Collaboratively set goals based on the client's interests and confidence in their ability to change the behavior. - If their self-rated confidence is low, the goal may need to be changed e.g. select one aspect of the goal that the client feels more confident about attaining assist - Correct Answer-- Assist the client in achieving agreed upon goals by offering encouragement and by developing social/environmental supports - Avoid telling clients what to do - Use other clients' experiences as examples (while maintaining confidentiality) arrange - Correct Answer-Schedule follow-up contact to provide ongoing assistance and support to adjust the plan as needed. Use whatever method of contact the client prefers, such as in person, by email or phone. Make sure follow-up happens to preserve trust in the relationship.