Chapter 18 Wellness

Question 1

What does the term rewilding refer to in the context of nursing?

Answer 1

A movement away from separate silos of wellness approaches to a more integrated approach

Rewilding emphasizes letting nature take care of herself by reducing active management.

Question 2

According to the World Health Organization (WHO), what is well-being?

Answer 2

A positive state involving mental, physical, and social aspects experienced by individuals and societies

Well-being is determined by social, economic, and environmental conditions.

Question 3

What are the core pillars of health as described in the chapter?

Answer 3

• Wellness
• Well-being

Well-being comprises multiple interconnected dimensions.

Question 4

The Wellbeing Model by Kreitzer is a visual representation of what approach in nursing?

Answer 4

An integrated approach to wellness

It guides the chapter on wellness.

Question 5

What does the Community aspect of wellness include according to Kreitzer?

Answer 5

• Resources
• Infrastructure
• Engagement and empowerment

It emphasizes the importance of community resources for wellness.

Question 6

What does the Environment aspect of wellness entail?

Answer 6

• Access to nature
• Clean air
• Clean water
• Toxin-free environment

These factors are crucial for individual and community health.

Question 7

List some suggestions for environmental well-being.

Answer 7

• Walking or biking instead of driving
• Carpooling
• Using reusable bags and utensils
• Reduce, reuse, recycle
• Donating unneeded items
• Buying used items
• Participating in environmental causes

These actions support environmental wellness.

Question 8

What is the goal of a home safety assessment in nursing?

Answer 8

To prevent accidents and ensure safety

It includes assessing for risks such as poison control and fall risks.

Question 9

What are the components of Health in the Kreitzer model?

Answer 9

• Physical health
• Emotional health
• Mental health
• Spiritual health

These components are essential for overall wellness.

Question 10

What is food insecurity?

Answer 10

Households uncertain of having enough food to meet their needs due to insufficient resources

In 2020, 10.5% of U.S. households were considered food insecure.

Question 11

What are the nutritional recommendations for the United States updated every 5 years focused on?

Answer 11

A customizable framework for tailored and affordable choices

The next update is due in 2026.

Question 12

True or false: People with mental health and/or substance use disorders typically die years earlier than the general population.

Answer 12

TRUE

This highlights the importance of addressing mental health in wellness.

Question 13

What are some population-based strategies to prevent suicide?

Answer 13

• Strengthen economic supports
• Increase access to mental health care
• Reduce provider shortages
• Create protective environments
• Promote community engagement
• Teach coping skills
• Identify and support at-risk individuals

These strategies aim to improve mental health outcomes.

Question 14

What is the opioid epidemic described as?

Answer 14

A public health emergency with increasing drug overdose deaths

More than four times as many people died from drug overdose than from homicide in early 2021.

Question 15

What is the leading cause of preventable disease, disability, and death in the United States?

Answer 15

Tobacco use

Each year, the U.S. spends over $225 billion on medical care for smoking-related diseases.

Question 16

What percentage of high school students reported using electronic cigarettes in the past 30 days in 2021?

Answer 16

11.3%

E-cigarettes are the most commonly used tobacco product among teens.

Question 17

What are some tips for reducing the risk of substance use?

Answer 17

• Handle peer pressure effectively
• Discover healthier coping mechanisms
• Develop supportive friendships
• Identify risk factors
• Strengthen self-esteem

These strategies aim to promote resilience.

Question 18

What is the purpose of smoking cessation programs?

Answer 18

To assist individuals in quitting smoking

Programs often include Medicaid reimbursement for aids like nicotine gum and patches.

Question 19

What are some strategies for managing stress or negative events?

Answer 19

• Finding additional support during transitions
• Developing supportive friendships
• Establishing alone time to decompress
• Identifying risk factors
• Strengthening self-esteem
• Focusing on balance

These strategies help individuals cope with stress and enhance personal wellness.

Question 20

What is the purpose of smoking cessation programs?

Answer 20

• Available to all
• Medicaid reimbursement for aids
• Support through resources

Resources include 1-800-QUIT NOW and CDC’s tips for quitting smoking.

Question 21

According to Kreitzer, what are the Relationship aspects that contribute to wellness?

Answer 21

• Social connections
• Networks
• Quality of relationships

Healthy relationships enhance personal wellness, while unhealthy ones can lead to interpersonal violence.

Question 22

What are some characteristics of healthy relationships?

Answer 22

• Mutual trust and respect
• Caring, empathy, and respect
• Honesty
• Sharing balance
• Acceptance without judgment
• Personal responsibility

These aspects are crucial for personal growth and well-being.

Question 23

What is interpersonal violence?

Answer 23

Systematic use of abuse tactics to gain power and control

It includes physical, emotional, sexual, and economic abuse and affects individuals across all demographics.

Question 24

True or false: Interpersonal violence can begin early in life and has widespread effects.

Answer 24

TRUE

It can lead to physical injuries, impaired mental health, and chronic health problems.

Question 25

What are the **four key principles** for preventing partner and sexual violence identified by the CDC?

Answer 25

* Emphasis on primary prevention * Monitoring and tracking trends * Addressing multifaceted issues * Approaching as a population health issue ## Footnote These principles aim to reduce violence and protect individuals.

Question 26

What are some **psychosocial problems** survivors of interpersonal violence may experience?

Answer 26

* Depression * Anxiety * Recurring physical injuries ## Footnote These symptoms may be overlooked if not assessed in the context of abuse.

Question 27

What are **protective factors** for IPV perpetration?

Answer 27

* Strong social support networks * Stable, positive relationships * Community involvement ## Footnote These factors can help reduce the risk of interpersonal violence.

Question 28

What are some **individual risk factors** for IPV perpetration?

Answer 28

* Low self-esteem * Anger issues * Heavy substance use * Poor impulse control * Economic stress ## Footnote These factors can increase the likelihood of becoming a perpetrator.

Question 29

What is the **security aspect** of Kreitzer’s model?

Answer 29

* Basic human needs * Stable employment * Sufficient finances * Personal safety ## Footnote These elements are essential for overall well-being.

Question 30

What are the overarching goals of **Healthy People 2030**?

Answer 30

* Attain healthy lives * Eliminate health disparities * Create supportive environments * Promote healthy behaviors ## Footnote These goals aim to improve health and well-being for all populations.

Question 31

What is the significance of **preventive and screening services**?

Answer 31

* Maintain client wellness * Conduct objective measurements * Assess routine health screenings ## Footnote These services are best accomplished through visits with a primary care provider.

Question 32

What are the **2018 Physical Activity Guidelines** for adults?

Answer 32

* 150-300 minutes of moderate-intensity activity * Muscle-strengthening activities at least 2 days a week ## Footnote These guidelines promote optimal health and prevent chronic illness.

Question 33

What is the **concept of stress** as described in the text?

Answer 33

Complex and multifaceted, affecting health ## Footnote Stress can be acute, episodic, or chronic and impacts individuals and communities.

Question 34

What are some **suggestions for assessing stressors** in clients?

Answer 34

* Use the Perceived Stress Scale (PSS) * Promote preemployment medical examinations * Encourage stress-relieving activities ## Footnote These interventions can help identify and mitigate stress.

Question 35

What is the goal of **Integrative health and wellness care**?

Answer 35

Combine conventional and complementary practices ## Footnote This approach considers the whole person to achieve optimal health.

Question 36

What is the role of **practitioners** in health policy?

Answer 36

Promoting the welfare of their clients ## Footnote Practitioners address policies or laws that unfairly advantage or disadvantage populations.

Question 37

Define **integrative health and wellness care**.

Answer 37

A scientific approach combining conventional Western medicine with complementary and alternative medicine (CAM) strategies ## Footnote Approaches are multidimensional and consider the whole person.

Question 38

List the **four categories** for complementary health approaches identified by the NCCIH.

Answer 38

* Nutritional * Psychological * Physical * Combination approaches ## Footnote These categories encompass various practices like dietary supplements and yoga.

Question 39

Who helped establish **integrative medicine** as an area of practice?

Answer 39

Andrew Weil, MD ## Footnote He defined principles that emphasize the relationship between practitioner and client.

Question 40

What are the **defining principles** of integrative medicine according to Andrew Weil?

Answer 40

* Equal partnership between client and practitioner * Consideration of all health factors * Use of conventional and alternative methods * Focus on less-invasive interventions * Evidence-based healthcare * Health promotion and illness prevention ## Footnote These principles guide the practice of integrative medicine.

Question 41

What is the mission of the **National Center for Complementary and Integrative Health (NCCIH)**?

Answer 41

To define the usefulness and safety of complementary and integrative health interventions ## Footnote The NCCIH conducts research to improve health and healthcare.

Question 42

Define **functional medicine**.

Answer 42

A systems biology-based approach focusing on identifying and addressing the root cause of disease ## Footnote It considers all components of the human biological system and its interaction with the environment.

Question 43

What are the **five essential components** of functional medicine?

Answer 43

* Eliciting the client’s complete story * Developing a partnership between practitioner and client * Identifying lifestyle challenges * Organizing clinical imbalances * Providing individual recommendations ## Footnote These components guide practitioners in addressing health issues.

Question 44

What tools are commonly used in **functional medicine**?

Answer 44

* Functional medicine Matrix * Timeline * GOTOIT framework ## Footnote These tools help practitioners evaluate health interactions and root causes.

Question 45

What does the **Integrative Health and Wellness Assessment Tool (IHWA)** assess?

Answer 45

* Life Balance and Satisfaction * Relationships * Spiritual * Mental * Emotional * Physical * Environmental * Health Responsibility ## Footnote This tool assists individuals in creating health goals.

Question 46

Define **self-care** in the context of integrative health.

Answer 46

The ability to care for oneself through awareness, self-control, and self-reliance ## Footnote It promotes optimal health and well-being.

Question 47

What is the significance of **purpose** according to Kreitzer?

Answer 47

It includes an aim and direction that gives life and work meaning ## Footnote Purpose contributes to wellness at individual and community levels.

Question 48

What tool can practitioners use to assess clients’ sense of **purpose**?

Answer 48

WHO Quality of Life (WHOQOL) ## Footnote It includes questions related to spirituality and meaning in life.

Question 49

True or false: A sense of **belonging** and recognition within a community contributes to purpose and meaning in life.

Answer 49

TRUE ## Footnote These factors enhance overall well-being and health.

Question 50

What is the role of **PCPs** in promoting wellness?

Answer 50

Act as coaches, champions of wellness, and educators ## Footnote They help clients access healthy lifestyle options and motivate them to adopt healthy behaviors.

Question 51

What is the concept of **rewilding** in nursing?

Answer 51

Promoting an expanded definition of nursing and well-being ## Footnote It involves working towards optimal health and human functioning.