midterm

Question 1

health promotion model
– levels of action (who)?

Answer 1

society
structural or system
community
family
\individual

Question 2

health promotion model
– action strategies (HOW)?

Answer 2

Ottawa Charter:
building healthy public policy
strengthen community action
create supportive environments
develop personal skills
re-orient health services

Question 3

health promotion model
– determinents (WHAT)?

Answer 3

income & social status
work & working conditions
social support networks
personal coping skills
healthy child development
physical environment
social environment
education
genetic endowment
health services
culture
gender

Question 4

health promotion model
– foundations (WHY)?

Answer 4

evidenced-based decision making
- research
- evaluation
- experiential learning
values & assumptions

Question 5

Ottawa charter (1986)

Answer 5

build healthy public policy
- legislative, regulatory, organizational
- ex. seatbelts
strengthen community action
– community based
develop personal skills
- info, education, life skills
reorient health services
- strengthening supportive factors
- decreasing risk factors
create supportive environments
- live in, work, learn, play; food

advocate, mediate, enable

Question 6

Canada health act (1984)

Answer 6

1. public administration
2. comprehensiveness
3. universality
4. portability
5. accessibility

Question 7

primary prevention

Answer 7

the reduction or incidence of disease occurring
- decrease environmental risks
- increase nutritional status
- immunizing against communicable diseases

Question 8

secondary prevention

Answer 8

aim to identify disease processes as early as possible
- reduce prevalence/duration of disease e.g. PPDS

Question 9

tertiary

Answer 9

aim to reduce impact of long-term disease and disability
e.g. population with HIV

Question 10

quaternary

Answer 10

identify populations at risk for overmedicalization

Question 11

primordial

Answer 11

focuses on broader societal changes
e.g. harm reduction

Question 12

CHN standards of practice

Answer 12

8 standards of practice that represent a vision for excellence in community health nursing

Question 13

standard 1
– 8 indicators

Answer 13

health promotion
- collaboration

Question 14

standard 2
– 9

Answer 14

prevention and health protection
- appropriate level of prevention

Question 15

standard 3
– 6

Answer 15

health maintenance, restoration and palliation
- cultural safety and humility
- DOT therapy

Question 16

standard 4
– 12

Answer 16

professional relationship
- self determination
- interpersonal relationship

Question 17

standard 5
– 17

Answer 17

capacity building
- partnership is key!

Question 18

standard 6
– 15

Answer 18

health equity
- reduce health equity gaps between populations

Question 19

standard 7
– 6

Answer 19

evidenced informed practice
- best evidence a guide to practice

Question 20

standard 8
– 14

Answer 20

professional responsibility and accountability
- ethical, legal
- communication
- attire

Question 21

calgary family assessment model

Answer 21

1. structural
   - who? connections among family members and those outside the family and family context
2. developmental
   - stages (of family)
   - tasks
   - attachments
3. functional
   - instrumental
   - expressive

Question 22

calgary family intervention model

Answer 22

provides framework for family functions in 3 domains
1 ) cognitive
2 ) affective
3 ) behavioural

Question 23

instrumental functioning

Answer 23

ADLs

Question 24

expressive functioning

Answer 24

how people communicate
problem solving
roles, influence and power
beliefs, alliances, and coalitions

Question 25

family as a context of care -- level I

Answer 25

family as context to the client - focus is on the individual within the context of their family or family as a secondary focus

Question 26

family as a context of care -- level II

Answer 26

family as a sum of its parts - focus on individual family member with members seen as separate entities (as opposed to interacting units)

Question 27

family as a context of care -- level III

Answer 27

family subsystem as client - family subsystem is focus of care - dyads, triads ex breastfeeding mom

Question 28

family as a context of care -- level IV

Answer 28

family as client - entire family is the unit of care with focus on internal family dynamics, relationships, structure

Question 29

family as a context of care -- level V

Answer 29

family as component of society

Question 30

internal structure

Answer 30

- family composition - gender and sexual orientation - rank order - subsystems - boundaries

Question 31

external structure

Answer 31

extended family - genogram larger systems - ecomap - work - organizations - healthcare professionals - religious affiliations

Question 32

context

Answer 32

situation/background relevant to family - ethnicity - race - social class - religion/spirituality - environment

Question 34

privilege

Answer 34

unearned advantages

Question 35

opression

Answer 35

societally constructed disadvantages

Question 36

race and racialization

Answer 36

is a social construct assigning people of colour into racial groups based on imposed beliefs about the persons body

Question 37

racism

Answer 37

Policies that have been put in place vs. how people are being treated. Misunderstanding prejudice is what protects it. We don’t call it out. Racism is deeply embedded in the system. Started w/ policies…slowly changing - Control your awareness and you impact

Question 38

cultural awareness

Answer 38

an initial understanding that variations exist

Question 39

cultural sensitivity

Answer 39

showing respect and valuing cultural diversity

Question 40

cultural competence

Answer 40

an ongoing process not an outcome ex: - dietary practices - attitudes towards pain - beliefs about death/dying - modesty - eye contact - closeness and physical contact

Question 41

cultural safety

Answer 41

1. respect for cultural identity 2. power imbalances 3. self reflection and continuous improvement

Question 42

intersectionality

Answer 42

We all hold multiple social identities simultaneously, such as ethnic background, gender, ability, and sexuality. An approach to understand how systems of inequities interact with each other to produce complex patterns of privilege and oppression - not additive

Question 43

SDoH

Answer 43

Income and social status Employment and working conditions Education and literacy Childhood experiences Physical environments Social supports and coping skills Healthy behaviours Access to health services Biology and genetic endowment Gender Culture Race / Racism

Question 44

important dates

Answer 44

1947 - medicare in Saskatchewan - tommy douglas 1957 - medicare expansion 1966 - medical care act 1984 - Canada health act