NR 222: week 1 Chamberlain CAre and Health Promotion QUESTIONS WITH 100% Accurate solutions ( Pass GUARANTEED)

What is Chamberlain Care?

a culture that prepares students to take extraordinary care of patients, families and communities

Three ways a professional might practice Chamberlain care

· Listening

· Helping

- making realistic Goals

The componets for Self-care

Physical

mental

emotional

spiritual

What can be found in Chamberlain Academic Support?

Program Resources

Course Resources

Video Resources

Writing Center

ESL Ressources

Technology Resources

Student Standards and Rights

Library

Perspectives Students

Student LIfe

Career Services

What can be found on the Chamberlain Dashboard?

courses

Academic support

Prelicensure Success Seminar

Where to find assignments due date besides the syllabus?

Module on the course shell

What is Canvas?

a plate or Learning Management System (LMS) software that allows students and staffs to document, track, report, etc.

What is Compassion Fatigue?

-a term used tp describe a state of burnout and secondary traumatic stress.

-Occurs without warning and · often results from giving high levels of energy and compassion over a prolonged period to those who are suffering, often without experiencing improved patient outcomes.

What is Secondary traumatic stress?

the trauma that health care providers experience when witnessing and caring for others suffering trauma

Preventative measure for compassion fatigue

-establishing professional boundaries​

-practicing self-care measures​

-pondering self-awareness​

-learning more about compassion fatigue ​

1. Which ways help Compassion fatigue? Select all that applies

-Avoid working excessive hours of overtime

-Exercise daily and make time for friends

-Attend debriefing sessions when a traumatic event occurs

What health-related issues might you see with someone who holds stress for long periods of time?

· The mind modifies the biochemical functions of the major organ systems in response to feedback. Thoughts and feelings influence the production of chemicals that circulate throughout the body and convey messages via cells to various systems within the body.

· The stress response is a good example of the way in which systems cooperate to protect an individual from harm.

· Physiologically, the cascade of changes associated with the stress response causes increased heart and respiratory rates, tightening muscles, increased metabolic rate, and a general sense of foreboding, fear, nervousness, irritability, and negative mood.

· Other physiological responses included elevated blood pressure, dilated pupils, stronger cardiac contraction, and increased levels of blood glucose, serum cholesterol, circulating free fatty acids, and triglycerides

-- Increase in cortisol comes with an increase in stress

§ Cortisol stimulates your fat and carbohydrate metabolism, creating a surge of energy in your body. While the process is essential for a survival situation, it also increases your appetite. Additionally, elevated cortisol levels can cause cravings for sweet, fatty, and salty foods.

· Although these responses prepare a person for short-term stress, the effects on the body from long-term stress may include structural damage and chronic illness such as angina, tension headaches, cardiac arrhythmias, pain, ulcers, and atrophy of the immune system organs.

· Cancer, Diabetes, Infections.

Taking Action: compassion Fatigue

what are postive lifestyle choices?

· Practicing mindfulness

· Healthy diet

· Maintaining life balance

· Regular exercise

Taking Action: compassion Fatigue

what are negative lifestyle choices?

· Taking narcotics for sleep

· Eating fast food

· Working overtime shifts

Nurses are more likely to ...

be overweight, suffer the ill effects of stress, and experience a lack of sleep

What are the three types of Stress?

1. Situational Stress: Situational stressors in the workplace that affect nurses are high-acuity client loads, job environment, constant distractions, responsibilities, conflicting priorities, and intensity of care. Additionally, shift work increases fatigue.

2. Maturation Stress: Stressors vary with the stage of life. In addition to situational stress, a nurse may struggle with major changes in life circumstances, such as divorce, the birth of a child, or the death of a parent.

3. Sociocultural Stress: Environmental and social stressors can lead to further problems. Living under conditions of violence or homelessness affects health. Cultural variations also produce stress, particularly if a person's values differ from the dominant culture.

Whare are Selye's Stress and adaptation theories?

What are the 3 stages of Stress?

Alarm stage: The body releases hormones that prepare it to either defend itself (fight) or run away (flight).

If successful, homeostasis is achieved​.

If unsuccessful, the body progresses toward resistance​.

Resistance stage: All coping skills and defense mechanisms are used to stabilize the body.

Through this process, the client becomes more susceptible to additional stressors. Either adaptation occurs or the client progresses to exhaustion. ​

Exhaustion stage: The body becomes overwhelmed and resources are depleted.

Thinking becomes illogical and distorted. Problem-solving and communication are ineffective. Unless the stress is removed or adaptation occurs, the client will die from exhaustion

Whatr are impact of stress on the body?

Headaches

Mental health problems: Increased depression, Insomnia

Weakened immune system

Rapid breathing

Tense muscles

Higher heart attack risk

Pounding heart

Heartburn

High blood pressure

High blood sugar

Stomach aches and digestion problems

Fertility problems: Missed periods, Low sex drive, Erectile dysfunction

Five things to know about stress include:​

--Stress affects everyone.​​

--Not all stress is bad.​​

--Long-term stress can harm your health.​​

--There are ways to manage stress.​​

--If you feel overwhelmed by stress, ask for help from a health professional.​

Is all stress bad?

No, stress may inspire you to study harder to pass an exam.

Stress is not avoidable. Life is stressful and everyone feels stress from time to time.

What is a circadian rhythm?

the biological clock; regular bodily rhythms that occur on a 24-hour cycle

The 24-hour, day and nigh cycle

Sleep/wake cycle

What are the daily sleep requirements for

Middle ages adults

Young adults

children

Middle-aged adults need approximately 7 to 9 hours of sleep per day.​

Young adults need approximately 6 to 8.5 hours of sleep per day.​

Children require 9 hours or more of sleep daily, depending on age. ​

Functioning on less than 6 hours of sleep daily poses.....

physical and psychological problems. ​

An individual should exercise no more than _____hours before bedtime.

2

2 hour or more before bedtime allows the body to cool down and maintain a state of fatigue that promotes relaxation.

What should an individual not do before bedtime?

Eat a large, heavy, and/or spicy meal at night often results in indigestion that interferes with sleep

drinking Coffee, tea, cola, and chocolate contain caffeine and xanthine, which cause sleeplessness

What other factors influences sleep patterns?

Weight gain contributes to OSA because of the increased size of the soft tissue structures in the upper airway.

Weigh loss can cause a semistarvation diet sometimes causes sleep disorders such as reduced sleep and insomnia

How important is rest and sleep?

these are basic human needs necessary for physical and emotional health.

Without adequate amounts of sleep, concentration, judgment, and participation in daily activities decline, and irritability increases

What are some recommendation of promoting healthy sleep?

· Avoid heavy meals, smoking, and alcohol and caffeine intake close to bedtime. ​

· Exercise during daytime hours but avoid strenuous exercise before bedtime. ​

· Drink milk at bedtime, which contains L-tryptophan that promotes sleep. ​

· Use relaxation techniques to prepare for sleep, such as a warm bath, reading, and calming music. ​

· Take melatonin, a helpful supplement to regulate the sleep-wake cycle.​

· Drink tea containing valerian root and chamomile, which helps with general relaxation and causes drowsiness. ​

· Alter the sleeping environment so that it is cool, dark, and quiet. For daytime sleeping, heavy curtains, earplugs, and an eye mask may be beneficial. ​

· If not asleep within 45 minutes, get up and perform a relaxation activity.

A nurse is having difficulty sleeping due to rotating shifts. Which herbal supplements may promote rest and sleep? Select all that apply.​

-Melatonin

-Valerian root

-Chamomile

What is American Nursing Association (ANA)?

fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public.

created Guidelines of principles intended to instruct professionals to act in a manner that is honest

the ANA code of Ethics for Nurses

What is Provision 5 (self-care)

--Duties to Self and Others​ (1)

Nurses must take care of themselves before taking care of others. These duties include health, safety, integrity, competence, and professional growth. ​

--Promotion of Personal Health, Safety, and Well-Being​ (2)

--Preservation of Wholeness of Character​ (3)

Nurses are moral agents in every setting. They embrace the values of the profession and display them in all actions. Nurses must merge personal and professional values to create an identity that is reflected in practice. ​

--Preservation of Integrity​ (4)

Threats to integrity may be encountered in practice. Nurses have a right and duty to express opposition and only compromise if decisions preserve moral integrity. When integrity is eroded, nurses experience moral distress. ​

--Maintenance of Competence and Continuation of Professional Growth​ (5)

Nurses must evaluate their performance periodically and commit to lifelong learning and advanced study.

· The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.

· Nurses view their own values and implement what is right in the care for the patient.

the ANA Code of Ethics for Nurses (working environment)

What is the Provision 6?

The Environment and Moral Virtue:

Nurses are expected to foster a work environment filled with respect and caring, communication, generosity, kindness, equality, prudence, and transparency.

Responsibility for the Healthcare Environment: Nurses participate in interprofessional workplace advocacy to address unethical practices. They continue to express concerns over unacceptable practices until changes are made. If the environment continues to be unethical, they resign in order to preserve integrity.

The Environment and Ethical Obligation:

Nurses create a culture of excellence by formulating clear policies and procedures, treating colleagues fairly and with dignity, and ensuring that all nurses understand the code of ethics.

--The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality healthcare

ANA scope and standard (18)

What is the Scope and Standards of Practice Standard 18 (Environmental Health)

-Creating a safe, healthy workplace​.

-Fostering professionalism​.

-Not tolerating abusive, destructive, or oppressive behaviors at work​.

-Promoting evidence-based practices to create a psychologically and physically safe environment​.

-Assessing the environment to identify and reduce risks​.

-Advocating for environmental health in the communities in which they work and live​.

-Incorporating technology to promote safe practice​.

-Promoting sustainable, global environmental health policies that focus on the prevention of hazards.

Practice in an environmentally safe and healthy manner.

What are the 18 Scope and Standard of Practice?

1. Assessment

2. Diagnosis

3. Outcomes Identification

4. Planning

5. Implementation

6. Evaluation

7. Ethics

8. Advocacy

9. Respectful and Equitable Practice

10. Communication

11. Collaboration

12. Leadership

13. Education

14. Scholarly Inquiry

15. Quality of Practice

16. Professional Practice Evaluation

17. Resource Stewardship

18. Environmental Health

What is body alignment?

means that an individual's center of gravity is stable.

Correct body alignment reduces strain on musculoskeletal structures, aids in maintaining adequate muscle tone, promotes comfort, and contributes to balance and conservation of energy

How much time does an Adult need to exercise for?

2 hours and 30 minutes (150 minutes) of moderate-intensity aerobic activity (brisk walking) every week and muscle-strengthening activities on 2 or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms

· Always think about safety when it comes to the elderly. They can't do the same as normal adults, they do has much as they can.

Safe Body Mechanics:

The nurse is preparing to safely reposition a client from lying to sitting on the edge of the bed. Place the steps in the correct order.

1. Roll the client onto the side closest to where they will be sitting.​

2. Place one arm under the client's shoulders and one arm behind the client's knees. ​

3. Bend your knees. ​

4. Use momentum to assist the client into a sitting position. ​

5. Move the client to the edge of the bed.​

6. Lower the bed so the client's feet are close to or touching the ground.

What is the Health Promotion Model?

It's a model that focuses on helping people improve their level of well-being and identifies background factors that influence health behaviors.

What are the areas of Pender's Health Promotion focuses on?

(1) individual characteristics and experiences

(2) behavior-specific knowledge and affect

(3) behavioral outcomes in which the person

What is the Health Belief Model?

· Addresses the relationship between a person's beliefs and behaviors about health and illness.

· The first component of this model involves an individual's perception of susceptibility to an illness.

· For example, a patient whose family history includes one parent and two siblings who have died from a myocardial infarction (MI) recognizes the familial link for coronary artery disease and perceives a personal risk of heart disease.

What does Health mean?

It's a state of being that people define in relation to their own values, personality, and lifestyle

State of complete State of complete physical, mental, and social well-being, not merely the absence of disease or illness

What does Illness mean?

· a state in which a person's physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished or impaired.

WHat is wellness?

Positive state of health that is continually changing

What is disease?

An abnormal state in which the body is not functioning normally

an unhealthy conditon, illness, or disorder

Is illness and disease the same or have the same concepts?

No they're different

The disease is a medical condition that causes distress for a person in the form of its symptoms

Illness is a feeling of poor health. ·

A person can feel ill in the presence or absence of a disease such as cancer or multiple sclerosis.

A patient with leukemia continues to function as usual, whereas another patient with leukemia feels well physically but experiences great emotional and spiritual distress

What are the 8 dimension of Wellness

1. Emotional

2. Environmental

3. Financial

4. Intellectual

5. Occupational

6. Physical

7. Social

8. Spiritual

What is the Internal variable that influences Health and Healthy Practices?

· Includes a person's developmental stage, intellectual background, perception of functioning, and emotional and spiritual factors.

· Knowledge/misinformation that can affect a person's health

(individual person)

What is the External variable that influences Health and Healthy Practices?

· Influencing a person's health beliefs and practice include family practices, psychosocial and socioeconomic factors, and cultural background.

- what influences a person

What is risk factor?

any attribute, quality, environmental situation, or trait that increases the vulnerability of an individual or group to an illness or accident.

--Impaired gait, reduced vision, and lower extremity weakness are examples of risk factors for falls.

--Risk factors and behaviors, risk factor modification, and behavioral modification are integral components of health promotion, wellness, and illness prevention.

--Nurses in all areas of practice have opportunities to reduce patients' risk factors to promote health and decrease risks of illness or injury.

What is Nonmodifiable risk factors?

Risk factors such as :

Age, gender, genetics, and family history

cannot be changed.

What are modifiable risk factors?

risk factors include:

Smoking, drinking alcohol, unhealthy diet, obesity, physical inactivity, and insufficient rest and sleep..

Can be changed

What is the Illness-Wellness Continuum?

a model that illustrates the full range of health between the extremes of illness and wellness.

--Pre-Mature Death

Disease is present requiring multiple medications. Poor quality of life. The body has limited function.

--Disability Symptoms​ - Treatment Paradigm

​Poor health. Symptoms present. Loss of optimal function.​

--Comfort Zone

No symptoms of the disease. Healthy eating and exercise are inconsistent. Health is not a high priority. ​

--Awareness EducationGood health.

Regular exercise and healthy eating.​

--High-level Wellness

The body is at maximum function. Active participation in a wellness lifestyle.​

What is the Transtheoretical Model of Change?

assesses one's readiness for new behaviors and it consists of five stages

Name the 5 stages of the transtheoretical model of change

1. Precontemplation: thinking there is no need for change

2. Contemplation: thinking about change

3. Preparation: planning for change

4. Action: actively changing behavior

5. Maintenance: maintaining changed behavior

Termination: completion no longer needs the plan

What is Holistic Health Model?

supports how our choices powerfully affect our health as a whole. Includes emotional and spirtual well-being as well.

· promotes a patient's optimal level of health by considering the dynamic interaction among the emotional, spiritual, social, cultural, and physical aspects of an individual's wellness.

Some of the most widely used holistic interventions include:

mediation, music therapy, reminiscence, relaxation therapy, therapeutic touch, and guided imagery

What is Maslow's hierarchy of needs?

Basic human needs that are necessary for survival and health broken into a five-tier model.

What are the levels of Maslow's Hierarchy of Needs?

Starting at the bottom:

· Physiological needs: air, water, shelter, sleep, clothing, reproduction (human survival)

( basic needs)

· Safety needs: pain, personal security, employment, resources, health, property (can be met by family and society)

( basic needs)

· Love and belonging (social need): friendship, intimacy, family, trust, acceptance, affection, love, sense of connection

· Esteem: respect, self-esteem, status, recognition, strength, freedom, independence, accomplishment, respect, dignity, achievement, prestige, confidence

(need for respect)

· Self-actualization: the desire to become the most that one can be. Personal growth is a person's realized potential (highest level).

Self-fullfillment, problem-solving

(potential)

This model has flexibility.

Why is Maslow's Hierarchy of Needs used in the healthcare profession?

Maslow's hierarchy helps to prioritize care and formulate a nursing diagnosis

How is Maslow's Hierarchy of Need's help prioritze care and formuate diagnosis?

Self-Actualization: spiritual growth, ability to empower and recognize the point of view of others, reaching one's maximum potential

Self-Esteem: acceptance in the community, workforce, personal achievement, sense of control or empowerment, accepting one's physical appearance or body habitus

Love and Belonging: foster supportive relationships, methods to avoid social isolation (bullying), employ active listening techniques, therapeutic communication, sexual intimacy

Safety and Security Injury Prevention: (side rails, call lights, hand hygiene, isolation, suicide precautions, fall precautions, car seats, helmets, seat belts), fostering a climate of trust and safety (therapeutic relationship), patient education (modifiable risk factors for stroke, heart disease)

Basic Physiological Needs: toileting (elimination), nutrition (food, water), exercise, sex, shelter, ABC's (airway-suction, breathing-oxygen, circulation-pulse check, cardiac monitoring, blood pressure)

What are the Levels of Prevention?

Primordial prevention

Preventing exposure to risk factors that promote disease onset

Primary Prevention

Reducing the incidence of disease or injury, Involves intervening before health effects occur

Secondary Prevention

Preventing the spread of disease, illness, or infection once it occurs.

Includes screening to identify diseases in the earliest stages.​

Tertiary Prevention

Managing a chronic condition to lessen long-term complications.

Includes screening to identify diseases in the earliest stages.​

Define Health Promotion

Activities that help individuals maintain or enhance their present level of health.​

Define Wellness education

Interventions that teach people how to care for themselves in a healthy way.

Define Illness prevention

Activities that protect people from actual or potential threats to health.

At which point in care does a nurse assess health risks?

· During each client encounter

By leading health promotion activities, in which areas do nurses improve healthcare outcomes? Select all that apply.

· Aging population

· Emerging infections

· Natural disasters

· Bioterrorism

What is Active Health Promotion?

Individuals are personally involved in healthy behaviors.​

Example: Participating in a weight-reduction or smoking cessation program

(Act on their own, personally)

What is Passive Health Promotion?

-Individuals benefit from the activities of others without acting themselves.

-Gain from the activities of others without acting themselves

​

Example: A nurse recommends iron-fortified infant formula to a new mother. New mother is just listening to what the nurse is say but doesn't know the purpose of iron-fortified.

(act/gain from others without acting for themselves.)

What is Chamberlain's Global Health Education Program?

allows students to provide healthcare and promote health through education in remote communities across the world.

What is Restortive Care?

•Patients recovering from an acute or chronic illness or disability often require additional services in order to return to their previous level of function or to reach a new level of function limited by their illness or disability.

•The goals of restorative care are to help individuals regain maximal functional status and to enhance quality of life through promotion of independence and self-care.

•With the emphasis on early discharge from hospitals, patients usually require some level of restorative care.

•For example, some patients require ongoing wound care and activity and exercise management until they recover enough strength and/or function following surgery to independently resume normal activities of daily living.

What is Palliative care?

Extended care that is delivered through the continuum of illness with a focus on early identification and treatment of physical, psychosocial, and spiritual problems, relief of pain and suffering, continuity of care, and helping patients and families make informed decisionscare for these patients with complex health problems.

palliative care units to care for these patients with complex health problems

What is Hospice Care?

A type of care given to patients with PROGNOSIS OF LESSS THAN 6 MONTHS to live that focuses on alleviating physical symptoms (NOT CURING) & addressing psychological, social, and spiritual concerns (of the patient's family as well).

What is the similar of Palliative and hospice care?

both focus on symptom management and ensuring the patient's comfort.

Both care delivery methods are managed by an interprofessional team that works together with the patient's primary healthcare provider to develop and maintain a patient-directed, individualized plan of care.

What is Health Promotion?

•Helps individuals maintain or enhance their present health.

•It motivates people to engage in healthy activities such as routine exercise and good nutrition to reach more stable levels of health.

--Reduce the incidence of disease

--Maintain maximal function

--Reduce expense health care services

What is Health Education?

•includes providing information on topics such as physical awareness, stress management, and self-responsibility to enable individuals to improve their health.

Health education helps people develop a greater understanding of their health and how to better manage their health risks

What is Illness Prevention?

Focus on detection and prevention of disease

•Activities such as immunization programs and blood pressure screenings protect people from actual or potential risks to health.

•They also help people avoid declines in their level of health or functional ability.