Personal Health and Wholeness NSG-1410: Midterm Review

set to answer with term and shuffle for best experience

Income and Social Status

Maria works part-time at a grocery store and earns minimum wage. Her paycheck barely covers rent and utilities, so she often skips meals to ensure her children eat first. What SDoH is most at play?

education and literacy

Jason grew up in a low-income neighborhood with underfunded schools. His high school had limited science classes and no college counseling. What SDoH is most at play?

physical environments

Ahmed lives near a busy industrial area with poor air quality and no green spaces. The nearest grocery store is 10 miles away, but fast food is everywhere. What SDoH is most at play?

Social Supports and coping skills

Evelyn is an elderly widow living alone in a rural town. Her children live far away, and she has limited social interaction. What SDoH is most at play?

Access to Health Services

Luis doesn’t have health insurance because his job doesn’t offer benefits. When he experiences chest pain, he delays going to the doctor due to cost. What SDoH is most at play?

Gender

Anna, a 45-year-old woman, reports chronic chest pain. When she visits her local clinic, her symptoms are dismissed as “anxiety,” and she is not referred for further testing. Which SDoH is most at play?

Culture

Li is a recent immigrant who believes strongly in traditional herbal medicine. She avoids Western doctors because she fears being misunderstood or disrespected for her cultural practices. Which SDoH is most at play?

Race/Racism

Marcus, a Black man, visits multiple clinics for high blood pressure management. He notices shorter appointment times and fewer explanations than his White colleagues receive at the same practice. Which SDoH is most at play?

Biology and genetic endowment

Sara has a family history of breast cancer. Genetic testing reveals she carries the BRCA1 mutation. Which SDoH is most at play?

Childhood experiences

Jamal grew up in a home with domestic violence and neglect. As an adult, he experiences chronic anxiety and substance misuse. Which SDoH is most at play?

Healthy Behaviours

Sofia lives in a walkable community with parks, affordable gyms, and fresh produce markets. She exercises regularly, eats balanced meals, and avoids smoking. Which SDoH is most at play?

Employment and Working Conditions

Carlos works in a large warehouse where he lifts heavy boxes for 10-hour shifts, six days a week. The workplace has poor ventilation, limited breaks, and minimal safety training. His supervisor discourages workers from taking sick leave, warning that “absences affect job security.” Which SDoH is most at play?

• pure fresh air

• pure water

• effective draining

• cleanliness

• light

What are the 5 factors in Nightingale’s environmental theory of health?

We must first meet our physiological and biological needs to begin building up the ladder to our social and emotional needs

Describe how Maslow’s Hierarchy effects health outcomes

• social

• emotional

• intellectual

• physical

• occupational

• spiritual

what are the 6 dimensions of wellness?

Occupational

Rina feels constantly stressed and unmotivated at her job. She often brings work home and misses family time. What dimension of wellness is most affected?

Physical

Jordan works late shifts and relies heavily on caffeine to stay awake during the day and has begun to regularly skip breakfast. Which dimension of wellness is most affected?

social

Taylor recently moved to a new city and has felt very isolated since. what dimension of wellness is most affected?

Intellectual

Amir feels bored at work, watches TV all day outside of work, and avoids new challenges. what dimension of wellness is most affected?

Spiritual

Jade feels lost and unsure of her purpose in life and lacks a clear sense of values, morals, and inner peace. what dimension of wellness is most affected?

Emotional

Liam experiences frequent panic attacks and is uncomfortable expressing emotions resulting in impulsivity when he is upset. what dimension of wellness is most affected?

• Exercise

• mindfulness

• therapy

• social support

• adequate rest

What are some coping mechanisms for chronic stress?

It can disrupt physical, emotional, and social well-being, affecting the body’s ability to maintain homeostasis.

how does stress influence overall health?

A state of balance and integration of body, mind, and spirit.

What does wholeness mean in a health context?

By reducing stress, improving emotional regulation, and enhancing self-awareness.

How can mindfulness promote wholeness?

Emotional exhaustion, depersonalization, and reduced sense of accomplishment.

What are signs of nurse burnout?

It can impair judgment, concentration, communication, and patient safety.

How can stress affect nursing performance?

Emotional exhaustion from caring for others in distress, often linked to chronic occupational stress.

What is compassion fatigue?

Through self-care, peer and mentor support, healthy boundaries, mindfulness, emotional intelligence, spiritual reflection, ongoing education, and advocating for supportive workplace environments.

What are some ways that we can promote resiliency for nurses to combat burnout?

• decreased psychological distress

• self confidence

• reduce risk factors

• reduced GI symptoms

• pain management

• decreased headaches

What are some health benefits to Mindfulness Based Stress-Reduction (MBSR)?

freedom from any cognitive, physical, psychological or emotional condition and dependence on alcohol or drugs that impairs ones ability to practice nursing

What does it mean to be “fit to practice”?