Promoting Health across the lifespan

Promoting Health across the lifespan

Total Questions : 82

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Question 1: View

A nurse with a specialty in health informatics has been hired to be part of a team that is tasked with transitioning the hospital system from paper to electronic health records.
What might the challenges be in implementing this transition?

Explanation

The implementation of an electronic health record (EHR) system may result in a temporary loss of productivity during the transition phase.

Healthcare staff must be trained on how to use the new system, and it may take time for them to become proficient.
Additionally, existing paper-based records must be converted into digital format, which can be a time-consuming process.
Choice A is incorrect because while EHRs can lead to more efficient documentation, there may be an initial learning curve to navigate.
Choice C is incorrect because when implemented correctly, EHRs can improve patient safety and reduce medication errors.
Choice D is incorrect because the implementation of EHRs is a complex process that can present challenges.


Question 2: View

Which one of the following phrases is a broad and inclusive definition of health informatics?

Explanation

Health informatics is a broad and inclusive field that involves the design, development, adoption, and application of IT-based innovations in healthcare services delivery, management, and planning.


Choice A refers to a specific documentation system used by nurses in hospitals, while choice B describes a specific method of patient follow-up care.
Choice D describes the use of electronic communication to improve patient health status, which is a component of health informatics, but it does not provide a comprehensive definition of the field as a whole.


Question 3: View

What were the main focuses of the Triple Aim project?

Explanation

The Triple Aim project, developed by the Institute for Healthcare Improvement (IHI), is a framework that describes an approach to optimizing health system performance.

The IHI believes that new designs must be developed to simultaneously pursue three dimensions: improving the patient experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita cost of health care.


Question 4: View

You are the nurse in a small town and are a member of a workgroup designing a multilevel intervention to decrease the violence in the community.

The group would like to use a theory that comprehensively assesses the health needs of the community but also serves as a guide to develop and evaluate the intervention.
What model would you recommend the group use?

Explanation

The PRECEDE-PROCEED model would be a good choice for the group to use.

This model is a comprehensive structure for assessing health needs and designing, implementing, and evaluating health promotion and other public health programs.

It provides a framework for understanding the multifactorial nature of health and the multiple levels of intervention that may be needed to address complex health issues.

Choice A is incorrect because the Social Cognitive Theory focuses on the interaction between individuals and their environment, but does not provide a comprehensive framework for assessing community health needs.

Choice B is incorrect because the Diffusion of Innovation Theory focuses on how new ideas and technologies spread within a population, but does not provide a comprehensive framework for assessing community health needs.

Choice C is incorrect because the Health Belief Model focuses on individual beliefs and attitudes towards health behaviors, but does not provide a comprehensive framework for assessing community health needs.


Question 5: View

Healthy People 2020 recognizes that a major thrust of the initiative should be a focus on age-related risks.
This means that:

Explanation

At each stage of life, there are different health problems and different preventative actions.

Healthy People 2020 has four overarching goals: Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death; Achieve health equity, eliminate disparities, and improve the health of all groups; Create social and physical environments that promote good health for all; and Promote quality of life, healthy development, and healthy behaviors across all life stages.

Choice A is incorrect because age-related risks are a focus of Healthy People 2020.

Choice B is incorrect because age is considered when addressing health risks and preventative interventions.

Choice C is incorrect because each developmental stage has its own unique health problems and preventative actions.


Question 6: View

Which of the following is a core competency for a health professional in the role of health promoter and educator?

Explanation

All of these are core competencies for a health professional in the role of health promoter and educator.

The ability to advocate on behalf of individuals and communities while building their capacity by incorporating an understanding of their assets, the ability to carry out efficient, culturally sensitive strategies to improve health, and the ability to assess the needs and assets in communities to analyze the behavioral, cultural, social, environmental, and organizational determinants of health are all important competencies for a health professional in this role.

Choices A, B, and C are all correct individually but choice D is the most comprehensive answer as it includes all of the competencies mentioned.


Question 7: View

Why do people adopt or not adopt certain health behaviors, as explained by:

Explanation

Behavioral change theories explain why people adopt or not adopt certain health behaviors.

These theories focus on a range of factors influencing behavior determinants, including factors within an individual (such as thoughts, feelings and beliefs), factors in groups or relationships, and factors that exist in organizations and communities (such as structures, regulations, policies and laws)1.

Choice A is incorrect because environmental theories focus on the impact of the physical environment on health behaviors.

Choice B is incorrect because communication theories focus on how information is transmitted and received.

Choice D is incorrect because evaluation theories focus on assessing the effectiveness of interventions.


Question 8: View

What is the most powerful input for confidence?

Explanation

Self-efficacy is the most powerful input for confidence.

Self-efficacy refers to an individual’s belief in their ability to succeed in specific situations or accomplish a task.

It plays a central role in the cognitive regulation of motivation, because people regulate the level and distribution of effort they will expend in accordance with the effects they are expecting from their actions.

Choice A is incorrect because anxiety can actually decrease confidence.

Choice B is incorrect because high levels of cortisol, a hormone released in response to stress, can also decrease confidence.

Choice D is incorrect because stress can also decrease confidence.


Question 9: View

A school nurse planning a health promotion program at the school focuses on changing the determinants of health that, according to the CDC, account for 70% of premature deaths in the United States.
The determinants that account for 70% of premature deaths are:

Explanation

Health behaviors and the environment are the determinants that account for 70% of premature deaths in the United States according to the CDC.

The five leading causes of death in the United States are heart disease, cancer, chronic lower respiratory diseases, stroke, and unintentional injuries.

Together they accounted for 63 percent of all U.S. deaths in 2010.

Choice B is incorrect because access to healthcare is not one of the determinants that account for 70% of premature deaths.

Choice C is incorrect because genetics is not one of the determinants that account for 70% of premature deaths.

Choice D is incorrect because access to healthcare is not one of the determinants that account for 70% of premature deaths.


Question 10: View

Health disparities include:

Explanation

Health disparities are differences in health outcomes or health risks that affect certain groups of people more than others.

These groups can be defined by factors such as race, ethnicity, gender, age, sexuality, income, education, disability, location or orientation.

Choice A is incorrect because it only includes ethnicity and age while health disparities can be defined by a variety of factors.

Choice C is incorrect because it only includes lack of a designated primary care provider while health disparities can be defined by a variety of factors.

Choice D is incorrect because it only includes lack of insurance while health disparities can be defined by a variety of factors.


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