Which of the following statements is NOT true about the "thinking upstream" model of community health nursing practice? It is a conceptual model to assist the nurse in community health planning. It helps to focus the time, energy, and programmatic resources available to community health nursing cli...
NUR 442 Ch 3 TEST QUESTIONS AND
CORRECT ANSWERS
Which of the following statements is NOT true about the "thinking upstream" model of
community health nursing practice?
It is a conceptual model to assist the nurse in community health planning.
It helps to focus the time, energy, and programmatic resources available to community
health nursing clients.
It focuses the nurse on short-term, individual-based nursing interventions.
It focuses the nurse on long-term, "bigger picture" issues related to community health
practice, such as social justice or power. ✅It focuses the nurse on short-term,
individual-based nursing interventions.
The upstream model uses the analogy of a river flowing upstream toward the bigger
picture to focus community health nursing practice. This differentiates population-
focused and individual-focused nursing interventions. The community health nurse
needs to have a "critical eye" for the bigger picture to focus time, energy, and resources
and provide quality care.
A microscopic approach to the community health problem of childhood obesity would
focus on:
asking an obese child and his or her parent(s) to complete a 24-hour food diary.
analyzing aggregate Body Mass Indexes (BMIs) of school-age children in a school.
advocating for a change in health policy related to school lunches.
exploring changing cultural changes and societal values related to activity. ✅asking
an obese child and his or her parent(s) to complete a 24-hour food diary.
A microscopic approach to the conceptualization of the problem of childhood obesity
focuses on the individual child. A macroscopic approach focuses on the societal factors
that influence health status. Analyzing aggregate BMIs, advocating a change in school
lunches, and exploring societal and cultural values related to activity are examples of a
macroscopic approach to the community health problem of childhood obesity.
Which of the following theories is based on the assumption that individual needs and
related activities are the focus of nursing care?
Orem's self-care deficit theory
The health belief model
Milio's framework
Critical social theory ✅Orem's self-care deficit theory
Orem's self-care deficit theory is based on individual self-care needs and explains the
level of nursing interventions required to assist clients to obtain optimal health. The
health belief model (HBM) evolved from the premise that the world of the perceiver
, determines action. Milio's framework for prevention (1976) provides a complement to
the HBM and a mechanism for directing attention upstream and examining opportunities
for nursing intervention at the population level. Critical social theory uses societal
awareness to expose social inequalities that keep people from reaching their full
potential.
A community health nurse explores a group of teenagers' beliefs about the seriousness
of eating disorders and their related susceptibility. The nurse is applying principles from
which theory?
Orem's self-care deficit theory
The health belief model
Milio's framework
Critical social theory ✅The health belief model
The health belief model (HBM) offers indicators of the perceived seriousness, perceived
susceptibility, and cues to action related to specific health behaviors. Orem's self-care
deficit theory is based on individual self-care needs and explains the level of nursing
interventions required to assist clients to obtain optimal health. Milio's framework for
prevention (1976) provides a complement to the HBM and a mechanism for directing
attention upstream and examining opportunities for nursing intervention at the
population level. Critical social theory uses societal awareness to expose social
inequalities that keep people from reaching their full potential.
A major limitation of the health belief model is that the burden of action related to health
behaviors is exclusively on the aggregate.
True
False ✅False
A major limitation of the health belief model is that the burden of responsibility for health
behaviors is on the individual client.
The belief that health deficits result from an imbalance between the population's health
needs and its health-sustaining resources is the premise of which theory?
Orem's self-care deficit theory
The health belief model
Milio's framework
Critical social theory ✅Milio's framework
Milio's theory demonstrates upstream conceptualization of understanding the
community's health needs and resources; this theory complements the health belief
model (HBM). The HBM offers indicators of the perceived seriousness, perceived
susceptibility, and cues to action related to specific health behaviors. Orem's self-care
deficit theory is based on individual self-care needs and explains the level of nursing
interventions required to assist clients to obtain optimal health. Critical social theory
exposes people to inequities to help them reach their full potential.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
