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NRS 429V Week 3 Discussion Question 1

NRS 429V Week 3 Discussion Question 1

NRS 429V Week 3 Discussion 1

What is the importance of cultural competency in nursing practice? Support your response.

NRS 429 Topic 3 DQ 1 RESPONSES

OLD Question

Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice?


According to the textbook, the definition of health has changed overtime, Infectious diseases were prevalent and difficult to control in the early 19th century, primarily due to lack of adequate sanitation procedures including in adequate disinfection of drinking water and excessive disposal of human waste. Health was seen in simple terms as free of disease during this period. Disease become more manageable once proper sanitation measures instituted in the 19th and 20the centuries, shifting the definition of health to mean the ability to remain a functional part of society (Falkner, 2018).

The concept of health grew into more than being disease –free as prevention of disease took center stage, and the World Health Organization (WHO) was established in 1948. Health promotion for communities worldwide was and continues to be the priority of the WHO. As health promotion expanded, the idea of health was seen as an aggregation of variables such as physical, emotional and spiritual wellbeing.

In an attempt to reduce chronic health problems and encourage safe living, health promotion and disease prevention have taken priority in the united states. The aim is to create health culture in which the emphasis is on health promotion and disease prevention rather than finding care after the start of disease. The Healthy people program was developed in 1979 to help reduce increasing disease related morbidity and mortality rates by setting new targets every 10 years.

It is crucial that nurses adopt health promotion policies based on evidenced based practice because the nurse is very active in all health care settings in delivering health promotion strategies. The role of the nurse in health promotion education is expanding rapidly as the emphasis is shifted to preventive measures. The Nurse assess the patient and implements evidenced-based practice while assuming each function and providing health promotion initiatives to patients and the community.

Nurse must continuously strive to be competent caregivers based on sound scientific evidenced developed via EBP in their practice. In Nursing EBP is regarded as the gold standard for guided improvements in nursing practices to enhance patient care. In order to make improvements that strengthen patient care, what makes EBP special is the integration of the latest research, scientific experience and patient expectations and values. (In 2018, Falkner)


Falkner, A. (2018). Health Promotion in Nursing Care. In, Health Promotion: Health and Wellness Across the Continuum. Retrieved from: https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-thecontinuum/v1.1/#/chapter/2


Response to Pardeep

Thank you for this insightful response Pardeep. Indeed, I concur with your post. I believe the scientific advances and societal changes throughout history are associated with the massive enhancements in realization of health. Currently, a maximized level of health, notwithstanding what the definition might be, can only be realized with sufficient resources. However, the realization of optimum level of health is challenged by limited resources, which leads to disproportional allocation of health care services between demographic groups and eventually resulting to disparity in realization of health. Currently, a value-based system in health care has been designed to facilitate high quality of health care services at relatively reduced cost. This system is expected to provide the solution to the increasing crisis in health care system and ensure ideal health is achieved by healthcare consumers. However, the attainment of health is challenged by the problem of high health care cost but with unacceptably low quality of care (Badash et al., 2017). Do you think that adoption of value-based system in health care will enhance quality and lead to realization of optimum health?


Badash, I., Kleinman, N. P., Barr, S., Jang, J., Rahman, S., & Wu, B. W. (2017). Redefining health: the evolution of health ideas from antiquity to the era of value-based care. Cureus, 9(2). doi: 10.7759/cureus.1018

What is the importance of cultural competency in nursing practice? Support your response.

Diversity among individuals, as well as cultures, provides a challenge for nurses when it comes to delivering meaningful health promotion and illness prevention-based education. How do teaching principles, varied learning styles (for both nurses and patients), and teaching methodologies impact the approach to education? How do health care providers overcome differing points of view regarding health promotion and disease prevention? Provide an example.

According to the assigned article, “Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes,” narratives tell the story of the interconnectedness between fear and health. Thematically, the issue of fear is a dominant feature that affects how an individual approaches day-to-day living and health. Explain the relationship between fear and health identified by the researchers in the article. Do you agree that structural violence perpetuates health disparity?

In the assigned reading, “How to Write Learning Objectives That Meet Demanding Behavioral Criteria,” Kizlik explained that

“objectives that are used in education, whether they are called learning objectives, behavioral objectives, instructional objectives, or performance objectives are terms that refer to descriptions of observable behavior or performance that are used to make judgments

NRS 429V Week 3 Discussion Question 1

NRS 429V Week 3 Discussion Question 1

about learning.” How do health providers design educational programs to clearly articulate objectives to engage both patients as well as families?



Select a family to complete a family health assessment. (The family cannot be your own.)

Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:

1. Values, Health Perception

2. Nutrition

3. Sleep/Rest

4. Elimination

5. Activity/Exercise

6. Cognitive

7. Sensory-Perception

8. Self-Perception

9. Role Relationship

10. Sexuality

11. Coping

NOTE: Your list of questions must be submitted with your assignment as an attachment.

After interviewing the family, compile the data and analyze the responses.

In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.

Identify two or more wellness nursing diagnoses based on your family assessment. Wellness and family nursing diagnoses are

NRS 429V Week 1 Discussion Question 2

different than standard nursing diagnoses. A list of wellness and family nursing diagnoses, from J. R. Weber’s Nurses Handbook of Health Assessment (5th ed.), can be found at the following link


Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

NRS 429V All Weeks Discussions


NRS 429V Week 1 Discussion 1

Using the health belief model, how can nurses encourage patients to make immediate and permanent behavior changes; particularly as they relate to lifestyle choices?

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NRS 429V Week 3 Discussion 2

Traditionally, nutrition programs were targeted to the indigent and poor populations in developing countries. Many of today’s Americans are malnourished also, but they are inundated with unhealthy foods and require a multidisciplinary approach to nutrition education. What would be the three most important points to include in a public nutrition program? Provide current literature to support your answer and include two nutritional education community resources.

NRS 429V Week 4 Discussion 1

Using the family structural theory (see the textbook as a model) how can families created following second marriages learn to function as one?

NRS 429V Week 4 Discussion 2

Which theoretical perspective, that guides the nursing process with assessment of the family, do you find to be the most helpful and effective? Why is this theory more appealing to you than the others?

NRS 429V Week 5 Discussion 1

Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family?

NRS 429V Week 5 Discussion 2

How could you use the family structural theory to determine if a family is dysfunctional or not? Provide evidence to support your answer.

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