Chapter 8 Flashcards

(57 cards)

1
Q

Maslow’s Hierarchy of Needs:

A

1: Physical needs
2: Safety and Security needs
3: Need for love
4: Need for self-esteem
5: Need for self-actualization

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2
Q

Human beings have the following basic physical needs:

A

*Food and water

*Protection and shelter

*Activity

*Sleep and rest

*Comfort, freedom from pain

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3
Q

Psychosocial needs:

A

are needs that involve –

*social interaction

*emotions

*intellect

*spirituality

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4
Q

Human beings have the following psychosocial needs:

A

*Love and affection

*Acceptance by others

*Safety and security

*Self-reliance and independence in daily living

*Contact with other people

*Success and self-esteem

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5
Q

When psychosocial needs are not met, people may experience the following:

A

*Frustration

*Fear

*Anxiety

*Anger

*Withdrawal

*Depression

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6
Q

Holistic care:

A

a type of care that involves caring for the whole person—the mind as well as the body and spirit.

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7
Q

Residents in a long-term care facility may be experiencing any or all these losses:

A

*Loss of spouse, family, or friends

*Loss of workplace

*Loss of ability to go to favorite places

*Loss of ability to attend services at faith communities

*Loss of home, and possessions

*Loss of health and ability to care for themselves

*Loss of pets

*LGBTQ residents may fear the loss of a comfortable and accepting environment

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8
Q

Loss of independence may cause the following difficulties for residents:

A

*Poor self-image

*Anger

*Feelings of helplessness, sadness, and hopelessness

*Feelings of uselessness

*Increased dependence

*Depression

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9
Q

NAs can assist residents by promoting independence in these ways:

A

*Encourage residents to do as much as possible for themselves, no matter how long it takes.

*Be patient.

*Allow residents to make choices.

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10
Q

Terms associated with Human Sexuality:

A

*masturbation- to touch or rub sexual organs in order to give oneself or another person sexual pleasure.

*gender identity-a deeply felt sense of one’s gender.

*cisgender- a person whose gender identity matches his or her birth sex (sex assigned at birth due to anatomy).

*transgender-a person whose gender identity conflicts with his or her birth sex (sex assigned at birth due to anatomy).

*transition – sexual reassignment-the process of changing genders, which can include legal procedures, medical measures, telling others, and using new pronouns.

*cross-dresser-often is a heterosexual man who sometimes wears clothing and other items associated with women.

*sexual orientation-a person’s physical, emotional, and/or romantic attraction to another person.

*gay-a person whose physical, emotional, and/or romantic attraction is for people of the same sex.

*lesbian-a woman whose physical, emotional, and/or romantic attraction is for other women.

*queer-a term used by some people, who may feel that terms such as lesbian and gay are too limiting, to describe sexual orientation that is not exclusively heterosexual.

*bisexual, bi-a person who is sexually attracted to both men and women.

*LGBT/LGBTQ-acronym for lesbian, gay, bisexual, transgender, and queer.

*coming out-a continual process of revealing one’s sexual orientation or gender identity to others.

*heterosexual-a person whose physical, emotional, and/or romantic attraction is for people of the opposite sex; also known as straight.

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11
Q

Respecting residents’ sexual needs:

A

*NAs must respect residents’ sexual needs and identities.

*People continue to have sexual needs throughout their lives. Sexual desire may not be lessened by a disability, although the ability to meet sexual needs may be limited.

*Residents are allowed to meet their sexual needs however they choose.

*Always knock and wait for a response before entering residents’ rooms.

*Provide privacy if you encounter a sexual situation between consenting adults.

*Be open and nonjudgmental.

*Ask transgender residents which pronouns they would like you to use and use them. Always use a transgender person’s chosen name.

*Honor “Do Not Disturb” signs.

*Do not treat any expression of sexuality as disgusting or cute.

*If you see sexual abuse happening, remove the resident from the situation and report to the nurse immediately.

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12
Q

Myths about Older Adults and Sexuality:

A

*Older men are not capable of having sexual relations.

*After menopause, older women are not interested in sexual relations.

*Any expression of sexuality by older people is either disgusting or cute.

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13
Q

Nursing assistants should never:

A

*Try to change someone’s religion

*Tell residents their belief or religion is wrong

*Express judgments about a religious group

*Insist that residents join religious activities

*Interfere with religious practices

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14
Q

Terms associated with spiritual beliefs or practices:

A

Reincarnation: a belief that some part of a living being survives death to be reborn in a new body.

Karma: the belief that all past and present deeds affect one’s future and future lives.

Yarmulke: a small skullcap worn by Jewish men as a sign of their faith.

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15
Q

Reincarnation:

A

a belief that some part of a living being survives death to be reborn in a new body.

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16
Q

Karma:

A

the belief that all past and present deeds affect one’s future and future lives.

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17
Q

Yarmulke:

A

a small skullcap worn by Jewish men as a sign of their faith.

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18
Q

Masturbation-

A

to touch or rub sexual organs in order to give oneself or another person sexual pleasure.

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19
Q

Gender identity-

A

a deeply felt sense of one’s gender.

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20
Q

Cisgender

A

a person whose gender identity matches his or her birth sex (sex assigned at birth due to anatomy).

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21
Q

Transgender

A

a person whose gender identity conflicts with his or her birth sex (sex assigned at birth due to anatomy).

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22
Q

Transition

A

sexual reassignment-the process of changing genders, which can include legal procedures, medical measures, telling others, and using new pronouns.

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23
Q

Cross-dresser

A

often is a heterosexual man who sometimes wears clothing and other items associated with women.

24
Q

Sexual orientation

A

a person’s physical, emotional, and/or romantic attraction to another person.

25
Gay
a person whose physical, emotional, and/or romantic attraction is for people of the same sex.
26
Lesbian
a woman whose physical, emotional, and/or romantic attraction is for other women.
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Queer
a term used by some people, who may feel that terms such as lesbian and gay are too limiting, to describe sexual orientation that is not exclusively heterosexual.
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Bisexual, bi
a person who is sexually attracted to both men and women.
29
LGBT/LGBTQ
acronym for lesbian, gay, bisexual, transgender, and queer.
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Coming out
a continual process of revealing one’s sexual orientation or gender identity to others.
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Heterosexual
a person whose physical, emotional, and/or romantic attraction is for people of the opposite sex; also known as straight.
32
Dietary restrictions:
rules about what and when individuals can eat
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Fasting:
not eating food or eating very little food.
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Vegetarians:
people who do not eat meat, fish, or poultry and may or may not eat eggs and dairy products.
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Vegans:
vegetarians who do not eat any animal products, including milk, cheese, other dairy items, or eggs; vegans may also choose to not use or wear any animal products.
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Agnostics:
people who believe that they do not know or cannot know if God exists.
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Atheists:
people who believe that there is no God.
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Common religions and belief systems:
*Buddhism *Christianity *Hinduism *Islam *Judaism *Spirituality *Native American spiritual traditions
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The Need for Activity: The following are positive effects of physical activity:
*Lessens risk of illnesses *Relieves symptoms of anxiety and depression *Improves mood and concentration *Improves body function *Lowers risk of falls *Improves sleep *Improves ability to cope with stress *Increases energy *Increases appetite
40
Inactivity may cause the following problems:
*Loss of self-esteem *Depression *Anxiety *Pneumonia *Urinary tract infections *Skin breakdown and pressure injuries *Constipation *Blood clots *Dulling of senses
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Involvement with the residents’ families: NAs may encounter from any of the following family types:
*Nuclear families *Single-parent families *Married or committed couples of the same sex or opposite sex *Extended families *Blended families
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Residents’ families may perform these functions:
*Helping to make care decisions *Communicating with care team *Giving support and encouragement *Connecting to outside world *Offering assurance to dying residents
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Families can be experiencing these adjustments:
*Accepting the resident’s illness/disability and its consequences *Finding money to pay for hospitalization, long-term care, or home care *Dealing with paperwork *Taking care of tasks residents cannot handle *Understanding medical information and making care decisions *Caring for children while also caring for an elderly loved one
44
NAs should respond to residents and families in theses ways:
*Listen *Offer support and encouragement *Refer the problem to a social worker or your supervisor *Try not to judge them, since they are stressed
45
Adolescent years (ages 13 - 19):
*Marked by onset of puberty (age range is approximate) *Secondary sex characteristics appear *Concern for body and peer acceptance *Changing moods
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Common disorders of the adolescent stage:
*Eating disorders (anorexia, bulimia) *STIs *Pregnancy *Depression *Trauma due to auto accidents or sports injuries
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Young adulthood (ages 19 - 40) Developmental Issues:
*Select an education *Select a career *Select and live with a mate *Raise children *Develop a satisfying sex life
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Middle adulthood (ages 40 - 65): Developmental Issues:
*More comfortable and stable *May have “mid-life crisis” *Physical changes related to aging occur *Women experience menopause
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Late adulthood (65 years and older): Developmental Issues: Common disorders:
*Many physical and psychosocial changes *Loss of physical health *Loss of friends and jobs Common disorders: *Arthritis *Alzheimer’s disease *Cancer *Diabetes *Stroke
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Geriatrics:
the study of health, wellness, and disease later in life.
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Gerontology:
the study of the aging process in people from mid-life through old age.
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Ageism:
prejudice toward, stereotyping of, and/or discrimination against older persons or the elderly.
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Facts about aging:
*Older adults have many different capabilities. *Stereotypes are false. *Older persons are usually active. *Aging is a normal process, not a disease. *Aging persons need to adjust to change. *Normal changes of aging do not mean an older person must become dependent, ill, or inactive.
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Normal changes of aging:
*Thinner, drier, more fragile, and less elastic skin *Weaker muscles *Bones become more brittle and lose density *Decreased sensitivity of nerve endings in skin *Slower responses and reflexes *Short-term memory loss *Changes in senses Less efficient heart *Decreased oxygen in blood *Urinary elimination more frequent *Decreased appetite *Digestion takes longer *Hormone levels decrease *Weakened immunity *Change in lifestyle
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Abnormal changes of aging:
*Signs of depression *Suicidal thoughts *Loss of ability to think logically *Poor nutrition *Shortness of breath *Incontinence
56
Developmental disabilities: Types:
def: disabilities that are present at birth or emerge during childhood that restrict physical or mental ability, generally prior to the age of 22. Types: *Intellectual disabilities *Down syndrome *Cerebral palsy *Spina bifida *Autism spectrum disorder (ASD)
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