Exam 2 - Chpt 11 Flashcards by Ashley Burkhalter

What 4 things does psychosocial health include?

mental (thinking)
emotional (feeling)
social (relationships)
spiritual dimensions (being

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What 3 internal factors influence psychosocial health?

genetics
physical health
emotional

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What 4 external factors influence psychosocial health?

family
culture
geography
economic status

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Other factors that influence psychosocial health

substance abuse
self-concept
eating disorders
role development
sexuality
interpersonal relationships
maltreatment
stress, coping
spiritual beliefs, patterns

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Alcohol dependence increases the risk for…

ED visits
ICU admissions
sepsis

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What are the 7 categories of illicit drug use?

marijuana/hashish
cocaine/crack
heroin
hallucinogens
inhalants
Rx type drugs used nonmedically
tobacco

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__ years old and higher show highest risk fo illicit drug use

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It is estimated that heredity accounts for __ - __% of a persons susceptibility to the disease

40-60%

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What is a significant factor to substance abuse?

peer influence

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What are sociological risk factors for substance abuse?

social learning
perspective of substance use influenced by family/friends
model/imitate parent behaviors

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What are the 4 main categories of intimate partner violence?

physical
sexual
stalking
psychological

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force resulting in injury or death

physical abuse

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attempted or completed acts without permission

sexual violence

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repeated unwanted attention through various methods

stalking

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emotional abuse of an aggressive nature

psychological

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___ who are abused are more likely to experience ongoing poor health as they age.

impact on brain development, behavior learning delays, and higher risk for chronic disease

children

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health effects of violence

depression
suicide
PTTS
substance abuse
impacts on fetus
--preterm, low birth weight, perinatal deaths

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What are the 3 phases of cycle of abuse?

1: tension building
2: acute/battering incident
3: calm, loving (honeymoon phase)

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Victim characteristics

women, men
all ages, race, religions, cultures, socioeconomic status
married, single
grew up in violent/abusive homes
2 most common:
–low self-esteem
willingness to accept the blame abuser’s actions

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victims who are chronically exposed to violence can develop at ___ ___

learned helplessness

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perpetrator characteristics

low self-esteem; need to maintain control
possessive behavior
threats of suicide, homicide
common traits:
--pathological jealousy
limited ability to cope

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barriers to treatment of intimate partner violence

societal stressors
legal status
lack of access to culturally appropriate care

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societal stressor to IPV

poverty level = increased difficulties in daily struggles

past experience to discrimination

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legal status stressor to IPV

immigration status/fear of deportation

hospitals can not report illegal immigrants

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Who is over routine screening for IPV

US Preventative Task Force Guidelines (USPTF)

According to the USPTF, who who should be screened for IVP?

all women in childbearing years (14-46 y/o) must be assess with every encounter

How to assess for IPV

``` open-ended questions interview away from perpetrator listen for cues IPV tool in clinical setting "Do you feel safe at home?" be aware of state laws ```

being mentally, emotionally, socially, an spiritually well

psychosocial health

___ ___ includes the way a person the way a person thinks, feels, acts, and relates to self and others

psychosocial functioning

environment factors can be ___ or ___

internal; external

___ responses result in feelings of self-worth, confidence

positive

___ responses result in low self-concept, unmanageable levels of stress which could trigger mental behavior or illness

negative

___ ___ is associated with satisfaction of basic needs, quality of life, and psychosocial well-being, often referred to as the mind-body spirit connection

physical health

body's response to thoughts and feelings

mind-body-spirit

positive and negative stressors

school, job performance financial difficulties death of a friend, family loss of a job

s/sx of stress/distress

``` back, chest pain difficulty breathing constipation fatigue HTN, palpitations dry mouth nausea weight loss, gain ```

T or F. Stress affects the immune system and can lead to increase susceptibility to infection.

True

measures to deal with stress

talk opening about feelings think of positive aspect of life relaxation techniques (meditation, yoga, prayer, positive energy) follow health regimen (eating health, exercise, sleep)

an individuals experience and the way they respond to stress, coping, and life situations are determined in great part by ___

culture

___ areas may be subjected to stressors associated with crowded conditions, congestion, and crime raters higher

urban areas

___ areas experience the stressors of limited resources and isolation

rural areas

children of ___ face the difficulty of being raise in a family with the previous cultures values and norms, while growing and developing as members of their adopted community and culture

immigrants

___ advantages contribute to increased self-esteem and ability to adapt, cope with life changes

economic advantages

results of poverty

``` anger frustration difficulty coping family disturbances abnormal behaviors mental illness ```

beliefs and feelings one holds about oneself

self-concept components are body image and self-esteem

severely restricting intake of nutrients and low body weight

anorexia nervosa

subjective findings: anorexia nervosa

``` fear of gaining weight, becoming fat perception of being overweight refusal to maintain body weight for their age/height constipation, GI bloating abdominal pain ```

objective findings: anorexia nervosa

``` extreme weight loss refusal of foods, supplements electrolyte imbalance damaged teeth esophageal, stomach injury irregular, absent menses ```

characterized by binging, purging

bulimia nervosa

how many calories will an individual consume in one sitting with bulimia nervosa?

4000

subjective data: bulimia nervosa

obsession with physical appearance | excessive food consumption followed by purging (vomiting, diuretic, laxative, extreme exercise)

objective data: bulimia nervosa

normal, slightly overweight electrolyte imbalance esophageal, stomach injury damage to teeth

an individuals maladaptive behavior recurrent binge eating

binge eating disorder (BED) accompanied by feelings of loss of control, distress

BED can co-occur with which other disorders

mood disorders bipolar SUD anxiety

subjective data: BED

recurrent binge eating marked distress re: eating habits at least once a week x3 months

BED is associated with 3 or more of which characterisitics

``` eating faster than normal eating until uncomfortably full eating large amounts when not hungry eating alone d/t embarrassment feeling disgusted, depressed, guilty after eating ```

individuals capacity to identify and fulfill the social expectations r/t variety of roles assumed in a lifetime

role development

ex. of reciprocal relationships

child-parent student-teach employee-employer

self assigned; comprises most significant aspect of an individuals sexual life, including attractions, behaviors and desires

gender identity

individuals innate predisposition towards affiliation, affection, bonding, and thoughts in relationships of the same, other, both, or neither sex

sexual orientation

used to simplify and describe an individuals sexual orientation

sexual orientation label

individuals identify themselves as the gender that is different from their biologically assigned gender

transgender

individual establish bonds with others based on trust; characterized by mutual reliance and support

interdependent relationships

acts of abuse, neglect, omission, discriminatory behavior is required to be reported by the nurse, making them a ___ ___

mandated reporter

failure or refusal to provide food, shelter, protection, or healthcare for a child or older adult

neglect

behaviors of adults that threaten their own health, safety

self-neglect

r/t a persons disability, age, gender, race, sexuality, religion, or cultural background

discriminatory abuse

r/t theft, fraud, exploitation of inheritance, unexplained bank WD, unusual bank account activities, loss of valuables

financial abuse

physical s/sx of stress

``` ^ HR decreased clotting time ^ RR, depth ^ BGL dilated skeletal blood vessels HTN dilated bronchi ^ blood volume contraction of spleen ^ blood supply to vital organs release of T lymphocytes ``` **fight, flight, or freeze

which has the highest rate of substance abuse?

alcohol, followed by marijuana

use of synthetic cannabinoids (SCBs) has increase because...

low cost | cannot be detected by routine drug screenings

clinical effects of SCB toxicity

``` tachycardia lethargy agitation irritable confusion HTN chest pain vertigo N/V ```

excessive alcohol intake damages...

``` brain neurological system pancreas liver intestines ```

refers to a learned response, which is elicited after a person has repeated exposure to a stimulus

conditioning

physiological adverse health effect of IVP

``` chronic pain GI disorders HTN chest pain STI psychological - depression, PTSD, substance abuse, SI ```

an abuser may have what kind of personality?

dual personality

dual personality characterisitc

controlling, jealous shown to partner calm, charming to the rest of society

nurses role for IPV

provide empathy asess pts situation offer assistance, referral choices encourage safety planning

when does a psychosocial assessment being?

before the interview - review medical records

what does the general appearance include?

dress personal hygiene grooming

tells pts to carry out acts against themselves or others that are usually harmful

command hallucinations

test for assessing stress

Holmes Social Readjustment Rating Scale (SRRS) --higher the score, more likely experience stress disorders

behaviors committed by and aimed at oneself that results in deliberate actual or potential self harm

nonsuicidal self-injury (NSSI)

considering, planning, or thinking about committing suicide

suicide ideation

the CDC uses ___ ___ ___ to assess quality of life

Healthy Days Measures

Exam 2 - Chpt 11 Flashcards

(85 cards)