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Nursing Fall 2023 > NUR 200 Exam 3 > Flashcards

NUR 200 Exam 3 Flashcards

1
Q

What is psychosocial health?

A

-Mind/body interactions
-Person’s relationship to wellness
-Goes beyond biomedical (disease oriented)

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2
Q

Patient individual responses to illness are influenced by the relationship among…..

A

-physical pathology
-psychosocial health
-overall wellness

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2
Q

What is the psychosocial theory

A

Method of understanding people as a combination of psychological and social events

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3
Q

What is the first level of Maslow’s hierarchy of needs?

A

Psychological needs
(air, water, food, shelter, sleep, clothing, reproduction)

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4
Q

What is the second level of Maslow’s hierarchy of needs?

A

Safety Needs
(personal security, employment, resources, health, property)

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5
Q

What is the third level of Maslow’s hierarchy of needs?

A

Love and belonging
(friendship, intimacy, family, sense of connection)

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6
Q

What is the fourth level of Maslow’s hierarchy of needs?

A

Esteem
(respect, self-esteem, status, recognition, strength, freedom)

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7
Q

What is the fifth level of Maslow’s hierarchy of needs?

A

Self-actualization
(desire to become the most that one can be)

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8
Q

What does Maslow’s hierarchy of needs promote?

A

Theory of self-actualization and self-transcendence
(hierarchy of human needs and motivations)

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9
Q

What does self concept look like as an infant?

A

“Me/Not me!!”
-Learning physical self is different from the environment

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10
Q

What does self concept look like as a child?

A

“What do they say that I am?”
-Internalizing others attitudes of self, primarily peers and parents

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11
Q

What does self concept look like as a child/adult?

A

“How do I compare to others?”
-Internalizing standards of society

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12
Q

How does self concept look like as an adult?

A

“This is who I am and who I will continue to be”
-Self actualization and self-adjusment

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13
Q

What are factors that affect self concept?

A

-Gender
-Developmental level
-Family and peer relationships
-Illness and hospitalization
-Locus of control

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14
Q

What is the external locus of control?

A

Controlled by external factors, people feel that they don’t have the ability to change it, low self-esteem and low self concept really kicks in
Ex: “I know I’m fat, no one has to tell me”

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14
Q

What is the internal locus of control?

A

Inside voice that tells you if you are doing things right or wrong

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15
Q

True or False:
The more mature you become, the more intra-guided your self concept is

A

True- peers have less influence on you

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16
Q

True or False
The closer the match between a persons ideal body image and their perceived body image, the more positive their body image will be

A

True

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17
Q

True or False
The lower the education, the better you feel about yourself, same with having a higher position in work

A

False- the higher your education, the better you feel about yourself

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18
Q

What is role performance?

A

The actions a person takes and the behaviors demonstrated in fulfilling a role

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19
Q

What is role strain?

A

A mismatch between role expectations and performance

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20
Q

What is interpersonal role conflict?

A

How individuals carry out their significant roles vs expectation by others

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21
Q

What is interrole conflict?

A

Two roles making competing demands (Ex: Nursing School vs Significant other)

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22
Q

What are characteristics of someone who has a weak sense of personal identity?

A

-Has difficulties distinguishing boundaries with their peers
-More easily influenced
-Interpret events personally
(Ex: take constructive criticism as an attack against them)

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23
Q

True or false
Personal identity develops over time

A

True

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24
Q

True or false
Personal identity is dynamic, especially when you are older

A

False- it stays pretty consistent and constant as a person ages

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25
Q

What is self-esteem?

A

How well a person likes one’s self
(ideal self vs actual self)

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26
Q

What are stressors affecting self-concept?

A

-Identity stressors
-Role performance stressors
-Role overload (expectations are too high)
-Body image stressors

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27
Q

What is the most common response to an emotional stressor?

A

Anxiety (a result of psychological conflicts that turn out as physical symptoms

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28
Q

What is a traditional nuclear family?

A

Traditional married couple that has a child, typically one parent is working, and one is stay at home

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29
Q

What are grandparent families?

A

Parents may be unable or unwilling to raise their children, so the grandparents assume the responsibility of raising the grandkids

30
Q

What are dual-earner families?

A

Both parents are in the workforce

31
Q

What are single parent families?

A

Related to divorce, death, or choice (most commonly seen within black women and hispanic women)

**As a nurse, we can address the impact this will have on children at home, financial impact on parent, help ensure that they have appropriated resources to use at their discression

32
Q

What are blended families?

A

Two single people come together with children from previous marriages, and families blend together

33
Q

What are extended families?

A

Aunts, uncles, etc living under the same roof

34
Q

What are sandwiched families?

A

You have a mother with children, but her parents are dependent and need to be cared for, so therefore the mother is caring for her children and older adults (parents)

35
Q

What are cohabiting adults?

A

people who live together but are not married

36
Q

True or false
People have one family in their lifetime

A

False- a person can have several families in a lifetime or at once

37
Q

What is the most important question to ask the family as a nurse?

A

“Who is the primary decision maker of the family?”

38
Q

What are the 3 perspective approaches to family nursing?

A

-Family as context (can be resource or stressor)
-Family as a unit of care (nursing interventions to individual family members)
-Family as a system (family as a whole- try and include them on care plan if possible)

39
Q

What are the health risk factors for childless and childbearing couples?

A

-Adapting to new roles can create stress
-This can lead to maladaptive coping

40
Q

What are health risk factors for families with young children?

A

-Experience financial difficulties
-Illness and injuries
-Demands leave less time for marital nurturing

41
Q

What are health risk factors for families with adolescents and young adults?

A

-Risk taking behaviors
-Dealing with aging grandparents
-Life transition between dependence and independence

42
Q

What are health risk factors for families with older adults?

A

-Falls and trauma
-At risk for social isolation, depression, and malnutrition

43
Q

What are changes in family dynamics?

A

-Change in family member roles
-Changes in family member tasks
-Need for increased support by extended family/caregivers

44
Q

What are trends that challenge family health?

A

-Poverty and unemployment
-Inadequate or no health insurance
-Teen pregnancy
-Economic climate
-Infectious diseases
-Chronic illness and disability
-Family violence and neglect

45
Q

What is the concept of community?

A

-A body of like minded people or the inhabitants of a town
-Gift or fellowship of common relations and feelings

46
Q

What is the structure of a community?

A

-Demographic data (income, race)
-Data about healthcare services (How many providers in community, # of ERs and hospitals)

47
Q

What is the status of a community?

A

-Biological: (illness/death rates, life expectancy, risk factor profiles for age groups)
-Emotional: (Mental health, customer satisfaction survey results)
-Social: (crime rates, citizenship, community activities)

48
Q

What is the process of a community?

A

Overall effectiveness level of community
**Share the same value or interest of that community, do community members interact with one another?

49
Q

What is community based nursing?

A

Healthcare or rehabilitative services:
-Clinics
-Offices (counseling, psychology)
-Mobile care units
-Surgeries as outpatients/offices
-Mental/physical rehab
-Nursing homes/extended care

50
Q

True or False
Community Oriented Nursing is where Community Health Nursing and Public Health Nursing overlap

A

True

51
Q

What is Community Health Nursing?

A

Strive to protect the health of individuals by maintaining health and providing care to them so it does not affect the community as a whole

52
Q

What is Public Health Nursing?

A

How communities health status effects the health status of the individuals that live in the community

53
Q

What is Community-Oriented Nursing?

A

Focuses on promoting the health and well being of individuals, early detection, treatment, prevent illness (BOTH)

54
Q

What are the roles of community nurses?

A

-Client advocate
-Educator
-Collaborator
-Counselor
-Case Manager
-Care Coordinater

55
Q

What does a direct care provider do?

A

Performs tasks that require skill
-Dressing changes, bed baths, trach care
**Goal is to preserve as much of client’s dignity as possible, nurse should not be doing everything

56
Q

What does a client/family educator do?

A

-Promote self care
-Communication
-Skills needed (what client can/can’t do- family involvement is huge)

57
Q

What does a client advocate do?

A

Support client’s right to make decisions of the person were taking care of

58
Q

What does a care coordinator do?

A

-Develops plan of care
-Accessing the correct resources
***These clients typically have more complex needs

59
Q

What are primary interventions?

A

PREVENTION
-Promoting immunizations
-Promote health and prevent disease through education
-Collaborating with local agencies
-Lobbying for a ban to eliminate smoking in local restaurants

60
Q

What are secondary interventions?

A

PREVENTION
-Reduce impact of disease and early prevention (acute diseases/illnesses)
-Screenings (Mammograms, STIs that are asymptomatic, x-rays, prostate screening, lipid testing)

61
Q

What are tertiary interventions?

A

TREATMENT
-Restore functioning to a pre-disease status or prevent exasperation (worsening)
-Diabetic following diet plan

62
Q

What is Parish Nursing?

A

Nurses in Church settings promoting health checks/screenings, educating members on diseases, etc

63
Q

What do nurses need to do to gather data about the community?

A

-Define the community
-Learn the community
-Focus the data collection
***Then analyze subjective and objective data

64
Q

What is a windshield survey?

A

Go to a certain part of the community and give general observations of what you see

65
Q

What is database utilization?

A

Look at morbidity/mortality rates, marriage certificates, birth certificates

65
Q

What are client perceptions?

A

Asking people of the community what they think

66
Q

Who is eligible for home healthcare?

A

-Those with skilled-cared needs (impaired abilities to function)
-Those recuperating from illness/surgery
-Those who are terminally ill
-Those with chronic illnesses

67
Q

True or false:
People with chronic illnesses are typically placed on hospice to prevent the condition from deteriorating; to avoid hospitalization

A

False- patients with chronic illnesses are placed on palliative care

68
Q

True or False:
Palliative care has no timeline

A

True

69
Q

True or False:
Hospice is typically 6 months or less

A

True

70
Q

What are advantages of home healthcare?

A

-Enables viewing of client’s environment
-Allows inclusion of family members in care
-Increases autonomy of nursing practice
-Teaches flexibility
-Facilitates holistic care

71
Q

What are the disadvantages of home healthcare?

A

-Uncontrolled environment
-No readily available supplies
-Lack of immediate peer assistance
-Potential for personal safety issues
-Financial reimbursement

72
Q

How does home healthcare promote patient self care?

A

By….
-Fostering client independence
-Completing client/family teaching
-Demonstrating skill techniques
-Explaining all aspects of care
-Evaluating performance of skills and knowledge

73
Q

What do hospice nurses do?

A

-Focuses on patients who are dying, or condition is not expected to improve
-Provide comfort and quality of life
-Assesses patient condition, monitor interventions to relieve distress
-Family is involved

Nursing Fall 2023 (7 decks)

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