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S3 1538 > S3 M5 Human Development > Flashcards

S3 M5 Human Development Flashcards

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1
Q

Does intellect decline with age

A

NO
just get a little slower

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2
Q

Is depression normal in older adults

A

NO
Neither is loneliness

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3
Q

Developmental delay

A

Continually consistently being on on gaining appropriate skills for age

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4
Q

5 areas of developmental delays

A

Cognitive
Social and emotional
Speech
Motor skills
Daily living

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5
Q

Complications for babies that can result in developmental delays

A

birth issues

Prematurity

Low weight

Asphyxia

Infection

Environment issues

Poor nutrition

Alcohol/drugs in mom

Fam violence

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6
Q

Chronic ear infections can result in developmental delays because

A

Baby hears speech differently and so pronounces things wrong

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7
Q

Nursing advice for developmental delsays

A

Early detection

fam NEEDS to seek emotional support

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8
Q

Aging and heart

A

HF

Atherosclerosis

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9
Q

Aging had lungs

A

Loss of elasticity

Difficulty breathing

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10
Q

Aging and GU

A

Incomplete emptying, creates need to pee

Leads to fall risk and infection

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11
Q

Aging and GI

A

v metabolism

constipation

+fiber

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12
Q

Aging and senses

A

Vision Hearing Taste and Smell

ALL DECREASE

PT will add salt

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13
Q

Menopause

A

1y without cycle

starts at 51y

ESTROGEN drop

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14
Q

Perimenopause

A

Transitional phase to the final menstrual cycle

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15
Q

Menopause

A

Hot flashes

CVD

osteoporosis

Breasts become fat

GI less absorbent

GU vag dryness, stress incontinence

Dry skin

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16
Q

Menopause management

A

Hormone replacement therapy

If pt has uterus pt will also need Progesterone, not just estrogen

Give lowest effective dose for shortest time

^ thromboembolic

^ breast cancer

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17
Q

For vaginal atrophy with menopause

A

Just use topical creams

DONT start on hormone therapy

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18
Q

Hormone replacement therapy contraindication HRT

A

Breast cancer

Thrombosis

Liver problems

Undiagnosed bleeding

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19
Q

Nursing management for HRT

A

Let pt know they ARE taking hormones

DVT s/s

Pulm/embolism s/s (new or worsening if pt already has dyspnea)

Weight bearing exercises, calcium and vit D

Annual mammogram for boob cancer

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20
Q

Social anxiety disorder

A

?

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21
Q

ADD/ADHD

A

Inattention

Impulsivity

Distractibility

Hyperactivity

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22
Q

3 types of hyperactive

A

Impulsive

Inattentive

Combined

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23
Q

Diagnosing adhd

A

Symptoms last more than 6 months

Symptoms begin before 7 years

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24
Q

to diagnose adhd before 17 pt must have

A

Must have 6 or more characteristics

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25
Stimulant Meds for adhd
Dextroamphetamine - stimulant, loss of appetite, sleep problems, headaches Atomoxetine - decreased appetite, n/v, sleep disturbance
26
Non stimulant ADHD meds
Norepinephrine reuptake inhibitors
27
ADHD meds should be given to kids _ food
After so they eat
28
Monitor ADHD kids for give meds early so they can \_
weight loss sleep
29
Autism spectrum disorder
30
Autism first noticed at
Infancy/childhood
31
Key indicator for autism
Meeting development then stopping or regressing
32
Characteristics of autism
Failure to develop interpersonal friendships not talking or cutting conversations
33
Warning signs of autism
?
34
Treatment for autism is
Varied due to spectrum No same approach to all
35
Therapies for ASD
Behavioral and communication therapy
36
Meds for ASD
Stimulants Antipsychotics
37
Therapeutic play for ADHD
Used to understand a child's thoughts and feeling and promote communication
38
Early Intensive Behavioral Intervention
Intensive therapy for autism in childhood. 20-40h a week
39
Behavior of autistic kids
Little eye contact and few facial expressions Limited gestures
40
Stereotyped motor behavior
Hand flapping Body twisting Head banging Signs of autism
41
Antipsychotics for ASD
Haloperidol Risperidone Aripiprazole
42
Stimulants for ASD
Naltrexone Clomipramine Clonidine
43
Regression in children between 12 to 36 months may be a sign of
Autism
44
Screening for autism
MchatR SCQ Social communication questionaire PDDST pDevelopmental disorder screening test
45
Interventions for ASD parents
Emotional support Info about guidance and education Stress the importance of having a routine
46
Developmental disorder
Child of average intelligence has difficulty mastering basic academic skills
47
Developmental disorder types
Dyslexia, cant read Dyscalculia, cant math Dyspraxia, cant dexterity Dysgraphia, cant write
48
Nursing management of developmental delays
Inform child of Individuals with Disabilities Act (IDEA) This gives kids assistance in school and an Individualized Education Plan (IEP)
49
Intellectual disability
IQ Bellow 75 Overall inability to learn
50
Goal of therapy for Intellectually disabled
Achieve self sufficiency
51
Perimenopause lasts
2 to 8 years
52
Estrogen in menopause
Depleted
53
Meds for menopause
SERMs Bisphosphonates Calcium and Vit D
54
Breast and vagina maintanance with menopause
Mammograms for cancer Vaginal creams to prevent atrophy
55
Controversial treatment for menopause
HT Hormone Therapy
56
Symptoms of menopause
Hot flushes Dryness vag Libido loss Night sweats Stress incontinence
57
Exercises for menopause
Weight bearing
58
Number 1 cause of deaths for women
CVDs Cardiovascular diseases Problem with menopause
59
Bleeding 1 year after menopause
Considered malignant until cause is discovered
60
LDL in menopause
increases
61
HT can result in
Breast cancer DVTs PEs Liver problems Uterine cancer
62
Aging and cardiovascular system
v in output slower recovery ^ bp
63
health promotion for cardiovascular system
exercise low fat low salt diet check bp regularly control weight
64
aging and rep system
^ in residual volume v in strength v in gas exchange v in diffusion v in cough efficiency
65
health promotion and resp system
exercise ^ fluid intake flu and pneumonia vaccines avoid upper resp infections
66
Aging and integumentary system
v in subq fat atrophy and decreased protection v secretion of natural oils and sweat fragility against trauma sun and temp
67
health promotion of integumentary system
limit sun exposure to 15 min dress for temp hydrate use lotions with petroleum and mineral oil
68
Aging and reproductive system Female Male
Vag narrowing, v elasticity v secretions Drop in fertility, less firm testes, decrease in sperm
69
health promotion of reproductive system Female
Estrogen replacement gyno follow ups use lube
70
Aging and musculoskeletal system
Loss of bone mass loss of muscle mass joint degeneration
71
health promotion and musculoskeletal system
Weight bearing exercise Bone density screening ^ calcium and vit D
72
Aging and genitourinary system
stress incontinence Decrease in bladder strength/capacity Male- benign prostatic hyperplasia Female- urge incontinence
73
health promotion and genitourinary system
don't drink a lot in evening avoid stimulants don't hold empty bladder completely
74
Aging and gastrointestinal system
v in thirst, smell and taste v in salivation difficulty swallowing v in motility
75
health promotion and gastrointestinal system
Gum care small frequent meals sit up after eating ^ fiber v fat diet limit laxatives
76
Aging and nervous system
v in brain volume v in cerebral blood flow v in nerve conduction
77
health promotion and nervous system
pace teaching encourage visits enhance sensory stimulation slow rising fall prevention
78
Aging and vision
v close vision light glare irritation pupils stiffen v in contrast sensitivity
79
health promotion and vision
Use sunglasses use adequate lighting avoid night driving avoid glares
80
Aging and hearing
v in frequency hearing tympanic membrane thinning difficulty with sound discrimination
81
health promotion and hearing
hearing exams reduce background noise enunciate face person rephrase questions
82
Aging and taste/smell
Decrease in ability
83
health promotion and taste/smell
encourage use of lemon, spices, herbs, recommend smoking cessation
84
General adaptation syndrome for anxiety stages
alarm stage resistance stage exhaustion stage
85
Mild anxiety
something is different and warrants special attention
86
Moderate anxiety
Something is definitely wrong/disturbing mild difficulty concentrating but can be redirected to other topics
87
Severe anxiety
defense responses trouble reasoning fight/flight/freeze
88
Panic anxiety
Safety is primary concern of person Cannot perceive No rational thought
89
Treatment for anxiety
Positive reframing Decatastrophizing Assertiveness training

S3 1538 (15 decks)

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