Unit 1.2 Flashcards

(54 cards)

1
Q

Major goal of Healthy People 2020

A

achieve health equity, eliminate disparities, improve health of all groups.

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2
Q

Stereotyping

A

act of making assumptions that all people in given group are the same.

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3
Q

Prejudice or bias

A

negative belief or preference that is generalized about a group that leads to prejudgement.

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4
Q

Xenophobia

A

fear or dislike of people different from oneself.

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5
Q

Discrimination

A

differential treatment of individuals or groups based on categories such as race, age, weight, gender, social class.
-happens when person denies other people one or more of their fundamental rights.

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6
Q

Factors that contribute to diversity

A

Age, gender, sexual orientation, socioeconomics, living arrangements, race, culture, Literacy level (education)…

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7
Q

Ageism

A

deep profound prejudice against older adults.

-discrimination based solely on age.

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8
Q

Highly educated adults: nursing considerations

A
  • do not assume that they know stuff

- thoroughly assess their understanding of their situation and their coping skills

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9
Q

Low-Literacy clients: nursing considerations

A
  • assess ability to read/write

- make the material relatable

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10
Q

Vulnerable populations

A

groups with inadequate health care access because they lack resources.

  • exposed to more risk factors
  • more likely to develop health problems
  • often present with acute, serious illness
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11
Q

race

A

socially defined populations that have common genetically transmitted characteristics such as skin color & bone structure.

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12
Q

authoritarian parents

A

punitive & adhere to rigid rules or to be more dictatorial.

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13
Q

Authoritative parents

A

use firm control to set limits, but they establish an atmosphere with open discussion or are more democratic.

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14
Q

Permissive parents

A

Show a great deal of warmth, but set few controls or restraints on children’s behavior.

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15
Q

Indifferent parents

A

do not display much interest in their children or in the role as parents. little affection or approval.

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16
Q

Family cohesion

A

defined as emotional bonding between family members.

  • disengaged (low)
  • separated (low to moderate)
  • connected (moderate to high)
  • enmeshed (very high)
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17
Q

Family flexibility

A
includes the amount of change in a family's leadership, role relationships & relationship rules. 
-also about ability of family to respond to stress
1 Rigid (very low)
2 Structured (low to moderate)
3 Flexible (moderate to high)
4 Chaotic (very high)
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18
Q

Family rules

A

determine appropriate roles & relationship patterns within the family.
-express family values

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19
Q

Family coping mechanisms

A

behaviors families use to deal with stress or changes imposed from either within or without the family.

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20
Q

Systems Theory

A

Interacting identifiable parts or components.

  • hierarchy, interdependent, boundaries
  • system depends on processing information
  • Input -Throughput -Output
  • Feedback
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21
Q

Structural-functional theory

A

focuses on family structure and function.

  • addresses the membership of the family & the relationships among family members.
  • effects of intrafamily relationships on family system
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22
Q

Ways to assess a family (4)

A
  • Family Ecomap
  • Family APGAR
  • Home observation for measurement of the environment (HOME)
  • Friedman Family Assessment Tool
23
Q

Which family assessment tool will a nurse at hospital be more likely to use.

A

Family APGAR.

24
Q

What is family APGAR

A

Five item questionnaire that measures five different family concepts.
-administered to members over 10 years of age.

25
Friedman Family Assessment Tool
Long form assessment. | -examines whole family in context of larger community where family resides.
26
HOME assessment
assessing the family within the home environment
27
What is a great thing for community health nurses to know.
Community resources such as support groups, low cost dentists, childcare etc.
28
Objective family burden
actual, identifiable family problems associated with the person's mental illness.
29
Symptomatic behaviors
deficit behaviors that families manage such as: - lack of motivation - isolation from others - poor money management - etc
30
Stigma
collection of negative attitudes and beliefs that lead people to fear, reject, avoid & discriminate against people with mental illness.
31
Subjective family burden
psychological distress of the family members in relation to the objective burden
32
Family Recovery
family response to the mental illness of a family member. Has 3 pronounced stages and a final stage.
33
Stage 1 of family recovery
Discovery & denial.
34
Stage 2 of family recovery
Recognition and acceptance.
35
Stage 3 of family recovery
Coping and competence.
36
Final stage of family recovery
Personal and political advocacy. | Working within the mental health system to obtain treatment.
37
Collaborating with families
helps to promote the best outcome when caring for kids.
38
Tips for parents to improve communication about child:
- keep a journal about child's behavior, eating habits, temps, etc. - keep a copy of medical records - write down questions for clarification
39
Tips for nurses in dealing with family:
- provide info & honestly discuss issues of concern - engage in creative problem solving - respect family choices
40
Patient Bill of Rights
Mandated by American Hospital Association in 1992. | -client teaching as a function of nursing
41
Example of client education categories:
-promote, protect, maintain health.
42
promotion of health ideas:
- fertility control - nutrition - hygiene - stress management - resources in community
43
Prevention of illness/injury ideas
- health screenings (pap test, mammogram) - reduction of health risk factors (cholesterol) - protective health measures (immunizations)
44
Restoration of health ideas:
- info about test, diagnosis, treatment, medications - Self-care skills - resources w/in the health care setting & community
45
FOG index
simple method to determine readability level of text.
46
Nursing Dx: Learning needs. 3 common
- Deficient knowledge - Health-seeking behavior - Noncompliance (not well liked by Jada may encompass inability to obtain meds or no desire to manage own health)
47
Developing written teaching aids:
- language at 5th grade level or below - Active voice - easy, common words - large type - short sentences - priority info placed first.
48
Teaching clients with low literacy:
- use multiple teaching methods (pictures, reading, discussion, role-play) - limit amount of info in a single session - repetition to reinforce info - get feedback - emphasize key points.
49
Essential aspects of teaching plan
- Set learning outcomes - Choose content - Select teaching strategies - Organizing learning experiences
50
Teaching process first 4 steps
1 Assessment 2 Outcomes 3 Content 4 Strategies
51
Teaching process second 4 steps
5 Organization 6 Execution 7 Evaluation 8 Documenting
52
guidelines for teaching
- develop rapport - uses previous learning - optimal time - communicate clearly - be conscious of pace - be conscious of environment - Teaching aids - Repitiion
53
What to document about teaching
- Dx of learning needs - Learning outcomes - Topics included in session - Client outcomes - Need for additions learning - Resources provided
54
Why is documenting about teaching important
provides legal record that teaching took place.