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Fundamentals of Nursing 1 > Unit 5 test > Flashcards

Unit 5 test Flashcards

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1
Q

body’s response to changes in its normal balanced state ; has a holistic effect ; highly individualized ; can have a positive or negative effect

A

stress

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2
Q

anything that causes stress ; can be positive or negative

A

stressors

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3
Q

stressors we place on ourselves

A

internal stressors

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4
Q

stressors that pull us in different directions

A

external stressors

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5
Q

stressors caused by puberty, marriage, college

A

developmental stressors

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6
Q

stressors caused by loss, death, or school exams

A

situational stressors

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7
Q

mental and behavioral responses to stress ; unconsciously learned ; may be good or bad ; it is the focus of nursing

A

coping

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8
Q

change that takes place as a result of responding to a stressor ; ability to tolerate changing situations

A

adaptation

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9
Q

aspects of stressors ; number and nature of other stressors ; characteristics of individuals that influence stress response

A

factors influencing response to stressors

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10
Q

developmental crisis ; situational crisis ; adventitious crisis

A

types of stress

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11
Q

intensity, scope, duration

A

aspects of stressors

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12
Q

implement strategies to prevent stressors

A

predictability

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13
Q

universal situations which occur as a person grows from one developmental stage to another EX school, competition , parenthood, lack of family

A

developmental stress

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14
Q

unpredictable sudden change in a person’s role or function in a social situation EX graduation, retirement, loss of partner

A

situational stress

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15
Q

unpredictable events EX loss of possessions, disasters, winning the lotto

A

adventitious stress

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16
Q

mild, moderate , severe, panic

A

anxiety responses

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17
Q

Normal muscle tone, copes well, optimal for learning

A

mild anxiety

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18
Q

muscle tension, nervous , clear thinking diminished

A

moderate anxiety

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19
Q

increased vital signs , loss of control, no learning possible

A

severe anxiety

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20
Q

out of control, terror, cant cooperate or collaborate

A

panic anxiety

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21
Q

headaches, dilated pupils, frequent urination, skin changes, muscle tighten

A

physical sign and Sx of anxiety

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22
Q

lack of concentration, insomnia,

A

mental signs of anxiety

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23
Q

fatigued, impatient, low self-esteem\m anorexia, nightmares

A

emotional signs of anxiety

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24
Q

difficulty communicating blaming separates self from social support inability to adapt to social situations

A

social signs and Sx of anxiety

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25
lack of purpose in life, lack of love to self, no longer interested in god
spiritual signs and Sx of anxiety
26
anxiety, fear, ineffective coping, ineffective denial, care giver role strain
nursing diagnosis associated to stress and coping
27
teaching health promotion, positive support system, encourage complimentary methods of coping
nursing intervention related to stress and coping
28
removal, change,or reduction of something appreciated
Loss
29
actual, perceived, anticipatory, developmental, situational
types of lost
30
a recognize lost
actual lost
31
experienced by one person and not experienced by others
perceived lost
32
experienced before actual lost. example terminal illness
anticipatory lost
33
lost of job or spouse
situational lost
34
emotional response to the lost; based on past experience cultural expectations, and spiritual beliefs;unique to individuals
grief
35
social expression of lost; behavior response seen
mourning
36
encompasses both mourning and grief; experience by the survivor
bereavement
37
developmental level, experiences, cultural expectations, religious belief, cause of death, coping strategies, social economic status
factors affecting grief
38
most common reaction to lost
normal/ uncomplicated grief
39
unresolved, unhealthy, delayed coping that disrupts daily life, and that last more than 6 months
complicated/dysfunctional grief
40
unconscious process of letting go
anticipatory grief
41
unsupported grief that cannot be publicly shared
disenfranchised grief
42
denial, anger, bargaining, depression, acceptance;not experienced in any particular order
kubler-ross 5 stages of dieing
43
can sometime get us through the situations; refusal to accept facts
denial
44
angry at situations god or staff, or at person who died
anger
45
makes promises; is a part of anticipatory grieving
bargaining
46
sad hopeless,has suicidal tendency
depression
47
incorporates lost into life; ability to move forward with life
acceptance
48
dignity ,comfort, and control
dieing patients bill of rights
49
identify own fears,determine what the patient knows, be honest and direct, understand coping
what to do with the dieing patient
50
block discussion, change the subject, offer false reassurance,be distant
what not to do with a dieing patient
51
person sense of connections to a higher power;gives us purposes
spirituality
52
organize systems of beliefs, practices and has code of conduct
religion
53
collective scriptures, performance rituals, rules of conduct, ways to take care of souls, common beliefs
criteria for religion
54
meaning in life has the ability to love interactions with others to share thoughts and feeling, and beliefs
indicator of spiritual health
55
lack of hope, sudden change in practices, refusing interactions with family
indicators of spiritual distress
56
what gives your life meaning , what heals your spirit, what are your ethics and values, what are your beliefs
nursing assessment questions to determine Pts spiritual status
57
spiritual distress, potential for enhanced well being
nursing diagnosis related to spirituality
58
fifth vital sign, reports presence of severe discomforts;purely subjective,
pain
59
stimuli sends an impulse,neuro transmitters are released
transduction
60
pain impulse transmission begins
transmission
61
point at which person is aware of the pain ;inhibitory transmitters are released
perceptions
62
inhibition of pain impulse
modulator
63
pain impulses pass through nerve fibers
gait open (gait control theory of pain)
64
pain impulses block by large nerve fibers
gait closed ( Gait control theory of pain)
65
acute, chronic,cancer,
types of pain
66
sudden short durations, well defined, can develop into chronic
acute pain
67
develops slowly last a long time , difficult to treat, depression can develop
chronic pain
68
transduction, transmission, perception, modular
physiology of pain
69
substance P, Bradykinin, seratonin, prosta glandens, endorphins, histamine
neuro regulators
70
pain can be modified in thalmus, lymbic system or S.C.
gait control theory
71
cutaneous, somatic. or visceral
pain according to origin
72
radiating pain, referred pain, intractable pain, and neuropathic pain
pain according to where its experienced
73
felt at the source of the cause and extends to the nearby tissues
radiating pain
74
felt pain in another area
referred pain
75
resistant to usual relief measures
intractable pain
76
disturbances in peripheral or central nervous system
neuropathic pain
77
cancer pain, migraine syndrome
pain according to certain pain syndrome
78
actual pain felt in a missing body part
phantom pain
79
amount of stimulation before a person feels pain; same intensity or all races and cultures, maybe different genetically
pain threshold
80
maximal amount and duration of pain that an individual is willing to endure
pain tolerance
81
physiological, social, spiritual, psychological,cultural,
factors affecting pain
82
ask,believe, choose, deliver,empower
neumonic for approach for pain management
83
bias, vague or incomplete assessment poor pain assessment tools, patients not being forth coming, unable to communicate
barriers to effecting pain management
84
precipitating / aggravating factors quality, region, severity , time, effects on ADL's
pain history assessment
85
what makes the pain occur, or increase
precipitating/aggravating factors
86
what words would you use to describe your pain
quality
87
where is your pain
region
88
how would you rate your pain on scale 1-10
severity
89
when did it begin, how long have you had it, how long does it last, is it intermittent or constant
time
90
how much does it interfere with your lifestyle
affects on ADL's
91
verbal expressions, physical behaviors, others subjective signs
assessment of pain
92
physical, vocalizations, facial expressions, body movement, social interactions
common responses to pain
93
acute pain, and chronic pain
nursing diagnosis related to pain management
94
assess, monitor, and document pain status, administer drug,control stimuli
nursing intervention related to pain management
95
hydrocolater packs,kpad,moist compresses, paraphin waxes,tub soaks
types of heat therapy
96
chemical pads, ice bags, moist compresses
types of cold therapy

Fundamentals of Nursing 1 (9 decks)

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