Shared Flashcard Set

Details

Assessment
Test 2
100
Nursing
Undergraduate 2
03/02/2011

Additional Nursing Flashcards

 


 

Cards

Term
concerned with independence
Definition
early adulthood
Term
establishing a career
Definition
early adulthood
Term
marriage
Definition
early adulthood
Term
setting up and managing a household
Definition
early adulthood
Term
establishing a social group
Definition
early adulthood
Term
civic responsibility
Definition
early adulthood
Term
begining parenting role
Definition
early adulthood
Term
forming a meaningful philosophy of life
Definition
early adulthood
Term
physical development of early adulthood
Definition
complete growth, reach a peak of health and ability
Term
phycosocial development of early adulthood
Definition
intamacy vs isolation (Erikson 20-40); (Levinson 22-40) 22-28 is structure building, 28-33 is transition (Where am I going? What am I doing? Do I need to change?),33-40 back to structure building (settling down, living life)
Term
cognitive development of early adulthood
Definition
focus on work and career development
Term
middle adulthood
Definition
40-64
Term
building a meaningful life
Definition
middle adulthood
Term
accepting and adjusting to physical changes
Definition
middle adulthood
Term
reviewing and redirecting career goals
Definition
middle adulthood
Term
developing hobby and leisure activities
Definition
middle adulthood
Term
relating to spouse
Definition
middle adulthood
Term
dealing with aging parents
Definition
middle adulthood
Term
coping with adolescents and empty nest
Definition
middle adulthood
Term
physical development of middle adulthood
Definition
aging begins to affect the body in negative ways
Term
psycosocial development of middle adulthood
Definition
generavity vs stagnation (Erikson); (Levinson) 40-45
Term
increase in chronic disease
Definition
middle adulthood
Term
cognitive development of middle adulthood
Definition
IQ is complememnted by experience and knowledge
Term
late adulthood
Definition
65+
Term
adjusting to changes in physical strength and health
Definition
late adulthood
Term
forming new roles as in-laws and grandparents
Definition
late adulthood
Term
adjusting to retirement and reduced income
Definition
late adulthood
Term
affiliating with own age group
Definition
late adulthood
Term
death of spouse
Definition
late adulthood
Term
life review
Definition
late adulthood
Term
preparing for death
Definition
late adulthood
Term
physical development of late adulthood
Definition
a range of physical decline
Term
psychosocial development of late adulthood
Definition
ego integrity vs despair (Erikson); (Levinson) task is to make peace with self and life
Term
cognitive development of late adulthood
Definition
some decline in speed of reactions and the ability to make complex decisions
Term
leading causes of death in middle adulthood
Definition
cancer, heart disease, accidents, HIV, suicide and homicide
Term
leading causes of death in late adulthood
Definition
heart disease, cancer (lung, colorectal, breast), cerebrovascular disease, COPD, pneumonia, influenza
Term
Screening for general population
Definition
BP, height, weight, total blood cholesterol, Pap test, vision and hearing, fecal occult blood test and/or sigmoidoscopy, mammogram, assess for problem drinking, vaccination history
Term
agism
Definition
discrimination based on age
Term
normal BP
Definition
120/80
Term
pre-hypertension
Definition
121/81
Term
hypertension
Definition
140/90
Term
how often should you check BP?
Definition
yearly
Term
how often should you check cholesterol?
Definition
every five years after you turn 20
Term
how often should you get a papsmear?
Definition
if you're sexually active or 21, you should have one every three years once you have had 3 normal checkups
Term
how often should you have vision checked?
Definition
every 2 years after you're 40
Term
how often should you have a fecal occult blood test?
Definition
yearly after you're 50
Term
what does a fecal occult blood test check for?
Definition
colon cancer
Term
how often should you have a colonoscopy?
Definition
every ten years after you're 50
Term
how often should you have a sigmoidoscopy?
Definition
every 5 years after you're 50
Term
what does a sigmoid oscopy check?
Definition
rectum and colon
Term
how often should you have a mammogram?
Definition
start when you're 35, and yearly after 40
Term
developmental screening tests
Definition
the Denver devlopmental screening test and the hassles and uplifts scale (self administered test to assess day-to-day stress because stress is found to correlate with negative health status)
Term
components of "the contract"
Definition
time and place, introduction and explanantion, purpose, length, expectations, presence of others, confidentiality, costs
Term
process of sending communication
Definition
sending and recieving verbal and non-verbal
Term
internal factors of the examiner
Definition
liking others, empathy, ability to listen
Term
external factors of the examiner
Definition
ensure privacy, refuse interuptions, physical environment, dress, note-taking, recording
Term
physical environment of interview
Definition
temperature, light, noise, distracting equipment, distance, equal status seating
Term
challenges of note taking
Definition
impedes eye contact, attention shifting, interruption of patient's narrative flow, impedes observations of non-verbal communication, can be threatening to the patient
Term
3 phases of interview
Definition
introduction, working, closing
Term
two types of questioning
Definition
open-ended and closed or direct questions (both used for introduction)
Term
facilitation
Definition
verbal cues to say more
Term
silence
Definition
particularly important for open-ended questions
Term
reflection
Definition
repeating part of the patient's statement
Term
empathy
Definition
naming a patients feeling and encouraging discussion
Term
clarification
Definition
summarizing the patients statement to be sure you understand correctly
Term
confrontation
Definition
focusing the patients attention on an inconsistency or observation
Term
interpretation
Definition
implying cause and effect
Term
explanantion
Definition
sharing info with the patient
Term
summary
Definition
final review of the patients statements by the interviewer
Term
emotional and cognitive functioning
Definition
mental status
Term
apparent when a persons response is much greater than the expected reaction to a traumatic life event
Definition
mental disorder
Term
a significant behavioral or psychological pattern that is associated with distress or disability and has a significant risk of pain disability or death or a loss of freedom
Definition
mental disorder
Term
mental disorder due to brain disease of known specific organic cause
Definition
organic disorder
Term
when organic eitiology has not yet been established in a mental disorder is called a
Definition
psychiatric mental illness
Term
normal pulse
Definition
60-100
Term
normal stroke volume
Definition
70 cc
Term
who normally has higher pulse?
Definition
infants and females
Term
pulse lower than 60
Definition
Brachycardia
Term
pulse over 100
Definition
tachycardia
Term
when to perform a full mental status exam
Definition
behavior changes, brain lesions, aphasia (caused by brain damage), symptoms of psychiatric mental illness
Term
main components of a mental status exam
Definition
Appearance, Behavior, Cognition, Thought processes
Term
things to check with appearance in mental exam
Definition
posture, body movement, dress, grooming and hygiene
Term
things to check with behavior in mental exam
Definition
conciousness, facial expression, speech, mood and affect
Term
things to check with cognition in mental exam
Definition
orientation, attention span, memory, ne wlearning, judgement
Term
things to check with though processes in mental exam
Definition
processes, content, perceptions, sucidal thoughts
Term
levels of conciousness
Definition
alert, lethargic, obtunded, stupor or semicoma, coma, acute confusional state (delirium)
Term
violence between spouses, nonmarital partners, or former spouses or partners
Definition
initimate partner violence
Term
physical abuse
Definition
violence
Term
physical neglect
Definition
failure to provide basic services
Term
phsychological abuse
Definition
mental anguish
Term
psychological neglect
Definition
failure to provide stimulation
Term
financial abuse
Definition
intentional misuse of resources
Term
financial neglect
Definition
failure to use assets
Term
health effects of violence
Definition
injury, chronic health problems, more visits = more costs
Term
mental health effects of violence
Definition
dperession, suicide, symptoms of posttraumatic stress disorder, substance abuse
Term
reproductive health effect sof violence
Definition
chronic pelvic pain, unintended pregnancy, STDs, urinary tract infections
Term
universal violence screening
Definition
every woman is supposed to be asked at every health care encounter if she has been abused
Term
who should be screened for violence
Definition
all women over the age of 14
Term
what to check for in a physical assessment for violence
Definition
bruises, lacerations, burns, abrasions, incisions, stab wounds, hematoma
Term
steps of violence screening
Definition
assessment, history, physical exam, documentation
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