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NSG 101 Exam 6
Craven Chs. 47-52
42
Nursing
Undergraduate 1
11/26/2010

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Cards

Term
Self-concept vs. self-perception
Definition
Self-concept = a mental image a person has of oneself
Self-perception = how a person explains behavior based on self-observation.
Term
What are the four dimensions of self-perception?
Definition
Self-knowledge
Self-expectation
Social self
Self-evaluation
Term
Self-expectation vs. self-evaluation
Definition
Self-expectation: the self a person wants to be
Self-evaluation: conscious assessment of the self
Term
What two components work together to form a positive body image?
Definition
Idealized body image versus mirrored image (how you actually look) ... self-regard is more positive the closer these two are to each other
Term
What are the four criteria for self-esteem?
Definition
Power: your ability to influence others
Meaning: sense of being valued
Competence: ability to achieve goals
Virtue: being consistent with own values
Term
Define role performance
Definition
Expected behavior in social position
Term
Developmental vs. situational role transitions
Definition
Developmental role transitions (aging and growth)
Situational role transitions (related to relationships)
Term
Role ambiguity, role strain and role conflict
Definition
Role ambiguity: don’t know what to expect from new role
Role strain: person thinks unsuited to new role
Role conflict: expectations concerning role
Term
Differentiate the three types of role conflict (intrapersonal, interpersonal and inter-role)
Definition
Intrapersonal conflict: role expectations conflict with person’s values
Interpersonal conflict: expectations differ from some significant other
Inter-role conflict: by trying to fulfill two or more roles simultaneously
Term
Positive and negative effects of illness / trauma / surgery on self-concept.
Definition
Positive self-concept often based on good health (so negative self-concept often accompanies poor health), but being strong in face of disease can improve self-esteem
Term
Four nursing diagnoses related to self-concept
Definition
Disturbed body image
Chronic low self-esteem
Situational low self-esteem
Ineffective role performance
Term
Nuclear family
Definition
A married couple and their children
Term
Co-habitated family
Definition
Couple not married
Term
By what age is infant usually attached to primary caregiver?
Definition
8 months
Term
At what age is separation anxiety worst?
Definition
18-24 months
Term
At what age do people begin developing "initiative"
Definition
Preschool
Term
At what age does the task of industry develop?
Definition
School age / adolescent
Accomplishments to avoid feeling inferior
Term
Two chief developmental tasks of adulthood related to family
Definition
Intimacy and generativity (productivity)
Term
Define sandwich generation.
Definition
Caring for their parents, their kids and themselves
Term
Define NANDA diagnosis "interrupted family processes"
Definition
Change in family relationships and / or functioning
Term
Define NANDA diagnosis "compromised family coping"
Definition
Normally supportive primary person is unable to provide sufficient support related to client's health problem
Term
Define NANDA diagnosis "disabled family coping"
Definition
Behavior or person significant to family that disables family’s capacity to handle health challenge (neglecting care, denying health problem exists)
Term
Contrast bereavement and mourning.
Definition
Bereavement = desolation as a result of a loss
Mourning = socially prescribed behaviors (don’t indicate actual presence or absence of grief)
Term
Three definitions of death
Definition
Cessation of heart-lung function
Cessation of whole-brain function
Cessation of higher-brain function
Term
Which developmental stages are at risk for poor grief outcomes and why?
Definition
1) Adolescents because of the other developmental challenges they are processing during this phase
2) Young adults can experience many types of losses all at once (death, leaving for school, not getting a job, breakups)
3) Older adults due to sheer number of deaths and other losses (retirement, health, freedom) and have few resources / supports
Term
Dysfunctional grief
Definition
One is stuck in a grief stage and can’t move to the next one
Most severe grief signs are considered abnormal until after 3 year’s time
Term
Two nursing diagnoses related to grieving
Definition
Anticipatory grieving
Dysfunctional grieving
Term
Coping vs. adaptation
Definition
Adaptation = capacity to flourish and survive in adversity
Coping = process used to manage stressful events
Term
Stress as a stimulus vs. stress as a response
Definition
Stress as a stimulus: any event (stressor) that causes a response, positive and negative
Stress as a response: “fight or flight” response, also “tend and befriend” reactions of women
Term
Two types of coping mechanisms
Definition
Both have short-term and long-term:
- Problem-oriented (focused on manipulating the stressor)
- Emotion-focused (regulating your emotional response)
Term
Differentiate transgendered, transsexual, transvestite and intersexed
Definition
Transgendered: someone appears as, has had surgery for, or desires to be a member of the opposite sex
Transsexual: feeling trapped in the body of the opposite gender but might not choose to dress or take steps to look like the opposite sex
Transvestite: choose to dress like opposite gender but still view themselves as biological gender
Intersexed: Born with ambiguous genitalia
Term
Climacteric
Definition
Period during which significant sexual changes occur upon moving from middle to old age (e.g. menopause)
Term
Word for painful intercourse
Definition
Dyspareunia
Term
Vaginismus
Definition
Contraction of muscles around vaginal orifice so penetration is painful or impossible
Term
Two nursing diagnoses related to sexual function.
Definition
Sexual dysfunction
Ineffective sexuality patterns
(both are extremely subjective and are only given when patients verbalizes dissatisfaction or turmoil)
Term
How long does a testicular self-exam last, and when should it be done?
Definition
Best done after warm bath/shower. 3 minutes.
Term
When is the best time to do the breast self-exam?
Definition
One week after period when breasts not tender
Term
Where is it normal to have a firm ridge on the breast?
Definition
Lower curve of breast
Term
Faith
Definition
Larger than belief; the way a person acts out beliefs in life
Term
What are the spiritual developmental tasks of the toddler / preschooler?
Definition
Start to participate in rituals and start to question; start to sense spiritual existence
Term
Six nursing diagnoses related to spiritual function.
Definition
Spiritual distress
Readiness for enhanced spiritual well-being
Risk for spiritual distress
Decisional conflict (specify)
Noncompliance (specify)
Impaired religiosity
Term
Defined "impaired religiosity" nursing diagnosis
Definition
Inability to adhere to prescribed religious beliefs and rituals due to physical, psychological, sociocultural or spiritual factors
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