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NURS 212 > CH 12 & 13 > Flashcards

CH 12 & 13 Flashcards

1
Q

Psychosocial refers to

A

Mental health, cognition and affective function

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2
Q

Mental health

A

Encompassing cognitive and affective aspects of person

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3
Q

Cognition

A

Thinking, reasoning, and inpairments like delirium and dementia

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4
Q

Affective function

A

intrapersonal (within
ourselves) and interpersonal (relationship with
others and the world), and impairments like
depression, psychiatric illnesses and loss of
touch with reality

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5
Q

Intrapersonal

A

Inside of person

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6
Q

Interpersonal

A

Between people

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7
Q

Psychosocial changes associated with older adulthood require

A

Energy for coping

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8
Q

Psycosocial challenges associated with aging affected by

A

Role change, relationships and living

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9
Q

Life events

A

Major life changes, neither good nor bad

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10
Q

Examples of life-changing events

A

Retirement
* Relocation
* Chronic illness and Functional
impairment
* Widowhood
* Death of friends and family
* Ageist Attitudes
* Loss of autonomy (ie. Driving)

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11
Q

Risk factors that affect psychosocial function

A

Poor physical health
* Impaired functional abilities
* Weak social supports
* Lack of economic resources
* Immature developmental level
* Narrow range of coping skills
* Occurrence of unanticipated events
* Occurrence of several daily hassles at the same time
* Occurrence of several major life events over short time

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12
Q

Stress

A

The sum of all effects of factors that act on the body

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13
Q

Stressors

A

Normal activities and disease states, pleasant and not

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14
Q

Three stages of stressors

A

Alarm, resistance, and exhaustion

*coping can come before stress

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15
Q

Chronic stress does what?

A

Increases risks for various conditions

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16
Q

Physical pain vs non physical pain (Which is worse)

A

emotional (non phys)

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17
Q

Do older adults usually have coping skills

A

Often yes, becuase more experience has caused them to experience more hardships, and learn to cope throughout them

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18
Q

Eustress

A

An event or experience that is considered positive but still causes stress

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19
Q

Distress

A

Negative events causing stress

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20
Q

The better the coping means

A

The less impact stress will have on the body

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21
Q

Coping styles

A

Seeking information
* Reframing situation
* Maintaining hopeful outlook
* Using stress reduction techniques
* Channeling energy into physical activity
* Creating fantasies regarding outcomes
* Finding reassurance and emotional support
* Identifying limits and realistic goals
* Getting involved in activities such as art, music
and writing

22
Q

Which coping styles are available to older adults

A

All of them to some degree

23
Q

How can nurses help older adults cope

A

Identifying interventions for optimal funciton and quality of life

Psychosocial interventions to deal with chronic conditions to remain at home safely

24
Q

Factors affecting psychosocial function in odler aduls

A

spirituality, culture, support system (coming from outside), resilience (coming from inside)

25
Q

How does the importance of spirituality change throughout life?

A

It increases as people age

26
Q

How does spirituality change with age

A

Becomes broader and more personal with age

27
Q

Spirituality related to health outcomes

A

Spirituality and religious practices of older people are linked to positive health outcomes (not physical health, but persons outlook and perception of situation)

28
Q

Health-enhancing or
health-protecting effects of
religiosity are due to the
unique qualities of social
support provided through
church networks. T or F

A

True

29
Q

Culture bound syndrome

A

A belief system can create a limit of acknowledgement of emotional/mental health

30
Q

Health Literacy

A

listening skills, the ability to
speak and communicate health needs, and the
ability to act on written health information
and instruction from health care providers

31
Q

What percentage of adult Canadians do not have proficient health literacy

A

6/10 - especially true of immigrants

32
Q

Resilience

A

Ability to vounce back and recover physical and psychological health in the face of adversity

Ability to employ coping mechanisms

33
Q

Outcome of resilience

A

Increased wisdom

34
Q

What does level 1: primary spiritual care

A

Self awareness, assessing, compassionate presence, making referrals

35
Q

What does level 2: spiritual care look like

A

Administration of religious rites, counselling etc.

36
Q

Spiritual assesssment tool

A

FICA

37
Q

Psychosocial Assessment includes

A

Mental Status Assessment (ie. MMSE)
* Physical Appearance
* Decision-Making and Executive Function
* Affective Function
* Contact with Reality
* Social Support
* Religion & Spirituality

38
Q

What is included in a mental status assessment

A

Mental status screening tools (MMSE)
* Physical appearance
* Motor function, body language,
psychomotor behaviours
* Social skills
* Response to the interview
* Orientation
* Alertness and attention
* Memory
* Speech and language characteristics
* Calculation and higher language skills

39
Q

Mini-Mental Status Exam (MMSE)

A

Assess 5 areas of cognitive function

Orientation
* Attention
* Memory
* Language
* Spatial-visual skills

40
Q

Psychosocial assessment aspects

A

Affective Function
Contact with Reality
Social Support
Religion & Spirituality

41
Q

Delusion

A

Fixed false beliefs

42
Q

Hallucination

A

Sensory experiences that have no external stimulus

43
Q

Examples of nursing psychosocial diagnoses

A

Situational low self-esteem (or risk for)
* Powerlessness (or risk for)
* Social isolation
* Ineffective coping
* Readiness for enhanced spiritual
well-being
* Readiness for enhanced coping
* Readiness for enhanced resilience

44
Q

Illusion

A

Misperception of an external stimuli, have SOME basis in reality

45
Q

Does everyone have spirituality

A

spirituality as intrinsic
to human nature and emphasized that it was an individual’s
deepest and the most potent resource for healing

healing;
wholeness; social justice; personal growth; interpersonal
relationships; a sense of meaning and purpose to life; a transcendent
relationship with a higher being;

46
Q

Learned helplessness

A

is the experience of uncontrollable
events that leads to expectations that future events
will also be uncontrollable.

47
Q

Life Review

A

a progressive
return to consciousness of past experiences, particularly unresolved
conflicts, for reexamination and reintegration. If the
reintegration process is successful, the process gives new
significance and meaning to life and prepares the person for
death by alleviating fear and anxiety

48
Q

Reminiscence

A

Reminiscence
therapy as a nursing intervention is the recall of past
events, feelings, images and memories that are associated
with comfort, pleasure and pleasant experiences.

49
Q

confabulation,

A

the process of
making up information,

50
Q

Circumstantiality

A

involves the use of excessive details and
roundabout answers in responding to questions.

51
Q

Executive function

A

involves
an interrelated set of abilities that include cognitive flexibility,
concept formation and self-monitoring; but it does not
necessarily involve memory impairment

NURS 212 (21 decks)

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