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NRSG 126: Mental Health > Chapter 7: Client's Response To Illness > Flashcards

Chapter 7: Client's Response To Illness Flashcards

1
Q

What is culture?

A

All socially learned behaviors, values, beliefs, customs, and ways of thinking of a population that guide its members

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2
Q

Age, Growth, And Development: The age of onset of schizophrenia is a strong predictor of

A

the prognosis of the disease.

People at younger age have poorer outcomes and negative signs (apathy, social isolation) and less effective coping skills

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3
Q

Age, Growth, And Development: Why may younger people struggle with schizophrenia?

A

Younger clients have not had expeirences of succesful independent living or the opportunity to work and be self-sufficient

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4
Q

Age, Growth, And Development: What did Erik Erikson develop?

A

Psychosocial development across the lifespan in terms of developmental tasks to accomplish at each stage . Each stage depends on successful completion of previous stage

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5
Q

Age, Growth, And Development: Tasks to complete in Trust vs Mistrust

A

Viewing world as safe and reliable. Viewing relationships as nurturing, stable, and dependable

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6
Q

Age, Growth, And Development: Taks to complete in Autonomy vs Shame and Doubt

A

Achieving a sense of control and free will

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7
Q

Age, Growth, And Development: Initiative vs Guilt tasks to complete

A

Beginning to develop a sonscience. Learning to manage clonflict and anxiety

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8
Q

Age, Growth, And Development: Industry vs Inferiority tasks to complete

A

Building confidence in own abilitites.

Taking pleasure in accomplishments

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9
Q

Tasks to accomplish in Identity vs role diffusion

A

Formulating sense of self and belonging

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10
Q

Age, Growth, And Development: Tasks to complete in Intimacy vs Isolation

A

Forming adult, loving relationships and meaningful attachment to others

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11
Q

Age, Growth, And Development: Tasks to complete in Generativity vs Stagnation

A

Establishing the next generation

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12
Q

Age, Growth, And Development: Tasks to complete in Ego Integrity vs Despair

A

Accepting responsibility for oneself and life

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13
Q

Genetics and Biologic Factors: Geneetic makeup tremendously influcnes a persons response to

A

illness and perhaps even treatment

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14
Q

Physical Health and Health Practices: What may impair a person’s ability to cope?

A

Poor nutritional status, lack of sleep, or a chronic physical illness

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15
Q

Self-Efficacy: What is this?

A

Belief that personal abilities and efforts affect the events in one’s life. Person who believes that their behavior makes a difference is more likely to take action

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16
Q

Self-Efficacy: People with high self-efficacy act how?

A

set personal goals, are self-motivated ,cope effectibely with stress and request support from others when needed

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17
Q

Self-Efficacy: People with low self-efficacy act how?

A

have low aspirations, experience much self-doubt, and may be plagued by anxiety and depression

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18
Q

Hardiness: What is this?

A

The ability to resist illness when under stress. Hardiness has three components

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19
Q

Hardiness: What are the three compoentns of this?

A

Commitment: Active involvment in life activites

Control: Ability ot make appropriate descisions in life activites

Challenge: Ability to perceive change as beneficial rather than just stressful

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20
Q

Hardiness: What did Kobasa find out?

A

That male executives who had high stress but low occurence of illness scored higher on hardiness than executives with high stress and high occurence of illness

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21
Q

Hardiness: Personal hardinenss is often described as

A

a pattern of attitudes and actions that helps the person turn stressful circumstances into opportunities for growth

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22
Q

Hardiness: Persons with high hardiness perceive stressors more

A

accurately and are able to problem-solve in the situation more effectively

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23
Q

Resilence and Resourcefulness: What is Resilence?

A

Defined as having healthy responses to stressful circumstances or risky situations.

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24
Q

Resilence and Resourcefulness: What does Resilence help explain?

A

Why one person reacts to a slightly stressful event with severe anxiety while another person does not experience distress even when confronting a major disruption

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25
Q

Resilence and Resourcefulness: High resilence is associated wiht

A

promoting and protectects ones mental health, described as flourhsing

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26
Q

Resilence and Resourcefulness: What does Family Resilence refer to?

A

The successful coping of family memebrs under stress. This includes positive outlook, spirtuality, family member accord and flexibility

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27
Q

Resilence and Resourcefulness: What is resourcefulness?

A

It involves using probolem-solving abilities and believing that one can cope with adverse or novel situations

28
Q

Resilence and Resourcefulness: People develop resourcefulness through

A

interactions with others

29
Q

Resilence and Resourcefulness: Examples of resourcefulness includue

A

performing health-seeking behaviors, leanring self-care, monitoring one’s thoughts and feelings about stressfuls ituations

30
Q

Spirituality: What does this involve?

A

The essence of a person’s being and his or her beliefs about the meaning of life and the purpose for living

31
Q

Sense of Belonging: What is this?

A

Feeling of connectedness with or involvement in a social system or environment of which a person feels an integral part

32
Q

Sense of Belonging: Maslow describes this as

A

a basic human psychosocial need that invovles feelings of both value and fit

33
Q

Sense of Belonging: Value refers to what

A

feeling needed and accepted

34
Q

Sense of Belonging: What does FIt refer to?

A

feeling that one meshes or fits in with the system or environment . Meaning when a person belongs to a group, they feel valued

35
Q

Sense of Belonging: Persons sense of belonging is closely related to

A

his or her social and psychological functioning

36
Q

Sense of Belonging: SEnse of belonging was found to promote

A

health, whihc a lack of this sense impaired health

37
Q

Social Networks and Social Supports: What are social networks?

A

Groups of popele one knows and with whom one feels connected.

38
Q

Social Networks and Social Supports: Social networks can reduce

A

stress, dimish illness, and positively influence the ability to cope and adapt

39
Q

Social Networks and Social Supports: What is social support?

A

Emotional sustenance that comes from friends, family membrs, and even health care providers

40
Q

Social Networks and Social Supports: What is social contact?

A

The friendly talk that goes on at parties

41
Q

Social Networks and Social Supports: What components necessary for support system to be effective?

A

Clients perception of the support system and the responsiveness of the support system

42
Q

What does Culturally Competent Nursing care mean?

A

Being sensitive to issues related to culture, race, gender, sexual orientation, social class, economic situation and other factors

43
Q

Beliefs about Causes of Illness: Two prevalent types of beleifs about what causes illness in non-western cultures are what?

A

Natural

Unnatural/Personal

44
Q

Beliefs about Causes of Illness: What are unnatural or personal beliefs attribute the cause of illness to?

A

Active, purposeful intervention of an outside agent, spirit, or supernatural force or deity

45
Q

Beliefs about Causes of Illness: What is the natural view rotted in ?

A

Belief that natural conditions or forces, such as cold, heat, wind, or dampness are responsible for the illness

46
Q

Beliefs about Causes of Illness: A sick person with a natural view would not see what?

A

The relaitonship between their behavior or health practices and the illness. Would try to counteract negative forces or spirits using traditional cultural remedies rather than taking medication

47
Q

Fators in Cultural Assessment: What did Giger identify?

A

The model for assessing clients using six cultural factors:

Communication ,Physical Distance, Social Organization, Time Orietnation, Environmental Control, And Biologic Variations

48
Q

Social Organization: What does this refer to?

A

Family structure and organizatio, religious values and beliefs ,ethnicity and culture, all of which affect a person’s role and therefore his or her health and illness behavior

49
Q

Environmental Control: What does this refer to?

A

Client’s ability to control the surroundings or direct factors in the environment

50
Q

Environmental Control: People who believe they have control of their health are more likely to seek

A

care, change their behaviors, and follow treatment recommendations

51
Q

Environmental Control: Those who believe that illness is a result of nature or natural causes are less likely to

A

seek traditional health care because they do not believe it can help them

52
Q

Biologic Variations: What disease is found exclusivel y in African Americans?

A

Sickle Cell Anemia

53
Q

Biologic Variations: What disease is most prevalent in the Jewish community?

A

Tay-Sachs

54
Q

Socioeconomic Status and Social Class: WWhat does socioeconomic status refer to?

A

Ones income, education and occuptation. Strongly influences a person’s health including whether or not person has insurance or assess to health care

55
Q

Nurses Rule in Working with Cultures: To provide cpmpetent care, nurse must found out what?

A

As much as possible about a client’s cultural values, beliefs, and health practices. “How would you like to be cared for”

56
Q

Nurses Rule in Working with Cultures: How can a nurse assess health practices and religious beliefs?

A

“Do you follow any dietary preferences or restrictions”?

“How can I assist you in practicing your relgious or spiritual beliefs?”

57
Q

What individual factors influence a client’s response to illness?

A

Age and Growth and Development

Biologic and Genetic Factors

Hardiness

REsilence and Resourcefulness

Self-Efficacy and Spiritualiy

58
Q

Biologic makeup includes what?

A

perosns heredity and physical health

59
Q

younger clients may have difficulty expressing their thoughts and feelings so they have poorer

A

outcomes when experiencing stress or illness

60
Q

people who have difficulty negotiating the tasks of psychosocial development have less

A

effective skills to cope with illness

61
Q

What is resilience?

A

Perosns ability to respond in a healthy manner to stressful circumstaances or risky siutations

62
Q

What is resourcefulness?

A

Demonstrated in one’s ability to manage daily activities and is personal characteristic acquired through interactions with others

63
Q

What are the interpersonal factors that influence a clinet’s response to illness?

A

Sense of Belonging

Personal Involvement in System or Environment

Socail NEtworks

64
Q

What has the most influence on a persons health beliefs and behaviors?

A

Culture

65
Q

What is a model for assesssing clients from various ethnic backgrounds including the six cultural phenomena?

A

Communication Technique and Style

Physical Distance and Space

Socail ORganization

Time Orietnation

Environmetnal Control

Biologic Variations

NRSG 126: Mental Health (24 decks)

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