Chapter 8 Flashcards

1
Q

Maslow’s Hierarchy of Needs:

A

1: Physical needs
2: Safety and Security needs
3: Need for love
4: Need for self-esteem
5: Need for self-actualization

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2
Q

Human beings have the following basic physical needs:

A

*Food and water

*Protection and shelter

*Activity

*Sleep and rest

*Comfort, freedom from pain

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3
Q

Psychosocial needs:

A

are needs that involve –

*social interaction

*emotions

*intellect

*spirituality

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4
Q

Human beings have the following psychosocial needs:

A

*Love and affection

*Acceptance by others

*Safety and security

*Self-reliance and independence in daily living

*Contact with other people

*Success and self-esteem

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5
Q

When psychosocial needs are not met, people may experience the following:

A

*Frustration

*Fear

*Anxiety

*Anger

*Withdrawal

*Depression

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6
Q

Holistic care:

A

a type of care that involves caring for the whole person—the mind as well as the body and spirit.

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7
Q

Residents in a long-term care facility may be experiencing any or all these losses:

A

*Loss of spouse, family, or friends

*Loss of workplace

*Loss of ability to go to favorite places

*Loss of ability to attend services at faith communities

*Loss of home, and possessions

*Loss of health and ability to care for themselves

*Loss of pets

*LGBTQ residents may fear the loss of a comfortable and accepting environment

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8
Q

Loss of independence may cause the following difficulties for residents:

A

*Poor self-image

*Anger

*Feelings of helplessness, sadness, and hopelessness

*Feelings of uselessness

*Increased dependence

*Depression

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9
Q

NAs can assist residents by promoting independence in these ways:

A

*Encourage residents to do as much as possible for themselves, no matter how long it takes.

*Be patient.

*Allow residents to make choices.

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10
Q

Terms associated with Human Sexuality:

A

*masturbation- to touch or rub sexual organs in order to give oneself or another person sexual pleasure.

*gender identity-a deeply felt sense of one’s gender.

*cisgender- a person whose gender identity matches his or her birth sex (sex assigned at birth due to anatomy).

*transgender-a person whose gender identity conflicts with his or her birth sex (sex assigned at birth due to anatomy).

*transition – sexual reassignment-the process of changing genders, which can include legal procedures, medical measures, telling others, and using new pronouns.

*cross-dresser-often is a heterosexual man who sometimes wears clothing and other items associated with women.

*sexual orientation-a person’s physical, emotional, and/or romantic attraction to another person.

*gay-a person whose physical, emotional, and/or romantic attraction is for people of the same sex.

*lesbian-a woman whose physical, emotional, and/or romantic attraction is for other women.

*queer-a term used by some people, who may feel that terms such as lesbian and gay are too limiting, to describe sexual orientation that is not exclusively heterosexual.

*bisexual, bi-a person who is sexually attracted to both men and women.

*LGBT/LGBTQ-acronym for lesbian, gay, bisexual, transgender, and queer.

*coming out-a continual process of revealing one’s sexual orientation or gender identity to others.

*heterosexual-a person whose physical, emotional, and/or romantic attraction is for people of the opposite sex; also known as straight.

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11
Q

Respecting residents’ sexual needs:

A

*NAs must respect residents’ sexual needs and identities.

*People continue to have sexual needs throughout their lives. Sexual desire may not be lessened by a disability, although the ability to meet sexual needs may be limited.

*Residents are allowed to meet their sexual needs however they choose.

*Always knock and wait for a response before entering residents’ rooms.

*Provide privacy if you encounter a sexual situation between consenting adults.

*Be open and nonjudgmental.

*Ask transgender residents which pronouns they would like you to use and use them. Always use a transgender person’s chosen name.

*Honor “Do Not Disturb” signs.

*Do not treat any expression of sexuality as disgusting or cute.

*If you see sexual abuse happening, remove the resident from the situation and report to the nurse immediately.

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12
Q

Myths about Older Adults and Sexuality:

A

*Older men are not capable of having sexual relations.

*After menopause, older women are not interested in sexual relations.

*Any expression of sexuality by older people is either disgusting or cute.

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13
Q

Nursing assistants should never:

A

*Try to change someone’s religion

*Tell residents their belief or religion is wrong

*Express judgments about a religious group

*Insist that residents join religious activities

*Interfere with religious practices

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14
Q

Terms associated with spiritual beliefs or practices:

A

Reincarnation: a belief that some part of a living being survives death to be reborn in a new body.

Karma: the belief that all past and present deeds affect one’s future and future lives.

Yarmulke: a small skullcap worn by Jewish men as a sign of their faith.

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15
Q

Reincarnation:

A

a belief that some part of a living being survives death to be reborn in a new body.

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16
Q

Karma:

A

the belief that all past and present deeds affect one’s future and future lives.

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17
Q

Yarmulke:

A

a small skullcap worn by Jewish men as a sign of their faith.

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18
Q

Masturbation-

A

to touch or rub sexual organs in order to give oneself or another person sexual pleasure.

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19
Q

Gender identity-

A

a deeply felt sense of one’s gender.

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20
Q

Cisgender

A

a person whose gender identity matches his or her birth sex (sex assigned at birth due to anatomy).

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21
Q

Transgender

A

a person whose gender identity conflicts with his or her birth sex (sex assigned at birth due to anatomy).

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22
Q

Transition

A

sexual reassignment-the process of changing genders, which can include legal procedures, medical measures, telling others, and using new pronouns.

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23
Q

Cross-dresser

A

often is a heterosexual man who sometimes wears clothing and other items associated with women.

24
Q

Sexual orientation

A

a person’s physical, emotional, and/or romantic attraction to another person.

25
Q

Gay

A

a person whose physical, emotional, and/or romantic attraction is for people of the same sex.

26
Q

Lesbian

A

a woman whose physical, emotional, and/or romantic attraction is for other women.

27
Q

Queer

A

a term used by some people, who may feel that terms such as lesbian and gay are too limiting, to describe sexual orientation that is not exclusively heterosexual.

28
Q

Bisexual, bi

A

a person who is sexually attracted to both men and women.

29
Q

LGBT/LGBTQ

A

acronym for lesbian, gay, bisexual, transgender, and queer.

30
Q

Coming out

A

a continual process of revealing one’s sexual orientation or gender identity to others.

31
Q

Heterosexual

A

a person whose physical, emotional, and/or romantic attraction is for people of the opposite sex; also known as straight.

32
Q

Dietary restrictions:

A

rules about what and when individuals can eat

33
Q

Fasting:

A

not eating food or eating very little food.

34
Q

Vegetarians:

A

people who do not eat meat, fish, or poultry and may or may not eat eggs and dairy products.

35
Q

Vegans:

A

vegetarians who do not eat any animal products, including milk, cheese, other dairy items, or eggs; vegans may also choose to not use or wear any animal products.

36
Q

Agnostics:

A

people who believe that they do not know or cannot know if God exists.

37
Q

Atheists:

A

people who believe that there is no God.

38
Q

Common religions and belief systems:

A

*Buddhism

*Christianity

*Hinduism

*Islam

*Judaism

*Spirituality

*Native American spiritual traditions

39
Q

The Need for Activity: The following are positive effects of physical activity:

A

*Lessens risk of illnesses

*Relieves symptoms of anxiety and depression

*Improves mood and concentration

*Improves body function

*Lowers risk of falls

*Improves sleep

*Improves ability to cope with stress

*Increases energy

*Increases appetite

40
Q

Inactivity may cause the following problems:

A

*Loss of self-esteem

*Depression

*Anxiety

*Pneumonia

*Urinary tract infections

*Skin breakdown and pressure injuries

*Constipation

*Blood clots

*Dulling of senses

41
Q

Involvement with the residents’ families: NAs may encounter from any of the following family types:

A

*Nuclear families

*Single-parent families

*Married or committed couples of the same sex or opposite sex

*Extended families

*Blended families

42
Q

Residents’ families may perform these functions:

A

*Helping to make care decisions

*Communicating with care team

*Giving support and encouragement

*Connecting to outside world

*Offering assurance to dying residents

43
Q

Families can be experiencing these adjustments:

A

*Accepting the resident’s illness/disability and its consequences

*Finding money to pay for hospitalization, long-term care, or home care

*Dealing with paperwork

*Taking care of tasks residents cannot handle

*Understanding medical information and making care decisions

*Caring for children while also caring for an elderly loved one

44
Q

NAs should respond to residents and families in theses ways:

A

*Listen

*Offer support and encouragement

*Refer the problem to a social worker or your supervisor

*Try not to judge them, since they are stressed

45
Q

Adolescent years (ages 13 - 19):

A

*Marked by onset of puberty (age range is approximate)

*Secondary sex characteristics appear

*Concern for body and peer acceptance

*Changing moods

46
Q

Common disorders of the adolescent stage:

A

*Eating disorders (anorexia, bulimia)

*STIs

*Pregnancy

*Depression

*Trauma due to auto accidents or sports injuries

47
Q

Young adulthood (ages 19 - 40)

Developmental Issues:

A

*Select an education

*Select a career

*Select and live with a mate

*Raise children

*Develop a satisfying sex life

48
Q

Middle adulthood (ages 40 - 65):

Developmental Issues:

A

*More comfortable and stable

*May have “mid-life crisis”

*Physical changes related to aging occur

*Women experience menopause

49
Q

Late adulthood (65 years and older):

Developmental Issues:

Common disorders:

A

*Many physical and psychosocial changes

*Loss of physical health

*Loss of friends and jobs

Common disorders:

*Arthritis

*Alzheimer’s disease

*Cancer

*Diabetes

*Stroke

50
Q

Geriatrics:

A

the study of health, wellness, and disease later in life.

51
Q

Gerontology:

A

the study of the aging process in people from mid-life through old age.

52
Q

Ageism:

A

prejudice toward, stereotyping of, and/or discrimination against older persons or the elderly.

53
Q

Facts about aging:

A

*Older adults have many different capabilities.

*Stereotypes are false.

*Older persons are usually active.

*Aging is a normal process, not a disease.

*Aging persons need to adjust to change.

*Normal changes of aging do not mean an older person must become dependent, ill, or inactive.

54
Q

Normal changes of aging:

A

*Thinner, drier, more fragile, and less elastic skin

*Weaker muscles

*Bones become more brittle and lose density

*Decreased sensitivity of nerve endings in skin

*Slower responses and reflexes

*Short-term memory loss

*Changes in senses
Less efficient heart

*Decreased oxygen in blood

*Urinary elimination more frequent

*Decreased appetite

*Digestion takes longer

*Hormone levels decrease

*Weakened immunity

*Change in lifestyle

55
Q

Abnormal changes of aging:

A

*Signs of depression

*Suicidal thoughts

*Loss of ability to think logically

*Poor nutrition

*Shortness of breath

*Incontinence

56
Q

Developmental disabilities:

Types:

A

def: disabilities that are present at birth or emerge during childhood that restrict physical or mental ability, generally prior to the age of 22.

Types:

*Intellectual disabilities

*Down syndrome

*Cerebral palsy

*Spina bifida

*Autism spectrum disorder (ASD)

57
Q
A