Class 1 Flashcards
Mental illness
Maladaptive responses To stressors from the internal or external environment, evidenced by thoughts, feelings, and behaviors that are incongruent with the local and cultural norms, and interfere with the individuals, social, occupational, and or physical functioning
Fight or flight syndrome
Alarm reaction stage; during this stage, the response of the flight or flight syndrome are initiated
Stage of resistance; the individual uses the physiological response of the first stage as a defense, in an attempt to adapt to the stressor. If adaption occurred, the third stage is prevented are delayed. Physiological symptoms may disappear.
Stage of exhaustion; the stage occurs when there is a prolonged exposure to the stressor to which the body has become adjusted. The adaptive energy is depleted, and the individual can no longer draw from the resources for adoption described in the first two stages. Diseases of adoption (Headaches, mental disorders, coronary artery, disease, ulcers, colitis ) May occur. Without intervention for reversal, exhaustion, or even death ensues 
Anxiety
Anxiety is a feeling of discomfort and apprehension related to fear of impending danger. Individuals may be unaware of the source of their anxiety, which is often accompanied by feelings of uncertainty and helplessness.
Grief
Grief is a subjective feeling of sorrow and sadness, accompanied by emotional, physical, and social responses to the loss of a loved person or thing
Mental health
Need successful adoption to stressors from internal or external environment, evidenced by thoughts, feelings, and behaviors that are age, appropriate and congruent with local and cultural norms
Coping skills
Coping behaviors that enhance one’s adaption
Ego defense mechanisms
Used either consciously or unconsciously as protective devices for the ego in an effort to relieve mild to moderate anxiety. They become maladaptive when an individual uses them to such a degree that the defense mechanism interferes with the ability to deal with reality, with interpersonal relations, or with occupational performance
Neurosis
Is psychiatric disturbance characterized by excessive anxiety that is expressed directly or altered through defense mechanisms. Although there is no gross distortion of reality or severe personality, disorganization, the symptoms are significant enough to impair a persons functioning.
Psychosis
Significant thought disturbance, in which reality testing is impaired, resulting in delusions, hallucinations, disorganized, speech, or catatonic behavior
Therapeutic relationship
An interaction between two people in which input from both participants contributes to a climate of healing, growth, promotion, and/or illness prevention
Rapport
Implies special feelings on the part of both the patient and the nurse based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude
Unconditional positive regard
The attitude is nonjudgmental, and the respect is unconditional, and that it does not depend on the behavior of the patient to meet certain standards
Genuineness
The nurses ability to be open, honest, and real and interactions with the patient
Empathy
The ability to see beyond outward behavior and understand the situation from the patient’s point of view 
Transference
When the patient unconsciously displaces to the nurse feelings, formed toward a person from their past
Counter transference
The nurses, behavioral and emotional responses to the patient
Communication
An interactive process of transmitting information between two or more entities
Territoriality
The innate tendency to own space
Density
The number of people within a given environmental space, and it has been shown to influence interpersonal interaction
Paralanguage
Vocal component of the spoken word. It consists of pitch, tone, and loudness of spoken messages, the rate of speaking, expressively placed positive, and emphasis assigned to certain words.
Therapeutic communication
Caregiver verbal and nonverbal techniques that focus on the Care receivers, needs and advance, the promotion of healing and change. Therapeutic communication encourages exploration of feelings and fosters understanding of behavioral motivation. It is nonjudgmental, discourages, defensiveness, and promotes trust.
Nursing process
Provides a systematic framework for the delivery of nursing care
ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation 
Assessment
A systematic, dynamic process by which the registered nurse, through interaction with the patient, family, groups, communities, populations, and healthcare providers, Collects and analyzes data. Assessment may include the following dimensions, physical, psychological, social, cultural, spiritual, cognitive, functional abilities, developmental, economic, and lifestyle.
Nursing diagnosis
A nursing diagnosis involves clinical judgments concerning human responses to health conditions and life processes, or susceptibility to responses, that are recognized, in an individual, caregiver, family, group, or community. It also provides a basis for selection of nursing interventions to achieve outcomes, for which the nurse has accountability.
Outcomes
Outcomes are patient behaviors, and responses that are collaboratively agreed upon, measurable, desired results of nursing interventions
Planning
Planning involves selection of nursing interventions, directed toward helping the patient achieve identified outcomes
Implementation
Implementation is the execution of identified nursing interventions
Evaluation
The process of determining the patient’s progress toward attainment of expected outcomes and the effectiveness of the registered nurses interventions
Ethics
Branch of philosophy, that deals with systematic approaches to distinguishing right from wrong behavior
Bioethics
The term applied to these principles when they refer to concepts within the scope of medicine, Nursing, and allied health
Morals
Fundamental standards of right and wrong that are learned and internalized
Moral behavior
Conduct that result from serious critical, thinking about how individuals are to treat others
Values
Personal beliefs, and ideas about what is important and desirable
Values clarification
Process of self exploration through which individuals identify and rank their own personal values
Rights
Expectations to which an individual is entitled either by establish laws, policies, or ethical principles. A right is absolute when there is no restriction whatsoever on the individuals entitlement.
Utilitarianism
This principal holds that actions are right to the degree that They tend to promote happiness and wrong, if they tend to produce the reverse of happiness.
Kantianism
Directly opposed to utilitarianism. It is not the consequences or results that make an action right or wrong rather, it is the principal or motivation on which the action is best. That is the Morley decisive factor.
Divine command, ethics
Decision making is focused on what is commanded by God
Christian ethics
Ethical decisions are based in the way of life and teachings of Jesus Christ
Natural law theory
Based on the writings of Saint Thomas Aquinas, and advances the idea that decisions about right versus wrong or self evident, and determined by human nature
Ethical egoism
What is right and good is what is best for the individual making a decision
Ethical dilemma
A situation that requires an individual to make a choice between two equally balanced alternatives
Autonomy
Individuals are capable of making independent choices for themselves
Beneficence 
One’s duty to benefit or promote the good of others
Advocacy
Acting on another’s behalf, being a supporter or defender
Non-malfeasance
Requirement that healthcare providers do no harm to their patients, either intentionally or unintentionally
Justice
The right of individuals to be treated equally and fairly regardless of race, gender, sexual orientation, marital status, medical diagnosis, social, standing, economic, level, or religious beliefs
Veracity
One’s duty to always be truthful
Statutory law
A law that has been enacted by legislative body, such as a county or city council
Common-law
Drive from decisions made in previous cases
Civil law
Protects the private and property, rights of individuals and businesses
Tort
Violation of a civil on which an individual has been wrong
Criminal law
Provides protection from conduct deemed interest to the public welfare
Informed consent
Preservation and protection of individual autonomy, and determining what well, and will not happen to the persons body
False imprisonment
Deliberate and unauthorized confinement of a competent person with the intent to prevent them from leaving the hospital; this include use of threats or medication’s that interfere with the clients ability to leave the facility
Negligence
Failure to exercise the care toward others that are reasonable or prudent person would do in the circumstances, or taking action at such a reasonable person, would not
Malpractice
An act or continuing conduct of a professional that does not meet the standard of professional competence and results and provable damages to their client or patient
Acculturate
Give up, cultural practices are values as a result of contact with another group
Assimilate
Incorporating practices and values of the majority culture
Distance
The means by which various cultures use space to communicate
Enculturation or socialization
Cultural behavior socially acquired 
Individualistic culture
Believe that people should take responsibility for themselves and do what they want to do independent of the opinions of family and community
Collectivist culture
Input from family and friends is highly valued
Cultural syndromes
Specific to a cultural group, and do not share an exact correlation to any diagnostic categories, listed in the diagnostic and statistical manual of mental disorders, fifth edition
Milieu Therapy
The scientific structuring of the environment, in order to affect behavioral changes, and improve the psychological health and functioning of the individual
Group
A group is a collection of individuals, whose association is founded on shared interest, values, norms, or purpose. Membership in a group is generally by chance, by choice, or by circumstance.
Group therapy
Group therapy is a form of psychological treatment in which a number of clients meet together with a therapist for purposes of sharing, getting personal insight, and improving interpersonal coping strategies
Autocratic leaders
Have personal goals for the group, they withhold information from group members, particularly issues that may interfere with achievement of their own objectives
Democratic leaders
Focus on the members of the group, information is shared with members in an effort to allow them to make decisions regarding achieving the goals for the group
Laissez-faire, Leader
Non-involvement, goals for this group are undefined, no decisions are made. No problems are solved, and no action is taken.
Psychodrama
Clients become actors in life situation scenarios
Family
Two or more individuals who depend on one another for emotional, physical and economical support. The members of the family are self defined.
A treatment modality that identifies the family, rather than any one individual, as the client. The family is assisted to solve identified problems within the context of the family group. 
Genogram
A visual presentation of the members, the relationships, and sometimes their health issues, across several generations. It provides a convenient way to visualize and summarize a great deal of information in a concise format.
Crisis
A crisis is an acute event perceived by the individual as distressing, and in which coping mechanisms and support systems, are inadequate to manage associated anxiety
Dispositional crisis
An acute response to an external situational stressor
Crisis of anticipated, life transitions
Normal lifecycle transitions may be anticipated, but the individual may feel a lack of control over them
Crisis resulting from traumatic stress
Crisis, precipitated by an unexpected external stressor, over which the individual has little or no control, resulting in feelings of being emotionally, overwhelmed, and defeated
Maturational and developmental crisis
Crisis that occur in response to failed attempts to master, developmental task, associated with transitions in the lifecycle
Crisis, reflecting psychopathology
A crisis that is influenced or triggered by pre-existing psychopathology. Examples of psychopathology that may precipitate crisis, include personality, disorders, anxiety, disorder, bipolar disorder, and schizophrenia.
Psychiatric emergencies
Crisis situation’s, in which general functioning has been severely impaired, and the individual rendered incompetent or unable to assume personal responsibility for their behavior. Examples include acutely, suicidal individuals, drug overdoses, reactions to hallucinogenic, drugs, acute psychosis, uncontrollable, anger, and alcohol intoxication.l
Anger
Is often described as a secondary emotion. For example, it may be a response to unresolved, grief, depression, fear, anxiety, or unresolved post traumatic stress. 
Aggression
Includes verbal and physical attacks that intend harm to another, and often reflect a desire for dominance and control
Prodromal Syndrome 
Characterized by anxiety and tension, verbal abuse and profanity and increasing hyper activity. These escalating behavior usually do not occur in stages, but most often overlap, and sometimes occur simultaneously.
Recovery
Recovery is an ongoing process of movement toward improvement in health and quality of life
Hope
Is internalized, and can be fostered by peers, families, providers, allies, and others. Hope is the catalyst of the recovery process.
Suicide
Not a diagnosis or a disorder; it is a behavior
Suicide risk factors
Identified as factors that have statistically been correlated with higher incidence of suicide
Suicide, warning, signs
Identified as factor suggesting a more immediate concern
Primary prevention
Services aimed at reducing the incidence of mental disorders within the population
Secondary prevention
Interventions aimed at minimizing early symptoms of psychiatric illnesses, and directed toward reducing the prevalence and duration of the illness
Tertiary prevention
Services aimed at reducing the residual challenges that are associated with severe and persistent mental illness
Community
A group, population or cluster of people with at least one common characteristic, such as geographic location, occupation, ethnicity, or health concerns
Social skills training
Training in verbal and nonverbal skills needed for effective interpersonal relationships, Rehabilitation and recovery, and family therapy 
Psychosis
A severe mental condition in which there is disorganization of the personality, deterioration of social functioning, and lots of contact with or distortion of reality. There may be evidence of hallucinations and delusions. Psychosis can occur with or without the presence of organic impairment.
Schizophrenia
Disabling mental disorder. In untreated clients or those not responsive to treatment the disturbances and thought processes, perception affect, and behavior invariably result in severe deterioration of social and occupational functioning.
Positive symptoms
Referred to as positive symptoms because they are added to the clinical picture. Examples are delusions and hallucinations. Respond with greater empathy to dopamine reducing drugs Than those with negative symptoms
Negative symptoms
Deficits, such as apathy, poverty of ideas and loss of drive
Delusions
Fixed false beliefs that are irrational, and that the individual maintains her as true, despite evidence to the contrary. These police are not explainable as part of the persons, usual, religious, or cultural precepts.
Loose associations
Characterized by speech in which ideas shift form one unrelated subject to another. Typically the individual with loose associations is unaware that the topics are unconnected. When the condition is severe speech may be incoherent.
Antipsychotic
Drug used to treat disorders involving thought processes; dopamine, receptor blocker that helps affected people to organize their thoughts and respond appropriately to stimuli
Attention deficit disorder
Behavioral syndrome characterized by an inability to concentrate for longer than a few minutes and excessive activity
Bipolar disorder
Behavioral disorder that involves extremes of depression, alternating with hyperactivity and excitement
Major tranquilizer
Former name of antipsychotic drugs; the name is no longer used, because it implies that the primary effect of these drugs is sedation, which is no longer thought to be the desired therapeutic action
Mania
State of hyperexcitability; one phase of bipolar disorder, which alternate between periods of, severe depression, and mania
Narcolepsy
Mental disorder, characterized by daytime, sleepiness, and periods of sudden loss of wakefulness
Narcoleptic
A drug with many associated neurological adverse effects that is used to treat disorders that involve thought processes i.e. schizophrenia
Schizophrenia
The most common type of psychosis; characteristics include hallucinations, paranoia, delusions, speech, abnormalities, and affective problems
Anti-colinergic
Drugs that oppose the effects of acetylcholine at acetylcholine receptor sites
Belladonna
A plant that contains atropine as an alkaloid; used to dilate pupils in a fashion statement in the past; used in herbal medicines, such as atropine is used today
Cycloplegia
Inability of the lens in the eye to accommodate near vision, causing blurring and inability to see near objects
Mydriasis
Relaxation of the muscles around the pupil, leading to pupil dilation
Parasympatholytic
Lysing, or preventing parasympathetic effects
Bradykinesia
Difficulty in performing intentional movements and extreme slowness and sluggishness; characteristic of Parkinson’s disease
Corpus striatum
Part of the brain that reacts with the substantia nigra, to maintain a balance of suppression and stimulation
Dopaminergic
Drug that increases the effects of dopamine at receptor sites
Parkinson’s disease
Debilitating disease characterized by progressive loss of coordination and function, which results from the degeneration of dopamine producing cells in the substantia nigra
Parkinsonism
Parkinson’s disease like extrapyramidal symptoms that are adverse effects associated with particular drugs or brain injuries
Substantia nigra
A part of the brain region dopamine and dopamine receptors; sight of the generating neurons in Parkinson disease
Air trapping
Incomplete emptying of alveoli during expiration due to loss of lung tissue expiration ( Emphysema ), Bronchospasm (Asthma ), or Airway obstruction 
Alpha one antitrypsin deficiency
Genetic disorder resulting from deficiency of alpha-1, anti-trypsin, a protective agent for the lungs; increases patient’s risk for developing panacinar emphysema, even in the absence of smoking
Asthma
A heterogeneous disease, usually characterized by chronic airway inflammation; defined by history of symptoms, such as wheezes, shortness of breath, chest tightness, and cough that vary over time and in intensity
Bronchiectasis
Chronic, irreversible, dilation of the bronchi and bronchioles that result from the destruction of muscles and elastic connective tissue; dilated airways become saccular and are a medium for chronic infection
Chest percussion
Manually cupping hands over the chest wall and using vibration to mobilize secretions, by mechanically dislodging, viscous or adherent secretions in the lungs
Chest physiotherapy CPT
Therapy used to remove bronchial, secretions, improve, ventilation, and increase the efficiency of the respiratory muscles; types include postural, drainage, chest, percussion, and vibration, and breathing retraining
Chronic bronchitis
A disease of the airway is defined as the presence of cough and sputum production, for at least a combined total of three months in each of the two consecutive years
Chronic obstructive, pulmonary disease, COPD
Disease state characterized by airflow, limitation, that is not fully reversible; sometimes referred to as chronic airway obstruction or chronic obstructive lung disease
Desaturate
A precipitous drop in the saturation of hemoglobin with oxygen
Dry powder, inhaler dpi
A compact, portable, inspiratory flow driven inhaler that delivers dry powder medication’s into the patient’s lungs
Emphysema
A disease of the airways characterized by destruction of the walls of over distended alveoli
Flutter valve
Portable, handheld mucus clearance device, consisting of a tube with an osculating steel ball inside; upon expiration high frequency, escalations, facilitate mucous expectoration 
Fraction of inspired oxygen, FiO2
Concentration of oxygen delivered
Hypoxemia
Decrease in arterial oxygen tension in the blood
Hypoxia
Decrease in oxygen supply to the tissues and cells
Polycythemia
Increase in the red blood cell concentration in the blood; in COPD, the body attempts to improve oxygen, carrying capacity by producing increasing amounts of red blood cells
Postural drainage
Positioning the patient to allow drainage from all lobes of the lungs and airways
Pressurized metered dose inhaler PMDI
A compact, portable patient activated, pressurized Medication canister that provides aerosolized medication that the patient inhales into the lungs
Small volume nebulizer, SVN
A handheld generator driven medication delivery system that provides aerosolized liquid medication that the patient inhales into the lungs
Spirometry
Pulmonary function test that measures specific lung volumes, and rates may be measured before and after bronchodilator administration
Vibration 
A type of massage given by quickly, tapping the chest with fingertips, or alternating the fingers in a rhythmic manner, or by using a mechanical device to assist and mobilizing lung secretions
Acute coronary syndrome
A constellation of signs and symptoms due to the rupture of atherosclerotic , plaque and result in partial or complete thrombosis within a diseased Coronary artery
Afterload
The amount of resistance to ejection of blood from the ventricle
Apical impulse
Impulse normally palpated, at the fifth intercostal space, left ventricular line; caused by contraction of the left ventricle; also known as point of maximal impulse
Atrial ventricular node, AV
Secondary pacemaker of the heart, located in the right, atrial wall near the tricuspid valve
Baroreceptors
Nerve fibers located in the aortic arch and Carotid arteries that are responsible for control of blood pressure
Cardiac catheterization
An invasive procedure used to measure cardiac chamber pressures, and assess patency of the coronary arteries
Cardiac conduction system
Specialized heart cells strategically located throughout the heart that are responsible for methodically generating and coordinating the transmission of electrical impulses to the myocardial cells
Cardiac output
Amount of blood pumped by each ventricle in liters per minute
Cardiac stress test
A test used to evaluate the functioning of the heart during a period of increased oxygen demand; test may be initiated by exercise or medication’s.
Contractility 
Ability of the cardiac muscle to shorten in response to an electrical impulse
Depolarization
Electrical activation of a cell caused by the influx of sodium into the cell wall while Potassium exits the cell.
Diastole 
Period of ventricular relaxation resulting in ventricular filling.
Ejection fraction
Percentage of the end, diastolic blood volume ejected from the ventricle with each heartbeat