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NUR 321 > E2: Young & Middle Adults > Flashcards

E2: Young & Middle Adults Flashcards

1
Q

What age are YA?

A

18-35

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1
Q

Social context that defines YA?

A

Voting, ETOH(alcohol), culture

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2
Q

Key milestones in YA?

A

Economic independence
Committed long-term relationships
Independent Decision making

Potentially difficult period

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3
Q

What age are men and womens physical growth completed?

A

17 for Women
21 for Males

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4
Q

Describe YA’s Biology

A

-Healthy & Active
-Physical and emotional changes
-Increase in critical thinking and decision making capabilities

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5
Q

What stage of Erikson’s Psychosocial development are YD in?

A

Intimacy vs. Isolation

Seeking meaningful friendships and intimate relationships

Isolation occurs when the young adult avoids making commitment to others

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6
Q

What are the life-change adjustments in YA?

A
  1. Adjusting to career change or career move
  2. Adjusting to relocation
  3. Balancing multiple roles
  4. Developing long-term goals for family security
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7
Q

Describe YA’s identity

A
  1. Increasing separation from family authority
  2. Beginning adult identity
  3. Work provides self-esteem and socialization
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8
Q

Describe YA’s work and personal responsibilites

A
  1. Work and personal balance
  2. Developing relationships within workforce
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9
Q

What are YA characteristics?
(Make sure to note stage of Piaget and Kohlberg)

A

-Abstract, analytical (Piaget)
-Principled to moral reasoning (Kohlberg)
-Healthiest time of life
-Peak abilities (venturesome, daring, aggressive)
-Less experience with death
-Risk takers
-Lack of fear (underuse of seatbelts, helmets, etc)
-“it won’t happen to me” mentality

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10
Q

YA challenges?

A

More life changes needing adaptation leading to stress.
Can be positive or negative

Stress management

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11
Q

Normative (Positive) stressors for YA

A

Marriage
Having children
Starting a career

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12
Q

Other (Negative) stressors for YA

A

Miscarriage
Serious Illness
Death of loved one
Divorce

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13
Q

What is achievement oriented stress?

A

-Internal pressure to succeed defined goals
-“workaholic” habit such as lack of sleep or skipping meals
-Can be serious both physically and emotionally leading to nutrition problems and burnout

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14
Q

Health risk in YA

A

Usually originate in community, lifestyle patterns, and family history
-Unintentional injuries (not wearing seatbelt)
-Substance use
-Violence
-Suicide
-Risky Sexual behaviors
–workplace hazard

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15
Q

What is the main focus for health promotion in YA?

A

PREVENTION

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16
Q

What should we do as nurses to help with health promotion in YA?

A
  1. Encourage 1-2 year check ups
  2. Educate
  3. reduce alcohol and drug use
  4. Improve mental health
  5. decrease incidence of accidents, injuries, and acts of violence
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17
Q

What should we focus on as nurses when collecting behavioral health history from YA?

A

Focus on Health risk behaviors:
-Seat belt use
-Substance use
-Activities that can cause injury
-Stress
-Dietary, Exercise, and sleep patterns

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18
Q

When we provide Health care interventions for adults it must……

A

be relatable
Example: Friend or someone their age with head injury due to MVA

19
Q

What should you focus on during health promotion: Exercise for YA?

A

Focus on safety measures when doing recreational activities
Ex. Helmets for bicycles, suncreen when outdoors

20
Q

What are Health promotion recommendations for sleep in YA?

A

-Change activity or stressors
-Try out new tasks or physical activities
-Sleep Hygiene (before bed don’t drink caffiene, use phones, dark room, calm environment)

21
Q

Infertility effects ___% of “reproductive couples” in U.S.

A

10-15%
Increased diagnosis in those >25 years

22
Q

Half of all new STIs occur in people _______ years old

A

24 yrs or younger

23
Q

What is a nurse intervention to help with STIs in YA?

A

Educate about STI prevention, identification, treatment of symptoms, and what to do

24
Q

Signs and symptoms of depression in YA?

A

Crying
Difficulty Socializing
Not leaving house
Eating pattern changes
Sleep pattern changes
Losing interest/ pleasure in doing things
Issues with concentration
Often friend or relative is one to recognize the problem

25
Q

Effects of depression

A

Suicide
Substance abuse
Eating disorder

26
Q

What are general nursing applications for YA?

A
  1. Play the role of the Counselor
    -Listen
    -Offer support and concern
    -Remove barriers
    -Provide resources or support groups specific to the stressor
27
Q

In YA, The goal of the nurse are aimed at

A
  1. Maintaining optimal physical conditions
  2. Encourage healthy habits
  3. Screening for disease
  4. Treating illnesses
28
Q

General barriers to change in YA?

A
  1. Lack of motivation
  2. Lack of knowledge
  3. Insufficient skills to change health status
  4. Undefined short and long term goals
  5. Lack of social support
29
Q

What age are MA?

A

36-64 years

30
Q

Describe the time of dynamic change in MA?

A
  1. Physiological decline begins, but relatively healthy
  2. Early lifestyle choices begin to yield cost or benefit
31
Q

Describe the “sandwich generation”

A

stage in MA of major economic productivity and family responsibility for growing children and aging parents

32
Q

What are the physiological changes and the onset of chronic conditions in MA?

A
  1. Physiological Changes start at 45
    -Hair and skin
    -weight
    -Presbyopia (near-vision)
    -Prescumpis (hearing)
    -Menopause & climacteric
  2. Onset of chronic conditions
    -Cancer
    -Heart Disease
33
Q

What stage of Erikson’s Psychosocial development are MA in?

A

Generativity vs stagnation

establishing or guiding the next generation, encompasses desire to care for others

Stagnation occurs when a person becomes self-absorbed, fails to care for others

Time of critical review- looking at life choices and evaluating who they are in life

34
Q

Describe a midlife crisis

A
  1. Recognize
    -Physical agility is declining
    -Inevitability of one’s own death
    -Mistakes made in the past
    -Less time to make changes
  2. Result is acceptance
  3. Non-acceptance results in a true midlife crisis
  4. Realize that their choices affect others
35
Q

MA challenges

A
  1. Divorce of self or offspring
  2. Young adults moving back home
  3. raising grandchildren
36
Q

MA life events with potential disruptive effects

A

-2 or more job families
-Divorce
-Caring for aging parents
-Death of spouse
-Unintended pregnancy

37
Q

Leading causes of death in MA

A

-Malignant Neoplasms: 2nd leading cause of death
-Unintended injuries
-Heart Disease: leading cause of death over age 44

Many diseases preventable through healthier lifestyle and routine primary care

37
Q

Chronic conditions in MA

A

Heart disease
Arthritis
Back and Spine impairments
COPD
Diabetes Mellitus
Mental health conditions
Dental disease

38
Q

What are the leading cause of death associated with obesity

A

Diabetes
Cardiovascular disease
Hypertension

38
Q

What health promotion activities are used for weight management in MA?

A

-Calorie reduction
-Increase physical activity
-Normalize weight
-Reduce risk for chronic disease

38
Q

Health Promotion exercise recommendations and benefits?

A

Recommendations
-30 mins, 5 or more days/ week
-Continuous, rhythmic exercise

Benefits
-Prevent/ manage chronic illness
-Significant increase in life expectancy/ quality of life

39
Q

Oral health in MA

A

Gingivitis
Periodontitis
Teach dental hygiene and dental exams

40
Q

Describe sleep in MA?

A

-Less time in deep sleep
-Less sleep overall
-Insomnia common

41
Q

Describe health promoting guidelines for sleep in MA?

A

-Keep regular sleep schedule
-Quality
-May need occasional napping

42
Q

Barriers to change in MA?

A

-Lack of materials
-Lack of social supports
-Lack of motivation
-Lack of knowledge
-Insufficient skills to change habits
-Undefined goals (short & long term)

NUR 321 (7 decks)

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