Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NUR 51100 Concepts and Applications of Health Promotion for Advanced Practice Nursing > Exam 2 > Flashcards

Exam 2 Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Pharmacology flashcards NCLEX-RN® flashcards Nursing Mental Health flashcards Nursing Fundamentals flashcards Nursing Safety & Infection flashcards Nursing Adult Health flashcards NCLEX-PN® flashcards Nursing Management of Care flashcards Nursing Pediatrics flashcards Nursing Maternity flashcards
1
Q

BMI

A

body mass index using weight and height to determine overweight and obesity ranges.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Overweight

A

BMI between 25 & 29.9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Obesity

A

BMI between 30 & 40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Morbid Obesity

A

BMI of 40 and higher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Overweight in Children

A

BMI in the 85th percentile and lower than the 95th percentile for children of the same age and sex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Obesity in Children

A

BMI in or above the 95th percentile for childen of the same age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Indiana

A

10th highest in obesity rates at 32.5% in 2016

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Causes of Obesity

A 
age
gender
genetics
environmental factors
physical activity
psychological factors
illness
medication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Comorbid Conditions

A 
Coronary heart disease
DM2
cancers (endometrial, breast, colon)
HTN
HLD
CVA
Sleep apnea and resp 
gynecological problems (abnormal menses, infertility)
liver and gallbladder disease
OA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Childhood Obesity Health Risks

A 
HTN
Resp/Asthma
DM2
MS
GI
social/psychological
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Metabolic Syndrome

A 
Abdominal Obesity (waist Circumference.  >40 inch in men, >35 inch in men)
Elevated Triglycerides
HDL
B/P
FBS (DM)
Thyroid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Readiness for Change

A

suggest healthy eating - not diet. What have then done in the past?
identify barriers
goals
plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

1 - 2 pound/week wt loss

A

500 - 1000 calories less per week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

short term goal of 5 - 10% wt loss

A

6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

6 month Short Term wt loss goal

A

5 - 10%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

500 - 1000 calories/week

A

1 - 2 pound/week wt loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Nutritional Intake Assessment

A
  • Frequency of eating outside the home
  • Sweetened beverages
  • breads & Pastas
  • Portion size/refills
  • frequency & quality of breakfast consumption
  • energy density foods
  • fruits and vegetables
  • meal frequency & snacking pattern
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

LCD

A

Low Calorie Diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Low Calorie Diet

A

recommended for weight loss.
Protein - 4 calories/gram
Cho - 4 calories/gram
Fat - 9 calories/gram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Reduce total body weight

A

by 8% in 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Very LCD

A

<800 calories produce greater initial weight loss, but faster is not necessarily better. Long term is better.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Low Calorie Step 1 Diet

A

Calories 500 - 1000 reduction per day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Physical Activity

A
  • modestly contributes to wt loss
  • may decrease abd fat
  • increases cardio-respiratory fitness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Benefits of Physical Activity in relation to wt loss

A
  • increases energy expenditure
  • protects and builds lean body mass
  • improves psychological factors
  • reduces risk of mortality and morbidity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Physical Activity Impact of Co-Morbidities

A
  • improves cardio-respiratory
  • lower lipids
  • lowers b/p
  • increases insulin sensitivity
  • improves blood glucose control
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Behavior Therapy Strategies

A
  • self monitoring
  • stress management
  • stimulus control
  • problem solving
  • contingency management
  • cognitive restructuring
  • social support
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Self Monitoring & Stimulus Control

A

Keep a Diary
Behavior change techniques
Use rewards for specific actions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Keep a Diary

A
  • Amount &types of food eaten
  • Frequency, intensity & type of physical activity
  • Time, place and feelings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Behavior Change Techniques

A
  • Learn to shop for healthy foods
  • Keep high caloir foods out of the home
  • Limit the times and places of eating.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Stress Management

A
  • Defuse situations that lead to overeating
  • Coping strategies
  • Mediation
  • Relaxation techniques
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Problem Solving

A
  • Self correction of problem areas related to eating and physical activity
  • identify wt related prloblems
  • brainstorm solutions
  • plan and implement healthier alternatives
  • evaluate outcomes
  • encourage pt reevaluation of “setbacks”.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Cognitive Restructuring

A
  • Rational thoughts designed to replace negative thoughts.
33
Q

Support

A
  • Maintain motivation and positive reinforcement

- Family, Friends, Colleagues

34
Q

Drug Therapy

A

non-drug interventions should be attempted for at least 6 months prior to considering Rx tx

35
Q

Who is Drug Therapy appropriate for?

A
  • BMI 30+ w/o co-morbities

- BMI 27+ w/ co-morbitieis (HTN, HLD, CHD, DM, Sleep apnea)

36
Q

Orlistat

Xenical

A
  • 120 mg TID AC meals (>12)
  • decreases fat absorption
  • can be taken up to 4 years
  • SE: GI
  • 5% loss of body weight w/ diet & exercise
  • OTC
37
Q

Adipex

amphetamine

A
  • 37.5 mgp day X 4 weeks
  • resting EKG & Lipids prior to initiation
  • weekly wts w/ diet & exercise (script for 1 week only)
  • SE: HTN, tachycardia, insomnia, palpitations, anxiety
38
Q

Osymia

Pentermine & Tompiramate

A
  • phentermine: appetite suppressant
    Topiramate: stimulant, promote saiety
    SE: Phen: insomnia, palpitations, anxiety, risk of birth defects. Topiramate: drowsiness
39
Q

Contrave

bupropion & naltrexone

A
  • bupropion - antidepressant that decreases hunger but also increases certain opioids in the brains that block satiety.
    Naltrexone - opiod inhibitor-blocks affects of buproprion on opioids in brain.
    SE: nausea, increase suidcide resk w/ bupropion and lowers seizure threshold.
40
Q

Criteria for Wt Loss Surgery

A
  • BMI > 40 or >35 w/ co-morbid conditions
  • for pt whom medical therapy has failed
  • gastric restriction or gastric bypass
41
Q

Gastric Bypass Surgery Complications

A 
Vit B 12 deficiency
incisional hernia
dpression
gastritis
cholecystitis
dehydration
malnutirition
dilated pouch
42
Q

Who Smokes?

A
  • more people quitting
  • not fewer people starting
  • highest rate is black males
  • 26% of all Americans >18 years of age smoke (2007)
43
Q

Why Start Smoking?

A
  • alleviate stress
  • peer pressures
  • family hx, parental modeling
  • poor
  • want to appear mature
  • risk takers
  • extroverted peeps
  • alleviation of depression
  • substance abuse (ETOH)
44
Q

Child & Adolescent Smokers

A

3000 teens start smoking everyday

45
Q

Women & Smoking

A
  • smoking helps w/ depression and appetite suppression
  • typically gain 5 - 10 pounds w/ cessation
  • easier to control from the beginning of cessation
46
Q

Smoking Cessation

A
  • 50% of smokers want to quite
  • –it is expensive, $3, 391/yr
  • discuss previous attempts
  • –2/3 unsuccessful w/ 1st try
  • –what went well?
  • –why relapse
  • success rates are low
47
Q

5 A’s,

Smoking Cessation Steps

A

1) ask about tobacco use
2) advise to quit
3) assess willingness to quit
4) assist in quit attempt
5) arrange for f/u

48
Q

Pack years

A

of years X # of packs/day

49
Q

5 R’s

Assist w/ motivation

A

1) Relevance
- —kids
2) Risks
- —COPD, smell, walls
3) Rewards
- —better health, more money
4) Roadblocks
- —wt gain, depression, routine is changed
5) Repetition
- —enforce every visit and encourage

50
Q

Health Belief Model & Smoking Cessation

A
  • more likely to quit if…
  • –believe they could get smoking-related disease
  • —believes they can make an honest attempt
  • —believes the benefits of quitting outweigh the benefits of smoking
  • —know someone who has health problems from smoking
51
Q

Transtheoretical Model & Smoking Cessation

A
  • Pr-contemplator
  • —not ready
  • contemplator
  • —excuses but thinking about it
  • Preparation
  • —seriously intend to quit in the next month
  • Action
  • —first 6 months of not smoking
  • Maintenance
  • —6 months to 5 years for relapse
52
Q

Quitting Advice

A
  • pick a quit date
  • tell family and friends
  • prepare
  • —gum, healthy snacks
  • pick a strategy
  • —patch, gum, vaper
  • find support
53
Q

Types of Nicotine Replacement

A
  • transdermal
  • gum
  • nicotine nasal spray
  • inhalers
  • oral agents
54
Q

Nicotine Patch

A
  • measured dose through the skin
  • no prescription needed
  • start full-strength 15 - 22 mg QD for 4 weeks
  • then 5 - 14 mg QD for 4 weeks
  • FDA recommends 3 - 5 months. some show 8 wks is sufficient
55
Q

Nicotine Gum

A
  • fast acting
  • OTC
  • 2 - 4 mg doses
  • no more than 20 mg/day
  • use for up to 6 months
  • can form long term dependence
  • also have Commit lozenge
56
Q

Nicotine Nasal Spray & Inhalers

A
  • fast acting
  • prescription only
  • FDA says addictive 3 - 6 months only
  • do not use for asthmatics and/or sinus problems
57
Q

Bupropion

for smoking cessation

A
  • wellbutrin/zyban
  • can be used w/ nicotine replacement
  • higher quit rates
  • can’t take if hx of seizure, anorexia, ETOH use or head injury
58
Q

Bupropion
for smoking cessation
dosing

A
  • take 7 - 12 weeks
  • take 10 - 14 days prior to stopping smoking
  • 150 mg q day x 3 days then 150 mg bid
59
Q

Chantix

for smoking cessation

A 
- set stop date
start one week prior to stop date
- take after eating and w/ full glass of water
- contradicted in unstable depression
- 0.5 mg QD X 3 days
- 0.5 mg BID X 7 days
- 1 mg BID X 12 weeks
60
Q

Cephalcaudal Growth Pattern

A
  • a child’s pattern of growth

- head-to-toe direction

61
Q

Proximodistal Growth Pattern

A
  • also a child’s growth pattern

- an inward to outward direction

62
Q

Domains Assessed in Child development assessment

A 
cognitive
motor
language
social/behavioral
adaptive
63
Q

Gross Motor Skills

A
  • precedes fine motor skills
    occurs in cephalocaudal fasion (head-to-toe direction)
    —-head contorl preceding arm and hand control
    —-followed by leg and foot control
64
Q

Gross Motor Development of 6 Month old

A

easily lifts head, chest and upper abd and can bear weight on arms.

65
Q

Development Assessment, Sitting Up

A
  • 2 mo: needs assist
  • 6 mo: can sit alone in tripod position
  • 8 mo: can sit w/o support and engage in play
66
Q

Development Assessment,

Ambulation

A

9 mo: crawl
1 yr: stand independently from a crawl position
13 mo: walk and toddle quickly
15 mo: able to run

67
Q

Development Assessment,

Fine Motor of an Infant

A
  • objects involuntarily grasped and dropped w/o notice
  • 6 mo: palmar grasp, uses entire hand to pick up an object
  • 9 mo: pincer grasp, can grasp small objects using thumb and forefinger
68
Q

Development Assessment,

Speech Milestones

A

1-2 months: coos
2-6 months: laughs and squeals
8-9 months babbles: mama/dada as sounds
10-12 months: “mama/dada specific
18-20 months: 20 to 30 words – 50% understood by strangers
22-24 months: two word sentences, >50 words, 75% understood by strangers
30-36 months: almost all speech understood by strangers

69
Q

Development Assessment,

Hearing

A

BAER hearing test done at birth
Ability to hear correlates with ability enunciate words properly
Always ask about history of otitis media – ear infection, placement of PET – tubes in ear
Early referral to MD to assess for possible fluid in ears (effusion)
Repeat hearing screening test
Speech therapist as needed

70
Q

Development Assessment,

Red Flags in infant development

A
  • unable to sit alone by 9 mo
  • unable to transfer ojects from hand to hand by 1 year
  • abnormal pincer grip by age 15 mo
  • unable to walk alone by 18 mo
  • failure to speak recognizable words by 2 years
71
Q

Development Assessment,
Fine Motor
Toddler

A
  • 1 yr: trasfer objects from hand to hand
  • 2 yr: able to hold a crayon and color vertical strokes
  • —turn the page of a book
  • —build a tower of six blocks
  • 3 yr: copy a circle and a cross
  • 4 yr: use scissors, color within the borders
  • 5 yr: write some letters and draw a person w/ body parts
72
Q

Development Assessment,

issues in parenting toddlers

A
  • stranger anxiety
  • —dissipate by age 2.5 - 3 yr
  • temper tantrum
  • —dissipate by age 3 yr
  • sibling rivalry
  • thumb sucking
  • toilet training
73
Q

Development Assessment,
Fine Motor Skills
Pre-School

A
  • buttoning clothing
  • holding a crayon/pencil
  • building with small blocks
  • using scissors
  • playing a board game
  • draw a picture of themselves
74
Q

Development Assessment,

Red Flags in Pre-School development

A
  • inability to perform self-care tasks (hand washing, simple dressing)
  • lack of socialization
  • unable to play w/ other children
  • able to follow directions during an exam
  • performance eval of pre-school teacher for kindergarten readiness
75
Q

Development Assessment,
Fine Motor Skills
School Age Children

A
  • writing skills improved
  • refined fine motor skills
  • —building
  • —sewing
  • —musical instrument
  • —painting
  • —typing skills
  • —technology: computers
76
Q

Development Assessment,

Red Flags in School Age Child development

A
  • school failure
  • lack of firends
  • social isolation
  • aggressive behavior
  • —fights, fire setting, animal abuse
77
Q

Incidence of Illicit drug use

A
  • 6.1% of Americans >12 yr have used in previous month

- 1 in 20 HS seniors use marijuana QD

78
Q

Incidence of OTC Prescription drug abuse

A
  • sleeping medications

- health care professionals are at higher risk for prescription drug abuse

79
Q

Screening Tools for Substance Abuse

A
  • CAGE
  • AUDIT
  • —ETOH abuse

NUR 51100 Concepts and Applications of Health Promotion for Advanced Practice Nursing (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions