Exam 2 - Biopsychosocial Flashcards
1
Q
what is sensory deprivation?
A
decrease or lack of stimuli that is meaningful or routine
2
Q
what is affected from sensory deprivation?
A
Reticular articulating system (RAS)
3
Q
how is the RAS affected in sensory deprivation?
A
unable to maintain normal stimulation in cerebral cortex
4
Q
what are clinical manifestations of sensory deprivation? (5)
A
excessive yawning decrease attn span impaired memory confusion hallucinations or delusions
5
Q
what is sensory overload?
A
unable to process or manage the amount of stimuli
6
Q
what are clinical manifestations of sensory overload? (8)
A
fatigue sleeplessness irritability fatigue anxiety disorientation increase muscle tension racing thoughts
7
Q
what are the different types of sensory receptors?
A
external: visual auditory gustatory tactile olfactory
internal:
visceral
kinesthetic
stereogenesis
8
Q
what are barriers to perception?
A
physiological
environmental
psychological
9
Q
what are the four dimensions of self concept?
A
self knowledge
self expectation
social self
social evalutation
10
Q
what is self knowledge?
A
ones abilities, nature and limitation through ones own eyes
11
Q
what is self expectation?
A
realistic or unrealistic expectations from ownself
12
Q
what is social self?
A
how you are perceived by others and society
13
Q
what is social evaluation?
A
appraisal of oneself in relationships to others, events and/or situations
14
Q
four components of self concept
A
personal identity
body image
self esteem
role performance
15
Q
personal identity
A
name, gender, age, race, culture, occupation and talents
16
Q
body image
A
size, appearance, function
17
Q
role performance
A
how do they perform in a specific role
18
Q
role conflict
A
too many roles at once
19
Q
role ambiguity
A
the unknowing of how to perform a role
20
Q
role strain
A
overwhelming performance of a role
21
Q
role mastery
A
behaviors meet society standards
22
Q
self esteem
A
ones judgement of own worth
23
Q
global (self esteem)
A
liking oneself as a whole
24
Q
specific (self esteem)
A
approves of one part of self or particular part
25
```
change in physical appearance
declining physical, mental or sensory abilities
inability to achieve goals
relationships concerns
sexuality concerns
unrealistic ideal self
```
all may be stressors of what concept?
identity
26
```
body part loss
body function loss
disfigurement
unrealistic ideal self
invasion of privacy
pregnancy/puberty
wt change
sexual development
```
all may be stressors of what concept?
body image
27
```
lacking positive reinforcement from s/o
repeat failures
unrealistic expectations
abusive relationships
loss of finical security
```
all may be stressors of what?
self esteem
28
```
loss of parent
loss of spouse
loss of child
loss of friend
divorce
illness
ambiguous/role conflict
inability to meet expectations
```
are all stressors to what concept?
role performance
29
identify ways to intervene with those in self concept stress
```
tell them and help identify strengths
give positive and honest feedback
help them evaluate selves
positive thinking
help set attainable goals
```
30
what are 5 classes of drugs that cause lowered sexual desire?
```
antidepressants
antihypertensives
diuretics
hormonal prep
chronic alcohol use
```
31
what are 4 classes of drugs that may cause decreased erectile function
antidysrythmias
anticholergenics
antipsychotics
chronic alcohol use
32
what are 4 drug classes that affect orgasmic or eject dysfunction?
antidepressants
antihypertensives
anxiolytics
chronic alcohol use
33
```
family
religion
culture
personal ethics
personal expectations
health status
developmental level
```
all play what role in sexual health?
they influence sexuality
34
what are the components of sexual health?
```
sexual self concept
body image
gender identity
gender role behavior
androgyny
```
35
androgyny
flexibility in gender roles
36
what are the types of losses
```
actual
perceived
anticipatory
situational
developmental
```
37
what is actual loss
loss that is recognized by others
38
what is perceived loss
experienced by one person and not verified
39
what is anticipatory loss
before loss actually occurs and may be actual or perceived
40
what is situational loss
loss of job, child, functional ability
41
what is developmental loss
child leaving home to go to college
42
what are the sources of loss
aspect of self
external object
familiar environment
loved ones
43
what are some PHYSICAL clinical symptoms of grief? (6)
```
tight throat and chest
sighs and difficulty swallowing
loss of appetite
fatigue and dizziness
sleep disturbances
short of breath and headache
```
44
what are some EMOTIONAL clinical symptoms of grief? (7)
```
persistent saness
crying
isolation/separation
mood changes
review of the past
guilt
wishing to be dead
```
45
what are some COGNITIVE clinical symptoms of grief? (4)
irritability and concentration difficulties
wandering thoughts
forgetfulness
verbalization of loss
46
what are some BEHAVIORAL clinical symptoms of grief? (5)
```
hypersomnia or insomnia
restlessness
hyerpactive
imagining things
drug or alcohol use
```
47
what is KUBLER ROSS stages of grieving
1. denial
2. anger
3. bargaining
4. depression
5. acceptance
48
the patient is refusing to believe that the loss is happening and is unready to deal with practical problems. What stage of grieving is the patient most likely in?
denial
49
the patient is angry at you and the rest of the staff about small weird things. what stage of grief is the patient most likely in?
anger
50
the patient says to you "let me just finish this episode of american idol and then we can go amputate my leg". The patient is most likely in what stage of grief?
bargaining
51
the patient is fixated and extremely sad most of the day about what has happened with their loss of their leg and spends a lot of time in their room not talking. what stage of grief are they most likely in?
depression
52
the patient comes to terms with the loss of their leg and has stopped reaching out to her spouse to visit her everyday and has been very busy getting back to work on her laptop. what stage of grief is the patient most likely in?
acceptance
53
bereavement
subjective response by surviving loved ones
54
mourning
behavioral process through which grief is eventually resolved or altered
55
what are the two types of grief responses?
anticipatory and complicated grief
56
what are the three definitions of death
traditional
world medical assembly
legal definitions
57
what is the traditional definition of death
stoppage of apical pulse, BP and RR
58
what is the world med assembly definition of death
no response to external stimuli
no reflexes
flat encephalogram
no muscle movement
59
what is the legal definition of death
irreversible cessation of brain and brains them and all functions
60
what is the POLST form
the wishes that a patient has made regarding life sustaining treatment
61
advanced directive
oral or written instructions regarding future medical care in the event that they are unable to verbalize wishes
62
what are the two types of advanced directives?
health care directive (living will)
| durable power of attorney
63
when can you use the health care directive?
terminal condition
64
what is the durable power of attorney
your choice to speak for you in the event that you are unable
65
hospice
service to those who are expected to die within 6 months
66
palliative care
helps with pain management
67
```
relax of facial muscles
difficulty swallowing
decrease in gag reflex
decrease in GI tract mobility
incontinence
decrease body movement
nausea/vomitting
respiration changes
confusion/agitation
dreams and vision
social withdrawal
```
are all examples of what?
clinical manifestations of impending death
68
what are some ways to help patient with dying?
restore and support their feelings of control
introduce available options
assist clients to manage events preceding death
69
```
therapeutic communication
empathy and caring demeanor
explain whats happening and what will happen
encourage participation
ask about organ donation
```
all are things you should do when?
to assist family of dying patient
70
how do you go about post mortem care?
autopsy!
follow culture and religious views
notify family to view body
71
how do you perform physical post mortem care?
```
place in supine position
place 1 pillow under the head
place hands peacefully to side or abdomen
close eyelids
wash soiled parts
place absorbent pad underneath
provide chairs
soft lighting
```
72
what are the levels of treatment for chronic conditions?
maintenance
palliative
terminal
