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Nursing 120 > Exam 2 - Biopsychosocial > Flashcards

Exam 2 - Biopsychosocial Flashcards

1
Q

what is sensory deprivation?

A

decrease or lack of stimuli that is meaningful or routine

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2
Q

what is affected from sensory deprivation?

A

Reticular articulating system (RAS)

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3
Q

how is the RAS affected in sensory deprivation?

A

unable to maintain normal stimulation in cerebral cortex

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4
Q

what are clinical manifestations of sensory deprivation? (5)

A 
excessive yawning
decrease attn span
impaired memory
confusion
hallucinations or delusions
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5
Q

what is sensory overload?

A

unable to process or manage the amount of stimuli

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6
Q

what are clinical manifestations of sensory overload? (8)

A 
fatigue
sleeplessness
irritability
fatigue
anxiety
disorientation
increase muscle tension
racing thoughts
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7
Q

what are the different types of sensory receptors?

A 
external:
visual
auditory
gustatory
tactile
olfactory

internal:
visceral
kinesthetic
stereogenesis

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8
Q

what are barriers to perception?

A

physiological
environmental
psychological

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9
Q

what are the four dimensions of self concept?

A

self knowledge
self expectation
social self
social evalutation

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10
Q

what is self knowledge?

A

ones abilities, nature and limitation through ones own eyes

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11
Q

what is self expectation?

A

realistic or unrealistic expectations from ownself

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12
Q

what is social self?

A

how you are perceived by others and society

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13
Q

what is social evaluation?

A

appraisal of oneself in relationships to others, events and/or situations

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14
Q

four components of self concept

A

personal identity
body image
self esteem
role performance

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15
Q

personal identity

A

name, gender, age, race, culture, occupation and talents

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16
Q

body image

A

size, appearance, function

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17
Q

role performance

A

how do they perform in a specific role

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18
Q

role conflict

A

too many roles at once

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19
Q

role ambiguity

A

the unknowing of how to perform a role

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20
Q

role strain

A

overwhelming performance of a role

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21
Q

role mastery

A

behaviors meet society standards

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22
Q

self esteem

A

ones judgement of own worth

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23
Q

global (self esteem)

A

liking oneself as a whole

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24
Q

specific (self esteem)

A

approves of one part of self or particular part

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25
Q 
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?

A

identity

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26
Q 
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?

A

body image

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27
Q 
lacking positive reinforcement from s/o
repeat failures
unrealistic expectations
abusive relationships
loss of finical security

all may be stressors of what?

A

self esteem

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28
Q 
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?

A

role performance

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29
Q

identify ways to intervene with those in self concept stress

A 
tell them and help identify strengths
give positive and honest feedback
help them evaluate selves 
positive thinking
help set attainable goals
30
Q

what are 5 classes of drugs that cause lowered sexual desire?

A 
antidepressants
antihypertensives
diuretics
hormonal prep
chronic alcohol use
31
Q

what are 4 classes of drugs that may cause decreased erectile function

A

antidysrythmias
anticholergenics
antipsychotics
chronic alcohol use

32
Q

what are 4 drug classes that affect orgasmic or eject dysfunction?

A

antidepressants
antihypertensives
anxiolytics
chronic alcohol use

33
Q 
family
religion
culture
personal ethics
personal expectations
health status
developmental level

all play what role in sexual health?

A

they influence sexuality

34
Q

what are the components of sexual health?

A 
sexual self concept
body image
gender identity 
gender role behavior
androgyny
35
Q

androgyny

A

flexibility in gender roles

36
Q

what are the types of losses

A 
actual
perceived
anticipatory
situational
developmental
37
Q

what is actual loss

A

loss that is recognized by others

38
Q

what is perceived loss

A

experienced by one person and not verified

39
Q

what is anticipatory loss

A

before loss actually occurs and may be actual or perceived

40
Q

what is situational loss

A

loss of job, child, functional ability

41
Q

what is developmental loss

A

child leaving home to go to college

42
Q

what are the sources of loss

A

aspect of self
external object
familiar environment
loved ones

43
Q

what are some PHYSICAL clinical symptoms of grief? (6)

A 
tight throat and chest
sighs and difficulty swallowing
loss of appetite
fatigue and dizziness
sleep disturbances
short of breath and headache
44
Q

what are some EMOTIONAL clinical symptoms of grief? (7)

A 
persistent saness
crying
isolation/separation
mood changes
review of the past
guilt
wishing to be dead
45
Q

what are some COGNITIVE clinical symptoms of grief? (4)

A

irritability and concentration difficulties
wandering thoughts
forgetfulness
verbalization of loss

46
Q

what are some BEHAVIORAL clinical symptoms of grief? (5)

A 
hypersomnia or insomnia
restlessness
hyerpactive
imagining things
drug or alcohol use
47
Q

what is KUBLER ROSS stages of grieving

A
  1. denial
  2. anger
  3. bargaining
  4. depression
  5. acceptance
48
Q

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?

A

denial

49
Q

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?

A

anger

50
Q

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?

A

bargaining

51
Q

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?

A

depression

52
Q

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?

A

acceptance

53
Q

bereavement

A

subjective response by surviving loved ones

54
Q

mourning

A

behavioral process through which grief is eventually resolved or altered

55
Q

what are the two types of grief responses?

A

anticipatory and complicated grief

56
Q

what are the three definitions of death

A

traditional
world medical assembly
legal definitions

57
Q

what is the traditional definition of death

A

stoppage of apical pulse, BP and RR

58
Q

what is the world med assembly definition of death

A

no response to external stimuli
no reflexes
flat encephalogram
no muscle movement

59
Q

what is the legal definition of death

A

irreversible cessation of brain and brains them and all functions

60
Q

what is the POLST form

A

the wishes that a patient has made regarding life sustaining treatment

61
Q

advanced directive

A

oral or written instructions regarding future medical care in the event that they are unable to verbalize wishes

62
Q

what are the two types of advanced directives?

A

health care directive (living will)

durable power of attorney

63
Q

when can you use the health care directive?

A

terminal condition

64
Q

what is the durable power of attorney

A

your choice to speak for you in the event that you are unable

65
Q

hospice

A

service to those who are expected to die within 6 months

66
Q

palliative care

A

helps with pain management

67
Q 
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?

A

clinical manifestations of impending death

68
Q

what are some ways to help patient with dying?

A

restore and support their feelings of control

introduce available options

assist clients to manage events preceding death

69
Q 
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?

A

to assist family of dying patient

70
Q

how do you go about post mortem care?

A

autopsy!
follow culture and religious views
notify family to view body

71
Q

how do you perform physical post mortem care?

A 
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
Q

what are the levels of treatment for chronic conditions?

A

maintenance
palliative
terminal

Nursing 120 (21 decks)

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