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N1109 - Physical Assessment > Exam 2 - Chpt 11 > Flashcards

Exam 2 - Chpt 11 Flashcards

1
Q

What 4 things does psychosocial health include?

A

mental (thinking)
emotional (feeling)
social (relationships)
spiritual dimensions (being

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2
Q

What 3 internal factors influence psychosocial health?

A

genetics
physical health
emotional

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3
Q

What 4 external factors influence psychosocial health?

A

family
culture
geography
economic status

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4
Q

Other factors that influence psychosocial health

A 
substance abuse
self-concept
eating disorders
role development
sexuality
interpersonal relationships
maltreatment
stress, coping
spiritual beliefs, patterns
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5
Q

Alcohol dependence increases the risk for…

A

ED visits
ICU admissions
sepsis

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6
Q

What are the 7 categories of illicit drug use?

A 
marijuana/hashish
cocaine/crack
heroin
hallucinogens
inhalants
Rx type drugs used nonmedically
tobacco
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7
Q

__ years old and higher show highest risk fo illicit drug use

A

12

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8
Q

It is estimated that heredity accounts for __ - __% of a persons susceptibility to the disease

A

40-60%

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9
Q

What is a significant factor to substance abuse?

A

peer influence

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10
Q

What are sociological risk factors for substance abuse?

A

social learning
perspective of substance use influenced by family/friends
model/imitate parent behaviors

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11
Q

What are the 4 main categories of intimate partner violence?

A

physical
sexual
stalking
psychological

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12
Q

force resulting in injury or death

A

physical abuse

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13
Q

attempted or completed acts without permission

A

sexual violence

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14
Q

repeated unwanted attention through various methods

A

stalking

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15
Q

emotional abuse of an aggressive nature

A

psychological

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16
Q

___ who are abused are more likely to experience ongoing poor health as they age.

impact on brain development, behavior learning delays, and higher risk for chronic disease

A

children

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17
Q

health effects of violence

A 
depression
suicide
PTTS
substance abuse
impacts on fetus
--preterm, low birth weight, perinatal deaths
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18
Q

What are the 3 phases of cycle of abuse?

A

1: tension building
2: acute/battering incident
3: calm, loving (honeymoon phase)

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19
Q

Victim characteristics

A

women, men
all ages, race, religions, cultures, socioeconomic status
married, single
grew up in violent/abusive homes
2 most common:
–low self-esteem
willingness to accept the blame abuser’s actions

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20
Q

victims who are chronically exposed to violence can develop at ___ ___

A

learned helplessness

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21
Q

perpetrator characteristics

A 
low self-esteem; need to maintain control
possessive behavior
threats of suicide, homicide
common traits:
--pathological jealousy
limited ability to cope
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22
Q

barriers to treatment of intimate partner violence

A

societal stressors
legal status
lack of access to culturally appropriate care

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23
Q

societal stressor to IPV

A

poverty level = increased difficulties in daily struggles

past experience to discrimination

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24
Q

legal status stressor to IPV

A

immigration status/fear of deportation

hospitals can not report illegal immigrants

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25
Q

Who is over routine screening for IPV

A

US Preventative Task Force Guidelines (USPTF)

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26
Q

According to the USPTF, who who should be screened for IVP?

A

all women in childbearing years (14-46 y/o)

must be assess with every encounter

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27
Q

How to assess for IPV

A 
open-ended questions
interview away from perpetrator
listen for cues
IPV tool in clinical setting
"Do you feel safe at home?"
be aware of state laws
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28
Q

being mentally, emotionally, socially, an spiritually well

A

psychosocial health

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29
Q

___ ___ includes the way a person the way a person thinks, feels, acts, and relates to self and others

A

psychosocial functioning

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30
Q

environment factors can be ___ or ___

A

internal; external

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31
Q

___ responses result in feelings of self-worth, confidence

A

positive

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32
Q

___ responses result in low self-concept, unmanageable levels of stress which could trigger mental behavior or illness

A

negative

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33
Q

___ ___ is associated with satisfaction of basic needs, quality of life, and psychosocial well-being, often referred to as the mind-body spirit connection

A

physical health

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34
Q

body’s response to thoughts and feelings

A

mind-body-spirit

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35
Q

positive and negative stressors

A

school, job performance
financial difficulties
death of a friend, family
loss of a job

36
Q

s/sx of stress/distress

A 
back, chest pain
difficulty breathing
constipation
fatigue
HTN, palpitations
dry mouth
nausea
weight loss, gain
37
Q

T or F. Stress affects the immune system and can lead to increase susceptibility to infection.

A

True

38
Q

measures to deal with stress

A

talk opening about feelings
think of positive aspect of life
relaxation techniques (meditation, yoga, prayer, positive energy)
follow health regimen (eating health, exercise, sleep)

39
Q

an individuals experience and the way they respond to stress, coping, and life situations are determined in great part by ___

A

culture

40
Q

___ areas may be subjected to stressors associated with crowded conditions, congestion, and crime raters higher

A

urban areas

41
Q

___ areas experience the stressors of limited resources and isolation

A

rural areas

42
Q

children of ___ face the difficulty of being raise in a family with the previous cultures values and norms, while growing and developing as members of their adopted community and culture

A

immigrants

43
Q

___ advantages contribute to increased self-esteem and ability to adapt, cope with life changes

A

economic advantages

44
Q

results of poverty

A 
anger
frustration
difficulty coping
family disturbances
abnormal behaviors
mental illness
45
Q

beliefs and feelings one holds about oneself

A

self-concept

components are body image and self-esteem

46
Q

severely restricting intake of nutrients and low body weight

A

anorexia nervosa

47
Q

subjective findings: anorexia nervosa

A 
fear of gaining weight, becoming fat
perception of being overweight
refusal to maintain body weight for their age/height
constipation, GI bloating
abdominal pain
48
Q

objective findings: anorexia nervosa

A 
extreme weight loss
refusal of foods, supplements
electrolyte imbalance
damaged teeth
esophageal, stomach injury
irregular, absent menses
49
Q

characterized by binging, purging

A

bulimia nervosa

50
Q

how many calories will an individual consume in one sitting with bulimia nervosa?

A

4000

51
Q

subjective data: bulimia nervosa

A

obsession with physical appearance

excessive food consumption followed by purging (vomiting, diuretic, laxative, extreme exercise)

52
Q

objective data: bulimia nervosa

A

normal, slightly overweight
electrolyte imbalance
esophageal, stomach injury
damage to teeth

53
Q

an individuals maladaptive behavior recurrent binge eating

A

binge eating disorder (BED)

accompanied by feelings of loss of control, distress

54
Q

BED can co-occur with which other disorders

A

mood disorders
bipolar
SUD
anxiety

55
Q

subjective data: BED

A

recurrent binge eating
marked distress re: eating habits
at least once a week x3 months

56
Q

BED is associated with 3 or more of which characterisitics

A 
eating faster than normal
eating until uncomfortably full
eating large amounts when not hungry
eating alone d/t embarrassment
feeling disgusted, depressed, guilty after eating
57
Q

individuals capacity to identify and fulfill the social expectations r/t variety of roles assumed in a lifetime

A

role development

58
Q

ex. of reciprocal relationships

A

child-parent
student-teach
employee-employer

59
Q

self assigned; comprises most significant aspect of an individuals sexual life, including attractions, behaviors and desires

A

gender identity

60
Q

individuals innate predisposition towards affiliation, affection, bonding, and thoughts in relationships of the same, other, both, or neither sex

A

sexual orientation

61
Q

used to simplify and describe an individuals sexual orientation

A

sexual orientation label

62
Q

individuals identify themselves as the gender that is different from their biologically assigned gender

A

transgender

63
Q

individual establish bonds with others based on trust; characterized by mutual reliance and support

A

interdependent relationships

64
Q

acts of abuse, neglect, omission, discriminatory behavior is required to be reported by the nurse, making them a ___ ___

A

mandated reporter

65
Q

failure or refusal to provide food, shelter, protection, or healthcare for a child or older adult

A

neglect

66
Q

behaviors of adults that threaten their own health, safety

A

self-neglect

67
Q

r/t a persons disability, age, gender, race, sexuality, religion, or cultural background

A

discriminatory abuse

68
Q

r/t theft, fraud, exploitation of inheritance, unexplained bank WD, unusual bank account activities, loss of valuables

A

financial abuse

69
Q

physical s/sx of stress

A 
^ HR
decreased clotting time
^ RR, depth
^ BGL
dilated skeletal blood vessels
HTN
dilated bronchi
^ blood volume
contraction of spleen
^ blood supply to vital organs
release of T lymphocytes

**fight, flight, or freeze

70
Q

which has the highest rate of substance abuse?

A

alcohol, followed by marijuana

71
Q

use of synthetic cannabinoids (SCBs) has increase because…

A

low cost

cannot be detected by routine drug screenings

72
Q

clinical effects of SCB toxicity

A 
tachycardia
lethargy
agitation
irritable
confusion
HTN
chest pain
vertigo
N/V
73
Q

excessive alcohol intake damages…

A 
brain
neurological system
pancreas
liver
intestines
74
Q

refers to a learned response, which is elicited after a person has repeated exposure to a stimulus

A

conditioning

75
Q

physiological adverse health effect of IVP

A 
chronic pain
GI disorders
HTN
chest pain
STI
psychological - depression, PTSD, substance abuse, SI
76
Q

an abuser may have what kind of personality?

A

dual personality

77
Q

dual personality characterisitc

A

controlling, jealous shown to partner

calm, charming to the rest of society

78
Q

nurses role for IPV

A

provide empathy
asess pts situation
offer assistance, referral choices
encourage safety planning

79
Q

when does a psychosocial assessment being?

A

before the interview - review medical records

80
Q

what does the general appearance include?

A

dress
personal hygiene
grooming

81
Q

tells pts to carry out acts against themselves or others that are usually harmful

A

command hallucinations

82
Q

test for assessing stress

A

Holmes Social Readjustment Rating Scale (SRRS)

–higher the score, more likely experience stress disorders

83
Q

behaviors committed by and aimed at oneself that results in deliberate actual or potential self harm

A

nonsuicidal self-injury (NSSI)

84
Q

considering, planning, or thinking about committing suicide

A

suicide ideation

85
Q

the CDC uses ___ ___ ___ to assess quality of life

A

Healthy Days Measures

N1109 - Physical Assessment (14 decks)

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