Exam 4 Flashcards

1
Q

What is:

(WHO) …state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity

A

Health

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2
Q

What is:
(ANA) …dynamic state of being in which the developmental and behavioral potential of an individual is realized to the fullest extent possible

A

Health

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3
Q

What is:

  • Highly individualized
  • Free from symptoms, pain
  • Being able to be active, in good spirits
  • Developing personal definition of health
A

Personal definitions of health.

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4
Q

What is wellness?

A

A state of well-being.

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5
Q

What are some components of wellness?

A
Environmental
Occupational
Intellectual
Spiritual
Physical
Emotional
Social
Well-being is a component of health
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6
Q

Basic aspects of wellness include?

A
Self-responsibility
Ultimate goal
Dynamic, growing process
Daily decision making
Whole being of individual
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7
Q

Explain the Health-Illness continuum.

A
  • From high level of health a person’s condition can move through good health to normal health to poor health to extremely poor health to death.
  • People move back & forth within this continuum day to day.
  • How people perceive themselves & how others see them in terms of health & illness will also affect their placement on the continuum.
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8
Q

Define Illness:

A

Highly personal state: person’s physical, emotional, intellectual, social, developmental, spiritual functioning is thought to be diminished.

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9
Q

Two different kinds of Illness:

A

Acute Illness:

Chronic Illness

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10
Q

Define Acute Illness

A

Severe symptoms
Relatively short duration
Symptoms appear abruptly & subside quickly

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11
Q

Define Chronic Illness

A

Chronic Illness
Illness that lasts 6 months or longer
Slow onset
Periods of remission and exacerbation

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12
Q

Illness behavior

A

a coping mechanism, involves ways thqat individual describe, monitor & interpret their symptoms and take actions and use the health care system.

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13
Q

Health promotion

A

“Behavior motivated by the desire to increase well-being and actualize human health potential.”

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14
Q

Healthy People 2010 - 2 major goals

A

1- Increase quality & years of healthy life. Aging population.
2- Eliminate health disparities. Diverse population.

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15
Q

Name a few of the 28 Focus Areas in Healthy People 2010

A

-Access to quality health services
-Cancer
-Diabetes
-Obesity
-Food safety
-Environmental health
-HIV
-Oral health
-STD’s
etc.

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16
Q

Leading Health indicators of Healthy People 2010

A
  • Physical activity
  • Overweight & obesity
  • Tobacco use
  • Substance abuse
  • Responsible sexual behavior
  • Mental health
  • Injury & violence
  • Environmental quality
  • Immunization
  • Access to health care
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17
Q

Health Promotion (3 bullet points) defined

A
  • not disease oriented
  • motivated by personal positive approach to wellness
  • seeks to expand positive potential for health
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18
Q

Health Protection (3 bullet points) defined

A
  • Illness or injury specific
  • Motivated by avoidance of illness
  • seeks to thwart the occurrence of insults to health and well-being.
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19
Q

Define disease

A

Alteration in body functions
Results in reduction of capacities
Shortening of normal life span

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20
Q

Practices that have potentially negative effects on health are often referred to as….

A

Risk factors

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21
Q

6 Stages of change

A
1- precontemplation
2- contemplation
3- preparation
4- action
5- maintenance
6- termination
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22
Q

Health beliefs

A

concepts about health that an individual believes are true. May or may not be founded on fact.

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23
Q

Invisible soft film that adheres to the enamel surface of teeth - consists of bacteria, molecules of saliva, remnants of epithelial cell & leukocytes.

A

Plaque

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24
Q

Tartar

A

visible hard deposit of plaque & dead bacteria at the gum line.

25
Gingivitis
bleeding, receding gum lines, formation of pockets between teeth & gums - red swollen gingiva.
26
Pyorrhea
advanced periodontal disease - teeth are loose and pus is evident when gums are pressed.
27
3 nursing dx that relate to oral hygiene:
1- Self-care deficit 2-impaired oral mucous membrane 3- deficient knowledge
28
What does "good" oral hygiene consist of?
daily stimulation of the gums, mechanical brushing & flossing of the teeth & flushing of the mouth.
29
What is xerostomia?
Dry mouth - supply of saliva is reduced.
30
Malnutrition / Undernutrition
health effects of insufficient nutrient intake or stores.
31
Overnutrition
excesses in nutrient intake or stores - may manifest as obesity, hypertension, hypercholesterolemia, etc.
32
Nutritional health
physical result of the balance between nutrient intake and nutritional requirements.
33
Sensory memory
perception of stimuli from the environment.
34
Short term memory
info held in brain for immediate use - minutes to hours.
35
Long-term memory
repository for info stored for periods longer than 72 hours (usually weeks/years)
36
the manner in which people learn to think, reason & use language. Involves a person's intelligence, perceptual ability & ability to process information.
Cognitive development
37
Cognitive ability
Impairment is NOT normal - 15% of older men and 11% of older women experience moderate to severe memory impairment, - decline in intellectual abilities that impair social and occupational functions are Abnormal
38
Dyslexia
difficulty with writing, reading, spelling
39
Dyscalculia
Difficulty with mathematics, & computation
40
Dysgraphia
difficulty with writing, spelling and composition
41
Dyspraxia
difficulty with manual dexterity & coordination
42
A significant limitation in intellectual functioning and adaptive behavior in at least two areas (such as communication and self-care).
Mental retardation
43
Any of a variety of chronic conditions that are characterized by mental and/or physical impairment.
Developmental disability
44
Causes of mental retardation: Three general categories:
1-Prenatal errors in development of CNS. 2-prenatal or postnatal changes in biologic environment 3- external forces leading to CNS damage.
45
Down Syndrome
- caused by an extra chromosome. | - chromosome usually effected is 21.
46
Fragile X syndrome
- caused by a single recessive gene abnormality on the X chromosome. - creates a deficiency in the FMR1 protein that leads to brain changes. - Commonly associated with ADHD, anxiet and autism.
47
Fetal alcohol syndrome
-caused by ethyl alcohol effects on developing fetus.
48
Dementia
- progressive loss of cognitive function. | - results from death of neurons.
49
Delirium
- Reversible - acute onset - cognitive impairment
50
Illusion
- misinterpreting what you are seeing | - basis in reality
51
Delusion
- false belief | - ex. schizophrenia
52
Alzheimer's disease
- form of dementia - cause unknown - characterized by 2 abnormalities in the brain - -amyloid plaques & neurofibrillary tangles
53
Vascular dementia
-caused by brain damage (usually from stroke)
54
Frototemporal dementia
-nerve cell mainly in frontal & temporal lobes degenerate.
55
Common deficits with dementia
``` Akathisia Anomia Aphasia/paraphasia Ataxia Carpologia/floccillation Constructional difficulty Dysphagia Echolalia ```
56
Mini-mental state exam (MMSE)
cognitive status - via interview
57
Mini-cog
quick version of mini-mental state exam
58
Confusion assessment method (CAM)
tests for delirium