Exam 5 Flashcards
What is the term for the inability to deal with the perceived demands or threats to one’s mental, emotional, or spiritual wellbeing?
Stress
What is the term for “the state of balance among all the body systems needed for the body to survive and function correctly”?
Homeostasis
What are some examples of things affected by homeostasis? (9 examples)
- Acid
- Blood pressure
- Blood sugar
- Electrolytes
- Energy
- Hormones
- Oxygen
- Proteins
- Temperature
What are 5 examples of stressors?
- Health- illness, eating habits, sleep habits, recreational time
- Work- New job/shift, trouble with coworkers/boss
- Personal and Social- religious, starting school, sexual issues
- Home and Family- divorce, pregnancy, arguing
- Financial- income changes, damage to property, credit
What type of stress affects the body’s structure and function such as a disease or mobility problems?
physiological stress
What type of stress arises from life events such as work, personal, and relationships?
psychological stress
What type of stress is random and unpredictable such as a hurricane or accidents?
situational stress
What type of stress is good and beneficial and produces motivation and focused energy?
Eustress
What type of stress is associated with different stages of life such as peer pressure, college graduation, etc?
Developmental stress
What type of stress can be a threat to someone’s health status such as covid or financial worries?
Distress
What type of stress is related to the inability to meet demands such as rushing to appointments or completing your homework?
Time-related stress
What type of stress is related to upcoming or future events such as exams, wedding, or birth of a child?
anticipatory stress
What are the 3 stages of the General Adaptation Syndrome?
- Alarm Stage
- Resistance Stage
- Exhaustion Stage
What happens during the alarm stage?
stressor upsets homeostasis or cellular balance
- Stress- stimulates the sympathetic nervous system (SNS)
- SNS- stimulates the hypothalamus
- Hypothalamus – releases corticotropin releasing hormone (CRH)
- CRH- stimulates the anterior pituitary gland to release adrenocorticotropic hormone (ACTH)
- ACTH-stimulates the adrenal cortex to secrete glucocorticoids (cortisol) and mineralocorticoids (aldosterone)
- Cortisol- Glucose sparing effect and anti-inflammatory effect
- Aldosterone- promotes fluid retention which increases the BP
- Endorphins- released by the hypothalamus produces a sense of well being
- Thyroid-Stimulating hormone (TSH)- secreted by the pituitary gland and helps with fat conversion to energy to meet cell and muscle needs
What happens during the Resistance Stage?
body fights back by adjusting to the stress and tries to counteract the physiological changes that happened during the alarm stage
- Governed by parasympathetic system
- Reduces amount of cortisol produced
- HR and BP go down
What happens during the Exhaustion Stage?
After an extended period of stress, the body depletes its energy resources by continually trying, but failing to recover from the initial alarm reaction stage and can no longer fight stress
- Tiredness
- Depression
- Anxiety
- Feeling unable to cope
What is the difference between compensation and adaptation?
Compensation
1. Occurs during the alarm stage
2. Fight or Flight
3. Stimulation of SNS
Adaptation
1. Occurs during the resistance stage
2. Stimulation of parasympathetic system
3. Return to normal but body is still on alert
What mechanism monitors the body’s physiology, assesses for alteration from normal and counteracts any changes to reverse the situation and return to normal? What is an example?
Negative Feedback
Example: Release of insulin to counteract an elevated blood glucose
What mechanism intensifies a change in the body’s physiological condition instead of reversing it? What is an example?
Positive Feedback
Example: the release of the hormone oxytocin increases contraction actual childbirth is completed.
What are some examples of stress management strategies? (8 examples)
- Exercise
- Communicate/ Share feelings
- Relaxation techniques
- Guided Imagery
- Meditation/ Prayer
- Healthy lifestyle
- Involve in enjoyable activities, laugh,
have a sense of humor
8.Counselling.
What is a “journey” that takes place over time, and involves the accumulation of life experiences and understanding, that is described as an attempt to find meaning, value, and purpose in life?
Spirituality
What is considered a “map” that outlines essential beliefs, values, and codes of conduct into manner of living and is practiced to outwardly express spirituality?
Religion
What are the 3 core issues of spirituality?
- Faith
- Hope
- Love
What is defined as as feelings of contentment coming from the inner self and has been shown to be related to quality of life?
spiritual well-being
What is it called when a patient’s optimal level of health by considering dynamic interactions among the emotional, spiritual, social, cultural, and physical aspects of an individual’s wellness?
Holistic Care
What are the 3 main things of holistic care?
- Spirit
- Mind
- Body
What refers to the learned and shared beliefs, values, norms, and traditions of a particular group, which guide our thinking, decisions, and actions?
Culture
What is ethnicity?
Shared identity related to social and cultural heritage such as values, language, geographical space, and racial characteristics.
What is race?
Common biological characteristics shared by a group of people
What is the process of learning to behave in a way that is acceptable to society through: family, friends, community, peers, schooling, media, work, religious institutions, government, legal systems, health care systems, etc?
Socialization
What is the process through which an individual or group transitions from one culture to develop the traits of another culture?
Acculturation
What is the process in which an individual adapts to the host’s cultural values and no longer prefers the traditions, values, and beliefs of the culture of origin?
Assimilation
What is the term used for customs, values, beliefs, traditions, and social and religious views held by a group of people that prevail over another secondary culture?
Dominant Culture
What is the term used for a collection of individuals who are more likely to develop health problems as a result of excess risks, limits in access to health care services, or being dependent on others for care?
Minority Groups
Vulnerable populations
Marginalized Groups
What are some examples of vulnerable populations?
homeless, poor, mentally ill, physical disabilities, young, elderly, some ethnic and racial minority groups
What type of care is described by encompassing the well-being of the whole community and linked to the health and spirit of their sacred lands?
Indigenous Health Care or Folk Health Care
What type of health care is described as using the application of the principles and procedures of evidence-based medicine and caring?
Professional Health Care
What health belief involves medicine, science, evidence-based care, and modern medicine?
Biomedical/Scientific
What health belief is a supernatural explanatory model, which attributes health and illness to God’s or the ancestors’ pleasure or displeasure? (sick because of an evil force)
Magico-religious
What is the difference between complementary medicine and alternative medicine?
Complementary Medicine- therapies used together with conventional treatment recommended by a person’s health care provider.
in addition to traditional medicine
Alternative Medicine- nonpharmacological therapies such as exercise, chiropractic, and herbal supplements are used in place of conventional pharmacological or other medical procedures.
instead of traditional medicine
What does the acronym “ACCESS” stand for in regard to Purnell Model for Cultural Competence?
- Assessment
- Communication
- Cultural
- Establishment
- Sensitivity
- Safety
What is the difference between a translator and an interpreter?
Interpreter- Interprets verbal words
Translator- Interprets written words
What is the ability to communicate effectively and convey information in a manner that is easily understood by diverse audiences?
Linguistic Competence
What does the acronym “BALI” stand for in regard to culturally competent care?
Be aware
Appreciate Uniqueness
Learn about different cultures
Incorporate the client’s behaviors and values
What are the conditions in which people are born, grow, live, work, and age that affect health functioning and quality of life outcomes called?
Social Determinants of Health
What are the 5 Categories of Social Determinants of Health?
- Economic Stability
- Education Access and Quality
- Health Care Access and Quality
- Neighborhood
- Social and Community
What are examples of barriers to culturally competent care? (9 examples)
- Bias/Prejudice
- Ethnocentrism
- Discrimination
- Cultural Stereotypes
- Racism
- Sexism
- Language barrier
- Lack of knowledge
- Self-Knowledge
What term is used for the universal tendency of human beings to think that their individual ways of thinking, acting, and believing are the only right, proper, and natural ways?
Ethnocentrism
What is it called when beliefs and attitudes are associating negative permanent characteristics to people who are perceived as different from oneself?
Prejudice or Bias
What is the term used to describe a prejudicial outlook, action, or treatment?
Discrimination
What type of loss is involves incomplete or uncertain losses and fails to provide emotional detachment required for closure?
Ambiguous Loss
What are the two types of ambiguous losses and how are they different? What are some examples of each?
Type 1- the loved one who is psychologically present but physically absent
Example: missing soldiers, kidnapped children
Type 2- a person is physically present but psychologically absent
Example: person with addiction, mental disorders, dementia, etc.
What type of loss occurs when a person can no longer feel, hear, see, or know a person or object?
Actual Loss
What 3 types of losses are characterized as being uniquely defined by the person experiencing the loss and is less obvious to other people? (loss of trust, separation, retirement)
Perceived, internal, psychological
What type of loss would an amputation, paralysis, and immobility be classified as?
Physical Loss
What 2 types of loss would a flood, loss of car, and loss of home be classified as?
External and environmental
What is loss of aspect of self? What are some examples?
altered perception of self-image
burn victim, scars
What type of loss would the loss of a spouse, parent, child, or sibling be classified as?
loss of significant relationship
What type of loss is described as expecting the loss of something in the future and happens before the actual loss?
Anticipatory Loss
What are the 5 psychological stages of dying?
- Denial
- Anger
- Bargaining
- Depression
- Acceptance