Final Exam Flashcards
Axes of Identity
This theory seeks to examine how various biological, social, and cultural categories such as race, class, gender, and other “axes of identity” interact on multiple, simultaneous, and conflicting levels and platforms.
The “classic” -isms of society – racism, sexism, homophobia – do not act independently, but rather interdependently, of one another.
Culturally congruent care
A practice, lens, and philosophy that is committed to social justice and health equity for all underrepresented groups. Cultural awareness, knowledge of cultures, critical self-reflection, cross-cultural communication and leadership, and understanding of cultural differences in systems are all tenets of this philosophy
What is stress?
A practice, lens, and philosophy that is committed to social justice and health equity for all underrepresented groups. Cultural awareness, knowledge of cultures, critical self-reflection, cross-cultural communication and leadership, and understanding of cultural differences in systems are all tenets of this philosophy
Determination of whether an event is a stressor is based on an individual’s
tolerance
perception
adaption
stubbornness
Perception
What are Internal and External
factors of stress?
Internal
- Age
- Health status
- Personality characteristics
- Previous experience with stressors
- Genetic background
- Resilience
- Hardiness
- Attitude
- Optimistic outlook
- Nutritional status
- Sleep status
External
- Cultural and ethnic influences
- Socioeconomic status
- Social support
- Religious or spiritual influences
- Timing of stressors
- Number of stressors already experiencing
Resilience is being resourceful and
The nurse would expect which finding in a patient as a result of the physiologic effect of stress on the reticular formation?
a. An episode of diarrhea while awaiting painful dressing changes
b. Refusal to communicate with nurses while awaiting a cardiac catheterization
c. Inability to sleep the night before beginning to self-administer insulin injections
d. Increased blood pressure, decreased urine output, and hyperglycemia after a car accident
C
The nurse uses knowledge of the effects of stress on the immune system by encouraging patients to
a. sleep for 10 to 12 hours per day.
b. avoid exposure to upper respiratory tract infections.
c. receive regular immunizations when they are stressed.
d. use emotion-focused rather than problem-focused coping strategies.
b
Which of the following examples reflects the relationship among the mind-body-spirit (select all that apply)?
a. A 75-year-old man who enjoys doing crossword puzzles every day
b. A 25-year-old man who has been successfully treated for testicular cancer
c. A 55-year-old man who is impotent because of his prostate cancer surgery
d. A 34-year-old woman who is angry because of her recent diagnosis of breast cancer
e. A 65-year-old woman struggling with rehabilitation after having hip replacement surgery
a,b,c,d,e
The nurse recognizes that a person who experiences chronic stress could be at higher risk for (select all that apply)
a. osteoporosis.
b. fibromyalgia.
c. colds and flu.
d. high blood pressure.
e. high serum cholesterol.
b,c,d
The nurse recognizes that a patient with newly diagnosed breast cancer is using an emotion-focused coping process when she
a. joins a support group for women with breast cancer.
b. considers the pros and cons of the various treatment options.
c. delays treatment until her family can take a weekend trip together.
d. tells the nurse that she has a good prognosis because the tumor is small.
a
During a stressful circumstance that is unchangeable, which type of coping strategy is the most effective?
a. Avoidance
b. Coping flexibility
c. Emotion-focused coping
d. Problem-focused coping
c
An appropriate nursing intervention for a hospitalized patient who states she cannot cope with her illness is
a. controlling the environment to prevent sensory overload and promote sleep.
b. encouraging the patient’s family to offer emotional support by frequent visiting.
c. arranging for the patient to phone family and friends to maintain emotional bonds.
d. asking the patient to describe previous stressful situations and how she managed to resolve them.
d
