Fund 2,5,7 Flashcards
illness that develops suddenly and resolves in a short time
acute illness
adjustment in structure or habits
adaptation
not subject to voluntary control
autonomic
illness that develops slowly over a long period and lasts throughout life
chronic illness
condition present before or at birth
congenital
the process of recovering after an illness and regaining health
convalescence
strategies used to protect us from increasing anxiety
defense mechanisms
pathologic process with a definite set of signs and symptoms; causes illness
disease
study of the cause of disease; origin
etiology
the state of functioning well physically, and mentally and expressing the full range of one’s potentialities
health
the ability to obtain, process, and understand information related to health and illness
health literacy
the arrangement of objects, elements, or values in a graduated series
hierarchy
approach to health care that considers the biologic, psychological, sociologic, and spiritual aspects and needs of the person
holistic
tendency of biologic systems to maintain stability in their internal environment while continually adjusting to changes necessary for survival
homeostasis
of unknown origin
idiopathic
disease of body or mind
illness
lack of adjustment
maladaptation
illness that develops without being caused by another health problem
primary illness
illness that results from or is caused by a primary illness
secondary illness
reaching one’s full potential
self-actualization
the sum of biologic reactions that take place in response to any adverse stimulus
stress
adverse stimulus
stressor
perceived only by the person; not perceptible to the senses of another
subjective
illness for which no cure is available; it ends in death, usually within a short period of time
terminal illness
collection of facts and figures for analysis from which conclusions may be drawn
database
signs and symptoms that must be present for a particular nursing diagnosis to be appropriate
defining characteristics
the causes of a problem
etiologic factors
conclusions made based on observed data
inferences
statement that indicates the patient’s actual health status or the risk of a problem developing; the causative or related factors, and specific defining characteristics
nursing diagnosis
documentation that tracks variances from the clinical pathway
case management system charting
documentation that focuses on deviations from predefined norms, using preset protocols and standards of care
charting by exception
documentation in which data are input via the computer
computer-assisted charting
the entering of provider orders into the medical record via computer
computerized provider order entry (CPOE)
health record entered into a computer’s software program that is updated via the computer
electronic health record (EHR)
documentation that centers on the patient from a positive perspective; this form of documentation has 3 components: data, action, and response
focus charting
paper or electronic record that contains all orders, tests, treatments, and care that occurred during the time a person was under the care of a health care provider
medical record
method of documentation. problem identification, interventions, and evaluation
PIE charting
documentation that focuses on patient status, emphasizes the problem-solving approach to patient care, and provides a method for communicating what, when, and how things are to be done to meet the patient’s needs
problem-oriented medical record (POMR) charting
documentation that is organized by the source or author of the documentation
source-oriented (narrative) charting
The unconscious blocking of a wish or desire from conscious awareness
EX: you forget the name of someone for whom you have intense negative feelings
repression
escaping unpleasant, anxiety-causing thoughts by refusing to acknowledge their existence. There is a persistent refusal to be swayed by evidence
EX: A woman whose husband died a year ago still speaks of him in the present tense and keeps his wardrobe in the closet
denial
attributing an unconscious impulse, attitude, or behavior to someone else (blaming or scapegoating)
EX: A man who is attracted to his friend’s wife on an unconscious level accuses his own wife of flirting with his friend
projection
an intense feeling regarding an object, person, or feeling is out of awareness and is unknowingly acted out consciously in an opposite manner
EX: You treat someone whom you unconsciously dislike intensely in an overly friendly manner
reaction-formation
returning to an earlier level of adaptation when severely threatened
EX: A child resumes bedwetting, after having long since stopped, after the birth of her baby brother
regression
unconsciously falsifying an experience by giving a contrived, socially acceptable, and logical explanation to justify an unpleasant experience or questionable behavior
EX: A student who did not study for an examination blames his failure on the teacher’s poor lecture material and the unfairness of the examination
rationalization
Modeling behavior after someone else
EX: A 6 year old girl dresses up in her mother’s dress and high heeled shoes
indentification
Discharging intense feelings for one person onto another object or person who is less threatening, thereby satisfying an impulse with a substitute object
EX: A child who has been scolded by her mother hits her doll with a hairbrush
Displacement
Rechanneling an impulse into a more socially desirable object
EX: A student satisfies sexual curiosity by conducting sophisticated research into sexual behavior
Sublimation
Avoids or delays occurrence of a specific disease or disorder
primary prevention
consists of following guidelines for screening for diseases that are easily treated if found early or for detecting return of a disease
secondary prevention
consists of rehabilitation measures after the disease or disorder has stabilized
tertiary prevention
What are the 3 stages of illness
#1 transition #2 acceptance #3 convalescence
During this period, one may deny feeling ill but recognize that symptoms of an illness are present
transition stage
denial of illness stops and a “sick role” is assumed
acceptance stage
(know) Dunn thinks of health as being a relatively passive state, one that a person enjoys because of hereditary and environmental factors that are essentially beyond her control. High-level wellness, one the contrary, is described as a dynamic and active movement toward fulfillment of one’s potention
…
___ can be defined as any action undertaken to promote health, prevent disease, or detect disease in an early asymptomatic stage
health behavior
___ is any activity a person takes to determine her actual state of health and to seek a suitable remedy for a health problem
illness behavior
(know) a holistic approach is one that considers the person’s biologic, psychological, sociological, and spiritual aspects and needs
…
What are the 5 stages to Maslow’s
#1 physiologic #2 safety and security #3 love and belonging #4 self-esteem #5 self-actualization
(know) active listening on the part of the nurse is essential in meeting patients’ security needs because, to feel secure, they must feel that their needs are being accurately perceived
…
When the brain perceives a situation as threatening, the sympathetic nervous system stimulates the physiologic functions needed for ____
fight or flight
What are the 3 stages of stress
#1 alarm stage #2 stage of resistance #3 stage of exhaustion
During the __ stage, hormone release mobilizes the body’s defense
alarm stage
during the stage of ___ the body is battling for equilibrium
resistance
the stage of ___ occurs if the stressor is severe enough or is present over a long enough time to deplete the body’s resources for adaptation
exhaustion
___ occurs in response to long term exposure of stress
general adaptation syndrome (GAS)
The body adapts to local stressors in similar ways, the local response is called ___
Local adaptation syndrome (LAS)
(know) documentation provides a written record of the history, treatment, care, and response of the patient while under medical and nursing care
…
(know) documentation justifies claims for reimbursement, may be used as evidence of care in a court of law, shows the use of the nursing process, and provides data for quality-assurance studies
…
Patient data, including the patient’s name, address, phone number, next of kin, hospital identification number, religious preference, place of employment, insurance company, occupation, name of admitting health care provider, and admitting diagnosis
Face sheet
Form on which check marks or short entries are made to indicate dietary intake, type of bath, wound dressing changes, oxygen in use, health care provider visits, equipment in use, level of activity, and so forth
Care Flow Sheet
This type of documentation follows the nursing process and uses nursing diagnoses while placing the plan of care within the nurses’ progress notes
PIE charting
