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Nursing Fall 2023 > NUR 200 Exam 3 > Flashcards

NUR 200 Exam 3 Flashcards

1
Q

What is psychosocial health?

A

-Mind/body interactions
-Person’s relationship to wellness
-Goes beyond biomedical (disease oriented)

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2
Q

Patient individual responses to illness are influenced by the relationship among…..

A

-physical pathology
-psychosocial health
-overall wellness

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2
Q

What is the psychosocial theory

A

Method of understanding people as a combination of psychological and social events

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3
Q

What is the first level of Maslow’s hierarchy of needs?

A

Psychological needs
(air, water, food, shelter, sleep, clothing, reproduction)

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4
Q

What is the second level of Maslow’s hierarchy of needs?

A

Safety Needs
(personal security, employment, resources, health, property)

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5
Q

What is the third level of Maslow’s hierarchy of needs?

A

Love and belonging
(friendship, intimacy, family, sense of connection)

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6
Q

What is the fourth level of Maslow’s hierarchy of needs?

A

Esteem
(respect, self-esteem, status, recognition, strength, freedom)

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7
Q

What is the fifth level of Maslow’s hierarchy of needs?

A

Self-actualization
(desire to become the most that one can be)

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8
Q

What does Maslow’s hierarchy of needs promote?

A

Theory of self-actualization and self-transcendence
(hierarchy of human needs and motivations)

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9
Q

What does self concept look like as an infant?

A

“Me/Not me!!”
-Learning physical self is different from the environment

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10
Q

What does self concept look like as a child?

A

“What do they say that I am?”
-Internalizing others attitudes of self, primarily peers and parents

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11
Q

What does self concept look like as a child/adult?

A

“How do I compare to others?”
-Internalizing standards of society

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12
Q

How does self concept look like as an adult?

A

“This is who I am and who I will continue to be”
-Self actualization and self-adjusment

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13
Q

What are factors that affect self concept?

A

-Gender
-Developmental level
-Family and peer relationships
-Illness and hospitalization
-Locus of control

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14
Q

What is the external locus of control?

A

Controlled by external factors, people feel that they don’t have the ability to change it, low self-esteem and low self concept really kicks in
Ex: “I know I’m fat, no one has to tell me”

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14
Q

What is the internal locus of control?

A

Inside voice that tells you if you are doing things right or wrong

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15
Q

True or False:
The more mature you become, the more intra-guided your self concept is

A

True- peers have less influence on you

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16
Q

True or False
The closer the match between a persons ideal body image and their perceived body image, the more positive their body image will be

A

True

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17
Q

True or False
The lower the education, the better you feel about yourself, same with having a higher position in work

A

False- the higher your education, the better you feel about yourself

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18
Q

What is role performance?

A

The actions a person takes and the behaviors demonstrated in fulfilling a role

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19
Q

What is role strain?

A

A mismatch between role expectations and performance

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20
Q

What is interpersonal role conflict?

A

How individuals carry out their significant roles vs expectation by others

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21
Q

What is interrole conflict?

A

Two roles making competing demands (Ex: Nursing School vs Significant other)

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22
Q

What are characteristics of someone who has a weak sense of personal identity?

A

-Has difficulties distinguishing boundaries with their peers
-More easily influenced
-Interpret events personally
(Ex: take constructive criticism as an attack against them)

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23
True or false Personal identity develops over time
True
24
True or false Personal identity is dynamic, especially when you are older
False- it stays pretty consistent and constant as a person ages
25
What is self-esteem?
How well a person likes one's self (ideal self vs actual self)
26
What are stressors affecting self-concept?
-Identity stressors -Role performance stressors -Role overload (expectations are too high) -Body image stressors
27
What is the most common response to an emotional stressor?
Anxiety (a result of psychological conflicts that turn out as physical symptoms
28
What is a traditional nuclear family?
Traditional married couple that has a child, typically one parent is working, and one is stay at home
29
What are grandparent families?
Parents may be unable or unwilling to raise their children, so the grandparents assume the responsibility of raising the grandkids
30
What are dual-earner families?
Both parents are in the workforce
31
What are single parent families?
Related to divorce, death, or choice (most commonly seen within black women and hispanic women) **As a nurse, we can address the impact this will have on children at home, financial impact on parent, help ensure that they have appropriated resources to use at their discression
32
What are blended families?
Two single people come together with children from previous marriages, and families blend together
33
What are extended families?
Aunts, uncles, etc living under the same roof
34
What are sandwiched families?
You have a mother with children, but her parents are dependent and need to be cared for, so therefore the mother is caring for her children and older adults (parents)
35
What are cohabiting adults?
people who live together but are not married
36
True or false People have one family in their lifetime
False- a person can have several families in a lifetime or at once
37
What is the most important question to ask the family as a nurse?
"Who is the primary decision maker of the family?"
38
What are the 3 perspective approaches to family nursing?
-Family as context (can be resource or stressor) -Family as a unit of care (nursing interventions to individual family members) -Family as a system (family as a whole- try and include them on care plan if possible)
39
What are the health risk factors for childless and childbearing couples?
-Adapting to new roles can create stress -This can lead to maladaptive coping
40
What are health risk factors for families with young children?
-Experience financial difficulties -Illness and injuries -Demands leave less time for marital nurturing
41
What are health risk factors for families with adolescents and young adults?
-Risk taking behaviors -Dealing with aging grandparents -Life transition between dependence and independence
42
What are health risk factors for families with older adults?
-Falls and trauma -At risk for social isolation, depression, and malnutrition
43
What are changes in family dynamics?
-Change in family member roles -Changes in family member tasks -Need for increased support by extended family/caregivers
44
What are trends that challenge family health?
-Poverty and unemployment -Inadequate or no health insurance -Teen pregnancy -Economic climate -Infectious diseases -Chronic illness and disability -Family violence and neglect
45
What is the concept of community?
-A body of like minded people or the inhabitants of a town -Gift or fellowship of common relations and feelings
46
What is the structure of a community?
-Demographic data (income, race) -Data about healthcare services (How many providers in community, # of ERs and hospitals)
47
What is the status of a community?
-Biological: (illness/death rates, life expectancy, risk factor profiles for age groups) -Emotional: (Mental health, customer satisfaction survey results) -Social: (crime rates, citizenship, community activities)
48
What is the process of a community?
Overall effectiveness level of community **Share the same value or interest of that community, do community members interact with one another?
49
What is community based nursing?
Healthcare or rehabilitative services: -Clinics -Offices (counseling, psychology) -Mobile care units -Surgeries as outpatients/offices -Mental/physical rehab -Nursing homes/extended care
50
True or False Community Oriented Nursing is where Community Health Nursing and Public Health Nursing overlap
True
51
What is Community Health Nursing?
Strive to protect the health of individuals by maintaining health and providing care to them so it does not affect the community as a whole
52
What is Public Health Nursing?
How communities health status effects the health status of the individuals that live in the community
53
What is Community-Oriented Nursing?
Focuses on promoting the health and well being of individuals, early detection, treatment, prevent illness (BOTH)
54
What are the roles of community nurses?
-Client advocate -Educator -Collaborator -Counselor -Case Manager -Care Coordinater
55
What does a direct care provider do?
Performs tasks that require skill -Dressing changes, bed baths, trach care **Goal is to preserve as much of client's dignity as possible, nurse should not be doing everything
56
What does a client/family educator do?
-Promote self care -Communication -Skills needed (what client can/can't do- family involvement is huge)
57
What does a client advocate do?
Support client's right to make decisions of the person were taking care of
58
What does a care coordinator do?
-Develops plan of care -Accessing the correct resources ***These clients typically have more complex needs
59
What are primary interventions?
PREVENTION -Promoting immunizations -Promote health and prevent disease through education -Collaborating with local agencies -Lobbying for a ban to eliminate smoking in local restaurants
60
What are secondary interventions?
PREVENTION -Reduce impact of disease and early prevention (acute diseases/illnesses) -Screenings (Mammograms, STIs that are asymptomatic, x-rays, prostate screening, lipid testing)
61
What are tertiary interventions?
TREATMENT -Restore functioning to a pre-disease status or prevent exasperation (worsening) -Diabetic following diet plan
62
What is Parish Nursing?
Nurses in Church settings promoting health checks/screenings, educating members on diseases, etc
63
What do nurses need to do to gather data about the community?
-Define the community -Learn the community -Focus the data collection ***Then analyze subjective and objective data
64
What is a windshield survey?
Go to a certain part of the community and give general observations of what you see
65
What is database utilization?
Look at morbidity/mortality rates, marriage certificates, birth certificates
65
What are client perceptions?
Asking people of the community what they think
66
Who is eligible for home healthcare?
-Those with skilled-cared needs (impaired abilities to function) -Those recuperating from illness/surgery -Those who are terminally ill -Those with chronic illnesses
67
True or false: People with chronic illnesses are typically placed on hospice to prevent the condition from deteriorating; to avoid hospitalization
False- patients with chronic illnesses are placed on palliative care
68
True or False: Palliative care has no timeline
True
69
True or False: Hospice is typically 6 months or less
True
70
What are advantages of home healthcare?
-Enables viewing of client's environment -Allows inclusion of family members in care -Increases autonomy of nursing practice -Teaches flexibility -Facilitates holistic care
71
What are the disadvantages of home healthcare?
-Uncontrolled environment -No readily available supplies -Lack of immediate peer assistance -Potential for personal safety issues -Financial reimbursement
72
How does home healthcare promote patient self care?
By.... -Fostering client independence -Completing client/family teaching -Demonstrating skill techniques -Explaining all aspects of care -Evaluating performance of skills and knowledge
73
What do hospice nurses do?
-Focuses on patients who are dying, or condition is not expected to improve -Provide comfort and quality of life -Assesses patient condition, monitor interventions to relieve distress -Family is involved

Nursing Fall 2023 (7 decks)

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