Unit 1.2 Flashcards

1
Q

Major goal of Healthy People 2020

A

achieve health equity, eliminate disparities, improve health of all groups.

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2
Q

Stereotyping

A

act of making assumptions that all people in given group are the same.

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3
Q

Prejudice or bias

A

negative belief or preference that is generalized about a group that leads to prejudgement.

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4
Q

Xenophobia

A

fear or dislike of people different from oneself.

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5
Q

Discrimination

A

differential treatment of individuals or groups based on categories such as race, age, weight, gender, social class.
-happens when person denies other people one or more of their fundamental rights.

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6
Q

Factors that contribute to diversity

A

Age, gender, sexual orientation, socioeconomics, living arrangements, race, culture, Literacy level (education)…

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7
Q

Ageism

A

deep profound prejudice against older adults.

-discrimination based solely on age.

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8
Q

Highly educated adults: nursing considerations

A
  • do not assume that they know stuff

- thoroughly assess their understanding of their situation and their coping skills

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9
Q

Low-Literacy clients: nursing considerations

A
  • assess ability to read/write

- make the material relatable

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10
Q

Vulnerable populations

A

groups with inadequate health care access because they lack resources.

  • exposed to more risk factors
  • more likely to develop health problems
  • often present with acute, serious illness
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11
Q

race

A

socially defined populations that have common genetically transmitted characteristics such as skin color & bone structure.

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12
Q

authoritarian parents

A

punitive & adhere to rigid rules or to be more dictatorial.

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13
Q

Authoritative parents

A

use firm control to set limits, but they establish an atmosphere with open discussion or are more democratic.

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14
Q

Permissive parents

A

Show a great deal of warmth, but set few controls or restraints on children’s behavior.

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15
Q

Indifferent parents

A

do not display much interest in their children or in the role as parents. little affection or approval.

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16
Q

Family cohesion

A

defined as emotional bonding between family members.

  • disengaged (low)
  • separated (low to moderate)
  • connected (moderate to high)
  • enmeshed (very high)
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17
Q

Family flexibility

A
includes the amount of change in a family's leadership, role relationships & relationship rules. 
-also about ability of family to respond to stress
1 Rigid (very low)
2 Structured (low to moderate)
3 Flexible (moderate to high)
4 Chaotic (very high)
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18
Q

Family rules

A

determine appropriate roles & relationship patterns within the family.
-express family values

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19
Q

Family coping mechanisms

A

behaviors families use to deal with stress or changes imposed from either within or without the family.

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20
Q

Systems Theory

A

Interacting identifiable parts or components.

  • hierarchy, interdependent, boundaries
  • system depends on processing information
  • Input -Throughput -Output
  • Feedback
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21
Q

Structural-functional theory

A

focuses on family structure and function.

  • addresses the membership of the family & the relationships among family members.
  • effects of intrafamily relationships on family system
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22
Q

Ways to assess a family (4)

A
  • Family Ecomap
  • Family APGAR
  • Home observation for measurement of the environment (HOME)
  • Friedman Family Assessment Tool
23
Q

Which family assessment tool will a nurse at hospital be more likely to use.

A

Family APGAR.

24
Q

What is family APGAR

A

Five item questionnaire that measures five different family concepts.
-administered to members over 10 years of age.

25
Q

Friedman Family Assessment Tool

A

Long form assessment.

-examines whole family in context of larger community where family resides.

26
Q

HOME assessment

A

assessing the family within the home environment

27
Q

What is a great thing for community health nurses to know.

A

Community resources such as support groups, low cost dentists, childcare etc.

28
Q

Objective family burden

A

actual, identifiable family problems associated with the person’s mental illness.

29
Q

Symptomatic behaviors

A

deficit behaviors that families manage such as:

  • lack of motivation
  • isolation from others
  • poor money management
  • etc
30
Q

Stigma

A

collection of negative attitudes and beliefs that lead people to fear, reject, avoid & discriminate against people with mental illness.

31
Q

Subjective family burden

A

psychological distress of the family members in relation to the objective burden

32
Q

Family Recovery

A

family response to the mental illness of a family member. Has 3 pronounced stages and a final stage.

33
Q

Stage 1 of family recovery

A

Discovery & denial.

34
Q

Stage 2 of family recovery

A

Recognition and acceptance.

35
Q

Stage 3 of family recovery

A

Coping and competence.

36
Q

Final stage of family recovery

A

Personal and political advocacy.

Working within the mental health system to obtain treatment.

37
Q

Collaborating with families

A

helps to promote the best outcome when caring for kids.

38
Q

Tips for parents to improve communication about child:

A
  • keep a journal about child’s behavior, eating habits, temps, etc.
  • keep a copy of medical records
  • write down questions for clarification
39
Q

Tips for nurses in dealing with family:

A
  • provide info & honestly discuss issues of concern
  • engage in creative problem solving
  • respect family choices
40
Q

Patient Bill of Rights

A

Mandated by American Hospital Association in 1992.

-client teaching as a function of nursing

41
Q

Example of client education categories:

A

-promote, protect, maintain health.

42
Q

promotion of health ideas:

A
  • fertility control
  • nutrition
  • hygiene
  • stress management
  • resources in community
43
Q

Prevention of illness/injury ideas

A
  • health screenings (pap test, mammogram)
  • reduction of health risk factors (cholesterol)
  • protective health measures (immunizations)
44
Q

Restoration of health ideas:

A
  • info about test, diagnosis, treatment, medications
  • Self-care skills
  • resources w/in the health care setting & community
45
Q

FOG index

A

simple method to determine readability level of text.

46
Q

Nursing Dx: Learning needs. 3 common

A
  • Deficient knowledge
  • Health-seeking behavior
  • Noncompliance (not well liked by Jada may encompass inability to obtain meds or no desire to manage own health)
47
Q

Developing written teaching aids:

A
  • language at 5th grade level or below
  • Active voice
  • easy, common words
  • large type
  • short sentences
  • priority info placed first.
48
Q

Teaching clients with low literacy:

A
  • use multiple teaching methods (pictures, reading, discussion, role-play)
  • limit amount of info in a single session
  • repetition to reinforce info
  • get feedback
  • emphasize key points.
49
Q

Essential aspects of teaching plan

A
  • Set learning outcomes
  • Choose content
  • Select teaching strategies
  • Organizing learning experiences
50
Q

Teaching process first 4 steps

A

1 Assessment
2 Outcomes
3 Content
4 Strategies

51
Q

Teaching process second 4 steps

A

5 Organization
6 Execution
7 Evaluation
8 Documenting

52
Q

guidelines for teaching

A
  • develop rapport
  • uses previous learning
  • optimal time
  • communicate clearly
  • be conscious of pace
  • be conscious of environment
  • Teaching aids
  • Repitiion
53
Q

What to document about teaching

A
  • Dx of learning needs
  • Learning outcomes
  • Topics included in session
  • Client outcomes
  • Need for additions learning
  • Resources provided
54
Q

Why is documenting about teaching important

A

provides legal record that teaching took place.