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Fundamentals of Nursing 1 > Unit 5 test > Flashcards

Unit 5 test Flashcards

1
Q

body’s response to changes in its normal balanced state ; has a holistic effect ; highly individualized ; can have a positive or negative effect

A

stress

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2
Q

anything that causes stress ; can be positive or negative

A

stressors

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3
Q

stressors we place on ourselves

A

internal stressors

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4
Q

stressors that pull us in different directions

A

external stressors

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5
Q

stressors caused by puberty, marriage, college

A

developmental stressors

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6
Q

stressors caused by loss, death, or school exams

A

situational stressors

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7
Q

mental and behavioral responses to stress ; unconsciously learned ; may be good or bad ; it is the focus of nursing

A

coping

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8
Q

change that takes place as a result of responding to a stressor ; ability to tolerate changing situations

A

adaptation

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9
Q

aspects of stressors ; number and nature of other stressors ; characteristics of individuals that influence stress response

A

factors influencing response to stressors

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10
Q

developmental crisis ; situational crisis ; adventitious crisis

A

types of stress

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11
Q

intensity, scope, duration

A

aspects of stressors

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12
Q

implement strategies to prevent stressors

A

predictability

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13
Q

universal situations which occur as a person grows from one developmental stage to another EX school, competition , parenthood, lack of family

A

developmental stress

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14
Q

unpredictable sudden change in a person’s role or function in a social situation EX graduation, retirement, loss of partner

A

situational stress

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15
Q

unpredictable events EX loss of possessions, disasters, winning the lotto

A

adventitious stress

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16
Q

mild, moderate , severe, panic

A

anxiety responses

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17
Q

Normal muscle tone, copes well, optimal for learning

A

mild anxiety

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18
Q

muscle tension, nervous , clear thinking diminished

A

moderate anxiety

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19
Q

increased vital signs , loss of control, no learning possible

A

severe anxiety

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20
Q

out of control, terror, cant cooperate or collaborate

A

panic anxiety

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21
Q

headaches, dilated pupils, frequent urination, skin changes, muscle tighten

A

physical sign and Sx of anxiety

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22
Q

lack of concentration, insomnia,

A

mental signs of anxiety

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23
Q

fatigued, impatient, low self-esteem\m anorexia, nightmares

A

emotional signs of anxiety

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24
Q

difficulty communicating blaming separates self from social support inability to adapt to social situations

A

social signs and Sx of anxiety

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25
Q

lack of purpose in life, lack of love to self, no longer interested in god

A

spiritual signs and Sx of anxiety

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26
Q

anxiety, fear, ineffective coping, ineffective denial, care giver role strain

A

nursing diagnosis associated to stress and coping

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27
Q

teaching health promotion, positive support system, encourage complimentary methods of coping

A

nursing intervention related to stress and coping

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28
Q

removal, change,or reduction of something appreciated

A

Loss

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29
Q

actual, perceived, anticipatory, developmental, situational

A

types of lost

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30
Q

a recognize lost

A

actual lost

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31
Q

experienced by one person and not experienced by others

A

perceived lost

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32
Q

experienced before actual lost. example terminal illness

A

anticipatory lost

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33
Q

lost of job or spouse

A

situational lost

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34
Q

emotional response to the lost; based on past experience cultural expectations, and spiritual beliefs;unique to individuals

A

grief

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35
Q

social expression of lost; behavior response seen

A

mourning

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36
Q

encompasses both mourning and grief; experience by the survivor

A

bereavement

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37
Q

developmental level, experiences, cultural expectations, religious belief, cause of death, coping strategies, social economic status

A

factors affecting grief

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38
Q

most common reaction to lost

A

normal/ uncomplicated grief

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39
Q

unresolved, unhealthy, delayed coping that disrupts daily life, and that last more than 6 months

A

complicated/dysfunctional grief

40
Q

unconscious process of letting go

A

anticipatory grief

41
Q

unsupported grief that cannot be publicly shared

A

disenfranchised grief

42
Q

denial, anger, bargaining, depression, acceptance;not experienced in any particular order

A

kubler-ross 5 stages of dieing

43
Q

can sometime get us through the situations; refusal to accept facts

A

denial

44
Q

angry at situations god or staff, or at person who died

A

anger

45
Q

makes promises; is a part of anticipatory grieving

A

bargaining

46
Q

sad hopeless,has suicidal tendency

A

depression

47
Q

incorporates lost into life; ability to move forward with life

A

acceptance

48
Q

dignity ,comfort, and control

A

dieing patients bill of rights

49
Q

identify own fears,determine what the patient knows, be honest and direct, understand coping

A

what to do with the dieing patient

50
Q

block discussion, change the subject, offer false reassurance,be distant

A

what not to do with a dieing patient

51
Q

person sense of connections to a higher power;gives us purposes

A

spirituality

52
Q

organize systems of beliefs, practices and has code of conduct

A

religion

53
Q

collective scriptures, performance rituals, rules of conduct, ways to take care of souls, common beliefs

A

criteria for religion

54
Q

meaning in life has the ability to love interactions with others to share thoughts and feeling, and beliefs

A

indicator of spiritual health

55
Q

lack of hope, sudden change in practices, refusing interactions with family

A

indicators of spiritual distress

56
Q

what gives your life meaning , what heals your spirit, what are your ethics and values, what are your beliefs

A

nursing assessment questions to determine Pts spiritual status

57
Q

spiritual distress, potential for enhanced well being

A

nursing diagnosis related to spirituality

58
Q

fifth vital sign, reports presence of severe discomforts;purely subjective,

A

pain

59
Q

stimuli sends an impulse,neuro transmitters are released

A

transduction

60
Q

pain impulse transmission begins

A

transmission

61
Q

point at which person is aware of the pain ;inhibitory transmitters are released

A

perceptions

62
Q

inhibition of pain impulse

A

modulator

63
Q

pain impulses pass through nerve fibers

A

gait open (gait control theory of pain)

64
Q

pain impulses block by large nerve fibers

A

gait closed ( Gait control theory of pain)

65
Q

acute, chronic,cancer,

A

types of pain

66
Q

sudden short durations, well defined, can develop into chronic

A

acute pain

67
Q

develops slowly last a long time , difficult to treat, depression can develop

A

chronic pain

68
Q

transduction, transmission, perception, modular

A

physiology of pain

69
Q

substance P, Bradykinin, seratonin, prosta glandens, endorphins, histamine

A

neuro regulators

70
Q

pain can be modified in thalmus, lymbic system or S.C.

A

gait control theory

71
Q

cutaneous, somatic. or visceral

A

pain according to origin

72
Q

radiating pain, referred pain, intractable pain, and neuropathic pain

A

pain according to where its experienced

73
Q

felt at the source of the cause and extends to the nearby tissues

A

radiating pain

74
Q

felt pain in another area

A

referred pain

75
Q

resistant to usual relief measures

A

intractable pain

76
Q

disturbances in peripheral or central nervous system

A

neuropathic pain

77
Q

cancer pain, migraine syndrome

A

pain according to certain pain syndrome

78
Q

actual pain felt in a missing body part

A

phantom pain

79
Q

amount of stimulation before a person feels pain; same intensity or all races and cultures, maybe different genetically

A

pain threshold

80
Q

maximal amount and duration of pain that an individual is willing to endure

A

pain tolerance

81
Q

physiological, social, spiritual, psychological,cultural,

A

factors affecting pain

82
Q

ask,believe, choose, deliver,empower

A

neumonic for approach for pain management

83
Q

bias, vague or incomplete assessment poor pain assessment tools, patients not being forth coming, unable to communicate

A

barriers to effecting pain management

84
Q

precipitating / aggravating factors quality, region, severity , time, effects on ADL’s

A

pain history assessment

85
Q

what makes the pain occur, or increase

A

precipitating/aggravating factors

86
Q

what words would you use to describe your pain

A

quality

87
Q

where is your pain

A

region

88
Q

how would you rate your pain on scale 1-10

A

severity

89
Q

when did it begin, how long have you had it, how long does it last, is it intermittent or constant

A

time

90
Q

how much does it interfere with your lifestyle

A

affects on ADL’s

91
Q

verbal expressions, physical behaviors, others subjective signs

A

assessment of pain

92
Q

physical, vocalizations, facial expressions, body movement, social interactions

A

common responses to pain

93
Q

acute pain, and chronic pain

A

nursing diagnosis related to pain management

94
Q

assess, monitor, and document pain status, administer drug,control stimuli

A

nursing intervention related to pain management

95
Q

hydrocolater packs,kpad,moist compresses, paraphin waxes,tub soaks

A

types of heat therapy

96
Q

chemical pads, ice bags, moist compresses

A

types of cold therapy

Fundamentals of Nursing 1 (9 decks)

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