Week 6 Flashcards

1
Q

What is Stress?

A

A response to change

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2
Q

What is a stressor?

A

Anything that is perceived as challenging, threatening, or demanding

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3
Q

What is adaptation?

A

The change that takes place as a result of the response to a stressor

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4
Q

Why are stress, stressors and adaptation considered interdependent?

A

Because stress and stressors cause us to adapt.

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5
Q

Can an adaptation lead to more stress?

A

Yes. I could adapt to stress by over eating and than I gain weight and that causes more stress

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6
Q

What are some examples of Lateral, Workplace, and horizontal violence? Also, incivility?

A

They are all the same

  • Physical, emotional, psychological abuse
  • Shouting
  • Giving certain employees “Heavy assignments”
  • Failing to Help certain employees
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7
Q

What are three recommended ways for students to cope with stress?

A
  • Exercise
  • Stay very organized
  • Prioritize
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8
Q

How often are well child visits recommended for School age & adolescents? How often do they actually go?

A

every 1-2 years

-Normally only go for complaints or documentation of health

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9
Q

What is the general health status of school-aged and adolescents?

A

Generally healthy with only a few upper respiratory infections a year

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10
Q

What are some key points in G&D surveillance of school aged and adolescents?

A
  • Plot BMI and compare
  • Include the child in exam
  • Provide detailed explanations and feedback
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11
Q

What are some key points of general observation of school aged and adolescent well visits?

A
  • Speak to the child first
  • Observe eye contact, gait, and interaction with parent
  • Allow parent and child to speak privately with provider
  • Be aware of IEP
  • Be alert for family stressors
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12
Q

What are the key points for nutrition of adolescents?

A
  • Need a well balanced diet
  • Teens may not be eating enough due to schedule or other social factors
  • Nutrition teaching
  • Parents should set examples
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13
Q

What are the key nutrition teaching points of a adolescent? 6

A
  • 5 a day
  • Whole grains
  • Three meals a day
  • Eat as a family
  • Limit sugar and fat
  • 2 to 3 servings of dairy a day
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14
Q

How much physical activity is recommended for adolescents? how many adolescents don’t meet that goal even one day a week?

A

60 minutes a day of moderate to vigorous activity a day

-23% don’t even do it once a week

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15
Q

What are some key observations that need to be made in regard to physical activity in adolescents?

A
  • Always assess levels of physical activity

- Some athletes will starve themselves to meet weight classes

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16
Q

If an adolescent is not being active enough, what are some suggestions you can make to help them?

A
  • Walk to the store
  • use stairs not elevator
  • Remind them of family history
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17
Q

What are the oral health recommendations for adolescents?

A
  • Brush twice a day
  • Floss daily
  • Dentist twice a year
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18
Q

If taking fluoride supplements, when can they be stopped?

A

At around 14 years because the molars are developed

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19
Q

What are the main oral health risk factors for adolescents?

A
  • Chewing tobacco
  • Sports
  • Sugar
20
Q

What are the mental/spiritual health considerations for an adolescent during visits

A
  • Support is needed for strength in this area
  • Screen for chronic mental disorders
  • Self-esteem is related to body image
  • Be alert for eating disorders that stem form low self esteem
21
Q

How much sleep does an adolescent need? How much do they normally get?

A

9 hours

6 hours

22
Q

What are the common negative effects of being tired?

A
  • eat more
  • less exercise
  • driving risk
23
Q

What are the 5 main topics a nurse may focus on with teens?

A
  • Domestic violence
  • Drugs
  • Jobs
  • Friends
  • Relationship with family
24
Q

What are the 4 most common illnesses in adolescents?

A
  • Acne
  • Sports injuries
  • constipation
  • Diarrhea
25
Q

What are the four health issues a nurse should assess for in adolescents?

A
  • Obesity (and related diabetes)
  • Scoliosis
  • Anemia
  • Mental health Disorders
26
Q

What are the 5 major teaching topics to teach adolescents?

A
  • Hazards of smoking and other drugs
  • Self exams
  • Safe sex
  • Sunscreen
  • Immunization compliance
27
Q

What are the 4 main immunizations that should be assessed when discussing immunization compliance in adolescents? What ages should they be given?

A
  • Meningococcal Vaccine- 11-18
  • TD- every 10 years
  • Hep A- if common in state
  • Hep B if not already given
28
Q

What is the age range of a young adult?

A

20-45

29
Q

What is the definition of a young adult?

A

a person that is physically and psychologically mature and ready to assume the roles of a self sufficient adult

30
Q

What are the three major decisions in young adult hood?

A
  • Career choices
  • Establishing a family
  • Pregnancy
31
Q

What are the 5 main nursing education topics for young adults?

A
  • Substance abuse
  • Suicide
  • Nutrition and eating disorders
  • Energy drinks
  • STI’s and HIV
32
Q

What age range is middle adulthood?

A

40-65

33
Q

During middle adulthood, Women go through ____ and men go through ___

A
  • Menopause

- Andropause

34
Q

In middle adulthood, motivation to learn _____

A

increases

35
Q

Why is response time slightly lower in middle adults?

A

It takes longer to search through memories

36
Q

What can be said about the general state of health during middle adulthood?

A
  • Illness is more likely

- Recovery is longer

37
Q

What are the leading causes of death in middle adulthood?

A

Cancer, Heart disease, injury, falls, diabetes, lung disease, stroke

38
Q

What are the nurse teaching topics for middle adulthood?

A
  • Routine screenings
  • Exercise
  • Limit alcohol
  • avoid smoking
  • reduce salt and cholesterol
  • Maintain a healthy BMI
39
Q

What are the normal changes to Fatty tissue in middle adulthood?

A

It redistributes mainly towards the middle

40
Q

What are the normal changes to the skin in middle adulthood?

A
  • Becomes drier

- Wrinkles more

41
Q

What are the normal changes to hair in middle adulthood?

A
  • Gray hair

- Men may lose hair on head

42
Q

What are the normal changes to The heart in middle adulthood?

A

CO decreases

43
Q

What are the normal changes to the muscles in middle adulthood?

A

Mass and strength decreases

44
Q

What are the normal changes to bones in middle adulthood?

A

-Loss of calcium from the bones especially in women

45
Q

What are the normal changes to Visual acuity in middle adulthood?

A
  • Gradually diminished especially for near vision

- Called presbyopia

46
Q

What are the normal changes to hearing in middle adulthood?

A

It diminishes especially for high pitched sounds

47
Q

What are the normal changes to hormone levels in middle adulthood?

A

They drop resulting in Menopause and Andropause