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
What are the four health issues a nurse should assess for in adolescents?
- Obesity (and related diabetes) - Scoliosis - Anemia - Mental health Disorders
26
What are the 5 major teaching topics to teach adolescents?
- Hazards of smoking and other drugs - Self exams - Safe sex - Sunscreen - Immunization compliance
27
What are the 4 main immunizations that should be assessed when discussing immunization compliance in adolescents? What ages should they be given?
- Meningococcal Vaccine- 11-18 - TD- every 10 years - Hep A- if common in state - Hep B if not already given
28
What is the age range of a young adult?
20-45
29
What is the definition of a young adult?
a person that is physically and psychologically mature and ready to assume the roles of a self sufficient adult
30
What are the three major decisions in young adult hood?
- Career choices - Establishing a family - Pregnancy
31
What are the 5 main nursing education topics for young adults?
- Substance abuse - Suicide - Nutrition and eating disorders - Energy drinks - STI's and HIV
32
What age range is middle adulthood?
40-65
33
During middle adulthood, Women go through ____ and men go through ___
- Menopause | - Andropause
34
In middle adulthood, motivation to learn _____
increases
35
Why is response time slightly lower in middle adults?
It takes longer to search through memories
36
What can be said about the general state of health during middle adulthood?
- Illness is more likely | - Recovery is longer
37
What are the leading causes of death in middle adulthood?
Cancer, Heart disease, injury, falls, diabetes, lung disease, stroke
38
What are the nurse teaching topics for middle adulthood?
- Routine screenings - Exercise - Limit alcohol - avoid smoking - reduce salt and cholesterol - Maintain a healthy BMI
39
What are the normal changes to Fatty tissue in middle adulthood?
It redistributes mainly towards the middle
40
What are the normal changes to the skin in middle adulthood?
- Becomes drier | - Wrinkles more
41
What are the normal changes to hair in middle adulthood?
- Gray hair | - Men may lose hair on head
42
What are the normal changes to The heart in middle adulthood?
CO decreases
43
What are the normal changes to the muscles in middle adulthood?
Mass and strength decreases
44
What are the normal changes to bones in middle adulthood?
-Loss of calcium from the bones especially in women
45
What are the normal changes to Visual acuity in middle adulthood?
- Gradually diminished especially for near vision | - Called presbyopia
46
What are the normal changes to hearing in middle adulthood?
It diminishes especially for high pitched sounds
47
What are the normal changes to hormone levels in middle adulthood?
They drop resulting in Menopause and Andropause