NACE 1 foundations of nursing Lpn-rn nln part 3 already passed

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NACE 1 foundations of nursing Lpn-rn nln part 3 already passed dyspareunia ✔✔painful intercourse. Treated with eatrogen Can receive fractional blood cells in a transfusion ✔✔Jehovah's Witne ... ss Catholic Rites ✔✔Sacrament of the anointing of the sick. Replaces last rights. Priest anoints sick and dying patients Viaticum ✔✔Holy Communion received by dying persons to help them pass over to God in the afterlife Mexicans are typically what religion ✔✔Catholic In Mexican families, who usually makes the decisions ✔✔Men Mexican families also use what kind of medicine in combination with western medicine ✔✔Folk Middle easterners prefer to be ———- from men and women ✔✔Segregated In middle eastern families, who makes the decisions ✔✔Men Middle eastern people eat ———— or kosher meals ✔✔Vegetarian In asian cultures, disagreeing is ✔✔Impolite ASIAN family's May hide ✔✔Illness Low self esteem is common among ✔✔Adults People who can not come to terms with aging/disease have low ✔✔Self worth Use what kind of approach to help people with low self worrh ✔✔Interdisciplinary team Sensory overload usually happens in the _______ when cortisol levels are high ✔✔Afternoon kublar-ross stages of grief ✔✔Denial, anger, bargaining, depression, acceptance Jung's Theory of Individualism ✔✔as a person ages, the shift of focus goes from extroversion to introversion. Jung's theory of personality ✔✔personal unconscious and collective unconscious (including archetypes) as well as a persons psyche and ego develop their person At this age, people begin to question their values, beliefs and attainments ✔✔Middle age sympathetic nervous system ✔✔the division of the autonomic nervous system that arouses the body, mobilizing its energy in stressful situations. Fight or flight. parasympathetic nervous system ✔✔the division of the autonomic nervous system that calms the body, conserving its energy Erikson's Psychosocial Theory ✔✔stage theory of psychosocial development, lifespan consists of eight dilemmas that must be solved correctly in order to solve the next dilemma Trust vs. Mistrust ✔✔Birth to 1 year Autonomy vs. Shame and Doubt ✔✔1-3 years Initiative vs. Guilt ✔✔3-6 years Industry vs. Inferiority ✔✔6-12 years identiy vs role confusion ✔✔ages 13-18 intamacy vs isolation ✔✔early adulthood generitivity vs stagnation ✔✔Middle age Ego Integrity vs. Despair ✔✔65-death Pecks middle age tasks and outcomes ✔✔Tasks: Valuing wisdom vs physical power. Socializing vs sexualizing. Cathectic flexibility vs cath Eric impoverishment. Mental flexibility vs mental rigidity. Outcomes: negative outcomes leads to weak relationships, inflexibility and resistance to change. Positive outcomes lead to strong relationships, flexibility and adaptability to change Pecks older adults tasks and outcomes ✔✔Tasks: ego differentiation vs work role preoccupation. Body transcendence vs body preoccupation. Ego transcendence vs ego preoccupation. Outcomes: Negative outcomes leads to feelings of loss of identity after retirement, depression, inability to accept bodily functional changes and fear of death. Positive outcomes lead to meaningful life after retirement, acceptance of bodily changes, acceptance of death and feelings that life was food Bandura's Social Learning Theory ✔✔Learning occurs when we observe other people and model their behavior Bandura's Social Cognitive Theory ✔✔behavior, environment, and cognition are the key factors in development four conditions for observational learning ✔✔1)pay attention 2)retention 3)motivation for subject/learner 4)potential for reproduction CDSS (Clinical Decision Support System) ✔✔Interactive software that helps physicians CPOE (Computerized Physician Order Entry) ✔✔Application used by physicians and other health care providers to enter patient care information. Also provides support tools that result in improved care and patient outcomes. Used for ordering medications. EMR (electronic medical record) ✔✔an electronic document that contains patient health information, gathered from different sources SOAP ✔✔subjective, objective, assessment, plan PIE ✔✔Problem, intervention, evaluation DAR ✔✔Data, action, response Discharge plan should begin ✔✔On admission expressive language disorder ✔✔a disorder involving a limited vocabulary and difficulty using tense correctly, recalling words, or producing sentences of the length and complexity that would be expected of a child of that age Mixed Receptive-Expressive Language Disorder ✔✔A communication disorder in which the individual has difficulty understanding and expressing certain kinds of words or phrases, such as directions, or, in more severe forms, basic vocabulary or entire sentences. phonological disorder ✔✔a difficulty in speech sound production resulting in multiple speech sound errors ultimately involving the sound system of a language; also used to describe articulation disorder Stuttering ✔✔a speech disorder that disrupts the flow of words with repeated or prolonged sounds and involuntary pauses. Usually onset at 2-7 years. Sometimes associated with tics, blinking, or other motor movement Dysarthria ✔✔slurred speech or difficulty forming words. Unrelated to intelligence. Should age appropriate vocabulary, normal tones, face the patient. Face the patient so you can observe facial expressions and gestures. Yes or no questions are best with ✔✔Dysarthria Asphasia ✔✔The loss of ability to use and or understand written and spoken language because of damage to the speech center of the brain caused by brain tumors, injury or stroke. global asphasia ✔✔Inability to understand the spoken word or to speak/write. May understand gestures. Use pictures. Broca's aphasia ✔✔An aphasia associated with damage to the Broca's area of the brain, demonstrated by the impairment in producing understandable speech. Use pictures, face patient and speech slowly and clearly Wernicke's aphasia ✔✔condition resulting from damage to Wernicke's area, causing the affected person to be unable to understand language. Use gestures. Patient may be able to wrjte Festinger's Cognitive Dissonance Theory ✔✔Proposes that people change their attitudes to reduce the cognitive discomfort created by inconsistencies between their attitudes and their behavior Howard Giles accommodation theory ✔✔- Suggests we adjust our speech to accommodate the person we are addressing - Convergence ~ when we use language to resemble that used by those around us - upward = making your accent more refined - downwards = making your accent more regional - Divergence ~ when we use language to distance ourselves from others Cultivation Theory ✔✔idea that long-term immersion in a media environment leads to "cultivation," or enculturation, into shared beliefs about the world Groupthink ✔✔the mode of thinking that occurs when the desire for harmony in a decisionmaking group overrides a realistic appraisal of alternatives Pharmacokinetics ✔✔The process by which drugs are absorbed, distributed within the body, metabolized, and excreted. What the body does to the drugs Pharmadynamics ✔✔assesses the biochemical and physiological effects of the drug on the body at various doses, at molecular level. What the drugs do to the body Volume of distribution ✔✔amount of drug in body/plasma drug concentration. Rate at which the drug passes into the tissue drug elimination ✔✔accomplished by excretion into urine and/or by inactivation by enzymes in the liver Drug half-time ✔✔5 half times for complete elimination Drug recovery time ✔✔The time it takes for the person to awaken Effect site equilibration ✔✔Time between dosing and clinical effect. Time it takes for circulation to deliver drug to site of action. anticoagulants avoid ✔✔Vitamin k ACE inhibitors avoid ✔✔Potassium Antibiotics avoid ✔✔Milk Antifungals avoid ✔✔Milk Anti-histamines/depressants/anxieties avoid ✔✔Alcohol Potassium sparing diuretics avoid ✔✔Potassium Polypharmacy ✔✔The use of multiple medications on a regular basis. thrombolytics (dissolve blood clots) ✔✔-ase A1C normal ✔✔<6 Humalog ✔✔fast acting insulin Diuretics ✔✔medications that reduce fluid volume in the body through urine (furosemide-lasix. - ide) Nitrates ✔✔Vasodilation (nitroglycerin) Antimycobacterials ✔✔Treats TB (Isoniazid) Antiviral ✔✔acting to make a virus ineffective (ribavirin) Antiplatelet ✔✔used to prevent clotting (aspirin) Vasodilators ✔✔relax and expand the blood vessels (pietal) antilipidemic ✔✔a drug given to lower certain types of lipids or fats in the blood (Lipitor or Zocor, -statin) anticoagulant ✔✔prevents blood clotting (lovenox) Glycoprotein IIb/IIIa inhibitors ✔✔∙Administered through an intrevenous injection or IV infusion during hospitalization. ∙Oral form is associated with increased mortality. *∙used in treating patients who have unstable angina, certain types of heart attacks.* *∙potent platelet inhibitors.* ∙platelets to adhere to abnormal surfaces and aggregate is mediated by surface membrane glycoprotien (GP) receptors. reduces hypertension ✔✔-lol inotropic agents ✔✔medications that change the force of cardiac muscle contractions (digoxin) Potassium sparing diuretics ✔✔Spironolactone (Aldactone) Selective Serotonin Reuptake Inhibitors (SSRIs) ✔✔antidepressant drugs that achieve their agonistic effect on serotonin by selectively blocking its reuptake (citalopram) immunosuppressant ✔✔medication to block certain actions of immune system; used to prevent rejection of transplanted organ Hemaglobin values ✔✔12-18 Hematocrit values ✔✔37-52% WBC values ✔✔4,500-11,000. Viral- lower. Infection 10,000+ Bacteriostatic ✔✔inhibits growth of bacteria Bacteriocidal ✔✔kills bacteria antineoplastic drugs ✔✔agents that prevent the development, maturation, or spread of cancer cells Anticonvulsants ✔✔prevent or control seizures (tegretol, cerebrix, gabapentin -tal) Proton Pump Inhibitors ✔✔decrease the amount of acid produced by the stomach (ranitidine, cimetidine) seratonin antagonists ✔✔N/V (Ondansetron-Zofran) informed consent ✔✔An ethical principle requiring that research participants be told enough to enable them to choose whether they wish to participate. Beneficience ✔✔Doing good or causing good to be done; kindly action Nonmaleficence ✔✔duty to do no harm [Show More]

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