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Chapter 3
| Question | Answer |
|---|---|
| Abraham Maslow ---- constructed a model of human development, arranging the developmental stages of human progression in terms of a pyramid-shaped hierarchy known as? | (1968,1971) Maslows hierarchy of needs |
| Physiological needs | These are the most basic biological needs, such as the need for water, oxygen, food, and temperature regulation. |
| Saftey needs | These needs refer to the individual's perception that his or her environment is safe. |
| Love and belonging needs | These are basic social needs to be known and cared for as an individual and to care for others |
| Esteem needs | This level of the hierarchy refers to a positive evaluation of ones self and others, a need to be respected and to respect others |
| Self actualization | This is the individual's need to fulfill what he or she believes is purposeful. |
| ----- values are expressed within a culture, but they also reach across cultures and can easily conflict with modern medicine. These conflicts create both ethical and legal problems for patients and health care providers. | Religious |
| ----- surgical intervention is a physical psychological, social, and spiritual event. | For the surgical patient |
| Physical need | Any need or activity related to genetics, physiology, or anatomy. |
| Psychological need | Any need or activity related to the identification and understanding of one's self |
| Social need | Any need or activity related to ones identification or interaction with another individual or group |
| Spiritual need | Any need or activity related to the identification and understanding of ones place in an organized universe (expressions may involve theology, philosophy, mythology, and intuition) |
| Sister callista roy is best know for the development of what is referred to as the? | Roy adaption model |
| Roy's model views the patient as a bio psychosocial individual, constantly interacting with the environment with the ability to adapt by using coping skills in dealing with internal and external? | Stressors |
| Roy then interprets the environment as -----(roy and Andrew's 2005) | All conditions circumstances and influences that surround and affect the development and behavior of the person |
| Dr. Hans Selye an expert in the study of stress, defines stress as a _______ (2006) that can take the form of a pysical, chemical, or emotional phenomenon that causes tension. | Non specific response of the body to a demand |
| Distress | Is the most commonly referred to type of stress---the type that has negative implications tis stress on known as a threat |
| Eustress | EU means well or good --- is the trem for the positive, desirable form of stress. |
| Denial | Patient does not want to accept the truth of what is occurring |
| Rationalization | Pt attempts to rationalize illness or disease. For example one with diabetes might say "diabetes runs on my father side" |
| Regression | Patient regresses to an earlier stage of life, such as adolescence, and exhibits behaviors unique to that stage, such as assuming a fetal position, excessive crying and pouting. This is associated with dependency of others |
| Repression | Pt represses thoughts and feelings about illness or disease and does not want to hold any discussions concerning what is happening. This can also be associated with escaping or avoiding the situation |
| Cardiac death | The irreversible loss of cardiac and respiratory function. This is permanent absence of a heartbeat and respiration |
| Higher brain death | The deathThe irreversible loss of higher brain function. The brainstem continues to provide respiration, blood pressure, and a heart beat w/o the assistance of a resirator. |
| Whole brain death | The irreversible loss of all functions of the entire brain. Whole brain death is current law as to what defines death in legal courts of most countries and reflects the standard set by the Harvard School of Medicine. It includes a flat EEG , unresponsive, |
| Spiritual or religious practices and rituals play important roles in? | End of life care |
| Muslim death tradition might request that immediately after death the patients body be turned east to face? | Mecca their holiest city |
| Buddhist believe in reincarnation and that the last thoughts of a person death determine? | The Rebirth condition |
| Hindus believe that ____ is the best way for the soul to begin its journey. | Cremation |
| Dr. Elizabth kibler Ross researched the fact that people cooe with ______ in distinct stages the stages have become known as the _____. | Grief ,The Five Stages of grief |
| Denial grief | This is the initial stage where patients might say something such as it cant be happening to me . Denial is usually a temporary defense and a coping mechanism. |
| Anger | When denial cannot be continued, it is placed by feelings of anger, rage ,envy, and resentment. The patient asks why is the happening to me. |
| Bargaining | If a patient has been unable to accept the situation and has gone through the anger stage they will might move to the stage of bargaining to postpone the inevitable. The pt might say just let me live long enough to see my son graduate. |
| Depression | When a terminally I'll person can no longer deny the illness as it progresses, his or her anger is placed with a sense of great loss. The pt might be thinking please dnt take me away from my family. |
| Acceptance | When a pt has had enough time to work through the first 4 stages, he or she will reach a stage of being neither depressed nor angry. The statement of resolution might be I know I will be in a better place |
| Passive euthanasia | When the physician does nothing to preserve life |
| Active euthanasia | Requires action that speed to process of dying. Such as the administration of morphine. Active euthanasia is further divided into voluntary euthanasia,where the patient initiates facilitation of his or her death. |
| Involuntary euthanasia | Where the pt autonomous rights are violated |
| _____ passed in 1990 requires medical facilities to inform pts of their right to chose the type and extent of their medical care and to provide patients with information concerning advance directives. | The patient self determination act |
| For pts who were not placed on or were removed from life support, various tissues can be recovered including? | Corneas, skin, bone |
| _____ of pts can conflict with the practice of modern medicine. | Cultural and religious values |
| Dr. Hans defines stress as? | Nonspecific response of the body a demand |
| In general a _____ represents a physical psychological social and spiritual event to the patient. | Surgical procedure |
| ____ requires hospitals to establish protocols for organ procurement or risk losing funding by the centers for Medicare and medical services (cms) | Title xi of the omnibus budget reconciliation act of 1986 |
| The 5 stages of grief include? These stages may not occur in order. | Denial anger bargaining depression and acceptance |
| _____ are common forms of coping mechanisms. | Denial razionalzation regression and repression |
| A person with only basic physiological functions of respiration and heart beat is categorized as? | Higher brain death |
| A terminally I'll pt whose advance directive is to refuse any life saving efforts by health care workers is choosing? | Passive euthanasia |
| ____ procedures would be surgical treatment for an elderly pts psychological dissatisfaction with their appearance. | Blepharoplasty and rhytidectomy |