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nur 101 #4
flash cards
| Question | Answer |
|---|---|
| self concept | what a person believes about himself at a given time |
| self-esteem | personal judgement about self-worth, value and competence |
| rationalization | `use of logic, reasoning and analysis to avoid unacceptable feelings |
| projection | unacceptable feelings or impulses are transferred to another |
| displacement | transfer of feelings associated with one person or event to another that is less threatening |
| denial | refusal to acknowledge a real situation |
| repression | unacceptable ideas,impulses and memories kept "out of conscious" block it out unconsciuosly |
| suppression | conscious or voluntary inhibition of unacceptable impulses, ideas or memories hold it consciously b/c we want to deal with it now |
| regression | withdrawing to an earlier level of development to benifit from the associated comfort level |
| fear | known threat; response to a specific threat |
| anxiety | a response to an unknown, non-specific threat that is vague, or has no clear cause |
| Interview | who is the pt? what does he value? what is imp. to him? does he value his life? |
| social id | roles and role performances (age, ethnic group, religion,ect) |
| personal id | personal, emotional, moral/ethical, intellectual self; acts in certain ways, attitudes, traits, abilities, habits,values, preferences |
| body image | physical appearances, characteristics |
| public self | how one presents self and how viewed by others |
| semi-public | what others observe, and person may be aware |
| private | known to self and not shared with others, iseal self, may share with really close people |
| inner | known to self and others |
| Locus of control LOC | stable trait developed over time and is influenced by social learning experiences. Reflect persons perception of what causes events or behaviors-things happend b/c of your own control, or are they by fate |
| internal control | means we have a positive self concept; we can make our own choices and are in control |
| external LOC | means we believe things happen by fate, chance or luck |
| healthy personality | positive self esteem, sees self as valuable and worthwhile |
| sleep | staTE of unconsciousness from which can be awakened by sensory or other stimuli |
| rest | waking state |
| REM | active sleep state, sympathetic activity,mind is active, body is relaxed, dreams vivid, can see brain waves on EEG, happens about 80 min. after onset of sleep |
| Non-REM | Quiet state, motor tone- still repositions self, moves extremities |
| 4 stages of non-REM | 1. wakefullness vs. sleep, happens in about 1.5 minutes, eyes rollback about 2-5% of our sleep time |
| 2. non-REM | 2.enter about 20-25 min. sleep is deeper, little or no movement, 44-55% of sleep time |
| 3. Non-REM | 3. 20 min into sleep; deeper and more restful, slow wave, parasympathetic, hard to awaken 3-8% of sleep |
| 4. non-REM | 4.deepest state, 15-30 min into sleep, slow wave, sleepwakling and bedwetting happen here. VS drop up to 50% |
| Avg 4-5 cycles | non-REM and REM 90-110 min. in an 8 hr period |
| insomnia | inability to sleep or wake prematurely or too often |
| initial | takes longer than 30 min. to fall asleep |
| intermittent | several brief periods of wakening |
| terminal | awake early and can't return to sleep |
| transient | lasts several days, usually less than a week |
| persistent | lasts at least a week |
| sleep apnea | not breathing while sleeping |
| narcolepsy | daytime sleepiness, loss of motor tone falls |
| Kleine Levine Syndrome | sleep attack that lasts hours or days |
| nocturnal Myoclonus | calf muscle spasms |
| excessive daytime sleep (EDS) | occurs at inappropriate times |
| parsomnias | sleepwalking, bedwetting, night terrors, eating while sleeping; happens in stage 4 ono-rem sleep |
| SEXUALITY | refers to ones thoughts, feelings, and behaviors r/t sexual interaction with others |
| 4 levels of care | 1.professional nurse---2.prof. nurse with post grad training---3.prof. nurse w/ training, MD, psychologist, Social worker or sex therapist-----4.Master in psychology, nse clinician/practitioner, SW with training |
| level 1 | prof nurse, assess health history, screen for sexual fx and dysfx. gather limited nsexual info, feelings, behaviors |
| level 2 | prof nrs w/ post grad training, sexual history, ed, counciling and referral to level 3 if needed |
| level 3 | prof nrs. w/ training, MD, psychologist, SE with training or sex therapist. sexual problem history, ind. or group counceling, refer to level 4 if needed |
| level 4 | master in psychology, nrs clinician/practioner, SW with training; intenisve therapy |
| procreative | child bearing |
| non-procreative | sexual satisfaction |
| sexual response cycle | excitement plateu orgasm resolution |
| STD's diagnostic test | cultures, wet mount, slides, blood tests, VDRL, western blot (AIDS test, ELISA (AIDS) test |
| breast exam | mammograms, ultrasound, aspiration, needle biopsy |
| cervical/uterine | pap smears, biopsy, coloscopy (exam of vagina) |
| gonorreah | mens symptoms; dysuria, frequency, urethral purulent discharge (smelly) women ss, asymptomatic early, vag discharge, dysuria, cystitis (bladder swelling) |
| syphilis | painless chancre sore, heals in wks secondary stage; systemic- affecting all body systems, lesions on skin, mucus mucosa, vulva or anus, patch alopecia latency stage; asymptomatic tertiary stage; advanced with tumors; affect liver, bones skin, aorta, i |
| genital herpes | visicles, no cure, recurrent,virus HSV II |
| chlamydia | most common, leading cause of PID, yellow discharge, urethritis, dysuria, frequency |
| AIDS | asymptomatic, enlarged lymph nodes, fatigue, reduced resistance, TB, Esophogeal candidiasis, kaposi sarcoma- type of cancer, purple lesions on the skin, sores anywhere on the body, lymphoma |
| trich | excessive watery, yellow discharge, redness, pruritis (itching); edema, treated w/ metronidazole |
| vaginitis | from normal vag flora, douching, antibiotics, DM, cross contam. from anal sex; odorous discharge, pruritis, pain with intercourse; dysuria |
| candidiasis | yeast infect. with vulva redness, swelling, thick- white discharge |
| urethritis | affects men with a purulent (pus) discharge |
| cystocele | herniation of the POSTERIOR wall of the bladder INTO the VAGINA. vaginal fullness and anterior bulge |
| rectocele | rectovaginal hernia caused by rupture of TISSUE BETWEEN the VAGINA AND RECTUM. feces lodge in rectocele pouch and post. bulge |
| phimosis | un-retractable forskin r/t stenosis (narrowing or constricting) or cancer; treatment is circumcision |
| hydrocele | fluid in the testes |
| varicocele | mass of vericose veins in the scrotum and around the spermatic cord |
| scrotal edema | common with CHF |
| epididymitis | inflammation from STD, infected prostate or urethra |
| kidneys | 2 bean shaped, contains 1 million nephrons (fxal units of kidney) urine drains into renal pelvis; concentrate urine; gets rid of body waste; control of electrytes and toxins/waste |
| ureters | ducts allowing urine to pass from kidney to bladder |
| bladder | sterile urine storage |
| urethra | CHANNELS URINE TO THE OUTSIDE OF BODY FROM THE BLADDER |
| pH of urine | 5-7 acidic, if alkaline, more prone to infection |
| specific gravity | urine density measurement. normal is 1.003-1.030 |
| cell cast crystals | detected on microscope exam. RBCs 2-3 WBCs 4-5 normal |
| casts are | elements from cellular or fibrous accumulation in urinary structures |
| hyaline protien | found after strenuous activity or diet therapy. |
| crystals are usually formed | in the urine, can also indicate renal stones |
| electrolytes | normal urine should not have glucose, ketones or protein |
| CCMS | clean catch midstream; clean specimen,pt. can obtain, need instructions, done for UTI |
| routine UA | usually done on admission |
| sterile specimen | steril from bladder with straight cath sz 14 |
| indwelling collection | catheter that stays in the pt sx 16 french can get sterilized sample immediately after insertion, not after that |
| 24 hr. | throw away first to begin and keep the last, 24 hr collection. kept on ice to reduce bacteria |
| note | first a.m. specimen most desirable bc of concentration |
| IVP | intravenous pyelogram; radiographic dye test to study the renal pelvis, uterers, bladder. xray to see structures |
| cystometrogram | study to measure bladder pressures and reflexes, bladder strength |
| electromyography | determines muscular strength via electrical impulses |
| clinical problems | may be assoc. with stress, prolonged cath, meds or path problem |
| incontinence | loss of voluntary control |
| urge | occurs immediately after a strong sensation to void. r/t infection, decreased bladder capacity due to PID, long term cath, preg, and diuretics |
| stress | involuntary leakage of urine during times of increased abd. pressure |
| relfex | incontinence r/t permanent neuron/spinal cord lesion/injury that causes voiding to be controlled by the spinal cord. R/t spinal cord injuries, MS, CVA, brain tumors,OBS |
| functional | involuntary and unpredictable loss of urine. no warning or feeling to go. |
| retention | inability to empty bladder (ex. after surgery) can stroke inner thigh, pull pubic hair, tap abd. |
| residual | urine left in the bladder |
| lower UTI | urine culture to confirm, with increased wbc and rbc, dysruria, frequ, urgency, cloudy urine, voiding in multiple small amts |
| upper UTI | lethargy, fever chills, ha, v, abd. pain and tenderness |
| stones calculi | colicky pain in lower back or abd that radiates to lower leg spasms with dysuria, urgency, and frequ. backing up of urine can cause HYDRONEPHROSIS |
| renal failure | acute when normal fx suddenly ceases- need imm med attention could be fatal chronic; gradual loss over a period of time |
| ileal conduit | resect part of the ileum to make and ileum pouch then transplant uterers to abd wall. INCONTINENT TYPE- NEED EXTERNAL APPLIANCE |
| ureterostomy | uterer to abd wall |
| ureteroureterostomy | one uterer into the other and one to the abd wall |
| ureterosigmoidostomy | uterers into the sigmoid colon; attached down-slope of sigmiod. end up with loose stools from urine in stools DO NOT GIVE ENEMAS |
| mephrostomy | opening into the pelvis and nephro tube placed |
| nephrectomy | kidney removal; have 1 kidney |
| lithotripsy | crushing of kidney stones |
| biopsy | tissue sample |
| TURP | transurethral resection of the prostate gland |
| Value | an affective disposition anout a person, object or idea |
| belief | special class of attitudes in which cognition is based more on faith than fact |
| value and belief | are both r/t self concept, coping, roles and relationships, stress tolerance |
| spirituality | worship practices, organized beliefs. may not be linked with organized religion. variable |
| roles | goal directed patterns of behavior that are learned and performed in social settings as a result of personal and cultural expectations |
| role strain | is pt taking on to many roles |
| assigned/ascribed | gender, parent, husband, wife, influenced by society |
| aquired/achieved | profession, occupation, obtained thru efforts or competition |
| role conflicts | student v parent |
| role abiguity | not clearly id within society-more stay at home dads |
| role overload | too many roles at once |
| role incompitence | lack of skill or knwledge |
| role bargaining | neg. with other about acceptable role expectation-can do this and still be a mom |
| role stress | resposibilities vague, impossible to meet the demand of the roles; wearing too many hats |
| role strain | subjective, state of distress, affects coping abilities, physical ss. |
| cardio-- physiological responses | sympathetic speeds upresponse |
| respiratory--phy resp | norepinepherine, hyperventilate |
| gi--phys resp | NV, increased peristalsis |
| M/S--phys | increased muscle tone, tremors |
| integumentary--phys resp | diaphoretic, rash |
Created by:
angieworth
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