Unit III Test

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More

"(Less/more) people die every year from smoking than from murder, AIDS, suicide, drugs, car crashes, and alcohol, combined."

Active

(Active/passive) euthanasia is taking specific steps to cause a patient's death

Passive

(Active/passive) euthanasia is withdrawaling medical treatment with the intention of causing a patient's death...

Chronic

(Acute/chronic) stress affects the ability of the immune cells to respond to hormones that normally regulate inflammation

Do not

(Do not/do) insert objects such as cotton-tipped applicators into the ear

Illness

(General/illness) related tasks may involve losing independence and control, handling pain, and carrying out medical routines

Hospice

(Palliative/hospice) care is provided for people with a limited life expectancy (under 6 months) and often takes place at home

Palliative

(Palliative/hospice) care views dying as something natural and personal

Parasympathetic

(Parasympathetic/sympathetic) nervous system functions under normal conditions and at rest

Sympathetic

(Parasympathetic/sympathetic) nervous system functions under stress conditions and brings out the fight or flight response

Poor

(Poor/solid) self concept diminishes personal growth

Solid

(Poor/solid) self concept improves personal growth

Anger

A 38-year-old homosexual man recently diagnosed with AIDS and says "My parents are fundamentalists...all I ever heard at home was how much Jesus loves me ... all the while my mom was beating the daylights out of me.... Does He love me? Does He love me so much that He had my parents throw me out when I finally told them I was gay? Does He love me so much that I got AIDS and now no one comes near me?" (example of spiritual _________)

Loss

A 40-year-old mother of three sons who was diagnosed with ovarian cancer 18 months ago; currently in advanced stage of disease and says "I've tried hard to do it all right ... I read my Bible, prayed every day, went to church each Sunday, loved my husband and kids ... why is this all happening to me? Why must I lose it all?" She claims that no one can help her now. (example of spiritual _____)

Pain

A 46-year-old woman, agnostic, only son died 6 months ago (lung cancer) and she says "My son was my whole life; there's nothing left for me to live for." (example of spiritual _____)

Alienation

A 72-year-old Orthodox Jewish man, recently admitted to Protestant long-term care facility following 3-week hospitalization for stroke. He says "I guess Yahweh has written me off; first the stroke that killed half my body and then I'm abandoned here where I can't even observe the Sabbath." (example of spiritual _______)

True

A false self might develop in individuals who have the emotional need to respond to the needs and ambitions that significant people, such as parents, have for them (true or false)

Repression

A father may not remember shaking his crying baby (what defense mechanism)

Fear

A feeling of dread; a cognitive response to a known threat

Terminal weaning

A gradual withdrawal of mechanical ventilation

Aldosterone

A hormone that regulates our fluid and electrolyte levels; it retains water in the body during an alarm reaction

Undoing

A husband who was physically abusive to his wife may bring her an expensive present the next day (what defense mechanism)

Anticipate and plan for challenges you'll face while quitting

A in START acronym for smokers trying to quit

Hypoxia

A lack of oxygen necessary to keep up with body demands

Inflammatory response

A local response to injury or infection that serves to localize and prevent the spread of infection as well as to promote wound healing

Reaction formation

A married woman is attracted to her husband's best friend but is constantly rude to him (what defense mechanism)

Varenicline

A medication that stimulates nicotine receptors more weakly than nicotine itself does

Self concept

A mental image or picture of oneself that has the power to change one's personal growth

Biofeedback

A method of gaining mental control of the autonomic nervous system and thus regulating our body's responses

Competence

A nurse asks a patient: "How important is it to you to believe that your work has value to others?" Which aspect of self-esteem might this nurse be assessing?

False

A patient who does not belong to an organized religion does not have spiritual needs that can be addressed by the nursing practice (true or false)

Rationalization

A patient who forgot to keep a health care appointment says, "If patients didn't have to wait 3 months to get an appointment, they wouldn't forget them (what defense mechanism)

Deprivation

A patient with AIDS may receive an insufficient quantity or quality of stimuli causing sensory (deprivation/overload)

Compensation

A person attempts to overcome a perceived weakness by emphasizing a more desirable trait or overachieving in a more comfortable area (what defense mechanism)

Projection

A person attributes thoughts or impulses to someone else (what defense mechanism)

Reaction formation

A person develops conscious attitudes and behavior patterns that are opposite to what he or she would really like to do (what defense mechanism)

Introjection

A person incorporates qualities or values of another person into his or her own ego structure. This mechanism is important in the formation of conscience during childhood (what defense mechanism)

Dissociation depersonalization

A person is not connected to themselves and they have feelings of very low self worth

Denial

A person refuses to acknowledge the presence of a condition that is disturbing (what defense mechanism)

Regression

A person returns to an earlier method of behaving (what defense mechanism)

Dissociation

A person subconsciously protects him- or herself from the memories of a horrific or painful event by allowing the mind to forget the incident (what defense mechanism)

Sublimation

A person substitutes a socially acceptable goal for one whose normal channel of expression is blocked (what defense mechanism)

Displacement

A person transfers an emotional reaction from one object or person to another object or person (what defense mechanism)

Rationalization

A person tries to give a logical or socially acceptable explanation for questionable behavior (what defense mechanism)

Undoing

A person uses an act or communication to negate a previous act or communication (what defense mechanism)

Repression

A person voluntarily excludes an anxiety-producing event from conscious awareness (what defense mechanism)

Projection

A person who denies any sexual feelings for a coworker accuses him of sexual harassment (what defense mechanism)

Anxiety

A person who has spiritual _____ may question whether their actions led them to this illness

Sublimation

A person who is aggressive toward others may become a star football player (what defense mechanism)

Asexual

A person who lacks sexual attraction to others

Brain

A person with a minimally conscious state may be suffering from a _______ injury

Visceral

A person with diabetes may experience a loss of the sense of their ______ organs, therefore they may not feel chest pain when experiencing a heart attack

Most

A person's "top label" of themselves is usually what the person values as the (least/most) important

Affirming

A person's religion that enhances life, gives meaning and purpose to existence, strengthens self, and are health giving and life sustaining is said to be life (affirming/denying)

Denying

A person's religion that restricts or encloses life patterns, limits experiences and associations, and places burdens of guilt on individuals is said to be life (affirming/denying)

Survival, growth, development, and experiences

A person's senses are vital to ____, ____, ____, and ________

Reticular activating system (RAS)

A poorly defined network that extends from the hypothalamus to the medulla and mediates our level of arousal

Vaginismus

A rare condition in which the vaginal opening closes tightly and prevents penile penetration

Shock and disbelief

A refusal to accept the fact of the loss followed by a stunned or numb response (what stage of Engel's stages of grief)

Reflex pain response

A response of the CNS to pain that involves both sensory and motor neurons

False self

A sense of self that might develop in individuals who have the emotional need to respond to the needs and ambitions that significant people, such as parents, have for them

Disturbed sensory perception

A state in which the individual or group experiences or is at risk for a change in the amount, pattern, or interpretation of incoming stimuli

Compensation

A student who has difficulty with academics may excel in sports (what defense mechanism)

Religion

A term used to describe cultural or institutional religion

Local

A trauma or pathologic condition can result in (local/general) adaptation syndrome

Durable power of attorney for health care

A type of advance directive executed by a competent adult that appoints another individual to make medical treatment decisions on his or her behalf in the event that the person making the appointment loses decision-making capacity

Lower

Ability to adapt to stress is (lower/higher) in the very young and old

Role performance

Ability to successfully execute societal expectations regarding role-specific behaviors

Toddler

Able to identify own gender (what stage of development)

My life, my quit

An enhanced tobacco and vaping cessation program for teens under age 18 who want to stop using tobacco products, especially electronic cigarettes like JUUL

Life change

An event in a person's life that requires energy for adaptation

Physician order for life sustaining treatment (POLST)

An important form for people who are going to be out of the hospital and want people to know their health care wishes in the event that something happens

Transgender

An inclusive term used to describe those who feel that the sex assigned to them at birth incompletely describes or fails to describe them

Personal identity

An individual's conscious sense of who he or she is

Pelvic inflammatory disease (PID)

An infection of the reproductive organs that can cause irregular menstrual bleeding

Young

An intact body image is important to the (young/old) child who fears bodily mutation

Introjection

An older sibling tells his preschool sister not to talk to strangers, expressing his parents' values to his younger sister (what defense mechanism)

Do no resuscitate (DNR) order

An order specifying that there be no attempt to resuscitate a patient in the event of cardiopulmonary arrest

Allow natural death (AND) order

An order that no attempts are to be made to resuscitate a patient who stops breathing or whose heart stops beating

Comfort measures only order

An order written to indicate that the goal of treatment is a comfortable, dignified death and that further life-sustaining measures are no longer indicated

Anxiety

An uneasy feeling of discomfort or dread

Erogenous zones

Areas of the body that produce sexual desire and arousal when stimulated

Personal faith, spiritual contentment, and religious practices

As nurses, we want to ensure that someone's ______, ______, and ________ are providing enough energy to support them through the severity of illness, stressful life events, and social support

Catholic

As of 2014-2015, 26% of individuals in the Philadelphia Metro Area identify as what religion

Christian

As of 2014-2015, 68% of individuals in the Philadelphia Metro Area identify as what religion

Decrease

As one ages and becomes an older adult, they have a (decrease/increase) in vision, hearing, and sense of touch

Role performance

Asking "how do you feel about your ability to do all the things your roles demand of you" assesses an individual's ______

Personal identity

Asking "how would you describe yourself to others" assesses an individual's ________

Body image

Asking "what do you like the most/least about your body" assesses an individual's _________

Unconscious

Asleep, stupor, coma, and vegetative state are all (unconscious/conscious) states

Experience

Aspects of spirituality include an ______ as a unifying force

Guilt

Based on behaviors incongruent with the ideal self (which of the 3 major self-evaluation feelings)

Pride

Based on positive self-evaluation (which of the 3 major self-evaluation feelings)

Sensoristasis

Arousal state of the reticular activating system; general drive state

Yes

As a nurse, should you allow patients to share their fears

True

As a nurse, you should utilize the patient's name regardless of their level of consciousness and tell the patient what you are going to do before proceeding (true or false)

Love

Connectedness with others

Sensory perception

Conscious process of selecting, organizing, and interpreting data from the senses into meaningful information Sensory/perceptual alteration disturbance in the body's ability to receive or process data from its internal or external environment

Menopause

Decrease of cyclic hormonal production and cessation of menses in females, usually between ages 45 and 60 years

Unconscious

Defense mechanisms are (unconscious/conscious) reactions to stress

Mild-moderate

Defense mechanisms protect a person's self esteem and are useful in _____-_____ anxiety

Yes

Does a person's expectations for themselves change as they develop and gain experience?

Yes

Does nicotine change the brain's chemistry and affect the brain's reward system

No

Does someone who has delirium always delirious?

Yes

Does thirdhand smoke pose the same health risks as first or secondhand smoke

Chemical

Drugs and poison are examples of ____ agents

Authority, scripture, ethical, expectations

Each formal religion has a basis of _________ or source of power, their own ____________, an ________ code that defines right vs wrong, and ______

Self esteem

Each person must feel loved and a sense of belonging in order to have ____

False

Everything in a patient's room should be black and white in order to increase sensory stimulation (true or false)

True

If a patient is hallucinating, reassure them that they are safe and gently try to reorient them (true or false)

Low

If a person has a (low/high) self esteem, the ideal self is far away from the real self

Self actualization

If an individual has ________, they are satisfied with their life

Self concept

If an individual has a positive _________, they think positively about themselves but they realize there are still some things they would like to achieve

Positive

If basic needs are met, child has(negative/positive) feelings of self

1

Level ____ of sexual history: part of the comprehensive health history, obtained by a nurse

4

Level ____ of sexual history: psychiatric/psychosocial history, obtained by a psychiatric nurse clinician

2

Level ____ of sexual history: sexual history, obtained by a nurse trained in sexuality

3

Level ____ of sexual history: sexual problem history, obtained by a sex therapist

Panic anxiety

Level of anxiety that causes a person to lose control and experience dread/terror and results in distorted perceptions of events as well as loss of rational thought

Severe anxiety

Level of anxiety that creates a very narrow focus on the specific details causing all behavior to be geared toward getting relief from the current perceived threat

Mild anxiety

Level of anxiety that helps us with problem solving

Moderate anxiety

Level of anxiety that is manifested by a quivering voice, tremors, increased muscle tension, and a slight increase in pulse

Panic anxiety

Level of anxiety that is manifested by difficulty communicating, trembling, agitation, sensory changes, high heart rate; this level of anxiety can lead to exhaustion

Severe anxiety

Level of anxiety that is manifested by impaired learning ability, extreme fear of danger that is not real, difficulty communicating verbally, increased motor activity, headache, nausea, and hyperventilation

Mild anxiety

Level of anxiety that is present in day to day living; it increases alertness and motivates us to learn and grow

Moderate anxiety

Level of anxiety that narrow a person's perceptual field so that focus is on the immediate concern with inattention to other details

Cannot

Local adaptation syndrome (cannot/can) sustain long periods of homeostatic regulation

Short

Local adaptation syndrome is primarily a (short/long) term adaptive response

Inflammatory response

Localized response of the body to injury or infection; protective mechanism that eliminates invading pathogens and allows for tissue repair to occur

Local adaptation syndrome (LAS)

Localized response of the body to stress that involves only one specific body part such as a specific tissue or organ

Local adaptation syndrome (LAS)

Localized response of the body to stress, precipitated by trauma or pathology

Increases

Long term stress (decreases/increases) risk for disease and injury

Physical loss

Loss of life, limb, an object, person, pet, or job

Perceived loss

Loss of youth, of financial independence, and of a valued environment experienced by a person, but intangible to others

Psychological loss

Loss that affects a person's self-image

Actual loss

Loss that can be recognized by others as well as by the person sustaining the loss, such as loss of a limb or a spouse

Reflex pain response and inflammatory response

2 most common responses to local adaptation syndrome (LAS)

Specific

A (general/specific) effect is an alteration of normal body structure and function

General

A (general/specific) effect is the stress response

Anxiety

A 37-year-old previously healthy executive recovering from massive myocardial infarction. She says "I haven't exactly done anything awful but I've also not been a saint and I find myself wondering if there is a God, what does he think of me." (Example of spiritual ____)

Minimally conscious state

Part consciousness; sleep-wake cycles present; some motor function, including automatic movements; inconsistently follows commands

Presencing

Standing in the presence of another consciously believing in—and affirming—his or her capacity for wholeness

MOLST form

Stands for Medical Order for Life-Sustaining Treatment, a medical order indicating a patient's wishes regarding treatments commonly used in a medical crisis

POLST form

Stands for Physician Order for Life-Sustaining Treatment, a medical order indicating a patient's wishes regarding treatments commonly used in a medical crisis; must be completed and signed by a health care professional, not the patient

Bereavement

State of grieving or going through the grief process

Respect

Status, dominance, recognition, attention, importance, and appreciation contribute to an individual's ______ needs

Developing

Teenagers are uniquely susceptible to addiction largely because their brains are still ________

Lesbian

Term for a homosexual female

Biological sex

Term used to denote chromosomal sexual development—male (XY) or female (XX)

Gay

Term used to describe homosexual males

Global self

Term used to describe the composite of all the basic facts, qualities, traits, images, and feelings one holds about oneself

Spiritual loss

Terminal illness; anticipatory grieving; inability to find comfort in religion

Many

The Native Americans have (1/many) different religions

Orgasm

The ______ phase in the female begins with a heightened feeling of physical pleasure, followed by overwhelming release and involuntary contractions of the genitals.

Catecholamines

The adrenal glands produce _______ (also known as norepinephrine and epinephrine)

Decrease

The adult smoking rate in Philadelphia has continued to (decrease/increase)

Gender role behavior

The behavior a person conveys about being male or female, which may or may not be the same as biological sex or gender identity

Gender role behavior

The behavior a person exhibits in relation to being male or female

Fight or flight response

The body preparing itself against threat, to either resist (fight) or evade (flight) the danger

True

The chemicals from tobacco surfaces remain on surfaces for days, sometimes even months (true or false)

Orgasm phase

The climax and sexual explosion of the tension that has been building over the preceding phases. It lasts only for seconds but is an extremely intense reaction. Characteristics of this phase are the involuntary spasmodic contractions of the genital organs. The number of contractions felt by the person depends on the intensity (what phase of sexual response cycle)

Luteal phase

The corpus luteum develops

Hormones

The corpus luteum produces ______ which encourages an egg to grow

Negative, worse

The effects of stress on a sick or injured person are usually (negative/positive) and may make an illness (wrose/better)

Secretory phase

The endometrial lining disintegrates

Proliferation phase

The endometrium becomes thick and velvety

Self esteem

The evaluative and effective component of self concept

Idealization

The exaggeration of the good qualities of the person or object that was lost; acceptance of the loss (what stage of Engel's stages of grief)

Power

The extent to which people influence their own and other's lives (which of the 4 bases of self esteem)

Outcome

The final result of the grief process and includes dealing with loss as a common life experience (what stage of Engel's stages of grief)

Ovaries

The follicular and luteal phase occurs in the _______

Sensation

The functioning brain must receive and translate the impulse into a _________

Palliative

The goal of (palliative/hospice) care is to give patients with life threatening illnesses the best quality of life y aggressive management of symptoms

Cultures

The human spirit must first recognize different ________

Rise

The hypothalamic pituitary adrenal access controls the neuroendocrine response causing hormone levels to (fall/rise)

Erectile dysfuntion

The inability for a male to receive an erection

False

The inflammatory response is a response of the central nervous system to pain (true or false)

Gender identity

The inner sense a person has of being male or female, which may be the same as or different from biological sex; synonym for sexual identity

Sexual health

The integration of the somatic, emotional, intellectual, and social aspects of sexual being in ways that are positively enriching and that enhance personality, communication, and love

Greater

The intensity of the plateau phase is (lesser/greater) than that of excitement, but not enough to begin orgasm

Secondhand smoke

The involuntary inhalation of tobacco smoke

Skin

The largest erogenous zone

15-28

The luteal phase occurs between days ____-_____

Ejaculation

The male orgasm is most often accompanied by ______ of semen from the urinary meatus of the penis

Refractory period

The man experiences a period during which the body does not respond to continued sexual stimulation, called the __________

Physiologic homeostasis

The mechanisms within the body that respond to internal changes to maintain relative consistency in the internal environment

Emotional

The mind body interaction, coping mechanisms, and anxiety are examples of ______ responses to stress

External

The mons pubis, labia majora, labia minora, clitoris, and hymen are all (external/internal) female structures

Virtue

The moral and ethical standards a person contains (which of the 4 bases of self esteem)

Higher

The more closely aligned the real self and the ideal self are, generally the (lower/higher) self esteem someone has

Anxiety

The most common reaction to stress

Cranial and spinal

The special sensory input comes up from the ______ and ______ nerves and enters in the reticular formation which then allows the impulses to move up

Dilates, dilates

The sympathetic nervous system (constricts/dilates) skeletal muscle blood vessels and (constricts/dilates) blood vessels to the brain

External

The testes, scrotum, and penis are example of (internal/external) genitalia in men

Thyroid hormone and calcitonin

The thyroid secretes __________ and _______ which regulates our metabolic rate and growth factors

Thyroid, pituitary

Thyroid stimulating hormone stimulates the _______ and is released from the _______

Spiritual beliefs

To assess ____ ______, you can ask questions such as: "Are there particular spiritual or religious beliefs that are important to you? Have these beliefs changed recently? Is your illness challenging these beliefs? Do your religious beliefs in any way dictate a course of action that puts you in conflict with what your health care providers are recommending?"

Spiritual distress

To assess ____ ______, you can ask questions such as: "Are your spiritual beliefs currently causing you any distress?"

Spiritual practices

To assess ____ ______, you can ask questions such as: "Describe your usual spiritual practices and anything interfering with your ability to perform them. Can I help in any way to secure the aids necessary for these practices (prayer shawl, Bible, crystals, amulets, beads, icons)?"

Spiritual needs

To assess ____ ______, you can ask questions such as: "In what ways can I and the other nurses help you to meet your spiritual needs?" "Would you like me to contact your spiritual adviser or the hospital's pastoral care minister?"

Spiritual beliefs and everyday living

To assess relation between _____ and _____ _____, you can ask questions such as: "Describe ways your spiritual beliefs affect everyday living (daily schedule, diet, hygiene, sense of self and the world, relationships). Do you find this influence to be healthy (life affirming) or destructive (life denying)?"

HOPE

To assess spirituality, you can use the _____ acronym

Significance

To assess the patient's feelings of _______, you might ask questions such as: "Are there people in your life with whom you share a close relationship?", "To what extent do you feel loved and approved of by the key people in your life?", "Does it bother you when you feel unloved or when others fail to appreciate you?"

Power

To assess the patient's feelings of _______, you might ask questions such as: "How important is it to you to 'be in control' of your life (health)?", To what extent did you feel 'in control' of your life (health) before this illness (trauma, crisis)?", "What is it that makes you feel not in control?"

Virtue

To assess the patient's feelings of _______, you might ask questions such as: "Tell me something about the moral-ethical principles that govern your life.", "How must you live to describe yourself as a 'good' person?", "Describe any difficulties you experience in living up to your moral principles that you would like to discuss."

Competence

To assess the patient's feelings of _______, you might ask questions such as: "What are the things you need to do to feel important?", "Is anything interfering with your ability to execute these tasks? How does this make you feel?", "How important to you is it to feel that others value your work

White

To prepare for a spiritual counselor visit, clear the top of the bedside table and cover with a clean _____ cloth for sacraments

Near

To prepare for a spiritual counselor visit, provide a seat for the counselor (near/far from) the patient's bed

Stimulation

To question a patient's _____, you can ask questions such as: "Are there other people in your home during the day? Do you spend much time together? How do you spend the time?" "Are you bored? Why?" "Are you able to read? Watch television? Knit? Why not?"

Reception

To question a patient's _____, you can ask questions such as: "Does anything interfere with the functioning of your senses?" "Describe any corrective devices you use for sensory impairments."

Is not

Tobacco use (is not/is) an equal opportunity killer.

Reticular activating system

When a person experiences sensory deprivation, the __________ is no longer able to project a normal level of activation to the brain

Lower

When energy is expended to adapt to a life changing event, the patient's resistance to the illness is (lower/higher)

Out of

When sensory overload occurs, the person usually feels (out of/in) control

Acceptance

When this stage is reached, the patient has tranquility around their death and they learn to accept reality (what stage in Kübler-Ross's 5 stages of grief)

Philadelphia

Which city has the highest smoking rate in Pennsylvania

Rationalization

Which defense mechanism is portrayed in the following scenario? After throwing his lunch tray on the floor, a patient complains to the nurse manager about the quality of the food he is being fed during his hospital stay

Self actualization

Which term best describes a person's need to reach one's potential by pursuing a career in medicine?

Bupropion

An anti-depressant that blocks dopamine and noradrenalin

Displacement

An employee who is angry with a coworker kicks a chair (what defense mechanism)

Stage of resistance

Body regains homeostasis or adaptive mechanisms fail (what stage of general adaptation syndrome)

Decline

Sensory function tends to begin to (decline/improve) progressively throughout adulthood as a result of aging

How well do I like myself

The self evaluation dimension of self concept asks the question: ________

Who are what do I want to be

The self expectation dimension of self concept asks the question: ___________

Who am I

The self knowledge dimension of self concept asks the question: _____________

Adolescence

The sense of self is consolidated during which stage of development

Stereognosis

The sense that perceives the solidity of objects, their size, shape, and texture

Spiritual alienation

The separation from a faith community

Developmental and situational

2 sources of stress

Living will and durable power of attorney for health care

2 types of written advanced directives that all adult patients should fill out regardless of age or condition

Self knowledge, self expectation, and self evaluation

3 dimensions of self concept

Pride, guilt, and shame

3 major self evaluation feelings

Need for meaning and purpose, love and relatedness, and forgiveness

3 spiritual needs

Alarm reaction, stage of resistance, and stage of exhaustion

3 stages of general adaptation syndrome (GAS)

Personal identity, body image, self esteem, and role performance

4 factors that contribute to self concept

Mild, moderate, severe, and panic

4 levels of anxiety

Excitement, plateau, orgasm, and resolution

4 phases of sexual response cycle

Identify problem, list alternatives, choose from alternatives, implement plan, and evaluate outcome

5 step problem solving method for crisis intervention

Despair

A 92-year-old frail widow who lives alone in a two-room apartment; crippled with arthritis; has two married sons she has not seen for years. Says to community nurse who visits every week, "No one should have to live like this. If it weren't for the neighbor who comes on Saturday with a few groceries and you, I'd be dead. I guess that would be for the best. It's been a long time since I felt like my living or dying would matter to anyone. Because I'm 92 now, I guess even God doesn't want me" (example of spiritual ______)

Good death

A ______ allows a person to die on their own terms relatively free pain and with dignity

False

A _______ self may develop in people who have an emotional need to respond to the needs and ambitions important to significant people

Fowler's position

A bed position where the head and trunk are raised, typically between 40-90°

Abstract

A child has to develop some capacity for _______ thought in order to be able to understand that spiritual self

Parents

A child's ______ play a key role in how they view spirituality and religion

Polycystic ovary syndrome (PCOS)

A common hormonal disorder that causes small cysts to develop on the ovaries and can cause abnormal periods as well as difficulty achieving or obtaining pregnancy

Premature ejaculation

A condition in which a man consistently reaches ejaculation or orgasm before or soon after entering the vagina

Diabetes

A condition which can cause a loss of feeling/sensation in certain regions of the body such as the feet

Faith

A confident belief in something for which there is no proof or evidence

Crisis

A disturbance caused by a precipitating event such as a perceived loss, a threat, or a challenge that is perceived as a threat to the self

Living will

A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes

Horrors of history

A dropping of an atomic bomb, concentration camps, and terrorist attacks are all examples of ________

Hospice care

A type of end-of-life care for persons who are terminally ill, characterized by the following: (1) patients are kept as free of pain as possible so that they may die comfortably and with dignity; (2) patients receive continuity of care, are not abandoned, and do not lose personal identity; (3) patients retain as much control as possible over decisions regarding their care and are allowed to refuse further life-prolonging technologic interventions; and (4) patients are viewed as individuals with personal fears, thoughts, feelings, values, and hopes

Imbalance

A(n) (imbalance/balance) can occur if the perception of the event is exaggerated or if sources for support/coping mechanisms are inadequate

Balance

A(n) (imbalance/balance) is achieved when the perception of the stressful event is realistic and support/coping mechanisms are adequate

Mourning

Actions and expressions of grief, including the symbols and ceremonies that make up outward expression of grief

Dysfunctional grief

Abnormal or distorted grief that may be either unresolved or inhibited

Psychosocial

Accidents, stressful/traumatic experiences of family members and friends, horrors of history, fear of aggression, and rapid changes in the world are all examples of _______ stressors

General tasks and illness related tasks

Adaptation to acute and chronic illness involves what 2 adaptive tasks

Adaptation

Adjustment of living with other living things and environmental conditions

Less

Adult menthol smokers are (less/more) likely to quit smoking

More

Adults in Philadelphia are (less/more) likely to smoke cigarettes than US adults

Dissociation

An adult cannot recall childhood memories surrounding the traumatic death of a sibling (what defense mechanism)

Sensory deprivation

An adult who experiences __________ may hallucinate to maintain an optimal level of arousal

Spiritual distress

An alteration in spiritual health (e.g., spiritual pain, alienation, anxiety, guilt, anger, loss, despair)

Older adults

Age group that reports anxiety the least

Adolescents

Age group that reports anxiety the most

Stimulus

Agent, act, or other influence capable of initiating a response by the nervous system

Islam

Allah, one God, who is only one, all seeing, all hearing, all speaking, all knowing, all willing, all powerful (what religion)

Female genital mutilation (FGM)

Any procedure that involves partial or total removal of the external female genitalia or other injury to the female genital organs for nonmedical reasons

Stressor

Anything causing a person to experience stress; change in the balanced state

Spirituality

Anything that pertains to a person's relationship with a nonmaterial life force or higher power

Orgasm

Apex of sexual activity in which rhythmic contractions of the genital organs and many other physiologic changes occur

Newborn

Appropriate stimulation for a ______ includes soothing, holding, rocking, changing patterns of light, and more

Shame

Associated with low global self-worth (which of the 3 major self-evaluation feelings)

Adolescence

At risk for pregnancy and sexually transmitted infections (what stage of development)

Childhood

At what developmental period are differences between one self and others are strong

Adolescence

At what developmental period are parental influences on self concept often rejected and peers play a more important role in development of self concept

Infancy

At what developmental period do individuals begin to differentiate of self from non-self

Adolescence

At what developmental period do individuals develop secondary sex characteristics and experience rapid body changes

Adulthood

At what developmental period does society place emphasis on intactness of body, fitness, energy, sexuality, lifestyle, productivity, and beauty

Reflex pain response

Automatic response of the central nervous system to the stimulus of pain

Canal

Avoid loud noise that is concentrated at the ear _____, such as with earphones

Kinesthesia

Awareness of positioning of body parts and body movement

Bring up the topic of sexuality

B in BETTER acronym

Gender nonconformity

Behaving and appearing in ways that are considered atypical for a person's biological sex

Withdrawal behavior

Behavior that involves physical withdrawal from a threat or an emotional reaction such as admitting defeat, becoming empathetic, or feeling guilty

Compromised behavior

Behavior that is usually constructive and often involves substitution of goals and negotiation of partially fulfilled needs

Attack behavior

Behavior that occurs when a person attempts to overcome obstacles to satisfy a need

Coping mechanisms

Behaviors used to decrease stress and anxiety

Self compassion

Being kind and understanding when confronted with personal failings

Jehovah's witness

Believe that blood transfusions are unethical and violate God's laws (what religion)

Roman catholicism

Believe that human life is a gift of God and people should not have abortions (what religion)

General adaptation syndrome (GAS)

Biochemical model of stress describing the body's general response to stress

Cisgender

Biological sex and gender identity align (someone who is born female identifies as female)

Transgender

Biological sex and gender identity are opposing (someone who is born female identifies as male)

Genitalia, hormone

Biological sex characteristics generally determine our external and internal ____ as well as ______ states

Adulthood

Bodily changes as a result of menopause (what stage of development)

Stage of resistance

Body attempts to adapt to stressor (what stage of general adaptation syndrome)

Stage of exhaustion

Body either rests and mobilizes its defenses to return to normal or dies (what stage of general adaptation syndrome)

Toddler

Both sexes enjoy fondling genitals (what stage of development)

Infancy

Boys have penile erections, and girls have orgasmic potential (what stage of development)

Receive

By assessing a patient's reception, you are assessing their ability to _______ information

Stupor

Can be aroused by extreme and/or repeated stimuli

Asleep

Can be aroused by normal stimuli (light touch, sound, and the like)

Actual loss

Can be recognized by others as well as by the person sustaining the loss

Yes

Can positive and negative life events both influence spirituality

No

Can stress alone cause autoimmune disorders

Yes

Can stress facilitate hormonal growth and development

Coma

Cannot be aroused and does not respond to stimuli

Vegetative state

Cannot be aroused. Sleep-wake cycles, postures or withdraws to noxious stimuli, occasional nonpurposeful movement, random smiling or grimacing

Palliative care

Care that involves taking care of the whole person, body, mind, spirit, heart, and soul

Medulla

Catecholamines are produced in the adrenal (medulla/cortex)

Spiritual anxiety

Challenged by a belief and value system

Physiological

Chemical agents, physical agents, infectious agents, nutritional imbalances, hypoxia, and genetic/immune disorders are all examples of _______ stressors

Comfort or distress

Children may find _____ or ____ in a higher being

Regression

Children often regress to soiling diapers or demanding a bottle when they are ill (what defense mechanism)

Vulvodynia

Chronic vulvar discomfort or pain characterized by burning, stinging, irritation, or rawness of the female genitalia that interferes with sexual activity

Impotence

Condition in which a man is unable to attain or maintain an erection to such an extent that he cannot have satisfactory sexual intercourse; synonym for erectile failure

Anticipatory loss

Condition in which a person displays loss and grief behaviors for a loss that has yet to take place

Arousal

Condition in which the cortical area of the brain receives and responds appropriately to stimuli

Stress

Condition in which the human system responds to change in its normal balanced state

Sensory deprivation

Condition resulting from decreased sensory input or input that is monotonous, unpatterned, or meaningless

Sensory overload

Condition resulting from excessive sensory input to which the brain is unable to meaningfully respond

Spiritual health

Condition that exists when the universal spiritual needs for meaning and purpose, love and belonging, and forgiveness are met

Sexual dysfunction

Condition that prevents a person or couple from engaging in or obtaining satisfaction from sexual activity

Sensory poverty

Condition that results when one learns about the world without experiencing it up close, right here, right now

Self actualization, positive self concept, low self esteem, identity diffusion, dissociation depersonalization

Continuum of self concept responses (adaptive responses to maladaptive responses)

Significance, competence, virtue, and power

Coopersmith's 4 bases of self esteem

Glucose

Cortisol raises ______ levels for energy

Burnout

Cumulative state of frustration with the work environment that develops over a long time

Sexuality

Degree to which a person exhibits and experiences maleness and femaleness physically, emotionally, and mentally

Conscious

Delirium, dementia, confusion, normal consciousness, somnolence, minimally conscious states, and locked-in syndrome are all (unconscious/conscious) states

Personal identity

Describes a person's conscious sense of who they are

Proprioception

Description of the sense, usually at a subconscious level, of the movements and position of the body, especially its limbs, independent of vision

Plateau phase

Desire and arousal continue to build and intensify. This phase varies from a few minutes to 15 to 20 minutes. In the female, the clitoris retracts and disappears under the clitoral hood. (what phase of sexual response cycle)

Denial

Despite finding a lump in her breast, a woman does not seek medical treatment (what defense mechanism)

Young adulthood

Develops own value system and respects values of other people (what stage of development)

Gender dysphoria

Diagnosis for a person whose biological sex at birth is contrary to the one with which the person identifies

Are

Different types of sensory stimulation (are not/are) necessary for growth

Dementia

Difficulties with spatial orientation, memory, language and can result in changes in personality

Sensory processing disorder

Difficulty in the way the brain takes in, organizes, and uses sensory information, causing a person to have problems interacting effectively in the everyday environment

Sexually transmitted infections (STIs)

Disease that spreads from one person to another through intimate sexual contact

Delirium

Disorientation, restlessness, confusion, hallucinations, agitation, alternating with other conscious states

Higher

Due to the mode of smoking, including frequency of puffing, depth of inhalation, and length of the smoking session, hookah smokers absorb (lower/higher) concentrations of the toxins found in cigarette smoke

Middle

During ______ childhood, a sense of being trusted and loved, of being competent and trustworthy develops

Educate patients about the side effects of their treatments and that side effects may be temporary

E in BETTER acronym

Explain that you are concerned with all aspects of patients' lives affected by disease

E in BETTER acronym

Effects on medical care and end of life issues

E in HOPE acronym

Diminshes

E-cigarettes (diminishes/increases) the ability of the lungs to respond to an infection

Grief

Emotional response to loss

Attachment

Encourage parents/caregivers to provide a consistent and affectionate way of parenting to create secure ________ in infants

Preschooler

Engages in masturbation; becomes increasingly aware of self (what stage of development)

Preschooler

Enjoys exploring body parts of self and playmates (what stage of development)

Toddler

Establishes control over bowels and bladder; develops vocabulary related to anatomy(what stage of development)

Psychological

Esteem needs and love/belongingness needs are ________ needs

Maturational loss

Experienced as a result of a natural development process

Situational loss

Experienced as a result of an unpredictable event such as job loss or injury

Spirituality

Experienced as a unifying force, life principle, and an essence of being

Somnolence

Extreme drowsiness, but will respond normally to stimuli

Identity diffusion

Failure to integrate various childhood identifications into a harmonious adult psychosocial identity

Spiritual guilt

Failure to live according to religious rules

Spiritual despair

Feeling that no one (not even God) cares

Alarm reaction

Fight-or-flight response occurs (what stage of general adaptation syndrome)

Crisis intervention

Five-step problem-solving technique to promote adaptation and improve future coping

Lower

For a patient that has a decrease in hearing, use a (lower/higher) tone when communicating with the patient

Sensory overload

For patients experiencing _______, nurses should provide consistent, predictable patterns of stimulation to help the patient develop a sense of control

Vision

For patients with a decrease in _______ provide adequate lighting and clear pathways of clutter to prevent injury, provide enlarged print, and encourage the patient to visit the ophthalmologist annually.

Overload

For patients with sensory (deprivation/overload), orient them to person, place, and time

Discourage

For patients with sensory deprivation, (discourage/encourage) the use of sedatives

Ahead

For visually impaired patients assist with ambulation by walking slightly (ahead/behind) the patient

False

Formal prayer should not be used with patients as it may alienate them (true or false)

Judaism

Formation closely bound with a divine revelation and with commitment to obedience to God's will. The Hebrew Bible is the authority, guide, and inspiration of the many forms of religion of the Jews (what religion)

Defense mechanisms

Forms of self-deception; unconscious process the self uses to protect itself from anxiety or threats to self-esteem

Locked in syndrome

Full consciousness; sleep-wake cycles present; quadriplegic (unable to move the limbs), auditory and visual function preserved; emotion preserved

Preschooler

Gender identity is formed (what stage of development)

Cisgender

Gender identity or role performance that matches society's expectations based on biological sex

Hospice

Generally (palliative/hospice) care is provided to support people through the end of their life

Sources of hope, meaning, comfort, and strength

H in HOPE acronym

Visual, auditory, or tactile

Hallucinations can be ____, _____, or ______

Heterosexual

Having sexual feelings for a person of the opposite sex

Bisexual

Having sexual feelings for people of both sexes

Physical

Heat, cold, and trauma are examples of ____ agents

Premenstrual syndrome (PMS)

Menstrual cycle-related distress; occurs a few days before the onset of menstruation

Dopamine

Heroin, cocaine, sex and food trigger the hormone ______ to be released as well as smoking

Palliative care

Hospice care; taking care of the whole person—body, mind, spirit, heart, and soul—with the goal of giving patients with life-threatening illnesses the best quality of life they can have through the aggressive management of symptoms

Body image

How a person experiences one's body

Psychological

Humans must maintain _______ homeostasis in order to maintain mental well being

Self concept

Mental image or picture of self; includes body image, subjective self, ideal self, and social self

Endometrium

If the ovum is fertilized, it attaches to the ______ lining of the uterus

Senses

If there is damage near the area of the reticular activating system, there will be difficulty in the perception of ______

Inflammatory

If you cut your finger, _____ response will occur

Healthy

If you have a(n) (unhealthy/healthy) self esteem, you are able to be assertive and expressive in your needs and opinions, competent in your ability to make decisions, able to form secure and honest relationships, and less likely to stay in unhealthy relationships

Stereognosis

If you tell someone to close their eyes and you place a penny in their hand, they should be able to tell you that it is a coin (example of ________)

Terminal illness

Illness from which there is no reasonable expectation of recovery or cure

Situational

Illness or traumatic injury, marriage or divorce, loss, and a new job are examples of ______ stressors

Sensory deficit

Impaired or absent functioning of one or more senses

Ineffective

In a crisis, a person's usual methods of coping are (ineffective/effective)

Cheap, more

In philadelphia, cigarettes are relatively (cheap/expensive) compared to other cities and there are (less/more) retailers for youth to purchase tobacco products

Rise

In the alarm reaction phase of the general adaptation syndrome, hormone levels (fall/rise) and the body prepares to react

Increase, vasoconstriction

In the alarm reaction phase of the general adaptation syndrome, norepinephrine and epinephrine are released which (decrease/increase) heart rate and blood pressure and cause peripheral (vasoconstriction/vasodilation)

Decrease

In the counter shock phase of the alarm reaction, energy levels, oxygen intake, cardiac output, and blood pressure all (decrease/increase)

Increase

In the shock phase of the alarm reaction, energy levels, oxygen intake, cardiac output, and blood pressure all (decrease/increase)

Unifying

In the spiritual dimension: (integrated/unifying) approach, the sociological, psychological, and physiological dimensions are all grounded within the spiritual dimension

Equal

In the spiritual dimension: integrated approach, physiological, spiritual, psychological, and sociological all have an (unequal/equal) piece and they all interrelate with each other

Physiological, spiritual, psychological, and sociological

In the spiritual dimension: integrated approach, the dimensions ______, ______, ____, and _______ are interrelate with one another

Spiritual

In the spiritual dimension: unifying approach, the ______ dimension influences the well-being of the physiological, psychological, and sociological dimensions

Spiritual

In the spiritual dimension: unifying approach, the sociological, psychological, and physiological dimensions are all grounded within the _______ dimension

Increased

In the year 2019, teen vaping rates (decreased/increased)

Spiritual pain

Inability to accept death of son

Spiritual anger

Inability to accept illness

Loss

Inaccessibility or change in a valued person, object, or situation

Normal consciousness

Individual is aware of self and external environment, is well oriented, and is responsive

Different

Infants learn that the physical self is (same/different) from environment

Dilating

Inflammatory response involves (constricting/dilating) the blood vessels within the injured area to allow our WBCs to move in and take care of the area

Hope

Ingredient in life responsible for a positive outlook, even in life's bleakest moments

Females

Inhibited sexual desire is usually experienced in (females/males)

Inhibited sexual desire

Inhibition in sexual arousal so that congestion and vaginal lubrication are absent or minimal

Excitement phase

Initiated by erotic stimulation and arousal. Some of the physiologic changes common in both men and women include an increase in heart rate and blood pressure, and the appearance of a pink to red flush to the skin (what phase of sexual response cycle)

Menarche

Initiation of the menstrual cycle

Intercourse

Insertion of the penis into the partner's vagina, anus, or mouth

Uterus

Intrauterine devices (IUDs) are placed in the _______

Resolving the loos

Involves dealing with the void left by the loss (what stage of Engel's stages of grief)

Restitution

Involves the rituals surrounding loss such as funeral or expressions of mourning (what stage of Engel's stages of grief?)

Death

Irreversible cessation of all functions of circulatory and respiratory functions; (2) irreversible cessation of all functions of the entire brain, including the brainstem; (3) termination of life

Yes

Is hookah smoking dangerous?

Yes

Is perception influenced by past experiences and knowledge

Yes

Is poverty associated with smoking

No

Is there self concept at birth?

Is not

It (is not/ is) the nicotine in cigarette smoke that causes cancer

True

It is important to continue to provide sensory stimuli, even as people grow older (true or false)

Young children

It is most important to give _____ a lot of sensory input and sensory stimulation so they can develop their sensory system

Spermicides

Kills sperm and is placed in the vagina before sexual intercourse

Muscles, organs

Kinesthetic and visceral senses arise internally from ________ and hollow ________

Young adulthood

Knowledge regarding sexual response and activity increases pleasure of relationship (what stage of development)

Spiritual needs

Lack of anything necessary for spiritual health

Coping mechanisms

Laughing, crying, sleeping, cursing, exercising, smoking, and drinking are all examples of _________

Maladaptive

Major stressors may place people at risk for performing _____ responses such as isolating, depression, extreme anxiety, or substance abuse

Euthanasia

Mercy killing; the deliberate termination of the life of a person

Islam

Many individuals in the ______ religion don't eat pork or drink alcohol because it is forbidden

Immature, stimulated

Many neural pathways are (immature/mature) at birth and need to be ______ in order to develop

6

Many smokers make ____+ quit attempts before succeeding

Physiological needs, safety needs, love and belongingness needs, esteem needs, and self actualization

Maslow's hierarchy in order from most basic needs to highest need

Adolescence

May begin to partake in sexual activity ranging from light to heavy petting to full genital intercourse (what stage of development)

Withdrawal, cannot, reduce, quit

Medications to quit smoking can be used to manage the physical ______, manage situations where people (cannot/can) smoke, (reduce/increase) consumption, and help people to ___

School aged

Menarche takes place (what stage of development)

Infancy

Needs affection and tactile stimulation (what stage of development)

Physiological needs

Most basic human needs located on the bottom of Maslow's period

Spiritual healing

Movement toward integration, from brokenness to wholeness

Does not

NRT (does not/does) contain the toxic chemicals found in tobacco products, such as nitrosamines, arsenic, formaldehyde, and ammonia

Decrease

Narcotics and sedatives (decrease/increase) awareness

Cerebral cortex

Nerve impulses from all of the sensory tracts reach the reticular activating system which selectively allows certain impulses to reach the _______ and be perceived

Reticular activating system (RAS)

Network of neurons in the core of the brainstem, with ascending and descending tracts to other areas of the brain that monitor and regulate incoming sensory stimuli and level of arousal

Non addictive, effective

Nicotine Replacement Therapies (NRT) such as the patch, gum, lozenge are safe, (non addictive/addictive) and (non effective/effective) in the treatment of tobacco addiction

Chemistry

Nicotine replacement therapies (NRT) allows brain ______ to recover

Baseline

Nicotine replacement therapies (NRT) keep nicotine at a ______ level in the brain

Cravings

Nicotine replacement therapies (NRT) reduce _____ for nicotine

Tobacco

Nicotine replacement therapies (NRT) weans the smoker off of ______

Dopamine

Nicotine stimulates a neurotransmitter in the brain called ________ which is the "happy" drug when it is released

Religion

Organized system of beliefs about a higher power; often includes set forms of worship, spiritual practices, and codes of conduct

Uterine fibroids

Noncancerous growths on the uterus that can cause heavy menstrual periods and bleeding in between periods

True

Nurses can be helpful in recommending means for patients to develop a relationship with one's inner world and manifest spiritual energy in one's outer world (true or false)

Organized religion

O in HOPE acronym

Infancy

Obtains pleasure from touching genitals (what stage of development)

Identity diffusion

Occurs when an individual does not truly know who they are or what they want

Crisis

Occurs when coping and defense mechanisms are no longer effective, resulting in high levels of anxiety, disorganized behavior, and the inability to function normally

Developmental stress

Occurs when person progresses through stages of growth and development

95

Of people with diabetes who have amputations involving their feet or legs, _____% are smokers

Follicular phase

One follicle produces a mature oocyte

Philadelphia

Out of the 10 largest cities in the U.S., what city has the highest poverty rate

Premature ovarian failure

Ovarian failure that refers to a loss of normal ovarian function before age 40 and can cause irregular or infrequent periods

Personal spirituality and practice

P in HOPE acronym

Dyspareunia

Painful intercourse

Sensory deprivation

Patients at high risk for ______ include patients in an environment with monotonous stimuli, patients who are on bed rest or are in isolation, patients with impaired ability to receive environmental stimuli, and patients who are unable to process environmental stimuli

Overload

Patients in intensive care units, patients with a disturbance of the nervous system, and patients who have extensive monitoring are at high risk for sensory (deprivation/overload)

Coping mechanisms

Patterns of behavior used to neutralize, deny, or counteract anxiety

People

People express and experience spirituality in and through connectedness with other _____

Transexual

People who are ______ are people who have lived full time as members of a gender that differs from their sex/the gender they were assigned at birth

Homosexual

People who are gay or lesbian are said to be (homosexual/heterosexual)

Gender dysphoria

People who experience discomfort or distress because their biological sex at birth is contrary to their gender is diagnosed with _________

High

People with (low/high) self esteem are accustomed to being well-received and successful.

Intensity, size, change, stimuli

Perception is influenced by the _______, ______, ______, or the representation of ______

Mourning

Period during which a person learns to accept grief

Menstruation

Periodic discharge of bloody secretions through the vagina; usually for 4 to 5 days each month

Transsexual

Person of a certain biological sex with the feelings of the opposite sex

Agnostic

Person who believes that nothing can be known about the existence of a god

Atheist

Person who denies the existence of a god

Self esteem

Person's perception of one's total being, including self-worth and body image

Auditory

Pertaining to hearing

Visceral

Pertaining to inner organs

Visual

Pertaining to sight

Olfactory

Pertaining to smell

Gustatory

Pertaining to taste

Tactile

Pertaining to touch

Highest

Philadelphia has the (lowest/highest) smoking rate of the 10 largest cities in the United States

Developing awareness

Physical and emotional responses such as anger and feelings of hopelessness; may ask why me (what stage of Engel's stages of grief)

Psychosomatic disorder

Physiologic alterations and illness believed to be due to psychological influences

Diaphragm

Placed in a woman's vagina to cover the cervix

3

Practice oral care ______ times per day to prevent infection and decay

Spiritual beliefs

Practices associated with all aspects of a person's life, including health and illness, that address the invisible "spirit"—a creative, mysterious, guiding power

Sexual orientation

Preferred biological sex of the partner of an individual

Contraception

Prevention of conception or pregnancy; also used to describe methods used for birth control

Early, are

Pride, guilt, and shame are usually learned (early/late) in childhood within relationships with others and (are not/are) maintained through practice

Adolescence

Primary and secondary sex characteristics develop (what stage of development)

Advance care planning (ACP)

Process of planning for future care in the event a person becomes unable to make his or her own decisions

Anticipatory guidance

Psychologically preparing a person for an unfamiliar event

School aged

Puberty begins for most boys and girls with development of secondary sex characteristics (what stage of development)

Reflex pain

Pulling your hand off of a hot stove is an example of the _____ response

Record your assessment and interventions in patients' medical records

R in BETTER acronym

Remove cigarettes, lighters, and other tobacco-related products from your home, car, and work

R in START acronym for smokers trying to quit

Self actualization

Reaching of one's potential through full development of one's unique capabilities

Receptor

Receives a stimulus and converts it into a nerve impulse

Confusion

Reduced awareness, easily distracted, easily startled by sensory stimuli, alternates between drowsiness and excitability; resembles minor form of delirium state

Delayed ejaculation

Refers to a man's inability to ejaculate into the vagina, or delayed intravaginal ejaculation

Sexual orientation

Refers to our romantic, emotional, and sexual attraction to others

Abstinence

Refraining from having sex

Can

Religious beliefs (cannot/can) guide daily living habits

Differ

Religious traditions (differ/are the same) among ethnic groups

Thirdhand smoke

Residue from tobacco smoke contamination that remains after the cigarette is extinguished finished such as on clothes, furniture, hair, etc

Stage of exhaustion

Results when the adaptive mechanisms can no longer provide defense (what stage of general adaptation syndrome)

Set a quit date

S in START acronym for smokers trying to quit

Basic

Safety and physiological needs are _______ needs

Third

Secondhand smoke is the ____ leading cause of preventable disease and death in the US

Ideal self

Self a person would like to be or thinks one should be; includes aspirations, moral ideas, and values

Infancy

Self awareness begins in which stage of development

6-7

Self concept develops around ____-____ years of age

3

Self definition occurs at about _____ years of age

Self respect

Self esteem is sometimes referred to as _______

Self concept, body image, and sexual identity

Self identity is developed by what 3 things

18 months

Self recognition begins at what stage of development

Masturbation

Self-stimulation for sexual satisfaction

Adulthood

Sexual satisfaction may actually increase because of loss of fear of pregnancy (what stage of development)

Alarm reaction

Shock and counter-shock phases occur (what stage of general adaptation syndrome)

Aggression or mutilation

Shootings, rape, crimes, and muggings are all examples of _______ or _______

Abbreviated grief

Short but genuine grief reaction

Acceptance

Stage 5 of Kübler-Ross's 5 stages of grief

Outcome

Stage 6 of Engel's stages of grief

No

Should you clean inside the ear

Ventilation

Since secondhand smoke refers to smoke in the air, it can be easily removed by ______

Increase, females

Since the COVID-19 pandemic, there has been a (decrease/increase) in smoking rates, particularly in (males/females)

Does not

Situational stress (does not/does) occur in predictable patterns

Narrows

Smoking (narrows/widens) the blood vessels, causing the poor circulation that can lead to a foot or leg infection, which can make an amputation necessary

Judaism

Some individuals in the ______ religion follow a Kosher diet and respect Saturdays as a day to relax

Stimulus

Some sort of agent, act, or other influence capable of initiating a response by the nervous system

Active euthanasia

Someone other than the patient commits an action with the intent to end the patient's life, for example, injecting the patient with a lethal dose of a drug

Quid pro quo

Something is withheld in exchange for something else

Faith

Spiritual dimensions of a person's life regardless of religious affiliation; (2) confident belief in something for which there is no proof or material evidence

Nature, earth, environment, cosmos

Spirituality is expressed through connectedness with ____, the _____, the ______, and the _______

Being, knowing, and doin

Spirituality is reflected in a person's _____, ______, and ______

Becoming

Spirituality shapes the self-_________

Shock and disbelief

Stage 1 of Engel's stages of grief

Denial and isolation

Stage 1 of Kübler-Ross's 5 stages of grief

Developing awareness

Stage 2 of Engel's stages of grief

Anger

Stage 2 of Kübler-Ross's 5 stages of grief

Restitution

Stage 3 of Engel's stages of grief

Bargaining

Stage 3 of Kübler-Ross's 5 stages of grief

Resolving the loss

Stage 4 of Engel's stages of grief

Depression

Stage 4 of Kübler-Ross's 5 stages of grief

Idealization

Stage 5 of Engel's stages of grief

Self esteem

Strength, achievement, mastery and competence, confidence in the face of the world, independence, and freedom contribute to an individual's ________

Increase

Stress and illness (decrease/increase) sensory stimulation

True

Stress in a healthy person may promote health and prevent illness (true or false)

Caregiver burden

Stress responses experienced during prolonged periods of home care by family caregivers

Challenge, threat, or danger

Stress results from a change in a person's internal or external environment that is perceived as a ______, ________, or ______

Sensory overload

Stress, physical illness, pain, and surgeries may provide more stimulation than a person can process and respond to without assistance resulting in _______

Depersonalization

Subjective experience of the partial or total disruption of one's ego and the disintegration and disorganization of one's self-concept

Tell patients that sexual dysfunction can happen and that you will address their concerns

T in BETTER acronym

Timing is important to address sexuality with each visi

T in BETTER acronym

Talk to your medical provider about medications and support

T in START acronym for smokers trying to quit

Tell family, friends, and co-workers that you plan to quit

T in START acronym for smokers trying to quit

Brain

The most important organ for sexual arousal and stimulation

Nervous, brain

The nerve impulse must be conducted along the ______ pathway from the receptor up into the _______

Alarm reaction

The neuroendocrine activity releases stress hormones such as norepinephrine and epinephrine which increase heart rate and blood pressure as well as cause peripheral vasoconstriction (what stage of general adaptation syndrome)

Stage of resistance

The neuroendocrine activity returns to normal (what stage of general adaptation syndrome)

Illness

The number of changes in a person's life, whether positive or negative, can be correlated with _______

Sensoristasis

The optimal arousal state of the reticular activating system is called _____

Internal

The ovaries, fallopian tubes, uterus, and vagina are all (external/internal) female structures

Nicotine

The patch, gum and other forms of NRT use controlled doses of ______

Denial and isolation

The patient denies the reality of death and may repressed what is discussed; patient may believe there was a mistake in the diagnosis (what stage in Kübler-Ross's 5 stages of grief)

Anger

The patient expresses rage, hostility, and a whiney attitude; may ask why is this happening to me (what stage in Kübler-Ross's 5 stages of grief)

Depression

The patient goes through a period of grief before death usually characterized by crying and socially isolating (what stage in Kübler-Ross's 5 stages of grief)

Bargaining

The patient tries to bargain for more time; many patients put their personal affairs in order such as making a will (what stage in Kübler-Ross's 5 stages of grief)

True

The perception of the threat in the alarm reaction phase of GAS may be conscious or unconscious (true or false)

Allostasis

The process of achieving stability or homeostasis through physiologic or behavioral change

Sensory reception

The process of receiving data about the internal or external environment through the senses

Ovulation

The process of releasing a mature ovum from the follicle and it is released into the fallopian tube each month

Endometrium

The proliferation and secretory phase occurs in the _______

Rapid and automatic

The reflex pain response is (slow/rapid) and ______ serving as a protective mechanism

Mind body interaction

The relationship between the psychological stressor and the physiologic stress response

Hypothalamus to the medulla

The reticular activating system is a poorly defined network that extends from the _______ to the _______ and mediates our level of arousal

Arousal

The reticular activating system is a poorly defined network that extends from the hypothalamus to the medulla and mediates our level of ______

Internal

The vas deferens, epididymis, seminal vesicle, prostate gland, and Cowper's gland are examples of (internal/external) genitalia in men

Inner ear

The vestibular apparatus is located within the _______ ____

Significance

The way people feel they are loved and approved by the people who are important to them (which of the 4 bases of self esteem)

Competence

The way that tasks that are considered to be important are performed (which of the 4 bases of self esteem)

Excitement phase

The woman's breasts swell and the nipples become erect and hard to the touch. Lubrication of the vagina seeps to the outside of the body along the vulvar creases and makes stimulation of the genitals more pleasurable by decreasing friction. The upper two thirds or so of the vagina enlarges and expands. The clitoris enlarges and emerges slightly from the clitoral hood. The labia also enlarge and separate, and turn a deep rosy red with arousal (what phase of sexual response cycle)

Decrease

The youth smoking rate in Philadelphia has continued to (decrease/increase)

Medicaid

There is no cost for nicotine replacement therapies (NRT) for people who have _______

Christian scientist

They deny the existence of health crises; sickness and sin are errors of the human mind and can be overcome by altering thoughts, not by using drugs or medicines (what religion)

Jehovah's witness

They oppose the "false teachings" of other sects; opposition often extends to modern science, including medicine (what religion)

Difficult

Thirdhand smoke is (easy/difficult) to remove from household furniture and surfaces, and even public spaces, which allows for a much longer timeframe for exposure

Resolution phase

This phase is characterized by a return to the normal body functioning present before the excitement phase

Fowler's position

This position is often used for patients who have cardiac issues, trouble breathing, or a nasogastric tube in place

Sexual harassment

Unwelcome verbal or physical advance or sexually explicit statement (e.g., leers, pats, grabs, jokes, requests for dates, and even rape) that interferes with one's ability to do one's job by making one feel humiliated, intimidated, or uncomfortable

Earplugs

Use ______ when using loud machinery, including lawn mowers, grass trimmers, or industrial equipment

Anxiety

Vague sense of impending doom or apprehension precipitated by new and unknown experiences

Homeostasis

Various physiologic and psychological mechanisms respond to changes in the internal and external environment to maintain a balanced state

Infectious

Viruses and bacteria are examples of _____ agents

Stage of resistance

Vital signs, hormone levels, and energy production return to normal (what stage of general adaptation syndrome)

Person's perception of event, person's situational support, and the coping mechanisms the person possesses

What 3 factors determine a person's response to crisis

Stimulus, receptor, nervous pathway to brain, and translation of impulse into sensation

What 4 conditions must be met in order for a person to receive data

Terminal weaning

Withdrawal of life-sustaining therapy with the understanding that death may result, generally after a decision is made that the therapy in question is medically futile or disproportionately burdensome

More

Women usually enjoy a (less/more) prolonged period of stimulation than do men

Protestantism

Worship of the one God revealed to the world through Jesus Christ. Love of neighbor is a central tenet. Other beliefs include sin, redemption, salvation, and a final accounting with God. Care of the sick is encouraged. God the author and giver of life is also the healer. Most accept modern medical science. (what religion)

Advance directive

Written directive that allows people to state in advance what their choices for health care would be if certain circumstances should develop

Greater

Young children are at (lesser/greater) risk for thirdhand smoke

Less

Youth in Philadelphia are (less/more) likely to smoke cigarettes than US youth

Perish

____ nursing programs seek to reclaim the church's role in administrative healing and focus on the impact of spirituality

Spirituality

_____ allows people to evaluate big pictures and big questions

Menthol

_____ make cigarettes more addictive and deadly

Adaptive

_____ responses are good responses that help us to adapt to a stressor or crisis

Mild and moderate

______ and ______ anxiety can be motivators to ourselves

Androgens

______ control the development of testosterone and estrogen

Situational

______ stress can occur at any time and the person's ability to adapt may be strongly influenced by their developmental level

Hearing

_______ is the last sense that is lost

Self esteem

________ is the need to feel good about oneself and believe others hold one in high regard

Task oriented

________ reactions involve consciously thinking about the stress situation and then acting to solve the problem

Maladaptive

________ responses are negative responses to a stressor

Physiologic

________ stressors can have both a specific effect and a general effect

Guilt

rules A 23-year-old, single, Baptist woman being treated for premenstrual syndrome and she says "I was raised in a strict Baptist home but had to leave ... I needed more room to be me. I like life here at the university but there's a restlessness in me I can't describe. I've dated several men, one or two I really liked, but I always do something to mess up the relationship. It would kill my mother if she knew I lived with Gary for 3 months." (example of spiritual _____)


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