NMNC 1110 Final

Acculturation

(n.) the modification of the social patterns, traits, or structures of one group or society by contact with those of another; the resultant blend

Which herbal therapies would be beneficial to a client with menstrual cramping?

1. Catnip 2. Fennel 3. Black Haw

Crisis (3 types)

1. maturation or developmental crisis 2. situational crisis 3. disasters or adventitious crisis.

crisis intervention

1. patient safety 2. anxiety reduction

persistent mania

4 days

cystic fibrosis

A genetic disorder that is present at birth and affects both the respiratory and digestive systems. Defect on Chromosome 7

somatic mutation

A mutation that occurs in the body cells. Cannot be inherited. DNA replication error or Environmental

anterior pituitary

ACTH Adrenal Cortex Aldosterone and Cortisol Release

Antidepressants vs mood stabilzers

AD= Depression MS=Mania

posterior pituitary

ADH

stress secondary nursing intervention

Actions directed at symptoms such as protection from self harm

Pluripotent

Cells that are capable of developing into most, but not all, of the body's cell types

Avoidance

Desire to avoid harm

Which diagnostic study is used to detect deep vein thrombosis in the client's lower extremities

Duplex venous Doppler

Positive coping strategies

Education Social Support Exercise Therapeutic Lifestyle Change Music Relaxation

cultural encounters

Engaging in cross-cultural interactions that provide learning of other cultures and opportunities for effective intercultural communication development

Which lesions are considered primary lesions?

Erosions

Pender's Health Promotion Model

Focuses on promoting health and managing stress.

Which form is a source of the dermal regeneration template graft?

Glycosaminoglycan bonded to silicone membrane

Stressor triggers

Hypothalamus Response

cystic fibrosis symptoms

Impaired digestion, fatty stool, distended abdomen, impaired growth, cyanosis, shortness of breath, chronic cough, barrel-shaped chest, nail clubbing

When would the nurse expect the client who has rheumatoid arthritis to experience the most joint pain and stiffness?

In the morning on awakening

Which organism is responsible for causing dermatitis related to a sexually transmitted infection (STI)?

Phthirus pubis

PT/IRN

Prothrombin Time/International Normalized Ratio For Warfarin/Coumadin.

RESPECT model

Respect explanatory model sociocultural context power empathy concerns and fears therapeutic alliance/trust

problem-focused coping

a type of coping in which people take direct steps to confront or minimize a stressor

Bruits

abnormal "swishing" sounds heard over organs, glands, and arteries

meaning-focused coping

action is taken by starting a conversation with a reliable person to make meaning of the stressor in order to understand one's response and personal bias and find ways to reframe or modify the personal interpretation and response.

cystic fibrosis characterization

altered transport of sodium and chloride in/out of epithelial cells

secondary appraisal

an evaluation of your coping resources and options for dealing with the stress. occurs at the same time as primary

cystic fibrosis 2

autosomal recessive

Ethnic identity

based on the language, geographic area, racial characteristics, and values of the group's heritage

Causes of peritonitis include

bowel obstruction, appendicitis, external penetrating wound, or peritoneal dialysis

Unipotent

can only develop into one type of cell

Sympathetic NS

catecholamines epi/norepi

Multipotent

cell with limited potential to develop into many types of differentiated cells. only specific germ layer

emotion-focused coping

coping strategies that change the impact of a stressor by changing the emotional reaction to the stressor. Stressor is not changed

Hypothalamus Releases

corticotropin-releasing factor (CRF)

Hippocampus

creation and storage of memories

Campinha-Bacote's model of cultural competency

cultural awareness, knowledge, skills, encounters, desire

Power

desire to win

human sexual response cycle

excitement, plateau, orgasm, resolution

alarm stage

fight or flight

single gene disorders

genetic disorders caused by recessive genes or mutations •Cystic fibrosis, sickle cell disease, polycystic kidney disease

stress tertiary nursing intervention

help the patient readapt and can include relaxation training and time-management training

appraisal

how a person interprets the impact of the stressor

stress primary nursing intervention

identify individuals and populations who may be at risk

primary appraisal

initial personal decision regarding whether an event is harmful

Emic worldview

insider or native perspective

anhedonia

lack of interest in normal self activities

main components of affect

mood, energy, cognition

acute stress

most common, Typically is for a sort period, reaction to a real or perceived threat.

cystic fibrosis 3

most prevalent in Caucasian infants

germline mutation

mutation that occur in gametes

affiliative

non-conscious concern to being

aPTT (activated partial thromboplastin time)

normal = 60 - 70 seconds; if on heparin therapy goal is 1.5 - 2.5 times norm

Euthymia

normal range of moods and emotions

achievement

self satisfaction from achieving a goal

chronic stress

stress associated with long term problems

Genomics

study and comparison of genomes within a single species and they way they interact within the environment

cultural desire

the nurse's intrinsic motivation to provide culturally competent care

Enculturation

the process of learning culture as a child

Pharmacogenetics

the scientific discipline studying how the effect of a drug action varies from a predicted drug response because of genetic factors or hereditary influence

resistance stage

the second stage of the general adaption syndrome, the body returns to homeostasis, its normal state

Assimilation

the social process of absorbing one cultural group into harmony with another

Pharmacogenomics

the study of how genetic inheritance affects the body's response to drugs

secondary traumatic stress

the trauma a person experiences from witnessing other people's suffering

Which rational supports administering the medication pregabalin to a client with acquired immunodeficiency syndrome (AIDS)?

to reduce neuropathic pain

protein synthesis

transcription translation mrna trna

allostatic load

wear and tear on the body caused by prolonged or excessive stress responses

Sexuality Secondary Prevention: Screening

•Cervical cytologic screening (Pap test) •HIV screening •Screening for other STIs

Culturally congruent care

•Fits the person's valued life patterns and set of meanings •Requires specific knowledge, skills, and attitudes in the delivery of care

Culturally competent care

•Is the process of acquiring specific knowledge, skills, and attitudes to provide culturally congruent care

cystic fibrosis 4

•Multisystem disease •Basic defect is an exocrine gland dysfunction (a gland that discharges it's secretions through ducts opening on internal or external surfaces of the body) •Respiratory system- obstructed by secretions •Digestive system- secretions prevent digestive enzymes from flowing to GI tract, results in poor absorption of food •Bulky, foul-smelling stools that are frothy because of the undigested fat content Skin- loss of electrolytes in the sweat causing a 'salty' skin surface Reproductive system- secretions decrease sperm motility •Thick cervical mucus can inhibit sperm from reaching fallopian tubes

Sexuality Primary Prevention

•Patient education •Condom use •Safe-sex practices •Human Papilloma Virus (HPV) vaccine

Sexuality Collaborative Interventions

•Pharmacologic agents •Treatment of STIs, erectile dysfunction, symptoms of menopause •Surgery •Pelvic organ prolapse, erectile dysfunction •Sexual counseling •Other interventions •i.e. Pessaries

cystic fibrosis diagnosis

•Sweat test with pilocarpine iontophoresis method •Positive sweat test confirms CF Diagnosis

Persistent Meloncholy

2 weeks

Which medication would be prescribed for the client to treat severe nodulocystic acne?

Isotretinoin

mood stabilizing drugs

Lithium Antiepileptic Drugs 2nd generation antipsychotic drugs

Cortisol

Mobilizes glucose and protein metabolism

cultural knowledge

Obtaining sufficient comparative knowledge of diverse groups, including their indigenous values, health beliefs, care practices, worldview, and bicultural ecology

5 P's of sexual health

Partners Practices Protection from STDs Past history of STDs Prevention of pregnancy

A client with erythematous papules in the interdigital spaces reports severe itching at night. Which insect is responsible for this condition?

Sarcoptes scabiei

anitdepressant drugs

Selective Serotonin Reuptake Inhibitors(1st Choice) Serotonin Norepinephrine Reuptake Inhibitors Tricyclic Antidepressant Norepinephrine-Dopamine Reuptake Inhibitors Monoamine Oxidase Inhibitors

episodic acute stress

Self inflicted acute stress.

General Adaptation Syndrome (GAS)

Selye's concept of the body's adaptive response to stress in three phases—alarm, resistance, exhaustion.

totipotent

Stem cells with the potential to differentiate into any type of cell.

Corticotropin-releasing factor (CRF) stimulates

Sympathetic NS Anterior Pituitary Posterior Pituitary

Translator vs Interpreter

T- written I- spoken

cultural skill

The ability of nurses to effectively integrate cultural awareness and cultural knowledge when conducting a cultural assessment and to use the data to meet the specific client's needs

A client had an annual tuberculin purified protein derivative (PPD) test, and the area of induration was 10 mm within 48 hours after planting. Which conclusion would the nurse make about the client's response to this diagnostic?

The client has been exposed to the tubercle bacillus

Roy's Adaptation Model

The model of health that conceptualizes health as the patient's ability to adapt, compensate, manage, and adjust to physiological-physical health-related setbacks.

cultural awareness

The self-examination and in-depth exploration of one's own beliefs and values as they influence behavior

exhaustion stage

The third stage of the general adaptation syndrome, which occurs if the organism fails in its efforts to resist the stressor.

Neuman Systems Model

Uses systems approach Based on the concepts of stress and reaction to stress

Antagonist for warfarin

Vitamin K

Which condition presents as chalk white patches on the skin?

Vitiligo

Etic worldview

outsider's perspective

pallor

paleness

part of the brain responsible for judgement, decision making, problem solving, feelings, and emotions

prefrontal cortex and anterior cingulate cortex

Allostasis

process by which the body achieves stability through physiological change

antagonist for heparin

protamine sulfate