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