NURB 235 EXAM 1
Hollism - Answer- - considering whole person not just physical
- body, mind, spiritual, social, enviorment etc..
Holistic Health Model - Answer- Mind body spirit
PATIENT CENTERED
Nurse promotes person's optimal level of health by considering the dynamic interactions among
emotional, spiritual, social, cultural, and physical aspects of a person's
wellness
Stress - Answer- Threat to homeostasis
Though can be good sometimes
Can impact physical and mental well being
General adaptation syndrome
Allostatic load
General Adaptation Syndrome - Answer- Immune response to stress
1st stage: alarm reaction; ex/ fight or flight system will set off sympathetic nervous system.
Increased heart rate/breathing.
2nd stage: resistance; body resists against fight or flight stage. Hormones are released telling
body to relax. Homeostasis goes back to normal levels
3rd stage: exhaustion all stressors relax but body is worn out.
allostatic load - Answer- Known as long term general adaption syndrome.
Body is so exhausted stress starts to affect physical, mental and external tole on bod.
Ex/ ulcers, insomnia
Factors that influence stress and coping - Answer- -situational factors: can be short or long term.
Ex/ school, illness, new job
-maturational factors; vary w life stages. What stage of life you're at
-sociocultural factors; environmental, social, and cultural factors perceived by children,
adolescents and adults
Stress and nursing - Answer- - Self-awareness; naturally have your own stress
- Self-care; physical, social, emotional and spiritual
- burnout; working too much, short staffed not enough money
- compassion fatigue; exposed to the situation too much stop to care
Second victim syndrome: ex/ you make a mistake that results in death of patient. Patient is 1st
victim you are 2nd. The reason 2nd is bc it was an accident you're traumatized by error
Person centered care - Answer- - person is the center of practice
- put patients needs 1st
- empower the patient. Let them do as much for themselves that they can
- mind, body, spirit
, Maslow's Hierarchy of Needs - Answer- physiological (survival), safety (safe physical
environment), love/belonging (giving/receiving affection, feeling of belonging), esteem (self
esteem), self-actualization (maximizing potential creativity and innovation
Have to meet lower needs before higher needs can be met
Erickson's theory of development - Answer- - each stage builds on tasks of previous stage (some
people can be stuck on a stage)
- Successful mastery of each stage leads to strong sense of self
- self esteem increases in childhood and adolescents
- increases strongly in young adulthood
- continues to increase and peaks in 60-70 yrs
- then starts to diminish.
Factors influencing self concept - Answer- - body image (stroke, obese, stroke, rape, pregnancy)
- identify (change in marital status, job loss, abuse or neglect, repeated failures)
- role performance (inability to balance a career, physical, emotional or cognitive deficits, Empty
nest, responsibility for parent care)
Health can affect self concept and self concept can affect health
environment - Answer- External involvements influence health, health belies and behavior.
Social determinants of health SDOH; positive environment promotes good health
Levels of Care - Answer- -preventative; prevent ppl from getting sick. Ex/ immunization
-primary; someone already got sick but nip it in early stages. Ex/ prenatal care
-secondary; more sick but not life threatening. Ex/ ER visit for stomach pain
-tertiary; serious diagnosis and have to see specialist for care
-restorative; on our way back to good health. Ex/ physical therapy or rehab
-continuing; have to stay in long term care for treatment. Problem not going away
Health - Answer- - World Health Organization: Health is a "state of complete physical, mental, and
social well-being and not merely the absence of disease or infirmity (illness/injury)."
- personal health: state of being that ppl define in relation to own values, personalities and lifestyle
- Public health: looks at population, focuses on health promotion, disease/injury prevention.
Includes health education and policies
Health - Answer- Health Promotion; what are ppl doing to stay healthy?
Illness Prevention; prevent ppl at high risk from getting sick?
Health Education; educate ppl on health, how to be in control of their health
Health Literacy; how much does one understand about their own health? NEED TO KNOW ONES
LITERACY BEFORE EDUCATING THEM
illness - Answer- State of which individuals physical, emotional, intellectual, social, development,
or spiritual functioning are diminished or impaired.
Acute or chronic: short (quicker, resolves itself) or long lasting
Risk factors - Answer- - making one more susceptible to getting sick
- modifiable: can be changed ex/ diet, weight, lifestyle. Nurses focus on modifiable risk factors
-non modifiable: can't be changed ex/ age, gender
levels or prevention - Answer- primary; prevent one from getting sick
Hollism - Answer- - considering whole person not just physical
- body, mind, spiritual, social, enviorment etc..
Holistic Health Model - Answer- Mind body spirit
PATIENT CENTERED
Nurse promotes person's optimal level of health by considering the dynamic interactions among
emotional, spiritual, social, cultural, and physical aspects of a person's
wellness
Stress - Answer- Threat to homeostasis
Though can be good sometimes
Can impact physical and mental well being
General adaptation syndrome
Allostatic load
General Adaptation Syndrome - Answer- Immune response to stress
1st stage: alarm reaction; ex/ fight or flight system will set off sympathetic nervous system.
Increased heart rate/breathing.
2nd stage: resistance; body resists against fight or flight stage. Hormones are released telling
body to relax. Homeostasis goes back to normal levels
3rd stage: exhaustion all stressors relax but body is worn out.
allostatic load - Answer- Known as long term general adaption syndrome.
Body is so exhausted stress starts to affect physical, mental and external tole on bod.
Ex/ ulcers, insomnia
Factors that influence stress and coping - Answer- -situational factors: can be short or long term.
Ex/ school, illness, new job
-maturational factors; vary w life stages. What stage of life you're at
-sociocultural factors; environmental, social, and cultural factors perceived by children,
adolescents and adults
Stress and nursing - Answer- - Self-awareness; naturally have your own stress
- Self-care; physical, social, emotional and spiritual
- burnout; working too much, short staffed not enough money
- compassion fatigue; exposed to the situation too much stop to care
Second victim syndrome: ex/ you make a mistake that results in death of patient. Patient is 1st
victim you are 2nd. The reason 2nd is bc it was an accident you're traumatized by error
Person centered care - Answer- - person is the center of practice
- put patients needs 1st
- empower the patient. Let them do as much for themselves that they can
- mind, body, spirit
, Maslow's Hierarchy of Needs - Answer- physiological (survival), safety (safe physical
environment), love/belonging (giving/receiving affection, feeling of belonging), esteem (self
esteem), self-actualization (maximizing potential creativity and innovation
Have to meet lower needs before higher needs can be met
Erickson's theory of development - Answer- - each stage builds on tasks of previous stage (some
people can be stuck on a stage)
- Successful mastery of each stage leads to strong sense of self
- self esteem increases in childhood and adolescents
- increases strongly in young adulthood
- continues to increase and peaks in 60-70 yrs
- then starts to diminish.
Factors influencing self concept - Answer- - body image (stroke, obese, stroke, rape, pregnancy)
- identify (change in marital status, job loss, abuse or neglect, repeated failures)
- role performance (inability to balance a career, physical, emotional or cognitive deficits, Empty
nest, responsibility for parent care)
Health can affect self concept and self concept can affect health
environment - Answer- External involvements influence health, health belies and behavior.
Social determinants of health SDOH; positive environment promotes good health
Levels of Care - Answer- -preventative; prevent ppl from getting sick. Ex/ immunization
-primary; someone already got sick but nip it in early stages. Ex/ prenatal care
-secondary; more sick but not life threatening. Ex/ ER visit for stomach pain
-tertiary; serious diagnosis and have to see specialist for care
-restorative; on our way back to good health. Ex/ physical therapy or rehab
-continuing; have to stay in long term care for treatment. Problem not going away
Health - Answer- - World Health Organization: Health is a "state of complete physical, mental, and
social well-being and not merely the absence of disease or infirmity (illness/injury)."
- personal health: state of being that ppl define in relation to own values, personalities and lifestyle
- Public health: looks at population, focuses on health promotion, disease/injury prevention.
Includes health education and policies
Health - Answer- Health Promotion; what are ppl doing to stay healthy?
Illness Prevention; prevent ppl at high risk from getting sick?
Health Education; educate ppl on health, how to be in control of their health
Health Literacy; how much does one understand about their own health? NEED TO KNOW ONES
LITERACY BEFORE EDUCATING THEM
illness - Answer- State of which individuals physical, emotional, intellectual, social, development,
or spiritual functioning are diminished or impaired.
Acute or chronic: short (quicker, resolves itself) or long lasting
Risk factors - Answer- - making one more susceptible to getting sick
- modifiable: can be changed ex/ diet, weight, lifestyle. Nurses focus on modifiable risk factors
-non modifiable: can't be changed ex/ age, gender
levels or prevention - Answer- primary; prevent one from getting sick
