Nursing

Front 1

stimulated by sensory, visceral, kinesthetic and cognitive input.
-selective: able to select certain processes
-destruction produces coma

Back 1

RAS

Front 2

sensing stimuli is essential to normal function, growth and development.
-any alteration in sensory function places the person at risk for serious mental and physical health deficits unless effective coping takes place

Back 2

sensory perception

Front 3

influences awareness of the placement and action of body parts

Back 3

kinesthetic stimuli

Front 4

affect awareness related to large interior organs

Back 4

visceral stimuli

Front 5

sight, touch, smell taste and learning

Back 5

special senses

Front 6

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

Back 6

stereognosis

Front 7

discrimination of touch, pressure positioning, tickling temperature and pain

Back 7

somatic senses

Front 8

state of optimum arousal, not too much stimuli, no too little.

Back 8

sensoristasis

Front 9

time needed to prepare emotionally and physically

Back 9

lead time

Front 10

time needed to think and evalutate

Back 10

after burn

Front 11

marked increase in the intensity of auditory and visual stimuli

Back 11

sensory overload

Front 12

worry pain lack of sleep all can contribute to anxiety and cognitive overload

Back 12

internal factors

Front 13

person experiences an inadequate quality or quantity of stimulation or monotonous sensory input

Back 13

sensory deprivation

Front 14

irrational decision making, disorientation, difficulty concentrating, reduced capacity to learn, bizarre thinking

Back 14

cognitive dysfunction

Front 15

sensory impression that are based on internal stimulation and have no basis in reality

Back 15

hallucination

Front 16

beliefs that reflect an unconscious need or fear and have no basis in reality

Back 16

delusions

Front 17

body compensates for sensory deficit as remaining senses become more acute
-blind deaf stroke spinal cord injuries

Back 17

sensory deficit

Front 18

for information to be processed a person must be able to perceive the information

Back 18

cognitive perception

Front 19

Four cognitive processes

Back 19

consciousness, thinking memory and learning

Front 20

consists of memory comprehension . measurable. (ability to grasp the meaning of stimuli) concentration (ability to screen out extraneous stimuli)

Back 20

intelligence

Front 21

reality orientation, awareness of time, place stimulation and self
-a complex function which depends on functioning sensory receptors, neurotransmission and intact central processing

Back 21

reality perception

Front 22

process by which people know their location in dimensions of time and place
- know who they are as a person and their relation to others

Back 22

orientation

Front 23

insight, the process of reasoning,
-ability to process incoming stimuli and determines the complex meanings associated with many aspects of a situation

Back 23

judgement

Front 24

ability to retrieve and use information from the long and short term memory
-developed and need to be practiced to keep them actively useful

Back 24

recall and recognition

Front 25

use of language to store, process and transmit through content
-language caries in use and meaning, depending on age culture education and geographic region

Back 25

communication

Front 26

inflammation of the brain

Back 26

encephalitis

Front 27

produces judgement insight planning memory and problem solving.
-brain can affect cognitive function

Back 27

degenerative processes

Front 28

clinical syndrome involving prograssive impairement of intelluectual function and memory which is not associated with disturbances in level of conciousness and which interemeres with social or occupational function.
-causes may be trauma, circulatory interference, genetic alterations alterations in neurotransmitters and infections

Back 28

dementia

Front 29

adverse events in an older frail person often triggered by a medical or nursing intervention
-confusion leading to a fall and fracture
-indwelling catheter leading to UTI

Back 29

cascade iatrogenesis

Front 30

awake and fully aware of incoming stimuli

Back 30

alert

Front 31

not fully awake. tends to drift off to sleep when not actively stimulated

Back 31

lethargic

Front 32

difficult to rouse, when aroused person is confused

Back 32

obtunded

Front 33

responds to only persistent and vigorous stimulation

Back 33

stupor

Front 34

unresponsive to incoming stimuli

Back 34

coma

Front 35

highly distractible and cannot filter out competing stimuli
disorders if arousal and attention are features of confusion

Back 35

altered attention

Front 36

acyte organic mental syndrome characterized by global cognitive impairment, disturbance of attention, decreased level of consciousness, increased or reduced psychomotor activity and disturbed sleep wake cycle
-medications, metabolic disorders and infection

Back 36

delirium

Front 37

state of confusion disorientation and agitation experienced at night by institutionalized people who are oriented during the day

Back 37

sundown syndrome

Front 38

reversible clouding of consciousness, disorientation, poor and impaired cognitive processes experienced by ICU patients after 2-5 days in the ICU

Back 38

ICU(intensive care unit) psychosis

Front 39

complete or partial loss of language ability including understanding speech, reading, writing, arithmetic and expression acquired as a result of brain damage
-does not affect intelligence

Back 39

aphasia

Front 40

person knows what he wants to say bu cannot find the words to say it
-speech is slow and halting with reduced grammar
-leads to frustration and anger

Back 40

expressive (Broca's, motor, non fluent) aphasia

Front 41

person has difficulty understanding
-unaware
-not processing what they hear

Back 41

receptive (fluent, wernickes sensory) aphasia

Front 42

person talks a lot, but doesn't make sense.
- person usually unaware that he has the problem

Back 42

receptive aphasia

Front 43

speech is fluent and grammatically
-have difficulty using the correct name for object people, places and events

Back 43

anomic

Front 44

cannot speak or understand speech
-severe

Back 44

global aphasia

Front 45

speech disorder resulting from disturbance of motor control, weakness, or paralysis
-motor speech disorder where the person has difficult articulation

Back 45

dysarthria

Front 46

larynx is removed and speech is lost permanently

Back 46

laryngectomy

Front 47

air doesn't pass through the larynx therefore speech is lost

Back 47

tracheotomy

Front 48

instrument used to identify common problems experienced in older adults that can lead to negative outcomes.
-provides the nurse with an "alert system" for conditions that needing further assessment and either preventatives or therapeutic interventions
-sleep disorders, problem with feeding or eating, incontinence, confusion, evidence of falls, skin breakdown

Back 48

Fulmer SPICES tool

Front 49

-screens for overall cognitive impairment
-includes only those four features that were found to have greatest ability to distinguish delirium or reversible confusion from other types of cognitive impairements

Back 49

confusion assessment method (CAM)

Front 50

invisible phenomenon influenced by the interaction of affective (emotional) behavioral, cognitive and physiologic sensory factors
-subjective

Back 50

pain

Front 51

signals carried by the noiceptors travel along fibers from peripheral tissue through the dorsal root of the spinal cord and terminate in the dorsal born of the spinal cord
-spinothalamic track appears to be the most important important pathway for pain sensation

Back 51

ascending pathways

Front 52

pathways which convey information from the brain in the dorsolateral white columns to the spinal dorsal horn
-allow the brain to select or ignore stimuli

Back 52

descending pathways

Front 53

amount of pain stimulation a person requires before feeling it

Back 53

pain threshold

Front 54

the highest intensity of pain that the person is willing to tolerate

Back 54

pain tolerance

Front 55

onset and how long it lasts

Back 55

temporal pattern

Front 56

recurrent acute pain episodes persistent chronic pain or both associated with progressive malignant type processes

Back 56

malignant temporal pattern

Front 57

pain sensation produced by an innocuous stimulus (light touch)

Back 57

allodynia

Front 58

enhanced pain sensation produced by noxious stimulus

Back 58

hyperalgesia

Front 59

increased BP, heart rate, RR, nausea, muscle tension, verbal responses,

Back 59

manifestations of pain

Front 60

facial , position, activity, cry, controability, 0-10 scale
-face legs anxiety cry contracibility

Back 60

FLACC

Front 61

used with children 3 year old and older. Point to the face that describes their pain

Back 61

wong baker faces pain rating scale

Front 62

patients give themselves does of an opiod medication which allows more control and involvement in their own care

Back 62

Patient controlled analgesia (PCA)

Front 63

act on CNS and binds to opioid receptors to relieve pain
-sedation, disorientation, respiratory depression, hypotension, urinary retention constipation

Back 63

Opiods

Front 64

person's unique dimensions, potentials and purpose

Back 64

self

Front 65

mental image a person has one's self
-crucial to self-esteem and self-actualization

Back 65

self concept

Front 66

the self a person wants to be

Back 66

"ideal self"

Front 67

basic understanding of oneself, affective cognitive and physical perception

Back 67

self awareness

Front 68

conscious assessment of the self, leading to self respect, self approval or self worth

Back 68

self evaluation

Front 69

self awareness involves a basic understanding of oneself affective cognitive and physical perception

Back 69

self knowledge

Front 70

how a person sees himself or herself in relation to social situation including behavior and interactions with others

Back 70

social self

Front 71

the self a person wants to be

Back 71

"ideal self"

Front 72

basic understanding of oneself, affective cognitive and physical perception

Back 72

self awareness

Front 73

conscious assessment of the self, leading to self respect, self approval or self worth

Back 73

self evaluation

Front 74

self awareness involves a basic understanding of oneself affective cognitive and physical perception

Back 74

self knowledge

Front 75

how a person sees himself or herself in relation to social situation including behavior and interactions with others

Back 75

social self

Front 76

the self a person wants to be

Back 76

"ideal self"

Front 77

basic understanding of oneself, affective cognitive and physical perception

Back 77

self awareness

Front 78

conscious assessment of the self, leading to self respect, self approval or self worth

Back 78

self evaluation

Front 79

the self a person wants to be

Back 79

"ideal self"

Front 80

self awareness involves a basic understanding of oneself affective cognitive and physical perception

Back 80

self knowledge

Front 81

basic understanding of oneself, affective cognitive and physical perception

Back 81

self awareness

Front 82

how a person sees himself or herself in relation to social situation including behavior and interactions with others

Back 82

social self

Front 83

conscious assessment of the self, leading to self respect, self approval or self worth

Back 83

self evaluation

Front 84

self awareness involves a basic understanding of oneself affective cognitive and physical perception

Back 84

self knowledge

Front 85

how a person sees himself or herself in relation to social situation including behavior and interactions with others

Back 85

social self

Front 86

strength, achievement, mastery and competence, confidence in face of the world, independence, and freedom

Back 86

self esteem needs

Front 87

the need for esteem from others (status dominance recognition attention importance and appreciation)

Back 87

respect needs

Front 88

sucking swallowing biting
-lasting concerns with dependence and independence, pleasure from eating drinking and other oral activities

Back 88

oral stage
birth to 1 yr

Front 89

expelling feces, retaining feces
-orderliness or sloppiness, stinginess or wastfulness, stuborness

Back 89

phallic stage
3 -5 or 6

Front 90

sexual interest supressed

Back 90

latent period
5-6 to puberty

Front 91

sexual contact with other people

Back 91

genital stage
(puberty onward)

Front 92

infant-needs maximum comfort with minimal uncertainty to trust him/her self, others and environment

Back 92

trust vs. mistrust

Front 93

toddler-works to master physical environment while maintaining self esteem

Back 93

autonomy vs. shame and doubt

Front 94

preschooler- begins to imitate no initiate activities, develops concise sexual identity

Back 94

initiative vs. guilt

Front 95

school age child- tries to develop a sense of self worth by refining skills

Back 95

industry vs. inferiority

Front 96

adolescent- tries integrating manly roles (child sibling student athlete and worker) into a self image under role model and peer pressure

Back 96

identity vs role confusion

Front 97

young adult-learns to make personal commitment to another spouse parent or partner

Back 97

intimacy vs. isolation

Front 98

middle age- seeks satisfaction through productivity in career family and civic interests

Back 98

generativity vs. stagnation

Front 99

older adults- reviews life accomplishments , deals with loss and preparation of death

Back 99

integrity vs. despair

Front 100

self centered, enjoys control of self, situations and property, pretends to be a mother, differentiates facial expression, and distinguishes sexes

Back 100

6 years old

Front 101

more aware of self. resist being touch, desires own space. concerned of reality of parents, can identify missing body parts, less sex play

Back 101

7 years old

Front 102

begins to consider others, accept physical contact play, begins to assume multiple roles, curious about other bodies, increased awareness of sexual differences, ask questions about sex and reproductions

Back 102

8 years old

Front 103

generally likes self, enjoys physical strengths, self conscious about exposing body, decreased questions about sexual matters,

Back 103

9 years old

Front 104

enjoys physical skills, wants privacy for self, examines own sex organs

Back 104

10 years old

Front 105

self conscious about physical changes, dislikes discussing sex with , may masturbate and have erection

Back 105

11 years old

Front 106

either all body or all brain. growth spurt, sees self as unique, more mature understanding of life.may masturbate and have erection

Back 106

12 years old

Front 107

goal:independence
task :provide
problem:no support

Back 107

the single young adult

Front 108

goal:work with each other
task:
problem:arguments

Back 108

newly married couple

Front 109

goal:provide for kids
task:
problem:financial strain or burden

Back 109

family with young children

Front 110

goal:teach independence
task:
problem:clingy. or parents do not want to them to be independent

Back 110

family with adolescents

Front 111

goal:get out of house
task:
problem:no money, don't leave, financial burden

Back 111

family launching grown children

Front 112

goal:integrity vs. despair
task:
problem:

Back 112

family in latter life

Front 113

mom, dad, 2 children white picket fence

Back 113

nuclear family

Front 114

2 separate families put together.
aka brady bunch

Back 114

blended family

Front 115

Not married, but they live together. (boyfriend and girlfriend)

Back 115

cohabitation family

Front 116

single parent with child

Back 116

single-parent family

Front 117

aunts, uncles, cousins

Back 117

extended family /intergenerational family

Front 118

divorced, but share custody of kids

Back 118

binuclear family

Front 119

live together economically or same interest. not married

Back 119

communal families

Front 120

No kids, married though.

Back 120

dyadic families

Front 121

any group of people who live together whose members share common values, occupy specific positions, interact over time and have diverse strengths and needs

Back 121

family

Front 122

growth and life

Back 122

affective and coping

Front 123

shelter, food, clothes, finances

Back 123

economic provision

Front 124

shelter, food, clothes, finances

Back 124

physical provision

Front 125

kids

Back 125

reproduction

Front 126

Independence

Back 126

socialization

Front 127

describes a particular a society's entire way of living, encompassing shared patterns of beliefs, feelings and knowledge that guide people's conduct and are passed from generation to generation

Back 127

culture

Front 128

large group of people who are members of a larger cultural group
-have certain ethnic occupational or physical characteristics not common to the larger culture

Back 128

subculture

Front 129

fit in to large system

Back 129

culture assimilation

Front 130

ignore culture values

Back 130

culture blindness

Front 131

cultures collide

Back 131

culture conflict

Front 132

you tell/show your culture and feel culture is superior

Back 132

cultural impostion

Front 133

see other practices and your not used to it

Back 133

culture shock

Front 134

identity

Back 134

ethnicity

Front 135

superiority in your own culture

Back 135

ethnocentrism

Front 136

skin color

Back 136

race

Front 137

assumptions of races and cultures

Back 137

stereotyping

Front 138

groups within which indiviuals are accultured, acquiring knowledge and internalizing values
-family, religious group and ethnic group

Back 138

social organization

Front 139

forced assimilation, subjugation , rights and privileges for dominant groups only

Back 139

cultural destructiveness

Front 140

racism, maintains stereotypes, unfair hiring practices

Back 140

cultural incapacity

Front 141

differences ignored, "treat everyone the same" only meet needs of dominant groups

Back 141

cultural blindness

Front 142

explore cultural issues are committed. assess needs of organizations and individuals

Back 142

cultural pre-competence

Front 143

recognize individual and cultural differences. seek advice from diverse groups. hire culturally unbiased staff

Back 143

cultural competence

Front 144

implement changes to improve services based upon cultural needs. do research and teach

Back 144

cultural proficiency