Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
151 Cards in this Set
- Front
- Back
|
Freueds Theroy
Latency stage |
6-12 yrs sexual trauma repressed socialized by parents and peers. free from sexual desire
|
|
|
Freud
Genitals |
12 and older
Puberty, Sexual awakness |
|
|
Freud
Defense Mechanism |
ego defends by these mechanisms. They can repress hurtful info in unconscious mind so they dont consciously remember.
|
|
|
Visual, auditory,olfactory,tactile, gustatory what stimuli is this
|
external
|
|
|
Involves impaired recption, or perception related to one or more of a persons senses. whaat type of deficit
|
sensory
|
|
|
Translation and organization of sensations from the enviroment into meaningful information what type of perception
|
sensory
|
|
|
receptor referal to pain stimulas
|
an act or agent referred to as stimulus a specialized nerve cell knows as a receptor. Receptor converts the stimlus into a nerve impulse
|
|
|
auricle or pinna outter ear
|
visible shell-like projection that surrounds the openings of the auditory canal.
|
|
|
Cochlear
|
organ of sound transduction
|
|
|
cochlear nerve carries what
|
sound
|
|
|
vestibular nerve does what
|
carries impules related to balance
|
|
|
Kinesthetic
|
awarness of the position and movement of a persons body
|
|
|
sterognosis
|
awarness of objects size, shape, based on touch
|
|
|
Visceral stimuli
|
produced by the large organs with in the body(sensation of fullstomache)
|
|
|
conductive or middle ear hearing loss is caused by
|
disease of disorder otitis media or impacted cercum
|
|
|
sensorieal hearing loss also konwn as perceptive or nerve deafness involes?
|
damage to the structure of the inner ear caused by either actions or acquired conditions, bilirubin, admin of otoxic drugs or excessive noise
|
|
|
sensoriral hearing loss
|
concernign a sensory nerve caused by damage to inner ear aduitory sound is herd longer than air conduction.
|
|
|
mastoidectomy
|
goal to remove the cholestoma gain access to diseased structures and create a health dry ear.
|
|
|
ossiculoplasty
|
surgical reconstruction of the middle ear. Teflon thydropapative are used to reconnect the ossicles establishing sound.
|
|
|
Vitiam A
|
key factor in the eyes ability to adapt to light and darkness
|
|
|
Emmetropia
|
absence of an y refractive error
|
|
|
myopia
|
near sightedness, refratory error in whcih light rays from a distant object are focused.. anteriro to the retina
|
|
|
Hyperopia or Presbyopia(farsighted)
|
a refractive error in which light rays from a distant object are forced behind the eye.
|
|
|
Astigmatism
|
irregularity in the curve of the cornea that distorts the visual image. Here light ray are spread over a diffuse area rather than sharply foced on the retina
|
|
|
macular Degeneration
|
chronic, degenerative, disorder resulting from pathological changes in pigmentation of the retina, painless decreased central visioin that occurs.
|
|
|
Glaucoma
|
charcatereized by IOP congestion of the aquous humor leads to optic nerve damage #1 lealding cause of bliindness
|
|
|
When does dischage planning occur
|
at admit
|
|
|
The receptors that transmit pain sensation are called
|
Noceicpteors
|
|
|
outer ear consits of
|
external auditory canal. an air filled passage that extends from the external enviroment to the tympatic membrane or ear drum.
|
|
|
Trajectory phase charicterized by either gradual or rapid decline in trajectory, despite effects to stop or slow down. Failure of life, maintaing functions
|
dying
|
|
|
trajctory phase:marks recovery after an acute even
|
comeback
|
|
|
trajectory phrase: occurs when symptoms worsen and there is deteririation despite attemps to control symptoms
|
downward
|
|
|
trajectory phrase onset of severe or unrelieved symptoms may require hospitalization for managment.
|
acute
|
|
|
trajectory phrase: critical or life-threatnening occurs requires emergency care
|
crisis
|
|
|
trajectory phrase:symptoms uncontrolable
|
stable
|
|
|
trajectory phrase: symptoms, reoccur complications develop, illness reactivates
|
unstable
|
|
|
Trajectory phrase
|
initial occurence of disability or symptoms. evaluations & diagnostic test done.
|
|
|
Trajectory model
Prejactory |
at risk for developing chronic condition( lifestyle or gentic factors)
|
|
|
otalgia
|
presence of forgein body sensation of fullness cerceum impaction.
|
|
|
external otitis
|
inflammation in the external auditory canal, water, trauma, vitamin defiency, and endrocine disorder)
|
|
|
external otitis
|
inflammation in the external auditory canal water, trauma, vitimin defiency, and endrocrine disorder.
|
|
|
tympanoplasty
|
most common surgical TX re-establishes middle ear function, close the perforation prevent re-current infections and improve healing.
|
|
|
mixed hearing loss
|
results from interference with the transmission sound in the midle ear as well as along neural pathways. occurs due to otitis media
|
|
|
2nd leading cause of death 24-64
|
cancer
|
|
|
Leading cause death among middle age
|
CHD
|
|
|
Delirium is caused by
|
infection, medications, dehydration, typically a result of alzheimers DX>
|
|
|
Alzheimers
|
decline in memory, learning, attention judgement orienttion, and language skills.
|
|
|
Conductive hearing loss
|
interrpetud transmission of sound waves through the outer and middleear: tears in the tympanic membrane or obstruction or swelling
|
|
|
Macular degeneration
|
atrophy of the macula point of retina where light rays meet loss of central vision b ut not peripheral vision,
|
|
|
Retinopathy
|
changes in the retina caused by diabeties change in small blood vessels of retina
|
|
|
cataracts
|
disorder that causes lens or its capsules to loose transparency becomes opaque cloudy sugrical Tx wear patch @ HS
|
|
|
Glacoma
|
incrasesed pressure in eyeball aquous humor.
|
|
|
Tonnometry
|
test pressure
|
|
|
retinal detatchment
|
seperation of the retina from chorea, sudden flashes of light or floating spots.
|
|
|
Presbyopia
|
loss of elasticity of the lens of the eye inability of the lens to change focus.
|
|
|
hyperopia
|
far-sighteedness
|
|
|
functional or psychogenic hearing loss
|
nonerganic and unrelated to detectable structral changes in a persons hearing mechanism, usually accompanied by emotional problems.
|
|
|
presbycusis what type hearingloss
|
sensorial hearing loss
|
|
|
Tinnitus
|
ringiingin earsbuzzing in one or both ears.
|
|
|
presbystasis or presbyvertigo
|
balance disorder of aging.
|
|
|
strabismus
|
lack of parrellism of visual axes of the eyes crossed eyes
|
|
|
strabismus is not treated can lead to
|
AmBLYOPia reduced visual acuity in one eye. also caused by myopia
|
|
|
injuries toddler
|
automobile, drowning, burns, poisioning, falls,
|
|
|
adolesnee injury deaths
|
motor vechile std, pregnancy falls, drowinging, homiciedes, suicides
|
|
|
suicide group age and race
|
older adolescence , non hispanic, american indians, alaskan natives. other problems, depression, dental carries, gingivites, cardio,neglect, and abuse
|
|
|
hypertension young adults what race
|
african american,related high stress levels, smoking and diatery factors.
|
|
|
physical comfort non pharmacological
|
acupuncture
massage application of heat. |
|
|
Spirituality of a relations ship with a higher power
|
not soley refer to religion, part of a person that seeks meaingfulness through intrapersonal, interpersonal, and transpersonal connections.
|
|
|
comfort
|
state of ease and contemptent relief of physcial,emotional and spiritual suffering or grief
|
|
|
3 types of comfoft responses
|
relief of discomfort
arrival at a state of ease trancendense ability to look beyond onesself and take into account borderling perpectives and purpose, |
|
|
reflecting
|
refers to redirecting statments or comments back to the patient. do you think you can adminster your insulin.
|
|
|
summarizing and planning
|
concluding a discussion while acknowledging that work remain to be done. today you will prepare tomotrrow you will administer.
|
|
|
Physical attending
|
Nursing behaviro that facilitates effective communciation. facing squarely off open posture
|
|
|
block and barriers
agree disagree |
agree disagree fails to address underlying fears
|
|
|
blocks challanging
|
make pt prove changing topics conveys his messge unimportant, degensiveness
|
|
|
rejecting responces
sterotype |
generalizing
|
|
|
testing
|
unwarranted reassurance superfical attempt @ reassuring pt
|
|
|
what response to pain cultured anglo saxon protestant
|
self-contol and silent suffering
|
|
|
a 78 year old patient is up wanderign the halls all hours oof the night what do you tell family
|
what does he do during the day
|
|
|
what do you tell safety issues about driving
|
turn head side to side
|
|
|
I live alone and do not have much money on sunny days I open my windows, i didnt get my flu shot this year Maslows heirachyof needs
|
ineffective thermoregulation
|
|
|
what activity should a nurse suggest to amother of a health two and half year old
|
jumpimg using both feet
|
|
|
80 year old pt has neuromusclar impairment withlittle fine motor skills what activity at home would be of concern
|
dressing ones self
|
|
|
A nurse is teaching a group of older adults techniques to promote medication safety what statement would let nurse know teaching was ineffective?
|
My daughter knows the reason for my medications and I think that is fine,
|
|
|
what part of functunial assessment can be signed to a non professional
|
vital signs
|
|
|
Basedon healthy goal 2000 a nurse would focus on what group
|
Young african american for HTN
|
|
|
a 49 year old female is in the office for a routine physical exam which statement show need of further screening
|
I do not use protection since I have gone through menopause
|
|
|
A nurse is screening healthy indiviuals for health risk what factor should be included in screening
|
suicide
|
|
|
which nursing enviroment would best facilitate feelings of self worth in a patient in a long term care
|
teaching patients about making health care decisions
|
|
|
a nursing assistance is giving home care to a african american who has impaired comfort related to itching skin the asistant can ask what can be done for this patinet
|
apply a lanolin based lotion
|
|
|
an adult patient reports they do not sleep well at nigh which instructions should the nurse give the patient to promote restful sleep
|
avoid alchol at bedtime
|
|
|
which nursing action best promotes rest and sleep for an older pt
|
use flannel sheets on bed
|
|
|
which instruction should the nurse include in teaching plan of a patient with diabetes who asks about application of icefor chronic knee discomfot
|
you are at risk for not being able to feel the cold pack which could cause tissue damage.
|
|
|
a pt expresses interest in mind body therapys to increase the relief of insulin from the prancreas to assist with diabeties which therapy would the nurse reccommend
|
yoga
|
|
|
which self-healing method should the nurse use to foster her own health and well being
|
challange the belief that others always come first.
|
|
|
For which pt would a back massage be most effective
|
pt experienceing difficulty sleeping
|
|
|
a pt is experienceing a pulsating feeling related to a noxious stimuli which nursing dx is app for this patient
|
impaired comfort
|
|
|
the nurse see a pt who experience intermittent pain for the past two months which clinical sign would be present
|
decreased appetite
|
|
|
The nurse is caring for a pt with NSAID The nurse should give priority to which nursing DX
|
risk for injury r/t GI irritation
|
|
|
pt on PCA and still has pain after pushingbutton
|
nurse check pump first
|
|
|
Using back rub for pain is what theory
|
gate control
|
|
|
the nurse is caring for paitent with chronic pain for degenerateive disease what is priority nursing DX
|
how the pain affected self care ADLS
|
|
|
which statement reflects an unbaised statement of pain
|
Euphoria is a expected side effectof proper angelisic control.
|
|
|
what is a possibel side effect of epidural
|
urinary retention
|
|
|
How does a TENS unit block pain
|
blocks small nerve fiber by stimulating large ones
|
|
|
which question should a nurse ask a four year old pt about where to pain is
|
have them point to the site.
|
|
|
a pt has been admitted to nursing home and is alert,oriented and able to do self care what will make the transition easier
|
haveing a strong spiritualy and large network of friends
|
|
|
which statement from a pt on anticouglation therapy needs further teaching
|
i take a stool softner daily.
|
|
|
which data supports the nursing DX of altered growth and development r/t c chronic illness
|
parents plan daily activites for 13 year old he shoudl be able to plan on his own
|
|
|
which clinical manifestion in an adolescent with cystic fibrous causes the greatest disruption in the pt ability to adequately complet the identy vs role confusion
|
chronic cough* will have hard time being accepted by peers
|
|
|
a pt with chronic illness has development complicationswhich factor is important for the nurse to assist
|
the pt efforts to mange the chronic illness
|
|
|
A pt says to the nurse about his chronic illness I feel better today I feel better each day You know I am not sick now How should the nurse interperate the statement
|
the pt feels sick only when the illness affects daily functions
|
|
|
which nursing action priority when caring for a chronic ill pt
|
provide supportive assistance for managment of care.
|
|
|
a decrease in or lack of meningful stimuli
|
sensory deprivation
|
|
|
burning or prickling (can be a part of sensory alteration)
|
Paraesthesias
|
|
|
impaired reception and/or perception related to one of more of a persons senses
|
sensory deficit
|
|
|
type of hearing loss that interferes with transmission of sound through the middle ear
|
conductive
|
|
|
type of hearing loss from cecum in ear or otitis media
|
conductive
|
|
|
also know as perceptive or nerve deafness what type of hearing loss
|
sensorial
|
|
|
Type of hearing loss involves damage to structures of the inner ear caused by either actions or acquired conditions
|
sensorial
|
|
|
type of hearing loss associated with bilirubin encephalopathy, infection administration of otoxic drug or exposure to loud noises
|
sensorial
|
|
|
hearing loss from interference with transmission of sound in the middle ear as well as a long neural pathways
|
mixed loss
|
|
|
____ refers to a person whose hearing disability precluded the ab 8iity to successfully process linguistic information thorug hearing, with or with out aid
|
deaf
|
|
|
What type of hearing lossis Presbycusis
|
sensorial
|
|
|
hearing loss assocciote with age and loses elasicity and decreased cilary
|
presbycusis
|
|
|
sensation of ringing, buzzing or other noise in one or both ears
|
tinnitus
|
|
|
tinnitus is what type of hearing loss
|
sensorial
|
|
|
generalized degenerative changes in the middle ear can additionally cause
|
presbytsais or presbyvertigo
|
|
|
diabetics may contribute to what type of hearing loss
|
sensorial loss
|
|
|
sensation of fullness or pain in the ear with or with out hearing loss usually caused by cecum buildup
|
otalgia
|
|
|
how to remove cecum
|
irrigatin, suction, or instrument or warm gylcerin or mineral oil
|
|
|
Irrigation is contradicted when what is in the ear
|
vegatable, or incest
|
|
|
external otitis media
|
an inflammation in the extermal auditory canal.
|
|
|
causes of external otitis
|
water in canal, trauma to ear vitiman defiency and endocrine disorders
|
|
|
TX of external otitis media
|
aimed at reducing the discomfort and swelling.
|
|
|
what would you teach to use when bathing or swimmming for otitis media
|
tight fitting ear plugs, cotton ball with petroleum jelly
|
|
|
Malignant external otitis
|
infection of the external auditory canal, and base of skull. usually appears in both ears surgical removal
|
|
|
tympanic membrane perforation usually results from
|
trauna such as skull fx, explosive devises or severe blow to ear.
|
|
|
macular degeneration
|
chronic, degenertive disorder resulting from pahtological changes in pigmentation of the retina
|
|
|
painless decrease in central vision, adn to distinguish color
|
macular degeneration
|
|
|
the lens of the eye is opaque or cloudy
|
cateract
|
|
|
most common cause of visual impariment
|
cateract
|
|
|
presents as a painless blurring of vision
|
cateract
|
|
|
Tx of cateract
|
surgical
|
|
|
increased intraocular pressure causes
|
glaucoma
|
|
|
blurred vision and halo
|
glaucoma
|
|
|
loss of peripheral vision with halo
|
glaucoma
|
|
|
tx for this is by using low dose of topical medication and then advanced to increased concentration until the desired IOP is achieved
|
Glacoma
|
|
|
seperation of th retina
|
retinal detachment
|
|
|
sensation of a shade or ccurtain coming across vision of one eye.floaters cobwebs.
|
retinal detachment,
|
|
|
miotics are used to Tx what disease
|
glacoma
|
