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73 Cards in this Set
- Front
- Back
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Spiritual well being is?
A feeling of being “generally alive, purposeful, & fulfilled” (Ellison,1983) A lifestyle that views & lives life as purposeful & pleasurable Seeks out life-sustaining & life-enriching options to be chosen freely at every opportunity Affirmation of life, peace, harmony Connecting with God, self, community & environment that achieves wholeness |
Spiritual well being is?
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Spiritual Health is dependent on what two factors?
Spiritual well being Spiritual Need |
Spiritual Health is dependent on what two factors?
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The expression of inner self looking for meaning & relationships with self, others, & supreme being describes?
Spiritual Needs |
The expression of inner self looking for meaning & relationships with self, others, & supreme being describes?
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Spirituality fulfills specific needs such as?
Meaning to life, illness, crises, & death Sense of security for present & future Guides daily habits Elicits acceptance or rejection of other people Provides psychosocial support in a group of like-minded people Strength when facing life’s crises Healing strength & support |
Spirituality fulfills specific needs such as?
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Name ways people enhance spirituality?
Development of ones inner self or world Expression of a person’s spiritual energy to others in loving relationships & service to others |
Name ways people enhance spirituality?
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In what ways does an individual develop their inner self or their world?
Prayer Meditation Analyzing dreams Communion with nature through walks in the woods or by the sea Listening to music Art Drama Dance |
In what ways does an individual develop their inner self or their world?
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People express their spiritual energy to others in loving relationships and service to others in what ways?
Joy & laughter Participation in church Fellowship gatherings, Expressions of compassion, empathy Forgiveness Hope |
People express their spiritual energy to others in loving relationships and service to others in what ways?
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To believe God’s reality is unknown and unknowable is a spiritual pattern defined as?
Agnosticism |
To believe God’s reality is unknown and unknowable is a spiritual pattern defined as?
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On who does not believe in God is said to be?
Atheist |
On who does not believe in God is said to be?
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Agnosticism is?
a. Belief in the existence of one God b. Belief in more than one God c. Believes God’s reality is unknown and unknowable d. Does not believe in God |
Believes God’s reality is unknown and unknowable
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Atheism is?
a. God is a personal reality, spirit, perfect creator and sustainer b. Believes God’s reality is unknown and unknowable c. On who does not believe in God is said to be d. On who does not believe in God |
On who does not believe in God
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Monotheism is?
a. Belief in more than one God b. Belief in the existence of one God c. Belief in the existence of one God |
Belief in the existence of one God
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Polytheism is?
a. Belief in more than one God b. Belief in the existence of one God c. Belief in the existence of one God |
Belief in more than one God
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The capacity to reach out beyond oneself, to extend oneself beyond personal concerns and to take a broader life perspectives, activities, and purposes is called?
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Transcendence
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A process of anticipation that involves the interaction of thinking, acting, feeling, and relating, and is directed toward a future fulfillment that is personally meaningful is called?
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Hope
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To believe in or be committed to something or someone & act it out in everyday living is called?
Faith |
To believe in or be committed to something or someone & act it out in everyday living is called?
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Factors that affect an individuals health are?
Culture Gender Previous experience Crisis and Change Separation from spiritual ties Moral issues regarding therapy Inadequate or inappropriate care |
Factors that affect an individuals health are?
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Ways to detect that an individuals spiritual function has been altered?
Verbalization of distress Altered behavior Impact on ADL’s |
Ways to detect that an individuals spiritual function has been altered?
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Examples of Spiritual Referrals are?
Hospital Chaplin’s office Pastoral care (Must be requested by the patient and/or family) Visit from Pastor, Rabbi, Priest, etc. Nurse needs to provide information the patient needs to make a informed decision & to support the patient's decision |
Examples of Spiritual Referrals are?
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Ways to promote spiritual health are?
Explore own (nurse) philosophy & belief system Providing Presence Spiritual Support Spiritual Referral |
Ways to promote spiritual health are?
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A religious sect that require a ritual bath of their dead by family member?
a. Jews b. Moslems c. Mormons |
Jews
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What are Amulets?
a. devices used in religious ceremonies b. scarves worn by Islamic women c. prayers of the Jewish d. Holy underwear worn by mormons |
Holy underwear worn by Mormons
– Requirements: in good standing (worthy) and have gone through the temple – Look like a t-shirt and boxer short to the knee – Totally white – May be in one piece – Must be worn at all times to protect them |
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What are Biorhythms?
inner rhythms that appear to control a variety of biologic processes. |
What are Biorhythms?
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What is hypopnea?
Abnormally shallow & slow respirations |
What is hypopnea?
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What is a Sleep study?
an electrodiagnostic test used to diagnose obstructive sleep apnea (OSA) |
What is a Sleep study?
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An electrodiagnostic test used to diagnose obstructive sleep apnea (OSA) is used for?
sleep studies |
An electrodiagnostic test used to diagnose obstructive sleep apnea (OSA) is used for?
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Abduction is?
Movement of the limb away from the body |
Movement of the limb away from the body is called?
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Activity Tolerance is/
The type and amount of exercises or daily activities an individual is able to perform |
The type and amount of exercises or daily activities an individual is able to perform is called?
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Adduction is?
The movement of the limb towards the body |
The movement of the limb towards the body is?
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Aerobic Exercise is?
An activity during which the body takes in more or an equal amount of oxygen than it expends |
An activity during which the body takes in more or an equal amount of oxygen than it expends is called?
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Anaerobic Exercise is?
Involves activities in which the muscles cannot draw out enough oxygen from the bloodstream; used in endurance training |
An activity in which the muscles cannot draw out enough oxygen from the bloodstream; used in endurance training is?
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Ankylosed is?
Permanently immobile joints |
Permanently immobile joints is called?
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Atrophy is?
Wasting away; decrease in size of organ or tissue (e. g. muscle) |
Wasting away; decrease in size of organ or tissue (e. g. muscle) is called?
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Contracture is?
Permanent shortening of the muscle & subsequent shortening of the tendons and ligaments |
Permanent shortening of the muscle & subsequent shortening of the tendons and ligaments is called?
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Foot Drop is?
Abnormal neuromuscular condition of the lower leg and foot; characterized by an inability to dorsiflex, or evert, the foot caused by damage to the common peroneal nerve |
bnormal neuromuscular condition of the lower leg and foot; characterized by an inability to dorsiflex, or evert, the foot caused by damage to the common peroneal nerve is called?
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Hypertrophy is?
Enlargement of a muscle or organ |
Enlargement of a muscle or organ is called?
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Isokinetic exercise is?
Muscle contraction or tension against resistance |
Muscle contraction or tension against resistance is called?
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Isometric exercise is?
Tensing of a muscle against an immovable outer resistance that does not change muscle length or produce joint motion |
Tensing of a muscle against an immovable outer resistance that does not change muscle length or produce joint motion is called?
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Isotonic Exercise is?
Exercise in which muscle tension is constant and the muscle shortens to produce muscle contraction and active movement |
Exercise in which muscle tension is constant and the muscle shortens to produce muscle contraction and active movement is called?
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Pronation is?
The ventral surface of the body faces downward |
When the ventral surface of the body faces downward it is called?
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Range of Motion Exercise is?
Any body action involving the muscles, joints, and natural movements, such as abduction, adduction, extension, flexion, pronation, supination, and rotation |
Any body action involving the muscles, joints, and natural movements, such as abduction, adduction, extension, flexion, pronation, supination, & rotation is called?
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Supination is?
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A position in which the ventral surface of the body faces upward is called?
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Affective Domain is?
Known as the “feeling” domain & is divided into categories that specify the degree of a person’s depth of emotional response to tasks; includes feelings, emotions, interests, attitudes, & appreciations. |
Known as the “feeling” domain & is divided into categories that specify the degree of a person’s depth of emotional response to tasks; includes feelings, emotions, interests, attitudes, & appreciations is called?
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Andragogy?
The art & science of helping adults learn |
The art & science of helping adults learn is termed?
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Cognitive Domain is?
The “thinking” domain, includes six intellectual abilities & thinking processes beginning with knowing, comprehending, & applying to analysis, synthesis, & evaluation. |
The “thinking” domain, includes six intellectual abilities & thinking processes beginning with knowing, comprehending, & applying to analysis, synthesis, & evaluation is called?
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Geragogy is?
The term used to describe the process involved in stimulating and helping elderly persons to learn |
The term used to describe the process involved in stimulating and helping elderly persons to learn is?
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Pedogogy is?
The discipline concerned with helping children learn |
The discipline concerned with helping children learn is called?
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Psychomotor Domain is?
The “skill” domain; includes motor skills such as giving an injection |
The “skill” domain; includes motor skills such as giving an injection is called?
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Osteoarthritis is?
A type of arthritis marked by progressive cartilage deterioration in synovial joints and vertebrae |
A type of arthritis marked by progressive cartilage deterioration in synovial joints and vertebrae is called?
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Crepitus is ?
(crepitation) Crackling sound or grating sensation as a result of friction or broken bone or cartilage bits in joint |
Crackling sound or grating sensation as a result of friction or broken bone or cartilage bits in joint is called?
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Degenerative joint disease is?
Now called osteoarthritis, the most common form of joint (articular) disease in North America, is a slowly progressive non-inflammatory disorder of the diarthrodial (synovial) joints. |
Now called osteoarthritis, the most common form of joint (articular) disease in North America, is a slowly progressive non-inflammatory disorder of the diarthrodial (synovial) joints is a ?
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Herberden’s nodules are?
Occur on the DIP joints as an indication of osteophyte formation and loss of joint space. |
Occurs on the DIP joints as an indication of osteophyte formation and loss of joint space * is called?
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Osteoarthritis is?
The most common form of arthritis Chronic condition caused by deterioration of joint cartilage Usually effects weight bearing joints such as knees, hips, feet, lumbar vertebrae Increases with weight-bearing activity and is relieved by rest Earliest symptom manifest in middle age and progresses May be secondary to wear and tear of aging Or abnormal initiating event Also know as degenerative joint disease (DJD) |
Osteoarthritis is?
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A Chronic condition caused by deterioration of joint cartilage is?
Osteoarthritis |
A Chronic condition caused by deterioration of joint cartilage is?
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Osteoarthritis is relieved by?
rest |
Osteoarthritis is relieved by?
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Pathophysiology of Oseoarthritis is?
Degeneration over time Wears away joint cartilage Closure of bony surfaces Fragmentation of cartilage Rice mice Inflammation of synovial membrane Predisposing factors Excessive use or stress |
Pathophysiology of Oseoarthritis is?
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Types of Osteoarthritis are?
Primary (idiopathic) Secondary Neurological disorders Skeletal disorders Hematological Selected drugs – Stimulate collagen-digesting enzymes in the joint synovium • Normal bluish translucent cartilage becomes soft, opaque and yellow • Fissures, pitting, and ulcerations develop and the cartilage thins. • Surface of joint becomes rough and wears away • Joint space narrows • Surfaces rub together • Bone spurs • Bone cyst |
Types of Osteoarthritis are?
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Primary Osteoarthritis is?
(idiopathic) Unknown cause Degeneration of articular cartilage |
Primary Osteoarthritis is?
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Secondary Osteoarthritis is due to?
Trauma Dislocation/fractures Mechanical Stress Sports activity Inflammation Joint instability Damaged supportive structures |
Secondary Osteoarthritis is due to?
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Neurological Osteoarthritis is?
Pain/loss of reflexes Diabetic neuropathy |
Neurological Osteoarthritis is?
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Skelital Disorders that cause osteoarthritis are?
Congenital/acquired |
Skelital Disorders that cause osteoarthritis are?
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Characteristics of Osteoarthritis are?
Normal bluish translucent cartilage becomes soft, opaque and yellow Fissures, pitting, and ulcerations develop and the cartilage thins. Surface of joint becomes rough and wears away Joint space narrows Surfaces rub together Bone spurs Bone cyst |
Characteristics of Osteoarthritis are?
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Risk Factors for Osteoarthritis are?
Age due to the wear and tear Age does not cause OA Genetics Family history Obesity Particularly the knees Post menopausal women Without hormone replacement therapy Heavy manual occupations Professional athletes Football, soccer |
Risk Factors for Osteoarthritis are?
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Assessment data for Osteoarthritis are?
Systemic Fatigue/Fever Joint Stiffness/ pain am less than 1 hour` aggravated by cold damp weather, barometric pressure Loss of coordination Stiff dull aching pain Crepitus bone against bone Joint enlargement Limited motion Deformity Herberden’s nodules |
Assessment data for Osteoarthritis are?
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Psychosocial Assessment of Osteoarthritis?
Permanent changes in life style Decreased socialization Role changes Work place Grieving process / Anger depression |
Psychosocial Assessment of Osteoarthritis?
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Nursing Problem Statement's for Osteoarthritis?
Chronic pain Impaired Physical Mobility Activity intolerance Self Care deficit Disturbed Body Image Impaired Walking Ineffective Coping |
Nursing Problem Statement's for Osteoarthritis?
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Drug Management for Osteoarthritis?
First line: Acetaminophen / Tylenol Not to exceed 4 g in 24 hours Liver Damage Give with meals Topical agents Capsaicin Preparation with cayenne pepper Second Line: NSAIDS / Motrin GI irritation Blood in stool (guiac, hemoccult) Watch for edema, hypertension, renal damage and CHF |
Drug Management for Osteoarthritis?
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Drug Management of Osteoarthritis also include?
New Generation – Celebrex, Miobic • Less GI problems • Intrarticular injections – Steroid • Inflammation – Hyaluronic Acid (HA) • Inflammation and short term lubricant |
Drug Management of Osteoarthritis also include?
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Health Promotion for Osteoarthritis is?
Lose or maintain weight Excess body weight is magnified 5 times in the hip and 3 times through the knee Use assistive devices if indicated Canes/walkers Avoid forceful repetitive movements Running Avoid positions of joint deviation and stress Use good posture/body mechanics Seek assistance with necessary task that may cause pain Develop organizing and pacing techniques for routine task Space out Modify home and work environment to create less stressful ways to perform tasks Oven in the wall |
Health Promotion for Osteoarthritis is?
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Coping strategies for Osteoarthritis are?
Help cope with living with the disease Patients exhibit these themes for coping Refusal to give up Understanding toward treatment strategies Staying in charge Tangible caring by others |
Coping strategies for Osteoarthritis are?
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Pain management for Osteoarthritis includes?
Local Rest Immobilizing the joint with a splint or brace Systemic Rest Resting the entire body Sleep approx. 10 hours per night Additional 1-2 hours of additional rest Naps & Psychologic rest Relief from daily stress Hobbies |
Pain management for Osteoarthritis includes?
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Nursing Management for Osteoarthritis is?
Take medication for pain/inflammation Positioning Supine w/Small pillow under head or neck Large pillow under the knees or head can cause flexion contractures Recommend lying in the prone position twice a day if tolerated Maintain joints in non-flexed position Exercise program Not to pain/fatigue Exercise keeps joints from stiffness Avoid pounding to the joints Hot/cold packs Hot application Decrease muscle spasms /pain relief Warm shower/baths Relieves stiffness in AM Cold application is reserved for acutely inflamed joint Edema Paraffin dips, TENS, acupuncture, acupressure, Relaxation techniques Therapeutic touch, hypnosis, magnets, music therapy, and imagery |
Nursing Management for Osteoarthritis is?
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Surgical Management of Osteoarthritis?
Last resort for pain management Total joint replacement Knee – hip |
Surgical Management of Osteoarthritis?
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