Nursing chapter 1-2, culture, religion

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the beginning aspects of nursing you should know to enhance your patient interactions
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Flashcards by nia.long1226, updated more than 1 year ago
nia.long1226
Created by nia.long1226 over 8 years ago
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Basic Issues in Development -continuous or discontinuous -multidimensional -plastic -lifelong -Nature vs. Nurture
Sigmund Freud Psychoanalytic theory -Id: pleasure principle, irrational, seek instant gratification -Ego: reality principle, mediates Id and reality -Superego: morality principle, personal conscious, personal ideals
Sigmund Freud Psychosexual stages -oral(0-18mon): centered on mouth -anal(18-36mon):focus on bowel/ bladder elimination -phallic(3-6yrs):focus on genitals -latency(6-puberty):sexual dormancy -genital(puberty-on):sexual feelings towards others
Ivan Pavlov Classical Conditioning -technique used in behavioral training in which a stimulus is paired with a response -learning involuntary emotional and psychological response to new stimuli
B.F. Skinner Operant Conditioning -focused on voluntary behavior and how new behavior is acquired -changes in the behavior is the outcome of an individual responding to occurrences in the environment -when a stimulus- response pattern is reinforced, the individual is conditioned to respond in a certain manner.
Albert Bandura Social Learning Theory -social behavior is learned through observing and imitating others -learning occurs through modeling -four interacting mental processes must occur 1. attention 2.memory 3.motor control 4.motivation
Jean Piaget Theory of cognitive development -Assimilation: the child takes in new info and incorporates them into his existing ideas (schema) -Accommodation: ideas are changed or even replaced based on new info
Lev Vygotsky Sociocultural Theory -Learning involves: social interaction,cultural and psychological tools, zone of proximal development -parents and teachers are vital
Kohlberg Theory of Moral Development -focus on moral development -reason behind decision to moral development -make judgments based on ethical beliefs
Urie Bronfenbrenner Ecological System theory -Layers on the environment: 1. Microsystem: direct contact 2. Mesosystem: Family, school 3. Exosystem: indirect contact 4. Macrosystem: Cultural context -Chronosystem: Temporal Dimension- Divorce, death, birth of sibling
Genetics study of heredity
Mendelian Law of inheritance how heredity characteristics are passed from parent to child
The Dominant/ Recessive Principle -inheritance pattern -dominant= trait child will have -recessive=may or may not have it both parents must have recessive gene for child to have it. -disabilities and diseases stem from recessive trait
Identical twins: Monozygotic result when a single zygote separates to form two individuals -identical DNA and blood types -always the same sex share the same placenta
Fraternal Twins: Dizygotic -results from release and fertilization of two ova; zygote separates to form two individuals -2 separate eggs -separate sperm -like regular siblings -often different sexes -separate placentas -don't share amniotic sac -hereditary influences
Genetic Inheritance Diseases -Sickle Cell Anemia -Hemophilia -PKU -Tay-Sachs -Fragile X-Syndrome
Sickle cell Anemia -Genetic hemoglobin abnormality - both parents must have trait -often results in hospitilization for blood transfusion, pain management, and folic acid vitamins -bone marrow transplant and stem transplant can cure disease
Hemophilia -no clotting activity -X chromosome carries disease -Males will always get it -Females are often carriers because they have 2 X chromosomes
PKU -neurological dysfunction in babies - patients are put on a special diet for the rest of their lives
Tay- Sachs -Jewish population -both parents pass it -don't live past 4 or 5 -lots of pain -no cure just comfort management
Fragile X Syndrome -Passed by female -demonstrated in males -long face -learning disabilities
Chromosomal Avbnormalities -Down syndrome -Klinefelter syndrome -Turner syndrome
Klinefelter Syndrome -not recognized until adolescence -x and y chromosomes -usually only have two sex chromosomes -adds an extra x chromosome (xxy or xxx) -interfere with male sexual development -Delay speech and can cause infertility
Turner Syndrome -Only have one chromosome or its structurally altered -female egg cells die prematurely -girls don't hit puberty - cause infertility -may have learning disability
Prenatal Diagnostic Methods -Amniocentesis: detect genetic disorders -Chorionic villus sampling: detect genetic concern 10-12 weeks -Fetoscopy -ultrasound -maternal blood analysis -ultra-fast magnetic resonance imaging -preimplantation genetic diagnosis
Small Family System -one -three children -group action is democratic -have greater freedom -retain emotional dependence on parents - increase pressure to perform academically -increase notion of self importance
Large Family system -4 or more children -learn responsibility -learn to share -more to love and be loved by -divide more attention among more kids -financial burden -focus on group rather than individual
Only Child -Lots of pressure from parents to be perfect -not many friends -Relate more to parents than other kids -not much peer interaction -Strong morals
Health Promotion organizations and initiatives -World Health Organization (WHO): protect heath of everyone -Healthy people 2020 initiative: vision is a society in which people live long healthy lives; 1200 objectives -American Nurses Association (ANA): protect patience, set up policies in healthcare (health care reform) -Sigma Theta Tau, International: honors society, support learning, knowledge and professionalize or nurses. -NAMI: Help better lives for people with mental illnesses
Definition of Health -State of well being -state of complete physical, mental and social well being and not just absence of disease
two terms most commonly used to measure health -Morbidity: prevalence of disease -Mortality: Death
Health Promotion -empowers individuals and communities to engage healthier behavior
Disease prevention -focus on prevention strategies to reduce the risk of developing chronic diseases and other morbidities
primary prevention preventing or decreasing the probability of occurrence of mental illness, health threatening situations, event or illness in the population
Secondary Prevention -after illness has begun or high risk factor -screening and early diagnosis -treating problem promptly -shortening duration or severity or consequences
Tertiary Prevention -Restoring person to optimum function -include long term treatment and rehab -preventing further progression of complications or deterioration -Maximize quality of life
Effective communication Techniques -intro: use proper salutations -use attentive skills/active listening:patience, do they have your attention -Open ended questions: let them explain -share observations with client: ask whats wrong -clarification: tell them what u heard -summarizing:validate accuracy -use of silence
Barriers to effective Communication -never ask "Why" questions: get defensive -don't convey your feelings of anxiety or anger toward another -never give advice -offering false reassurance -not paying attention -avoid medical jargon: using medical words -belittling or ignoring the persons feelings
Theories of Stress and Crisis -Stress: Physical and emotional state always present in a person -Eustress: positive stress, excited stress -Daily hassle: repeated chronic strains of everyday life -distress: negative, noxious, unpleasant stress that can damage your health (problems sleeping, headaches, chest pain, heart attack, death)
General Adaptation Syndrome -Alarm Stage: instantaneous, short term, feel helpless or insecure -Resistance: body's way of adapting to disequilibrium or imbalance caused by stressor -Exhaustion: will precipitate or exacerbate every disease and increase susceptibility to disease.
Crisis Theory -inability to cope -Developmental crisis: Maturational, Erikson stages of development -Situational Crisis: Emerges when an uncontrollable even occurs (earthquake, new baby, death, divorce)
CM/AT -Complementary Medicine: is used together with conventional medicine -Alternative medicine: is used in place of conventional medicine
CM/AT in Health Care -be familiar with therapies -assess client's knowledge about therapies -assist client to gain access to understanding about therapy or qualification of therapist -encourage client not to substitute therapies for necessary conventional treatment
Culture -sum of learned ways of doing, feeling and thinking within a social group includes knowledge, belief, skills, morals, laws and customs -learned with stable but changing certain components and patterns
Cultural take on illnesses -natural:weather, food, bad water -supernatural:god, demons, being punished for wrong doing, voodou, black magic -metaphysical:nature and body aren't balanced -cultural bound illnesses: disorders restricted to a particular culture because or a certain psychosocial characteristic of people(going postal:US,falling out Caribbean, susto: Latino)
Mainstream US culture and health care -illness requires resources -self-care is emphasized -individual health highly valued -physical, psychological, and sociocultural causes accepted -focus on technology, prevention programs, client evaluation, evidence based outcomes
Significance in American Indian Culture -Value Nature -health is neglected because family comes first -don't trust white medicine -spiritual leaders/ healers
Significance in African American Culture -Illness is lack of balance between mind, body and spirit. -god and and church leaders are key factors -health is maintained through rest, food, prayer, herbs -live with health disparities -economics play a big role in lack of medical attention -in favor of prolonged treatments natural flow of emotions -home remedies -degraded in health care
Significance in Latino culture -good health associated with the ability to work -preventative measure not highly valued -hot and cold theory -fear accidents and surgery -male determines treatment -curandero/ cultural healer -preventative measures are unfaithful to God -illegally here -lack insurance -believe you should tolerate pain without complaint
Significance of Asian American Culture -strongly reflect mind, body spirit emphasis on diet, fitness, self- discipling -minimie injury and illness -prone to depression, stress, and stomach cancer -acknowledge supernatural cause of illness -herbal treatments -always stay calm when expressing pain (silent delivery) -dont give direct eye contact-disrespectful
What is Culture shock feeling bewilderment, confusion, disorganization, frustration and the inability to adapt to differences in language and word meaning, activities and customs that are part of the new culture
what are the 4 phases of culture shock -honeymoon phase: excited to be in new place -disenchantment phase: stuck, not what you predicted -beginning resolution phase: adapt, make friends -effective function phase: becomes bicultural
Antidote for Culture shock -look for similarities -be interested in new culture -ask questions -learn language -seek support system -learn customs and beliefs
Holistic Care treating the biological, psychological, sociocultural and spiritual dimensions of the person
Whats the difference between Religion and Spirituality? -Religion is a belief in a supernatural or divine force with a code of ethics, a set of practices that are followed and has a church affiliation -Spirituality includes reverence, awe, meaning and purpose which usually sustains during stress, illness, or death
What is some of the relate research for religion and spirituality with heathcare -Religious belief foster recovery and prevent mortality -religion and healing -church attendance adds years to life: white attendance added 7 years of life and black attendance added 14 years of life -power of positive spiritual thinking -negative thoughts -heightened spiritual needs: heightens trust when u are sensitive to patients spiritual needs along with increasing peace and decreasing anxiety
What is the Alpha group -adhere to biblical revelation of supernatual - monotheistic God -obey commands -people are doers - have historical fixed scriptures -often proselytize -christian,judaism, Islam -try to get others to join
what is the Beta Group -root in Indian soil -polytheistic -interested in being rather than doing -look inside themselves for answers -include Buddhism and hinduism
what is the Gamma Group -east asia rooted -polytheistic -try to be in harmony with the world around them -concern is in relationship with others -scripture is a family affair -simple in faith -include Taoism, Confucianism and shintoism
Catholics in healthcare -would want priest to visit and receive communion -spiritual leader is priest -symbols of comfort or bibles, rosary, crucifx -dont eat meat during lent -7 sacraments: baptism, communion, confirmation, holy orders, matrimony, penence, anointing of the sick
protestants in healthcare -many denominations: Lutheran, presbyterians, methodists, baptists -minister is spiritual leader -spiritual practices may include scripture reading, prayer, anointing, and the eucharist
Judaism and healthcare -during sabbath, Orthodox Jews may refuse freshly cooked food, medicine, treatment, surgery, or technology -need kosher food -pork, shellfish and dairy with meat are forbidden --cant leave bedside of dying person -rabbi is leader -obligation to visit sick -see health professionals as instruments of God -wont touch money, elevators or bed is electronic -need non pork based insulin
Muslims and healthcare -dont eat anything pork related -believe there is a cure for every illness -after death body must be washed with running water by a Muslim and the hands folded in prayer. Body wrapped and buried facing Mecca -Allah is their God -do not perform autopsies unless necessary
Buddists and health care -accept modern medical science -care of the sick -vegetarian -rebirth after death depending on quality of life -elderly are encouraged to prepare for rebirth -conduct elaborate rites -keep well family member at bedside -dont do elaborate life saving measures -having an alert mind and not being in pain before death -no physical contact with opposite sex if nun or monk
Hindus and health care -accept modern medical science -pain and sin cause illness -strive for moderation in eating and exercise -vegetaians -prayer to cure the body is the lowest prayer -marriage is for life -elders are respected, cared for when they are ill -the most expressive and universal word for God is Om -sickness due to karma prefer to die at home -want face towards light and east -sing, chant and read scriptures -no life saving measures
Taoism/confusianism/shinto and Healthcare -idea that yin-yang forces embodied in body parts and affect food prefernces and eating habits -yin:cold, feminine or negative, wet, passive -yang: hot, masculine or positive, dry, active, restful, dark -relaxed philosophy of life -death is natural -special ceremonies or rules for family left behind
significance for Church of Latter Day Saints -Morman -no polygamy -obey health codes -good nutrition -people get sick -faith keeps you happy -fewer die of cancer, heart disease or system faliure
significance of Christian Scientists -don't take medicine -sickness can be healed through prayer rather than medicine
significance of Jehovahs Witnesses -Dont do blood transfusions unless its their own blood
significance of the Amish/ Mennonite -high pain tolerance -genetic disorders -mental retardation -Coine syndrome -founders effect -incest -no electricity -marry within community and are often related and are aware of it
Difference between Agnostic and Atheist -Agnostics are unsure of what they believe and if God exists -Atheists have no belief in God, reject all religious beliefs, and are relatively close minded
what is a cult -any group that forms around a person who claims they have a special mission -self appointed leader -recruit people using physical and psychological techniques -prey on youth and elderly -isolate people from their family -cant question leader -impose rigid beliefs -use extreme emotional manipulation -members are suppose to relinquish money and material items to leader - have medical and psychological problems
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