Unit 1

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Unit 1
2012-04-13 12:21:23
Social Interaction

Unit 1
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  1. What are the 3 components of the health belief model
    • Individuals perception of susceptibility to an illness (needs to realize the familial link to coronary artery disease)
    • modifyling factors/individual's perception of the seriousness of the illness (influenced by culture, family, friends, demographics)
    • the likelihood that a person will take preventive action (person's perception of the benefits of and barriers to taking action)
  2. what is the health belief model
    it addresses the relationship b/t a person's beliefs and behaviors. It provides a way of understanding and predicting how clients will behave in relation to their health and how they will comply with health care therapies. Perception of illness and seriousness and liklihood that a person will take preventative action. creating favorable environment for self
  3. What is Maslow's Heirarchy of needs
    certain human needs are more basic than others. Some needs must be met before other needs. Self-actualization is the highest expression of one's individual potential and allows for continual discovery of self. Physiological needs are the most basic: oxygen, fluid nutrition, body temp, elimination, shelter
  4. what are the 5 categories of maslow's heirarchy of needs from the bottom up
    physiologic, safety needs, belongingness and love, self-esteem, self-actualization
  5. Each individual responds differently to illness based on what
    age, growth and development, genetics and biological factors, physical health and health practices, response to drugs, self-efficacy, resilience and resourcefulness, spirituality
  6. what is the health seeking model
    starts with symptom definition, then there is a role shift and a lay consultation/referral then the treatment/action and finally adherence
  7. what does it mean when professional nursing is using a holistic framework
    attempts to create conditions that promote optimal health. In this model nurses using the nursing process consider clients the ultimate experts regarding their own health and respect clients' subjective experience as relevant in maintaining health or assisting in healing. Clients are involved in their healing porcess, thereby assuming some responsibility for health maintainance. Must also recognize the natural healing abilities for the body and incorporate complementary and alternative interventions
  8. explain stress
    the manner in which a client handles stress throughout each phase in life will infuence the way the person reacts to illness. stress is good it keeps us motivated and moving. it becomes a problem when there is too much and we get out of control. all related to individual person, as nurse we must not assign meaning. we are all different in how we handle stress
  9. What are internal variables that influence one's self-esteem
    developmental stage, intellectual background, perception of functioning emotional factors, spiritual
  10. what are external variables that influence one's self-esteem
    socioeconomic factors, cultural background, family practices
  11. What are the stages of grief
    denial, anger, bargaining, depression, acceptance
  12. What are defense mechanisms
    they protect the indiviual from threats, feelings of inadequacy, and/or unaceeptable feelings or thoughts, are uncounscious mental processes used to reduce anxiety and conflict by modifying, distorting, and rejecting reality. They make a situation more acceptable. They help to lower anxiety so that goals can be achieved. if used too extensively they can contribute to highly distorted perceptions and interfere with normal funtioning and interpersonal relationships. Learned through childhood expereiences. When used they reduce uncomfortable anxiety feelings, provides positive reinforcement
  13. What is positive reframing
    Means turning negative messages into positive messages. teaches person to create positive messages. Instead of thinking "my heart is pounding, i am going to die" person says "i can stand this. It is just anxiety"
  14. What are coping mechanisms
    Conscious methods used by the individual to overcome a problem or stressor. They are learned, adaptive or maladaptive responses to anxiety based on problem solving and lead to changed behavior. These are more readily changed if inappropriate since the patient is more aware of using them
  15. what nursing interventions do we use with "difficult patients"
    manage the enviornemnt (card games, movies, minimize boredom) manage aggressive behavior
  16. How do nurses deal with difficult pt behaviors?
    nurse needs to ojectively assess the situation for the motivation to the behavior. Does the problem originate in the pt, the nurse or both? the nurse needs to explore their own attitudes and reactions that may be initiating or perpetuating the undesired behavior. Sometimes all that needs to be done is the nurse needs to change her/his response. Don't get caught up in good pt syndrome
  17. what is covert communication
    • the pt is telling us one thing but meaning something else, not direct
    • nurse needs to use open-ended questions
  18. What is transference
    • pt is transferring feelings to us that they have experienced as kids
    • redirection of feelings
    • behavior description is key, use name, observe and give feedback, give person time to respond