Vulnerability and Empowerment
This term describes a group or individual at higher risk for poor health outcomes due to social, economic, or environmental factors.
What is vulnerability?
List three physiological symptoms of the sympathetic nervous system response
Increased heart rate, HTN, increased cardiac output, increased blood glucose, immunosuppression, urinary retention
This neurotransmitter is heavily involved in the brain’s reward and pleasure pathways, and its dysregulation contributes to addictive behaviors.
What is dopamine?
When anxiety becomes excessive, persistent, and interferes with daily functioning for at least six months, it may be diagnosed as this disorder.
What is generalized anxiety disorder (GAD)?
A nurse collaborates with local policymakers to increase access to vaccinations in underserved neighborhoods. This represents this level of intervention.
What is systems-level intervention?
This wedge of the Minnesota Intervention Wheel involves ongoing, systematic collection and analysis of health data to detect trends, monitor disease, and guide public health action.
What is surveillance?
List 2 reasons why individuals or populations might be at higher risk for maladaptive coping
They have previous trauma
ACES scores are high
They have impaired cognition
This medication is commonly prescribed to help reduce alcohol cravings and should not be used during pregnancy.
What is acamprosate?
Patients on benzodiazepines should be educated to avoid other CNS depressants, such as these common substances (list 2).
What are alcohol, opioids, or sleep medications?
This concept refers to the patient’s perception of their ability to successfully perform a behavior.
What is self-efficacy.
In mass casualty triage, this color tag indicates immediate priority, meaning the client has life-threatening injuries but a high chance of survival with rapid intervention.
What is red?
A client with chronic illness states, “I just can’t manage all my appointments, medications, and diet.” The nurse encourages the client to prioritize tasks and use a planner, illustrating this type of coping strategy.
What is problem-focused coping?
This life-threatening complication of alcohol withdrawal typically occurs 48–72 hours after the last drink and is characterized by severe agitation, confusion, hallucinations, tremors, and autonomic hyperactivity.
What is delirium tremens (DTs)?
Risk factors for anxiety include family history, chronic illness, trauma exposure, and high scores on this childhood assessment tool.
This physiological concept explains why prolonged stress can contribute to hypertension, immunosuppression, and metabolic disorders.
What is allostatic load?
This type of power involves controlling or dominating others, while this type emphasizes collaboration, shared decision-making, and mutual influence. (two terms for full points)
What are “power over” and “power with”?
This is an example of an ego defense mechanism: A client's is being transferred to a new job in a city far away from her close friends. She copes with her anxiety by explaining to her friends the advantages associated with the move.
What is intellectualization?
Intellectualization: An attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual processes of logic, reasoning, & analysis.
A client taking disulfiram must avoid all sources of alcohol, including cough syrup, aftershave, and sauces, because ingestion can trigger this reaction. List two symptoms associated with this reaction. (answer both for full points)
What is a disulfiram-alcohol reaction?
Flushing of the face and neck, Nausea and vomiting, Headache, Sweating, Palpitations or tachycardia, Hypotension (low blood pressure) or dizziness, Shortness of breath or chest discomfort, Anxiety or a sense of impending doom
This nursing approach emphasizes safety, trustworthiness, choice, collaboration, and empowerment.
What is trauma-informed care?
This phase of the disaster management cycle occurs immediately after a disaster, focusing on life-saving interventions, emergency care, and rapid deployment of resources to affected populations.
What is the response phase?
This term describes differences in health outcomes between populations, while this other term refers to unjust, avoidable differences in health caused by social, economic, or environmental disadvantages. (Two terms for full points)
What are health disparities?
What are health inequities?
During this stage of the General Adaptation Syndrome, the body activates the sympathetic nervous system to prepare for fight-or-flight.
What is the alarm stage?
The following effects of alcohol intoxication fall along a continuum from a low blood-alcohol level to a high blood-alcohol level. List the effects in order of the blood-alcohol level at which they occur, from low to high.
Ans: Euphoria (0.05%), motor clumsiness (0.08%), emotional outbursts (0.2%), respiratory depression (0.4%), respiratory arrest (0.5%)
Describe the mechanism of action of benzodiazepines and two indications for benzodiazepine use. (Answer both for full points)
Benzodiazepines enhance the inhibitory effects of GABA resulting in CNS depression
Anxiety, insomnia, seizures, muscle spasticity, alcohol withdrawal, anesthesia
A public health nurse uses the MIW to plan a smoking cessation program targeting pregnant women in a low-income neighborhood with the use of social marketing campaign. This illustrates the integration of which two wedges?
Social marketing & health education