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behaviors
individual responses or reactions to internal stimuli and external conditions
biology
individual's genetic makeup
determinants of health
range of social, economic, and environmental factors that influence health status
health status
evaluating specific details of the determinants of health
Healthy People 2020
an evidence based 10 year report card describing health care accomplishments within the United States from the years 2000 to 2010
infant mortality rate
number of deaths that occur before 1 year of age per 1000 live births
Leading Health Indicators
selected high priority issues
life expectancy
average number of years a person born in a given year is expected to live
physical environment
thought of as that which can be seen, touched, heard, smelled, and tasted
social environment
interactions with family, friends, coworkers, and others in the community
accreditation
process by which an institution is recognized as meeting specific predetermined standards of care
Federal Register
federal legislation concerning health care which is recorded and published
health maintenance organizations (HMOs)
provide care for prepaid members
homeopathy
the use of minute proportions of naturally occurring chemicals for their healing power
informed consent
the nurse is responsible to sign as a witness that a patient has received info regarding risks, advantages, and alternatives available for a planned procedure in a language understood by the patient
managed care organizations (MCOs)
attempt to standardize and control costs of health care
Medicaid
benefits are provided on a basis of need or poverty
Medicare
benefits are received after contributions are maid through payroll deductions
nurse practice acts
defines the scope of practice for nurses within that state
Nursing Licensure Compact (NLC)
enables traveling nurses to function in multiple states
Occupational Safety and Health Act (OSHA)
requires standards of safety to be maintained by employers to protect the health and safety of employees and mandates the reporting of injuries sustained by workers
plan of care
developed as a tool for multidisciplinary communication and can be an individual patient plan of care, a family plan of care, or a hospital care path
political action committees (PACs)
influence legislation by offering monetary contributions to legislators who support their needs and by providing lobbying efforts to create and awareness of needed legislation
preferred provider organizations (PPOs)
contract with professionals to provide care to a specific group of patients at an agreed-on fee-for-service rate
scope of practice
identification of and legal limitations to the usual and customary skills practiced by a professional
standards of practice
foundations of laws related to consumer protection
acculturation
adjustment to a new culture, results in differences in practice within the same cultural group
alternative medicine
therapies that are used instead of Western medical care
beliefs
cultural teachings of practice and values that are handed down for generations; deep
complementary medicine
therapies that are used together with Western therapies
cultural awareness
recognizing the history of patients' ancestry or culture and how their customs influence the handling of problems, issues, or teachings
cultural care
consists of health-promotion activities initiated by a culturally competent health-care worker
cultural competence
awareness of, acceptance of , and respect for beliefs, values, traditions, and practice that are different form one's own
cultural interventions
achieved when health-care info is presented in a way that includes specific cultural styles, colors, pictures, symbol, and so forth, that add credibility to the content by reflecting cultural values
cultural sensitivity
observing and demonstrating knowledge or culturally appropriate verbal language, body language, use of personal space, and gestures of respect towards family members
cultural stereotyping
assumption that all the people in one culture behave the same way and believe the same thing
culture
set of learned values, beliefs, customs, and behaviors that is shared by a common group and is passed through generations of family
ethnicity
cultural pattern shared by people with the same cultural heritage
ethnocentric
believing their culture, beliefs, and values to be superior to others
stereotyping
all people from a specific cultural or ethnic group behave or believe the same way
values
deep feelings about what is right or wrong, good or bad; most personal values are learned in childhood and are influenced by culture
blended family
one or both spouses bring children from previous relationship into a new family unit
cultural assimilation
process by which members of a specific culture group lose the characteristics of that group and adapt practices of another group
cultural relativism
concept that normality comes from the standard social practices of a specific culture
culture shock
effect of a sudden, drastic change in the cultural environment of an individual or family
developmental stage
period in life characterized by the mastery of specific skills or behaviors
developmental task
competency or skill that helps a person cope with the environment or advance personal development
dysfunctional family
a family that does not offer consistency of members or rules, may exhibit poor interpersonal relationships among its members, deals poorly with conflicts and problems, and often cannot reach out to the community for help
Facebook depression
common term used for the teen who overuses social networking to the point of altering sleep and eating habits and isolating himself from peers and family, eventually succumbing general depression
family
basic social system that involves commitment and interaction among its members
family systems theory
based on the understanding that family functions are interconnected
posttraumatic stress disorder (PTSD)
witnessing parental violence or any event that causes upheaval or disruption of family life
sexting
sending or receiving sexually explicit text messages or pictures
sibling rivalry
competition or struggle between 2 or more children in a family; usually for parental attention and love
theory
group of concepts that forms the basis for understanding observations
behavioral theories
designed to explain the development of specific behaviors and suggest their relationships to other developing social skills
behaviorist theory
learning and interaction with the environment is the center of development
classical conditioning
pairing things in the environment
cognitive theories
advancement of the development of theories
Electra anxiety
little girls compete with their mothers for the love and attention of their fathers
extrovert
outgoing person who focuses on others in the environment
humanist theories
describe the influence of human experiences such as love and attachment on behavior and personality development
information-processing theory
info is input, is processed mentally, and is then followed by an output of judgment and decision making
introvert
quiet person who focuses inwardly on self
looking-glass self
self image is formed through 3 steps: 1) imagining how we portray ourselves to others; 2) imagining how others evaluating us; 3) combining these impressions to formulate a self concept or idea of what we are like
moral reasoning
development of a set of rules that enables a person to differentiate right from wrong; based on perception and integration of these rules
Oedipus complex
little boys compete with their fathers for the love and attention of their mothers
operant conditioning
involves behavioral consequences such as a reward or punishment
psychodynamic theories
focus on personality-trait development of thinking
social-learning theory
involves exposure to and imitation of a behavior
sociocultural theories
how culture influences behavior
allele
pairs of genes from both the mother and father
Apgar score
rating of heart, respiration, muscle tone, color, and reflex irritability
attachment
refers to an affectionate tie that occurs over time as a result of parent-infant interaction
bonding
refers to a strong emotional tie between parents and the newborn
chromosome
a thread of protein and DNA that is contained in the nucleus of every cell
dizygotic
fraternal twins: occur when 2 ova are released at ovulation, and each ovum is fertilized by a separate sperm
dominant gene
will overpower a recessive gene most of the time
ectopic pregnancy
the zygote does not move freely through the Fallopian tube, its increasing size will rupture the Fallopian tube
en face
mother positions her baby to provide close face-to-face interaction to promote bonding
egrossment
intense focus on the newborn
fetal alcohol syndrome
mental retardation and abnormal facial features
fetus
developing baby
gene therapy
placing a therapeutic gene on the back of a virus vector
genetic code
carry info about all the proteins within the cell that will determine the characteristics that will be inherited by the newborn
genetic counseling
communication between a geneticist (a specialist in inherited conditions) and the parents to discuss the risk of their infant inheriting genes that could result in an abnormality
genome
complete set of DNA that is contained in all cells
gestation
fetal life
gestational diabetes
diabetes that occur during pregnancy
monozygotic
identical twins: one single fertilized ovum separates into 2 separate embryos
multifetal
twins, triplets, quadruplets, and so on
mutated
variations that can be abnormal
neonatal
period of first 30 days of life
syndrome
group of symptoms or signs of an abnormal condition
viable
able to survive outside the uterus
virus vector
virus that has the ability to enter specific cells in the body
autonomy
independence; self-direction
ceophalocaudal
progression of growth pattern that proceeds head to toe
coping skill
behavior that helps an individual adapt to or manage a stressful situation
defense mechanism
reaction that is protective to the individual or helps conceals conflicts or anxieties