Shared Flashcard Set

Details

Wellness/Stress/Psychosocial
Health & Wellness Class
108
Health Care
Undergraduate 1
02/07/2009

Additional Health Care Flashcards

 


 

Cards

Term
What is wellness?
Definition

The optimal health and vitality.

 

life lived actively, energetically, and fully.

determined by decisions.

Term
What ultimately determines our wellness?
Definition
Our decisions
Term
What are the seven dimensions of wellness?
Definition
Physical, emotional, intellectual, spiritual, interpersonal or social, environmental or planetary
Term
What is the physical dimension of wellness?
Definition
eating well, exercise, avoid harmful habits, responsible decisions about sex, regular medical and dental checkups, taking steps to prevent injury
Term
What dimension of wellness determines your quality and quantity of life?
Definition
Physical wellness.
Term
What is the emotional dimension of wellness?
Definition
optimism, trust, self-esteem, self-acceptance, self-control, satisfying relationships, ability to share feelings.
Term
What is the dimension of intellectual wellness?
Definition
openness to new ideas, capacity to question and think critically, motivation to master new skills, never stop learning, new experiences, curiosity, creativity.
Term
Give an example of a source of spiritual wellness.
Definition
hobby, nature, job, traveling, volunteer work, politics, art.
Term
What is the interpersonal/social dimension of wellness?
Definition

satisfying relationships, mutual loving, supportive.

includes good communication skills, intimacy, and family and friends

Term

What is the environmental/planetary demension of wellness?

Give examples.

Definition

personal health depends on health of planet.

including food supply, degree of violence, UV radiation, water pollution, secondhand smoke.

Term
What was the difference between the early 1900's and today?
Definition

infectious diseases vs. chronic diseases

 

Term

What is an infectious disease?

Give three examples.

Definition

Spreads from person to person.

 

Influenza, smallpox, tuberculosis

Term

What are chronic diseases?

Give two examples.

Definition

Diseases that develop over a long period of time.

 

Cancer, heart disease

Term
What are the top four leading causes of death?
Definition
Cardiovascular (heart), cancer, stroke, respiratory disease.
Term
What are the top three factors contributing to death?
Definition
tobacco, poor diet and physical inactivity, and alcohol consumption.
Term
What are the goals of Healthy People 2010?
Definition

To increase the quality and years of a healthy life and to eliminate health disparities among Americans.

Term

Concerning the health issues for diverse populations, what are the differences?

(categories)

Definition

Genetics, demographics, culture, education, sex.

 

Biological: genes

Cultural: patterns of behavior through daily interactions with families, communities, and society.

Term
What is the difference in stereotyping and over-generalizing?
Definition
Stereotyping is about groups, while over-generalizing is the diversity among that group.
Term

What is stereotyping?

Give an example.

Definition

Talking about groups, not individuals.

 

Ex: "All Americans are obese"

"All blondes are dumb"

Term

What is over-generalizing?

Give an example.

Definition

Ignoring biological and cultural diversity that exists within that group.

 

Ex: hispanics

Term

What is the difference between sex and gender?

Give examples of specific conditions.

Definition

Sex is the biological and physiological characteristics (parts, hormones)

Ex: breast cancer, testicular cancer

 

Gender are the roles, behaviors, activities that society considers appropriate

Ex: alcohol consumption, income

Term

Why do ethnic minorities have higher death raters?

Definition
Income, genetics, environment, health behaviors, access to care
Term
What two things are the more important predictors of poor health in ethnic groups?
Definition

Poverty and low educational attainment.

Term
Due to low income and less education, there are higher rates of:
Definition

infant mortality, traumatic injury, heart disease.

 

more likely to suffer from poor nutrition, obesity, smoke, drink, and use drugs.

 

more likely to be uninsured, no doctor, and rely on ER

Term
____ in ____ has some disability in an ethnic group.
Definition
1 in 5
Term
How does geographic location affect health?
Definition
Rural residents are inactive, less use of safety belts, less health care, limited emergency care, higher injury related death, lack of insurance.
Term
Children in dangerous environment are ____ times more overweight than kids living in safer environments.
Definition
four
Term
Gay, lesbian, and bisexual teens are more likely to ____________ and ____________.
Definition
have unsafe sex and drug use, and more likely to have depression and attempt suicide
Term

What are the total amount of people in the US with HIV/AIDS?

What about globally?

Definition

1,040,000 - 1,185,000

 

 

33.5 - 46 million

Term
____% of HIV infections have been from heterosexual intercourse.
Definition
90
Term
What is a lifestyle behavior modification?
Definition
Process to permanently change negative behaviors in favor of positive behaviors that lead to better health and well being.
Term
What are the eight barriers of change?
Definition
procrastination, preconditioned cultural beliefs (southern food), gratification (makes me feel good), risk complacency (I'm the exception), complexity (change is hard because...), indifference or helplessness (genetics are going to work against me), rationalization (i'm not as bad as...), and invincibility
Term
Procrastination, preconditioned cultural beliefs (southern food), gratification (makes me feel good), risk complacency (I'm the exception), complexity (change is hard because...), indifference or helplessness (genetics are going to work against me), rationalization (i'm not as bad as...), and invincibility are all ______________.
Definition
barriers to change.
Term
What are the six "Stages of Change Model?"
Definition

Precontemplation

Contemplation

Preparation

Action

Maintenance

Termination/Adoption

Term
What is the precontemplation stage of change?
Definition

not intending to change;

uninformed, unaware, or discouraged

Term
What is the contemplation stage of change?
Definition

-thinking about change, but not ready

-knows you need to change in 6 months

-education and peer support are influential

Term
What is the preparation stage of change?
Definition

-intending to change soon, in one month

-initial steps taken to begin change

Term
What is the action stage of change?
Definition

-modifications are occurring

-involves time and energy

-modifications are recognized by others

-fully developed in 6 months

Term
What is the maintenance stage of change?
Definition

-target behavior has been modified up to 5 years

-efforts aimed at preventing relapse

Term
What is the termination/adoption stage of change?
Definition

-behavior maintained for 5 years

-change is a part of lifestyle

-past obstacles don't pose relapse threat

Term
What are tips for change/the stages of change?
Definition

-write goals

-change environment

-monitor progress

-reward success

-involve family and friends

-S.M.A.R.T.

Term
When talking about the steps to change and your goals, what does S.M.A.R.T. stand for?
Definition

Specific

Measurable

Achievable

Relevant

Timely

Term
What is a stressor?
Definition
Situations that trigger physical and emotional reactions
Term

What is positive stress and what is negative stress?

Definition

Eustress

Distress

Term

What is eustress?

Give an example.

Definition

pleasant stress.

Ex: a date

Term

What is distress?

Give an example.

Definition

Unpleasant stress.

Ex: cop in rearview mirror

Term
What is a stress response and which body systems control it?
Definition

The physiological reaction from a stressor.

 

Nervous and endocrine system.

Term
What are the two divisions of the autonomic nervous systems and what do they trigger?
Definition

Sympathetic: arousal and neurotransmitters (norepinephrine)

Parasympathetic: relaxation

Term
What is the endocrine system?
Definition

Glands, tissues, and cells that secrete hormones to help control body functions.

Helps prepare body to respond to stress (fight or flight response)

Term
What is the order of actions of the nervous and endocrine system together?
Definition

1. hypthalamus (brain)

-acetylcholine (neurotransmitter)

2. pituitary gland (brain)

-adrenocorticotropic (hormone in blood)

3. adrenal glands (top of kidneys)

-cortisol, epinephrine, endorphins

Term
What three things do the adrenal glands (kidneys) release?
Definition

cortisol - increases sugar in blood and use of glucose in the brain, decreases non essential body functions

epinephrine - adrenaline; increases heart rate, blood pressure, and energy supplies

endorphins - pain reliever

Term
What are the seven physiologic reactions to stress?
Definition

-decrease of digestion

-increased metabolism

-increased sweating

-decreased salivation

-increased muscular tension

-increased cardiac function (HR, BP)

-more acute vision and hearing

Term
What is the difference between emotional and behavioral responses to stressors?
Definition

Emotional: partly determined by inborn personalit and temperament, regulated with coping techniquest.

Behavioral: conscious actions

Term

What two factors can reduce the magnitude of a stress response?

Definition

successful prediction of the stressor (pop quiz vs. known quiz)

and

perception of control over the situation (how much you study)

Term
What are the two personality types?
Definition

Type A (controlling, higher stress)

Type B (laid back, less frustrated, more tolerant)

Term

What are the three stages of the General Adaptation Syndrome?

Definition

Alarm (fight or flight)

Resistance

Exhaustion

Term
What are some conditions/diseases that are linked to stress?
Definition
Cardiovascular disease, chronic high blood pressure (Atherosclerosis-narrowed arteries), strokes, cardiomyopathy
Term

What are some common consequences of stress?

 

Definition
headaches, insomnia, injuries, diabetes, premature aging, pregnancy complications
Term
What are a few common sources of stress?
Definition
major life changes, daily hassles, college, job-related, social, environmental
Term
What are the top three sources of stress?
Definition
Money, Work, and health of family
Term

What are some techniques for managing stress?

Definition
social support, communication, exercise, nutrition, sleep, spirituality, journal writing, time management.
Term
What are eleven ways for effective time management?
Definition

set priorities, schedule tasks for times of peak efficiency, set realistic goals, budget enough time to achieve goals, break long term goals into short term ones, do less pleasurable ones first, jump into task instead of waiting, consolidate tasks, ask help (delegate responsibility), don't feel guilty by saying no, and take breaks (have free time)

Term
What are some relaxation techniques?
Definition
progressive relaxation, visualization, meditation, deep breathing, yoga, Tai Chi, music, or biofeedback.
Term
What are some ways of counterproductive coping to stress?
Definition

Tobacco (addictive, increases neurotransmitters), alcohol, drugs, caffeine, unhealthy eating.

Term
What is psychosocial health?
Definition

being mentally, emotionally, socially, and spiritually well.

(thinking, feeling, relating, being)

Term

What are the ten key characteristics of psychosocially healthy people?

***

Definition
feel good about themselves, feel comfortable with others, control tenstion and anxiety, meet the demands of life, curb hate and guilt, maintain positive attitude, enrich lives of others, cherish the things that make them happy, value diversity, respect nature
Term
What external factors influence psychosocial health?
Definition
family, broader environment, social bonds
Term
What internal factors influence psychosocial health?
Definition

self-efficacy (believe I will perform a task well) and self-esteem, learned helplessness vs. learned optimism, personality, life span and maturity

Term
What are some strategies to enhance psychosocial health?
Definition
sleep, stress management techniques, developing and maintaining self-esteem and self-efficacy
Term
What are six ways to develop and maintain self-esteem and self-efficacy?
Definition
find a support group, complete required tasks, form realistic expectations, make time for you, maintain physical health, and examine problems and seek help
Term
What is the difference between signs and symptoms of psychosocial disorders?
Definition

signs: what objective observer can document or see (breathing, sweating)

symptoms: subjective feeling that individual experiences (hopelessness)

Term
What is a functional impairment of a psychosocial disorder?
Definition
Inability to perform a certain routine (bathing)
Term
What is a neurotransmitter and where are they found?
Definition

Chemicals used to relay, amplify, and modulate signals between neuron and another cell.

Synapse.

Term
What are two neurotransmitters that relate to psychosocial disorders and what do they do?
Definition

Dopamine-motivation, pleasure, wanting

Serotonin-memory, emotions, sleep, temperature regulation

Term
What are the two most common types of psychosocial disorders?
Definition
anxiety and mood
Term
What is an anxiety disorder?
Definition

Feelings of threat and worry.

Ex: social anxiety, phobias, OCD

Term
What is a mood disorder?
Definition

affects how you feel.

10% or 21 mil adults

Ex: depression, bipolar

Term
What is a phobia?
Definition
An anxiety disorder when you fear something definate.
Term
What are social phobias?
Definition
Fear of humiliation or embarrassment while being observed by others.
Term
What is a panic disorder/attack?
Definition

Sudden unexpected surges in anxiety, rapid and strong heartbeat, shortness of breath, feeling of losing mental control

Term
What is a generalized anxiety disorder (GAD)?
Definition
reaction to future treats is to worry, worries have taken over.
Term

What is obsessive compulsive disorder (OCD)?

And what are the differences between obsessions and compulsions?

Definition

obsessions: recurrent, unwanted thoughts (mere thought)

compulsions: repetitive, difficult to resist actions (acting on the thought)

Term
What is post traumatic stress disorder (PTSD)?
Definition
Reaction to a severely traumatic event
Term
What is depression?
Definition
A mood disorder with feelings of sadness/hopelessness, loss of pleasure in usual activities, poor appetite, insomnia, restlessness or fatigue, feeling worthless, trouble concentrating, thoughts of death or suicide
Term
What is seasonal affective disorder (SAD)?
Definition
typically occurs in winter due to lack of sunlight
Term
What are mania and bipolar disorders?
Definition

mania: restless, excessive, energy, insomnia, extremes of behavior

bipolar: a person that swings between manic and depressive states

Term
__ /__ have contemplated suicide in the last year.
Definition
1/10 or 1/11
Term

What are some signs of suicide?

Definition
Expressing the wish to be dead, increasing social withdrawal/isolation, sudden inexplicable lightening of mood, previous history of attempts, suicide by family member or friend, readily available means of committing suicide, history of substance abuse or eating disorders, serious medical problems.
Term
What are the five steps of what to do when you think someone wants to commit suicide?
Definition

1. Know what to watch for: symptoms of depression, warning signs of suicide

2. If you see warning signs of suicide, ask questions.

3. Never keep a plan for suicide a secret.

4. Don't try to minimize problems or shame a person into changing their mind.

5. If not in immediate danger, offer to work together and help.

Term
What are the treatments for many psychosocial disorders and what factors play into deciding the treatment?
Definition

It really depeonds on the condition and severity.

Factors: how long you've had symptoms, how severe.

Term
What are the five main options of treatment for psychosocial disorders?
Definition
psychotherapy, medicine, hospitalization, electroconvulsive therapy, light therapy for SAD
Term
What ways can you get help when dealing with a psychosocial disorder?
Definition

-self-help (books, journaling)

-peer counseling and support groups

-religion

-social groups

-professional help (psychiatrists, clinical psychologists, social workers, clergy, treatment team, etc.)

Term
From the movie - List some of the potential consequences of stress.
Definition
kill brain cells, gain fat, unravel chromosomes, sleeping issues, high blood pressure, clogged arteries, heart attacks.
Term
From the movie - Why are baboons a good model for studying the effects of stress in westernized culture?
Definition
They are being stressed from each other; they have nine hours of free time to bother another one.
Term
From the movie - In today's society, why is the stress response more dangerous than the stressor itself?
Definition
We "wallow" in an overload of hormones, animals don't think about the stressor, while people do.
Term
From the movie - Identify the two remarkable discoveries that Dr. Robert Sapolsky has made regarding stress and social hieracrchy in baboons.
Definition

1. rank determines the level of stress (dominant males have less stress than submissive males)

2. low rankers have higher blood pressure, quicker heart rate, and a bad immune system

Term
From the movie - What were some of the primary findings of the Whitehall study in London?
Definition
the lower you are in the hierarchy, the higher the risk for disease and length of life.
Term
From the movie - What was the first health problem that was linked to stress?
Definition
peptic ulcers (stomach pains)
Term
From the movie - Do we now believe that stomach ulcers are related to stress? If so, how?
Definition

Yes.

A bacteria causes ulcers (bacterial disorder), but stress increases it because the immune system shuts down, not allowing them to fight off bacteria.

Term
From the movie - T/F: Subordinate macaque monkeys have more atherosclerosis in their arteries than dominant monkeys.
Definition
True.
Term
From the movie - How does stress affect the human brain?
Definition
Kills brain cells, affects memory, lose knowledge you know perfectly well.
Term
From the movie - What neurotransmitter is primarily responsible for feelings of pleasure?
Definition
Dopamine
Term
From the movie - What did the Whitehall study find regarding stress and weight gain?
Definition

The distribution of weight relates to hierarchy, then to stress.

Subordinate monkeys have more stomach fat.

Fat from stress is worse for health.

Term
From the movie - What are telomeres and how are they affected by stress?
Definition

Telomeres protect the ends of chromosomes.

They shrink over time, stress increases shortening, tend to die earlier.

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