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When a nurse is able to recognize that an ethi- oped by the American Hospital Association to cal moment has occurred with a patient purchase 7.5 mg zyprexa visa treatment keloid scars, he/ enumerate the rights and responsibilities of she is experiencing which of the following patients while receiving hospital care? A nurse who is caring for a new mother realizes agency could be described as the cultivated that the woman is not prepared to go home dispositions that allow one to act as one with her newborn after a hospital stay of only believes one ought to act? Ethical dissatisfaction support that patients and their families need to make the decision that is right for them generic 7.5mg zyprexa with mastercard medications similar to lyrica, 3. Which of the following principles applies to he/she is practicing which of the following utilitarian action guiding theory? A nurse becomes a mentor to a student well-being over the claims of the patient’s nurse working on her floor. A nurse respects the right of a Native Amer- ican to call in a shaman for a consultation. Which of the following statements reflect the the use of the professional value of human mode of value transmission known as laissez- dignity? Which of the following actions best describe represent the basic principles of ethics? A nurse stays later than his/her shift to or communal standards of right or wrong. A nurse reads the Patient Bill of Rights to a and vice, and of good and evil, as they visually impaired patient. A commitment to developing one’s ability team members to ensure the best possible to act ethically is known as one’s ethical treatment for his patient. Study Guide for Fundamentals of Nursing: The Art and Science of Nursing Care, 7th Edition. Personal or communal standards of right on his own with no guidance from his parents, and wrong the parents are using a(n) approach to value transmission. Parents who encourage their children to seek institutional constraints make it nearly more than one solution to a problem and impossible to pursue the right actions weigh the consequences of each are practicing the mode of value transmission. When a nurse analyzes her feelings regarding choices that need to be made when several 7. A systematic inquiry into the principles alternatives are presented and decides whether of right and wrong conduct, of virtue and these choices are rationally made, she is vice, and of good and evil, as they relate engaging in the practice of. The protection and support of another’s decision to further his education is involved in rights the step of the process of valuing. Study Guide for Fundamentals of Nursing: The Art and Science of Nursing Care, 7th Edition. A child is encouraged to interact with people of various cultures to explore dif- a. Describe how you, as a nurse, would help the following patient to define her values and d. Justice: choose a plan of action using the steps listed in your text: A 36-year-old mother of a 10-year-old child with cystic fibrosis works during the day as a cashier and is going to school at night to study nursing. The child needs more attention than the mother has time to supply, and the mother feels guilty for spending time to better herself. Describe how a nurse might react in this situa- a full-time caretaker for her child. You are afraid to confront the nurse because she is your superior and has been known to punish coworkers who displease her c. Identify four ethical issues confronted by nurses in their daily nursing practice. Ethical character: Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing: The Art and Science of Nursing Care, 7th Edition. Use the five-step model of ethical decision making listed in your text to resolve the following moral distress: You believe that a g. Transformative ethical leadership: homeless patient, diagnosed with high blood pressure, needs a psychological work-up. An infant born addicted to crack cocaine riors insist she be discharged without further whose mother wants to take him home: treatment, and you are told there is no room for her on the psychiatric ward. A 12-year-old girl who seeks a pregnancy test at a Planned Parenthood clinic without b. A 15-year-old girl who is anorexic and who refuses to eat anything during her hospital d. Give an example of an ethical problem that from an infected male partner, and who may occur between the following healthcare tells you that the other nurses have been personnel, patients, and institutions. Describe how you would respond in an ethical most important in developing your own manner to the requests of the following patients: personal code of ethics: a. A patient with end-stage pancreatic cancer confesses to you that the only relief he can get from his pain is from smoking marijuana. Study Guide for Fundamentals of Nursing: The Art and Science of Nursing Care, 7th Edition. A recent policy and marks consistent with domestic abuse change stopped this practice approximately tells you that her husband pushed her 4 weeks ago.

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Health psychology focuses on the indirect pathway between psychology and health which emphasizes the role that beliefs and behaviours play in health and illness buy zyprexa 10 mg treatment math definition. The contents of the first half of this book reflect this emphasis and illustrate how different sets of beliefs relate to behaviours and how both these factors are associated with illness discount zyprexa 2.5 mg with visa medications blood thinners. Chapter 2 examines changes in the causes of death over the twentieth century and why this shift suggests an increasing role for beliefs and behaviours. The chapter then assesses theories of health beliefs and the models that have been developed to describe beliefs and predict behaviour. Chapter 3 examines beliefs individuals have about illness and Chapter 4 examines health professionals’ health beliefs in the context of doctor– patient communication. Chapters 5– 9 examine health-related behaviours and illustrate many of the theories and constructs which have been applied to specific behaviours. Chapter 5 describes theories of addictive behaviours and the factors that predict smoking and alcohol con- sumption. Chapter 6 examines theories of eating behaviour drawing upon develop- mental models, cognitive theories and the role of weight concern. Chapter 9 examines screening as a health behaviour and assesses the psychological factors that relate to whether or not someone attends for a health check and the psychological consequences of screening programmes. Health psychology also focuses on the direct pathway between psychology and health and this is the focus for the second half of the book. Chapter 10 examines research on stress in terms of its definition and measurement and Chapter 11 assesses the links between stress and illness via changes in both physiology and behaviour and the role of moderating variables. Chapter 12 focuses on pain and evaluates the psycho- logical factors in exacerbating pain perception and explores how psychological interven- tions can be used to reduce pain and encourage pain acceptance. Chapter 13 specifically examines the interrelationships between beliefs, behaviour and health using the example of placebo effects. Chapter 16 explores the problems with measuring health status and the issues surrounding the measurement of quality of life. Finally, Chapter 17 examines some of the assumptions within health psychology that are described throughout the book. My thanks again go to my psychology and medical students and to my colleagues over the years for their comments and feedback. For this edition I am particularly grateful to Derek Johnston and Amanda Williams for pointing me in the right direction, to David Armstrong for conversation and cooking, to Cecilia Clementi for help with all the new references and for Harry and Ellie for being wonderful and for going to bed on time. Take advantage of the study tools offered to reinforce the material you have read in the text, and to develop your knowledge of Health Psychology in a fun and effective way. Study Skills Open University Press publishes guides to study, research and exam skills, to help under- graduate and postgraduate students through their university studies. Get a £2 discount off these titles by entering the promotional code app when ordering online at www. The chapter highlights differences between health psychology and the biomedical model and examines the kinds of questions asked by health psychologists. Then the possible future of health psychology in terms of both clinical health psychology and becoming a professional health psychologist is discussed. Finally, this chapter outlines the aims of the textbook and describes how the book is structured. This chapter covers: ➧ The background to health psychology ➧ What is the biomedical model? Darwin’s thesis, The Origin of Species, was published in 1856 and described the theory of evolution. This revolutionary theory identified a place for Man within Nature and suggested that we were part of nature, that we developed from nature and that we were biological beings. This was in accord with the biomedical model of medicine, which studied Man in the same way that other members of the natural world had been studied in earlier years. This model described human beings as having a biological identity in common with all other biological beings. The biomedical model of medicine can be understood in terms of its answers to the following questions: s What causes illness? According to the biomedical model of medicine, diseases either come from outside the body, invade the body and cause physical changes within the body, or originate as internal involuntary physical changes. Such diseases may be caused by several factors such as chemical imbalances, bacteria, viruses and genetic predisposition. Because illness is seen as arising from biological changes beyond their control, individuals are not seen as responsible for their illness. The biomedical model regards treatment in terms of vaccination, surgery, chemotherapy and radiotherapy, all of which aim to change the physical state of the body.

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Acupressure and Acupuncture Acupressure and acupuncture are healing techniques based on the ancient philosophies of traditional Chinese medicine dating back to 3000 b discount zyprexa 10 mg on-line symptoms xanax addiction. The main concept behind Chinese medicine is that healing energy (qi) flows through the body along specific pathways called meridians zyprexa 10mg discount symptoms of kidney stones. It is believed that these meridians of qi connect various parts of the body in a way similar to the way in which lines on a road map link various locations. There- fore, it is possible to treat a part of the body distant to another because they are linked by a meridian. Trivieri and Anderson (2002) have stated, “The proper flow of qi along energy channels (meridians) within the body is crucial to a person’s health and vitality. This pressure is thought to dissolve any obstructions in the flow of healing energy and to restore the body to a healthier functioning. In acupuncture, hair-thin, sterile, disposable, stainless-steel needles are inserted into acupoints to dissolve the obstructions along the meridians. The needles may be left in place for a specified length of time, they may be rotated, or a mild electric current may be applied. Complementary Therapies ● 377 The Western medical philosophy regarding acupressure and acupuncture is that they stimulate the body’s own painkilling chemicals—the morphine-like substances known as endorphins. Recent studies suggest that acupuncture may aid in the treatment of cocaine dependence and chronic daily headaches (Avants et al. Acupuncture is gaining wide acceptance is the United States by both patients and physicians. This treatment can be admin- istered at the same time other techniques are being used, such as conventional Western techniques, although it is essential that all health-care providers have knowledge of all treatments being received. Acupuncture should be administered by a physician or an acupuncturist who is licensed by the state in which the service is provided. Typical training for licensed acupuncturists, doctors of oriental medicine, and acupuncture physicians is a 3- or 4-year program of 2500 to 3500 hours. Diet and Nutrition The value of nutrition in the healing process has long been un- derrated. Lutz and Przytulski (2006) stated: Today many diseases are linked to lifestyle behaviors such as smok- ing, lack of adequate physical activity, and poor nutritional habits. Healthcare providers emphasize the relationship between lifestyle and the risk of disease. Many people, at least in industrial- ized countries, are increasingly managing their health problems and making personal commitments to lead healthier lives. Individuals select the foods they eat based on a number of fac- tors, not the least of which is enjoyment. Consume a variety of nutrient-dense foods and beverages within and among the basic food groups while choosing foods that limit the intakes of fat, cholesterol, added sug- ars, salt, and alcohol. Meet recommended intakes within energy needs by adopting a balanced eating pattern, such as the guidelines in Table 23-2. Table 23-3 provides a summary of informa- tion about essential vitamins and minerals. Maintain body weight in a healthy range; balance calories from foods and beverages with calories expended. To prevent gradual weight gain over time, make small de- creases in food and beverage calories and increase physi- cal activity. Engage in regular physical activity and reduce sedentary activities to promote health, psychological well-being, and a healthy body weight. To reduce the risk of chronic disease in adulthood, en- gage in at least 30 minutes of moderate-intensity physical activity, above usual activity, at work or home on most days of the week. To help manage body weight and prevent gradual, unhealthy body weight gain in adulthood, engage in approximately 60 minutes of moderate- to vigorous-intensity activity on most days of the week while not exceeding caloric intake requirements. To sustain weight loss in adulthood, participate in at least 60 to 90 minutes of daily moderate-intensity physical activity while not exceeding caloric intake requirements. Achieve physical fitness by including cardiovascular con- ditioning, stretching exercises for flexibility, and resis- tance exercises or calisthenics for muscle strength and endurance. To help meet calcium needs, non-dairy calcium-containing alterna- tives may be selected by individuals with lactose intoler- ance or those who choose to avoid all milk products (e. Keep total fat intake between 20% and 35% of calo- ries, with most fats coming from sources of polyunsatu- rated and monounsaturated fatty acids, such as fish, nuts, and vegetable oils. Consume less than 10% of calories from saturated fatty acids and less than 300 mg/day of cholesterol, and keep trans–fatty acid consumption as low as possible. Carbohydrate intake should comprise 45% to 64% of total calories, with the majority coming from fiber-rich foods. Important sources of nutrients from carbohydrates include fruits, vegetables, whole grains, and milk. Individuals who choose to drink al- coholic beverages should do so sensibly and in moderation— defined as the consumption of up to one drink per day for women and up to two drinks per day for men. One drink should count as: Complementary Therapies ● 385 • 12 ounces of regular beer (150 calories) • 5 ounces of wine (100 calories) • 1. Chiropractic Medicine Chiropractic medicine is probably the most widely used form of alternative healing in the United States.

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