NURS 6551 Midterm Study Guide Complete Latest Update 2024

NURS 6551 Midterm Study Guide Complete Latest Update 2024• The USPSTF (2014a) assigns a “B” recommendation to screening all adults age 18 andolder (including pregnant women) for alcohol misuse; screening adolescents younger than age 18 has been assigned an “I statement”. • Most of all recent research regarding effects of alcohol has been conducted on males • Smaller amounts of alcohol is associated with more severe damage to a women • Alcohol consumption is considered hazardous for a women who has either more thanseven drinks per week ormore than three drinks per day. • Women who consume more than seven drinks per day are considered at risk fordeveloping AUD • Alcohol misuse screening tools include the AUDIT or Abbreviated AUDIT-C instrument orasking single questions. • Ask patient, how many times in the past year have you had four or more drinks in a day? #2 Feminist Perspective • Feminist is a model of care that works with women as opposed to for women. • Uses heterogeneity as an assumption, not homogeneity. • Minimizes or exposes power imbalance. • Rejects androcentric models as normative • Challenges the medicalization and pathologizing of normal physiologic processes. • Seeks social and political change to address women’s health issues. • A feminist model supports egalitarian relationships and identifies the women as theexpert on her own body. • The women is the center of this healthcare model • Acknowledges the broader context in which women live their lives and the subsequentchallenges to their health as a result of living within a patriarchal society. #3 Cultural Perspectives of Women • Adolescents- Using a relational approach when providing care to adolescent females, which is how adolescent females often define themselves. By asking questions such as“Tell me about your friends or who you hang out with”. • Early adulthood- Women at this age are facing childbirth and contraceptive issues,intimate partner violence, substance abuse and stress. • Midlife- Clinicians providing care for women in midlife need to promote healthy sexualfunctioning and assess changes that may negatively impact desire. • Older women- Some women become isolated. Elderly women contend with ageism andsexism. • Problems faced by Mexican and Central American women include feeding their families,accessing formal health care. • Undocumented migrant women also face problems with obtaining assistance with foodand health care due to the inability to seek assistance • Veterans have increased risk for having been sexually assaulted, have post- traumaticstress disorder and traumatic brain injury • People who are assigned female sex at birth are natal females, those who are assignedas males are considered natal males. • Transgender woman is a natal male who has a female gender identity. • A transgender man is a natal female who has a male gender identity • Cisgender refers to someone whose gender identity matches their natal sex • LBQ women and TGNC (Transgender and gender non-confirming) experienceinterpersonal and institutional discrimination. • LBQ and TGNC people face rejection of their families, their communities and spirituallevels. • LBQ and TGNC face the risk of not being involved with their partners in times of healthcrises, or able to participate in medical decisions of their partners when incapacitated. • LBQ and TGNC people are less likely to have insurance or be able to afford healthcare. • TGNC persons are at higher risk for suicide and are 5 times at greater risk for depression • Clinicians must create environments that are welcoming and nonthreatening to patientsof all gender identities and sexual orientations • EMR must be able to identify the patient with their physical sex as well as their identifiedsex • Use open-ended and gender-neutral language • Examinations must be based on anatomy and organs present, not the perceived genderof the patient • For Transgender men taking testosterone- provide a short course of vaginal estradiolprior to vaginal examinations, as well as topical anesthetic to reduce pain. • LBQ and TGNC youth are at an increased risk for violence, homelessness and substanceabuse than others of their age. • Older adults of the LBQ and TGNC population are particularly vulnerable to abuse,neglect and poverty. • Some religions and restrictive family upbringings may alter a woman’s ideas aboutsexuality and their ability to enjoy their sexuality. • Black women experience menopause earlier than other women, an average age ofapproximately 50 years. • Caucasian and hispanic women have reported greatest number of psychosomaticsymptoms of menopause (moodiness, headaches, palpitations), • African American women reported highest severity of vasomotor symptoms ofmenopause • Asian women reported problems with joint pain and stiffness, especially in the neck,shoulders and back. • Women who are migrant workers may not report IPV for fear of deportation. • Migrant workers commonly have the belief that the woman is subordinate to the manand not be aware of support services