Cultural Comp.
Patient Teaching
Patient Teaching
Describe the 5 components of Capinha-Bacote Cultural Competency Model
Cultural Awareness= self-examination of own biases
Cultural Knowledge= HCP seeks and obtains educational base of culturally diverse groups
Cultural Skills= ability conduct culturally sensitive physical assessment
Cultural encounters= direct face to face encounters with diverse groups
Cultural desire= motivation for cultural experiences "want to not have to"
What is the main goal of motivational Interviewing?
Change in patient behavior
Where is the RAS located
upper brain stem
What is the commitment to include patients in decisions and to promote independence?
Autonomy
A nurse is caring for a patient who states, "I just wanna die." For the nurse to comply with this request, the nurse should discuss:
A. Living Wills
B. Assisted Suicide
C. Durable POA
D. Advanced Directives
Advanced Directives
What are the emic and etic world views?
emic= insider
etic= outsider
What causes over-involvement out of the zone of helpfulness and provide an example!
Crossing boundaries- Ex: self disclosure of nurses needs to patient
What body functions are impacted with sleep deprivation
immune function, nitrogen balance, protein, and metabolism
Describe Provision 2 in the Nursing Code of Ethics
The nurse's primary commitment is to the patient (Patient-Centered Care)
Statutory Law includes which 2 subcategories - define them both.
Civil - rights
Criminal - felonies/misdemeanors
Provide an example of a social determinant that causes a health disparity
Lack of access to nutritional grocery stores may result in poor nutrition and result in DM or CAD
Define the SURETY model of active listening!
S= sit facing the patient
U= uncross arms and legs
R= relax
E= eye contact
T= touch
Y= your intuition
Explain the effects of the 24 hour sleep cycle has on biological function
mood, hormones, and biological clock. negatively impacts health.
Describe Provision 6 in the Nursing Code of ethics
The nurse establishes and maintains a safe, ethical environment
Who can be of assistance to the nurse when deciding if a patient is an "automatic" autopsy? WHO YOU GUNNA CALL
Coroner
Explain the 3 domains of learning
Cognitive: thinking
Affective: feelings
Psychomotor: physical
What are the 4 phases of Therapeutic Communication?
And define each phase
Pre-interact: occurs before you meet patient
Orientation: very brief, introduction and state relationship
Working: active part of relationship
Termination: conclusion of relationship (must include summary)
Factors that influence sleep (7)
Drugs and substances
lifestyle
usual sleep patterns
emotional stress
environment
exercise and fatigue
food and calorie intake
List the steps in Processing an ethical dilemma
Ask if it is an ethical dilemma
Gather all relevant info
Clarify values, verbalize the problem
Identify possible course of actions
Negotiate the outcome
Evaluate the action
Name a tool used in risk management (2)
Incidence report
Occurence report
List 5 components of an environment conductive to learning
well-lit, temperature, good ventilation, comfortable, private, adequate resources, appropriate furniture
Define the following terms:
Referent:
Channel:
Interpersonal Variables:
Transactional Communication:
Referent= what motivates one to communicate
Channel= what is used to send message
Interpersonal Variables= cultural sensitivity, illness (pain, anxiety, medication effects)
Transactional Communication= between sender and receiver (endcode & decode)
Nursing diagnosis for sleep (10)
anxiety (or fear)
ineffective breathing pattern
acute confusion
compromised family coping
ineffective coping
insomnia
fatigue (for activity intolerance)
sleep deprivation
readiness for enhanced sleep
risk for injury and falls
Discuss the contemporary ethical issues that nurses face (4)
Quality of life
Health Care Reform
Care at the End of Life
Social Media
Name 4 steps involved in identifying potential hazards and eliminating them before harm occurs:
Identify possible risks
Analyze risks
Act to reduce risks
Evaluate steps taken