Caring And Diversity Flashcards

1
Q

Texas Administrative Code Title 22 examining board

A

Provide without discrimination, nursing services regardless of age, disability, economic, status gender, national origin, race, religion, health problems, or sexual orientation of the client served.

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2
Q

ANA Code of Ethics for Nurses

A

The nurse in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social economic status, personal attributes or the nature of health problems.

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3
Q

Spirituality

A

Complex concept that is unique to each individual and is dependent upon a persons culture, development, life experiences, beliefs, and ideas of life

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4
Q

Spiritual wellness

A

Aware of one’s inner self
Connection to a higher being nature
Values
Highly individualized

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5
Q

Spiritual Wellness Attributes

A

Harmony
Purpose
Self acceptance
Clear values
Positive outlook
Peacbalance
Growth

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6
Q

Spiritual Wellness

A

Positive effect on health
Enhanced quality of life
Accept hardships and even mortality

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7
Q

Types of spirituality

A

Religious
Non- religious

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8
Q

Spirituality and Health

A

■Reduce stress
■Improve health outcomes with chronic condition
■Helps with pain management
■Comfort for the dying and bereaving
■Enhances recovery from illness and surgery

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9
Q

Spirituality and healing process

A

Enhances comfort
Provides inner peace
Healps patient come to terms with disability and death

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10
Q

Spirituality and Relationships
Aspects of relationship that affect spirituality

A

Love
Trust
Hurt
Mistrust
Communication

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11
Q

Spiritual Distress

A

The state in which the individual experiences or is at risk for experiencing disturbance in his belief system that is the source of his strength and hope

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12
Q

Spiritual Distress Characteristics

A

●Concern with the meaning of life
●Concern about belief syste
●Anger toward God/religous representatives
●No longer participates in religious practices
● Concern about his/her relationships with God
●Questioning meaning of own existence
●Felts guilts, shame, remorse
●Feels helpsless and hopeless
●Seek spiritual assistance
●Demonstrate gallows humor
●Suffers from sleep disturbances
● Alterations in mood and behavior

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13
Q

Spiritual Assessment

A

● Faith/Belief
●Life and self responsibility
●Connectedness to God
●Life satisfaction
●Culture
●Fellowship and Community
●Ritual and Practice
●Vocation

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14
Q

Nurse Care
Nurse patient relationships

A

Compassionate Presence
Active listening to fears, hopes, dreams, and pain
Respect
Freedom of choice
No judgement
Use support systems
Diet
Prayer meditation

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15
Q

Nursing Action

A

●Offer to contact the pastoral care department
●Plan activities to promote healing body, mind, and spirit
●Offer to teach relaxation, guided imagery, and meditation techniques

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16
Q

Religion

A

Organized beliefs and worship
State of doing

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17
Q

Agnostic

A

A person who believes that nothing is known or can be known of the existence or nature of God of anything beyond material phenomena.

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18
Q

Atheist

A

A person that says God is not real
Who disbelieves or lacks belief in the existence of God or Gods and ultimate reality.

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19
Q

Roman Catholism

A

May desire a eucharist or mass daily
You know these lol 😆

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20
Q

Mormonism/Church of Latter Day Saints

A

Joseph Smith-prophet
Healthful living no tea, alcohol, coffee or tobacco
Believes in Jesus
Forgiveness of sins
Baptism for the newborn
Last rites
Communion

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21
Q

Jehovahs Witness

A

Do not celebrate birthdays or holidays
Refusal of blood products no blood in food
Does not believe in immediate after life
Jehovah is God no trinity

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22
Q

Mennonites

A

Christian
Pacifism
Many speak in low German or Spanish
Modest apparel for women
Caps indicates submission and headship order (God man , woman)

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23
Q

Islam Muslim

A

Many engage in prayer 3 to 5 times a day facing Mecca
Face, hands, feet are washed before prayer
Right hand used fir everything but elimination
No pork or alcohol
Gender concordant care
Modesty

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24
Q

Judaism

A

Kosher certified foods
Sabbath is from sunset Friday to sunset Saturday
Sabbath may not want to use a call light
Cremition is prohibited
Daily prayers are valued
Circumcision

25
Q

Buddhism

A

No belief in personal creator
Mindfulness and mental clarity
Quite and peaceful environment
Maybe vegetarian
Prefer family to bathe, toileting, feed
Suffering is part of life
Karma

26
Q

Hinduism

A

Reincarnation
Personal hygiene important and must be daily
Cremation common on day 2 after death
Right hand for eating left hand for toiletiing
Vegetarian
Accept illness as part of life
Elders have a strong influence on decision making

27
Q

What is Diversity?

A

The unique variations between individuals informed by genetics and cultural background, refined by experience and personal choice.

28
Q

Variations

A

Race
Gender
Sexual orientation
Age
Education
Abilities/disabilities
Life experiences
Geographic
Parental status
Langauge
Profession/occupation

29
Q

What is culture?

A

Learned and shared beliefs involving ; knowledge, behaviors, ideas, attitudes, values, habits, work and lifestyle practices, traditions, languages, symbols, rituals, expressions of thoughts and emotions, ceremonies, and practices that are unique to a particular group of people.

30
Q

Cultural Care By Leininger

A

Transcultural nursing as a comparative study of cultures to understand silimilarities and differences acrross human groups.

31
Q

Cultural sensitivity

A

Is being aware of cultural similarities and differences of others without assigning them value based on similarities and differences.

32
Q

Cultural competence

A

Recquires acquiring knowledge, skills, and attitudes to ensure delivery of culturally congruent care.

33
Q

Cultural awareness

A

Self exam of ones own bias

34
Q

Cultural knowledge

A

Sound education based about diversity

35
Q

Cultural skills

A

Gathering information through a cultural assessment and being aware of physical findings that are based on race and ethnicity.

36
Q

Cultural encounters

A

Engage face to face

37
Q

Cultural desire

A

Want to engage with diverse populations.

38
Q

Cultural congruent care ANA standard 8

A
39
Q

Barriers to Culturally Competent Care
Bias

A

One sideness tendency to lean a certain way. Lack of impartiality

40
Q

Barriers to Culturally Competent Care
Prejudices

A

Negative attitudes towards others based on race gender sexual orientation

41
Q

Barriers to Culturally Competent Care
Ethnocentrism

A

Believing your way of living is superior than others. Cause biases and prejudices

42
Q

Barriers to Culturally Competent Care
Cultural Imposition

A

Use their own values and lifestyles and the absolute guide in dealing with patients.

43
Q

Barriers to Culturally Competent Care
Cultural Stereotypes

A

All people if certain racial or ethnic group are alike in certain aspects

44
Q

Barriers to Culturally Competent Care
Discrimination

A

Behavior manifestations of prejudices

45
Q

Cultural and life transition

A

Pregnancy
Childbirth
Newborn
Grief and lOss

46
Q

Cultural Assessment

A

Family structure
Communication patterns
Foods with cultural significance
Time orientation
Space and Control

47
Q

Ethnicity

A

A cultural groups shared identity such as values, languages, geographical space racial characteristics

48
Q

Race

A

The grouping of people based on biological similarities and attributes

49
Q

World view

A

Set of assumptions which guide how people perceive the world around them. Viewing the world through a lens which was created throughout our life

Etic - outsider perspective
Emic - insider perspective

50
Q

Health Disparities

A

A health difference because of a social, economic or environmental disadvantage or part of marginalized groups (people of color, gay, lesbian, bisexual, transgender, physically or mentally challenged and people not college educated)

Examples:
Black males have a higher incidence of colorectal cancer than white males
American Indian and Alaskian natives have a higher incidence of Diabetes Type 2 than whites.

51
Q

What are Stress and Stressors?

A

Physical, emotional or psychological perceived demands that may lead to growth, personal development or a crisis.

●Stress is the result of an
exposure to a stressor.

52
Q
A
53
Q

Selye’s General Adaptation Syndrome

A

Any event (stressor) that threatens an individual leads to a 3 stage response
Alarm
Resistance
Exhaustion

54
Q

Consequences of Stress
Highly Variable

A

Type and number of stressors
Anticipated stressor
Perception of stressors
Length of time that stressor occurs
Type of coping mechanism implemented
Resilience of individual/feelings of competence
Previous experiences
State of health
Available resources

55
Q

Assessment History

A

Medical
General state of health
Illnesses
Surgeries
Medications
Treatments
Use of alcohol, tobacco and/or drugs
Changes in sleep, eating, sexual patterns

56
Q

Signs and Symptoms of Stress

A

Cognitive
Decreased concentration, comprehension, & memory
Behavioral
Irritability, withdrawal, violence
Emotional
Fear, anxiety, depression, fatigue
Physiological
Increased BP, HR, Respirations, etc
Somatic symptoms
Decreased immune response

57
Q

What is coping?

A

Coping mechanisms are ways to which external or internal stress is managed, adapted to or acted upon. Susan Folkman and Richard Lazarus define coping as”constantly changing cognitive and behavioral efforts to manage specific external and/or internal demands that are appraised as taxing”.

58
Q

Key points of coping

A

Coping can apply to an individual, a family, or an entire community
Coping occurs along a spectrum from effective/adaptive responses to ineffective/maladaptive responses
Coping may be problem focused or emotion focused
All individuals use coping mechanisms regardless of race, sex, or gender.
Outcomes of coping range from resolution to acceptance

59
Q

Spirituality (Person)

A

Connectedness
Meaning of life
Inner strength and peace
Faith and hope
Transcendence abd self transcendence.