Chap 13 & 14 - Culture/Diversity; Communication/ Techniques

Question 1

What is culture?

Answer 1

a society’s behavior and institutions

Question 2

How does culture effect behavior?

Answer 2

It can guide behavior in life, sickness and death

Question 3

Culture is learned. T or F

Answer 3

True

Question 4

acute experience of not comprehending the culture in which one is situated

Answer 4

culture shock

Question 5

How do nurses participate in culturally competent nursing/

Answer 5

Assuring patient’s have the right to received care that is individualized and culturally acceptable

Question 6

viewing own culture as the only correct standard by which to view other cultures

Answer 6

ethnocentrism

Question 7

WHy is it important for a nurse to understand patient responses, despite language/cultural barriers?

Answer 7

So the nurse can plan and provide safe and individualized patient care

Question 8

Observations made by nurse should be judgemental. T or F

Answer 8

False- non judgmental

Question 9

Physicians are the healthcare professionals who spend the most time w/ the patient.

Answer 9

False; the nurse does

Question 10

Types of communication

Answer 10

Verbal, Non Verbal, Metacommunication

Question 11

type of communication that gives context and clues in which messages are being interpeted; can be verbal or non verbal

Answer 11

metacommunication

Question 12

Ingredients of therapeutic communication

Answer 12

empathy, positive regard, self awareness, self reflection

Question 13

3 phases of the Nurse Patient relationship

Answer 13

Orientation, working, termination

Question 14

phase of first few moments shared by nurse, phase where trust and rapport are to be established

Answer 14

orientation phase

Question 15

phase where the nurse functions as a coach and advocate while attending to the patient’s physical and emotional healthcare needs

Answer 15

working phase

Question 16

phase where discharge planning takes places, and nurse reviews w/ patient health changes and patients feelings

Answer 16

termination phase

Question 17

How are nurses under an informal contract w/ patients?

Answer 17

Patients have the autonomy over their care
all aspects are discussed w/ patient for them to make their own informed decisions
nurses take no major action w/o consulting patient or HCP

Question 18

What are the elements of a nurse-patient contract?

Answer 18

Nurse + patient roles are clarified,
professional parameters are set
mutual expectations are agreed on
confidentiality!!!

Question 19

How does a nurse advocate for a patient?

Answer 19

Supports pt right to info about their care,
communicates their needs & concerns
ensuring pt understands treatment
protecting pts and their rights

Question 20

Nurse’s assessment of patient communication can be dependent on

Answer 20

the environment/ setting of which the nurse-patient communication occurs

Question 21

Implementation occurs once communication has been assessed. How does implementation work?

Answer 21

Through therapeutic communication techniques like
open ended questions
opening remarks
active listening
restatement
reflection
focusing
seeking clarification
giving information
encouraging elaboration
silence
summarizing