Chapter 10 Flashcards
5 stages of grief
Denial
Anger
Bargaining
Depression
Acceptance
inital and secondary assessment
initial - in the form of charting or procedure request, review
secondary - verbal communication
unlawful restraint
restraint without consent
must be prescribed by a Dr.
considerations for a person with changes in their nervous system due to aging
give patient time to move and think, and speak towards their ear
two classifications of patients
inpatient + oupatient
glass ceiling
being precluded from being promoted or elected to high level positions because of gender
sacred seven for a complete history
localization
chronology
quality
severity
onset
aggravating/alleviating factors
associated manifestations
most common/significant human diversity traits?
age
race
ethnicity + natural origin
gender/sexual orientation
mental + physical ability
religion
ethnic and racial cultural differences are often accompanied by what?
linguistic differences
subjective data
perceived only by the affected individual
civil rights act
ensures that all persons have equal rights under law
list ways healthcare institutions are overcoming linguistic differences
hiring bilingual staff
proving interpreters/translators
providing medical documents in other languages
encouraging employers to become biligual
mutual pretense
everyone knows but are pretending to not in hopes of avoiding interpersonal conflicts
one of the best ways to learn to communicate effectively with others
understand emotions
3 types of touch
emotional support
emphasis
palpation
which core value relates to the fair and equal treatment of everyone?
equality
associated manifestations
necessary to find out whether other symptoms accompany the chief complaint
which term may be used to denote ethnicity?
race
why is it important to refer to a patient by their preferred name?
it establishes a level of trust
how will the baby boomer generation impact the US population?
they are considered to be healthy, well educated, and are expected to stay in the workforce longer
which core value recognizes and supports the inestimable value of every individual regardless of ability?
dignity
4 core values of human rights law
autonomy, dignity, equality, solidarity
palpation
application of light pressure with the fingers
which core value requires that the individual be the ultimate consideration and at the center of all decisions that affect them?
autonomy
what qualities are important in establishing an open dialogue?
respect, genuineness, and empathy
bias
prejudice, thinking negatively of others without significant justification
biculturalism
negotiating two or more different cultures competently
cultural competency
possessing a set of attitudes, behaviors, and policies that come together in a system to enable effective interactions in a cross-cultural or multicultural environment
globalization
people cross borders into other countries to work, go to school, receive medical care, travel, and live
effective interaction with non-english speaking patients is greatly enhanced by using what?
touch, facial expressions, demonstrations
sexual orientation includes what?
bisexuality, homosexuality, heterosexuality
what plays a major role in how individuals perceive others?
personal bias
which core value requires society to support and maintain the freedoms of individuals with application of the appropriate social mechanisms?
solidarity
objective
perceptible to the external senses
what is the highest level in Maslow’s hierarchy of needs?
self actualization
age discrimination in employment act
prevents employers from exhibiting discrimination based solely on age in hiring, promotion, assignment, compensation, and termination
which generation is considered the most significant subset, because of the impact they will have on the population?
baby boomers, 1946-1964
paralanguage
music of language; cadence and rhythm of speech
advanced directive
legal document prepared by a living, competent adult, to provide guidance to the health care team if the individual should become unable to make decisions regarding their medical care
synthesis
combining multiple areas of knowledge to create a net work of understanding
what percentage of the worlds population have some type of disability?
600 million, 10%
what is IQ used for?
determining if individuals have normal, superior, or inferior intellectual capability
6 areas of human diversity that are related to healthcare
communication
space
time
environmental control
biologic variations
social organizations
race
population that differs from others in the relative frequency of some genes, any of the difference varieties of humankind, distinguished by hair, eye color, skin color, stature, bodily proportions
ethnic
designating any of the basic groups or divisions of human kind or of a heterogenous population, as distinguished by customs, characteristics, language, and common history
5 study skill techniques
review material soon after
use as many senses as possible
plan a regular study schedule
study in a group
attitude helps remembering
societal biases with age
valuing youth over age
viewing aging as something bad
placing little value on the contributions of senior citizens
favoring reactive instead of proactive approaches
considering all senior citizens to be mentally inferior
ethnocentrism
viewing the norms and values of the individuals own culture as absolute and using them as a standard against which all others cultures are measured
members of the US mainstream culture are said to value and identify with which customs?
activity and hardwork
personal achievement
individualism
competition
openness, directness
efficiency and practicality
4 steps in practicing self-management
know yourself
prioritize responsibilities
prioritize activities
plan for self care
what does ethnicity relate to?
a persons distinctive racial, nationals, religious, linguistic, or cultural heritage
traits essential to those with EI
self awareness
self regulation
motivation
empathy
social skills
emotional intelligence
ability to evaluate, perceive, and control emotions
linguistic competency
providing readily available culturally appropriate oral and written language services to individuals
what questioning techniques evoke effective history taking?
open ended questions
silence
probing questions
repetition
summarization
cultural values
simply socially shared ideas about what is good, moral, right, immoral , wrong
what will work well when communicating with a deaf/hard of hearing patient?
writing, demonstration
gender identity
an inner sense of maleness, femaleness, or combination of both
assimilation
when people of diverse backgrounds slowly give up their original culture language and identity an dmelt into another
objective data
perceptible to the senses, can be seen, heard, felt
closed awareness
patient is not aware of their condition
what introduces biases into the history?
leading questions
subjective
pertaining to or perceived only by the affected individual; not perceptible to the senses
patient autonomy
ability/right of patients to make independent decisions regarding their care
quality in history taking
character of the symptoms
EX. color, consistency, lumps
