Chapter 9 VNC

Question 1

Caring in Nursing

Answer 1

-Protecting and looking after the well-being of another
-Requires creating interpersonal relationships
-Respecting and accepting others’ freedom to make decisions
-Having knowledge and skills necessary to meet needs of others
-Development of self-understanding and confidence

Question 2

Nursing Theory

Answer 2

-Attempts to describe or explain the nature of nursing
-Provides foundation for and guides the practice of nursing

Question 3

Major Theorist- Florence Nightingale 1859

Answer 3

-Environment affects health
-Nurse’s duty is to provide the right environment
-Health is being free from disease

Question 4

Major Theorist- Orem 1958

Answer 4

-Universal self-care requisites or needs
-Nurse helps patients meet self-care deficits

Question 5

Relationship to Nursing Practice

Answer 5

-Provides the basis for continuing research on how nurses can be more effective
-Guides practice
-Helps nursing recognize there is more to nursing than performing treatments and procedures

Question 6

Nursing Process

Answer 6

-Systematic, organized method of providing nursing care
A ssess the pt
formulate the nursing D iagnosis
P lan nursing care
I mplement the plan
E valuate the effectiveness of nursing care

Question 7

Culture

Answer 7

Shared values, beliefs, customs, rituals, attitudes, roles, and behaviors passed from generation to generation

Question 8

Madeleine M. Leininger

Answer 8

• Respect other cultures, adapt nursing care to meet the needs of people from cultures other than yours
  -Goal is to preserve, accommodate, or repattern the cultures of the patient
  Example: Jewish pt who follows kosher diet, must have his culture preserved

Question 9

Cultural Characteristics

Answer 9

Deeply rooted, Difficult or impossible to alter, customs and values reflect behavior correct within a culture

Question 10

Ethnic Characteristics

Answer 10

Cultural subgroups depend on education, geographic location, and number of members in the group

Question 11

Language

Answer 11

-Use nonverbal communication (gentle touch)
-Take time to communicate
-Obtain an interpreter or family member

Question 12

Religion

Answer 12

-Religious beliefs may influence choice of treatment
-Many people do not belong to organized groups or practice religion

Question 13

Catholicism

Answer 13

-Baptism
-Eucharist (Holy communion)
-Reconciliation (forgiveness of sins)
-Anointing of the sick (restoration of physical and spiritual health)

Question 14

Protestantism

Answer 14

-Episcopalians (sacraments similar to catholics)
-Lutherans (baptism and communion)
-Presbyterians (communion, baptism, salvation)
-Seventh day adventists (generally vegetarians, some may eat meats)

Question 15

Judaism

Answer 15

-Based on the five books of Moses called the Torah
-Rabbi is the spiritual leader of Jewish congregation
-Dietary restrictions—Kosher—clean or fit meats, fish, and dairy
-Autopsies and embalming not allowed by Orthodox and Conservative; funerals held on the day after death

Question 16

Views on Pain

Answer 16

Result of one’s culture, Personality and emotional state, Ask the person if he or she is in pain

Question 17

Views on Death and Mourning

Answer 17

-Natural extension or great loss
-Dying with dignity
-Care of the body after death

Question 18

Cultural Assessment

Answer 18

An assessment needs to be implemented if a treatment, medication, diet, or procedure goes against pt’s beliefs

Question 19

The Patient Who Is Dying

Answer 19

-Dying and death are facts that cannot be overlooked
-Be secure with your own feelings