context of health, critical thinking & cultural safety Flashcards

1
Q

the concept of health has expanded in the past 40 years. which describes the narrowest description of health.

a) the absence of disease
b) a dynamic process towards optimal functioning
c) depends on the interaction of mind, body and spirit within the environment
d) prevention of disease

A

a) the absence of disease

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2
Q

what is the most complete description of database.

a) sub and object data gathered from a pt
b) object data from a pt through inspection, percussion, palpation and auscultation
c) a summary of a pt’s record, including lab studies
d) sub, object data gathered from a pt plus the results of any diagnostic studies completed

A

d) subjective and objective data gathered from a patient plus the results of any diagnostic studies completes completed

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3
Q

which of the following is INCORRECT concerning the development of the professional code of conduct, code of ethics and competency standards.

a) the provide regulatory bodies with a basis for evaluation of conduct
b) they were developed to restrict nursing practice.
c) they outline minimum standards for nurses to uphold
d) they inform the public of standards of professional conduct

A

b) they were developed to restrict nursing practice

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4
Q

when assessing a child aged 4, who presents with a rash and fever, in order of priority, which of the following are important considerations:

a) history from the mother of the conditions development
b) development stage of the child
c) communication skills that are age - appropriate
d) age related normal findings

1 - a,b,c,d
2 - d,b,a,c
3 - a,d,c,a
4 - d,a,c,b

A

4 d, a, c, b

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5
Q

the concept of health incorporates all of the following EXCEPT:

a) health promo
b) environmental context
c) healthcare system
d) disease prevention
e) social context

A

c) healthcare system

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6
Q

when a person accesses the healthcare system for treatment of illness, a number of factors pose potential risk for harm. These factors include all of the following EXCEPT:

a) increasing age and comorbidities
b) the increasing use of complex technology
c) the use of numerous ad complex interventions during an episode of illness
d) being cared for at home
e) movement between community and hospital health sectors

A

d) being cared for at home

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7
Q

nursing diagnosis, based on assessment of a number of factors, give a nurse a common language with which to communicate nursing finding. The best description of a nursing diagnosis is:

a) used to evaluate the aetiology of a disease
b) a pattern of coping
c) a concise description of actual or potential health problems or of wellness strengths
d) the pt’s perception of and satisfaction with their own health status

A

c) a concise description of actual or potential health problems or of wellness strengths

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8
Q

depending on the clinical situation, the nurse may establish one of the four kinds of database. An episodic database is described as:

a) including a complete health history and full physical examination
b) concerning mainly one problem
c) evaluation of a previously identified problem
d) rapid collection of data in conjunction with lifesaving measures

A

b) concerning mainly one problem

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9
Q

individuals should be seen at regular intervals for healthcare. The frequency of these visits:

a) is most efficient if performed on an annual basis
b) is not important. There is no recommendation for the frequency of healthcare
c) varies, depending upon the age of the person

A

c) varies, depending upon the age of the person

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10
Q

clinical reasoning involves the following processes:

a) formulation of a clinical impression
b) planning appropriate interventions
c) gathering further data
d) evaluation of interventions
e) data collection
f) implementing interventions

Place in order:
1 a, f, c, b, e, d 
2 e, b, a, c d, f, 
3 a, b, c, e, f, d
4 e, a, c, b, f, d
A

4 e, a, c, b, f, d

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11
Q

state true or false:

ensuring accuracy of information = T / F

A

True

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12
Q

State true or false:

include extraneous information = T/ F

A

False

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13
Q

State T / F:

identify missing cues or elements

A

True

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14
Q

State T/ F:

ignore gaps in the data

A

False

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15
Q

from the 2006 Aust Census, the tow largest overseas born groups living in Aust were those born in Englad (19%) and New Zealand (9%).
People from which of the following countries formed the third largest group?

a) Italy
b) Ireland
c) China
d) Japan

A

c) China

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16
Q

the NZ Census of 2006 revealed a population of almost 3 million. The percentages were: European (77%), Maori (14%), Asian (9..2%), Pacific (6.9%) and other (0.9%). Why was there an anomaly in the total number of responses?

a) people could not understand the questions
b) people can identify with more than one ethnic group
c) people who should not have completed the census did complete it
d) statisticians miscalculated the results

A

b) people can identify with more than one ethnic group

17
Q

State T/ F:

culture is static

A

False

18
Q

State T/ F:

One is born into a culture not born with culture

A

True

19
Q

State T/ F:

culture includes only ethnicity, customs, dress and religion

A

False

20
Q

State T/ F:

culture is learned, dynamic, changing and strategic

A

True

21
Q

State T/ F:

Culture is about everyday ways of doing things

A

True

22
Q

which of the following statements about cultural safety is INCORRECT:

a) is the effective nursing of a person from another culture and is determined by that person
b) incorporates cultural awareness and cultural sensitivity
c) Is underpinned by respect and communication skills
d) occurs when you know a lot of info about a number of different cultures and use a checklist of things to do and not do

A

d) occurs when you know a lot of info about a number of different cultures and use a checklist of things to do and not do

23
Q

unsafe cultural practices include all of the following EXCEPT:

a) valuing clients
b) superior attitude
c) discrimination
d) demeaning comments

A

a) valuing clients

24
Q

when becoming culturally safe, knowledge is required in all of the following areas EXCEPT:

a) your own personal cultural identity
b) the culture of the nursing profession
c) the healthcare system hierarchy
d) the cultural identity of the pt as they describe it to you

A

c) the healthcare system hierarchy

25
Q

the family may be defined as any of the following EXCEPT:

a) designated next of kin or relative
b) the birth family
c) the family who raised the person
d) staff who care for the disabled pt
e all of the above

A

e) all of the above

26
Q

state T/ F:

religion or spirituality may influence the pt’s perception of their illness

A

True

27
Q

State T/ F:

religious or spiritual healers do not influence the pt’s decision making processes regarding their treatment

A

False

28
Q

State T/ F:

health related behaviours are promoted by most religions or spiritualties

A

True

29
Q

state T/ F :

religion or spirituality provides a framework for the pt’s spiritual harmony and health

A

True

30
Q

State T / F:

conflicts may occur due to misunderstanding between the nurse and the pt’s perception of time

A

True

31
Q

state T/ F:

where traditions and ancestors play an important role the pt’s focus may be on the present

A

False

32
Q

state T/ F:

where progress and change are highly valued, the pt’s focus is on the future

A

True

33
Q

state T/ F:

nurses have a primary focus on the past or what has happened

A

False

34
Q

Match the following:

a) biomedical
b) naturalistic
c) magico-religious

1) the world is seen as an arena in which supernatural forces dominate
2) all events in life have a cause and an effect; the human body functions more or less mechanically
3) the belief that human life is only one aspect of nature and is a part of the general order of the cosmos

A
a = 2 
b = 3
c = 1
35
Q

steps in understanding the healthcare needs of your pt’s include all of the following EXCEPT:

a) understanding yourself and your cultural values, beliefs, attitudes and practices relevant to health and illness
b) the meaning of health to the pt
c) having knowledge of the social background of the pts
d) communicating with all pts in the same way whether they speak English or not

A

d) communicating with all pts in the same way whether the speak English or not