Culture, Communication, Complementary Therapy

Question 1

sum total of human behavior or social characteristics particular to a specific group and passed from generation to generation or from one to another within the group

Answer 1

Culture

Question 2

situation that occurs when people become aware of cultural differences, feel threatened, and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about their own values.

Answer 2

Culture conflict

Question 3

belief that one’s own ideas, beliefs, and practices are best, superior, or most preferred to those of others; using one’s cultural norms as the standard to evaluate others’ beliefs.

Answer 3

Ethnocentrism or Cultural Imposition

Question 4

process that occurs when a minority group, living as part of a dominant group within a culture, loses their own cultural characteristics.

Answer 4

Cultural assimilation

Question 5

the process of ignoring differences in people and proceeding as though the differences do not exist.

Answer 5

Cultural blindness

Question 6

care delivered with an awareness of the aspects of the patient’s culture.

Answer 6

Cultural competence

Question 7

assigning characteristics to a group of people without considering specific individuality.

Answer 7

Stereotyping

Question 8

ability of caregivers and organizations to understand and effectively respond to the linguistic needs of patients and their families in a health care encounter.

Answer 8

Linguistic competence

Question 9

providing nursing care that is planned and implemented in a way that is sensitive to the needs of individuals, families, and groups representing the diverse cultural populations within our society.

Answer 9

Transcultural nursing

Question 10

If a patient does not speak English, can a family member be used to translate medication information or consents?

Answer 10

No,

translation services should be used provided by the hospital.

Question 11

What is culturally competent nursing care to pain?

Answer 11

1. Recognize that pain level is whatever the patient says it is.
2. Patient’s have a right to respond to pain in one’s own fashion.
3. Avoid cultural stereotyping a patients pain based on their culture.
4. Be sensitive to nonverbal signals of discomfort

Question 12

What are the 4 levels of communication

Answer 12

1. Intrapersonal communication
2. Interpersonal communication
3. Small-group communication
4. Organizational communication

Question 13

What type of communication is describe?

“Self-talk; communication within a person”

Answer 13

Intrapersonal

Question 14

What type of communication is this?

Occurs between two or more people with a goal to exchange messages

Answer 14

interpersonal

Question 15

What type of communication is this?

When nurses interact with two or more people. members must communicate to achieve their goal.

Answer 15

Small group communication

Question 16

What type of communication is this?

when people and groups within an organization communicate to achieve established goals.

Answer 16

Organizational communication

Question 17

What are the 3 phases of the helping relationship

Answer 17

1. Orientation phase
2. Working phase
3. Termination phase

Question 18

What phase of the helping relationship is described?

• The patient will call the nurse by name.
• The patient will accurately describe the roles of the participants in the relationship.
• The patient and nurse will establish an agreement about:
  
  1. Goals of the relationship
  2. Location, frequency, and length of the contacts
  3. Duration of the relationship.

Answer 18

Orientation phase

Question 19

What phase of the helping relationship is described?

• The patient will actively participate in the relationship.
• The patient will cooperate in activities that work toward achieving mutually acceptable goals.
• The patient will express feelings and concerns to the nurse.

Answer 19

Working Phase

Question 20

What phase of the helping relationship is described?

• The patient will participate in identifying the goals accomplished or the progress made toward goals.
• The patient will verbalize feelings about the termination of the relationship.

Answer 20

Termination phase

Question 21

Which activity generally occurs during the orientation phase of the helping relationship?

A. An agreement or contract about the relationship is established.
B. The nurse provides any assistance needed to achieve patient goals.
C. The nurse provides patient counseling and teaching.
D. The patient and nurse examine the goals of the helping relationship for indications of attainment.

Answer 21

A. An agreement or contract about the relationship is established.

Rationale:

• In the orientation phase a contract is made defining the goals of the relationship, frequency, location, length of contacts, and duration of the relationship.
• The nurse provides assistance needed to achieve patient goals, counseling, and teaching in the working phase.
• The patient and nurse examine the goals of the helping relationship for indications of attainment in the terminations phase.

Question 22

Name 5/10 types of non-verbal communication.

Answer 22

1. Touch
2. Eye contact
3. Facial expressions
4. Posture
5. Gait
6. Gestures
7. General physical appearance
8. Mode of dress & grooming
9. Sounds
10. Silence

Question 23

During rounds, a charge nurse hears the patient care technician yelling loudly to a patient regarding a transfer from the bed to chair. When entering the room, what is the nurse’s best response?

• a. “You need to speak to the patient quietly. You are disturbing the patient.”
• b. “Let me help you with your transfer technique.”
• c. “When you are finished, be sure to apologize for your rough demeanor.”
• d. “When your patient is safe and comfortable, meet me at the desk.”

Answer 23

d.

• The charge nurse should direct the patient care technician to determine the patient’s safety.
• Then the nurse should address any concerns regarding the patient care technician’s communication techniques privately.
• The nurse should direct the patient care technician on aspects of therapeutic communication.

Question 24

A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. During the admission interview, the nurse should implement which communication techniques to elicit the most information from the parents?

• a. The use of reflective questions
• b. The use of closed questions
• c. The use of assertive questions
• d. The use of clarifying questions

Answer 24

• d. The use of the clarifying question or comment allows the nurse to gain an understanding of a patient’s comment. When used properly, this technique can avert possible misconceptions that could lead to an inappropriate nursing diagnosis.
  
  • Open-ended questions encourage free verbalization and expression of what the parents believe to be true.
• The reflective question technique involves repeating what the person has said or describing the person’s feelings.
• Assertive behavior is the ability to stand up for oneself and others using open, honest, and direct communication.

Question 25

A nurse caring for a patient who is hospitalized following double mastectomy is preparing a discharge plan for the patient. Which action should be the focus of this termination phase of the helping relationship?

• A. Determining the progress made in achieving established goals
• b. Clarifying when the patient should take medications.
• c. Reporting the progress made in teaching to the staff
• d. Including all family members in the teaching session

Answer 25

a.

• The termination phase occurs when the conclusion of the initial agreement is acknowledged.
• Discharge planning coordinates with the termination phase of a helping relationship.
• The nurse should determine the progress made in achieving the goals related to the patient’s care.

Question 26

A nursing student is nervous and concerned about the work she is about to do at the clinical facility. To allay anxiety and be successful in her provision of care, it is most important for her to:

• a. Determine the established goals of the institution
• b. Be sure her verbal and nonverbal communication incongruent
• c. Engage in self-talk to plan her day and decrease her fear
• d. Speak with her fellow colleagues about how they feel

Answer 26

C.

By engaging in self-talk, or intrapersonal communication, the nursing student can plan her day and enhance her clinical performance to decrease fear and anxiety.

Question 27

During a nursing staff meeting, the nurses resolve a problem of delayed documentation by agreeing unanimously that they will make sure all vital signs are reported and charted within 15 minutes following assessment. This is an example of which characteristics of effective communication? SATA

• a. Group decision making
• b. Group leadership
• c. Group power
• d. Group identity
• e. Group patterns of interaction
• f. Group cohesiveness

Answer 27

a, d, e, f.

• Solving problems involves group decision making;
• ascertaining that the staff completes a task on time and that all members agree the task is important is a characteristic of group identity;
• group patterns of interaction involve honest communication and member support;
• cohesiveness occurs when members generally trust each other, have a high commitment to the group, and a high degree of cooperation.
• Group leadership occurs when groups use effective styles of leadership to meet goals;
• Group power, sources of power are recognized and used appropriately to accomplish group outcomes

Question 28

During an interaction with a patient diagnosed with epilepsy, a nurse notes that the patient is silent after she communicates the plan of care. What would be appropriate nurse responses this situation? Select all that apply.

• a. Fill the silence with lighter conversation directed at the patient.
• b. Use the time to perform the care that is needed uninterrupted.
• c. Discuss the silence with the patient to ascertain its meaning.
• d. Allow the patient time to think and explore inner thoughts.
• e. Determine if the patient’s culture requires pauses between conversation.
• f. Arrange for a counselor to help the patient cope with emotional issues.

Answer 28

c, d, e.

• The nurse can use silence appropriately by taking the time to wait for the patient to initiate or to continue speaking.
• During periods of silence, the nurse should reflect on what has already been shared and observe the patient without having to concentrate simultaneously on the spoken word.
• In due time, the nurse might discuss the silence with the patient in order to understand its meaning.
• Also, the patient’s culture may require longer pauses between verbal communication.

=====

• Fear of silence sometimes leads to too much talking by the nurse, and excessive talking tends to place the focus on the nurse rather than on the patient.
• The nurse should not assume silence requires a consult with a counselor.

Question 29

What is the term for interventions that can be used in conjunction with traditional interventions.

Answer 29

Complementary therapy

Question 30

What key term is describe?

a science of life that delineates the diet, medicines, and behaviors that are beneficial or harmful for life and considers that balance among people, the environment, and the larger cosmos is integral to human health.

Answer 30

Ayurveda

Question 31

What key term is described?

the term generally used to describe “traditional” medical care (biomedicine), dominant for about 100 years, which spearheaded remarkable advances in biotechnology, surgical interventions, pharmaceutical approaches, and diagnostic tools.

Answer 31

Allopathic medicine

Question 32

What key term is described?

procedure consisting of placing very thin, short, sterile needles at particular acupoints, believed to be centers of nerve and vascular tissue, along a meridian to either increase or decrease the flow of chi along the meridian, restoring the balance of yin and yang, and thereby contributing to healing.

Answer 32

acupunture

Question 33

What key term is described?

using all five senses to imagine an event or body process unfolding according to a plan, focusing on evoking pleasant images to replace negative or stressful feelings and to promote relaxation

Answer 33

Guided imagery

Question 34

What key term is being described?

• medical system based on the belief that the body can cure itself.
• practice of medicine based on the belief of supporting the body while the symptoms are allowed to “run their course” to stimulate and strengthen the immune system and promote healing.

Answer 34

Homeopathy