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Health Assesment > Exam 4 > Flashcards

Exam 4 Flashcards

1
Q

what is a health disparity?

ex. Covid 19

A

the diffrence statistically between heath outcomes

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2
Q

what is health inequalities?

A

discrimination in healthcare

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3
Q

what does LEARN stand for?

A
  • Listen
  • Explain
  • Acknowledge
  • Recommend
  • Negotitate
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4
Q

what is does the Listen mean in the acrnym LEARN?

verbal cues

A

being able to listen not only with your ears but to non verbal cues to indicate the person’s perception of the situation and what is the most important

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5
Q

what is does the Explain mean in the acrnym LEARN?

A

being able to explain the plan of care with cultural context

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6
Q

what is does the Acknoweldge mean in the acrnym LEARN?

A

being able to understand analyses differ from the person with whom they are talking

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7
Q

what is does the Recommend mean in the acrnym LEARN?

A

after seeing and listening to other perspectives then the nurse can recommend solutions and actions to adress mutually idenitfied healthcare needs

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8
Q

what is does the Negotiate mean in the acrnym LEARN?

A

working towards an agreement to proritize of recognized needs

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9
Q

what is cultural competancy?

A

having knowledgeable and accepting attitude that enables us to work effectivley with diverse patients

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10
Q

how is culture learned ?

CP, A, ASSIM

A
  • cultural pattern
  • acculturation
  • assimilation
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11
Q

what are the two ways someone can learn culture?

A
  • generationally
  • two step interpersonal process
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12
Q

what is the two step interpersonal process?

A

the person transitions from adhering to traditional cultural beliefs and values in a country of orgin towards full adoption of the values and beliefs

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13
Q

what is cultural pattern?

traditional way

A

social customs, cultural beliefs, values, and language passed down generationally

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14
Q

what is acculturation?

Dalanda

A

a diffrent culture learn and choose to adapt to the behavoir and norms of a new culture

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15
Q

what is assimalation?

white people from the hood

A

an individual from a diffrent culture fully adopts the behvaoirs, customs amd values as his or her social identity

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16
Q

what are the three theoretical framworks?

SPMOIC. PMOCC, MLTOCNC

A
  • szalays process model of intercultural communitcation
  • purnell model of cultural competence
  • madeleine leininegers theory of cultural nursing care
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17
Q

what is Szalays process model of intercultural communitcation?

word choice

A

the meaning attached to words is influenced by each person’s culture, their interpertations of messages is connected to personal history and cultural framework

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18
Q

what is Purnell’s model of cultural competence?

macro to micro view

A

understanding the patients cultural explanation for the health probelms allows for comprehensive cultural assesment

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19
Q

What is Madeleine Leininegers theory of cultural nursing care?

POV/ culture care

A

examine culture fromn our patients POV and use interventions congruent with that culture’s norms

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20
Q

what is culture care?

A

willingness to ber open to alternative thinking that is of benefit and is useful to the patient

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21
Q

what are the 5 social determinants of health?

IS, ES, HI, ES, A

A
  • insurance status
  • economic status
  • housing instability
  • educational status
  • attitudes
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22
Q

what cultural determinants of healthcare?

P, R, M

A

-poverty
- mistrust
- racism

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23
Q

what is primary determinant of childhood development?

A

poverty

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24
Q

what is the opposite of ethnocentrism?

A

cultural relativism

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25
Q

what are the characterisitcs of culturally competent nurse?

K, S, A, CH, UOI, TO

A
  • knowledge
  • skills
  • attitude
  • cultural humility
  • use of interpreters
  • time orientation
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26
Q

what does SBAR stand for?

A
  • situation
  • background
  • assesment
  • recommendation
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27
Q

what is the purpose of SBAR?

A

standarization of verbal communication tool between nurses and physicians

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28
Q

when is a complete head to toe assesment required?

A

only upon admissons

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29
Q

how should every bedside assesment be catagorized?

A

SPECIALIZED TO EACH ADULT, AND FINDINGS MUST BE INTEGRATED INTO YOUR COMPLETE KNOWLEDGE
BASE REGARDING PATIENT

30
Q

before entering the room what do you have to do?

CI

A
  • confirm idenity
  • CGWIPER
31
Q

if pain medication is adminstered orally what is the repsonse time?

A

1 hour

32
Q

if IV medication is adminstered what is the repsonse time?

A

15 minutes

33
Q

what are you looking for in general apperance?

O, NS, S, H, PH

A
  • observe
  • nutrional status
  • speech
  • hearing
  • personal hygiene
34
Q

what are you measuring?

V, P

A
  • vitals
  • pain
35
Q

what is being observed neurologically?

A

facial drop, ptosis, alertness, dysphagia, PERLLA

36
Q

what is protien essential for?

A

provide the body calories for energy, build and maintain body tissues, and regulate body processes

37
Q

what are the three categories of macronutrients?

C, F, P

A
  • Carbohydrates
  • fats
  • protiens
38
Q

what are carbohydrates?

A
  • main source of energy and fiber
39
Q

what are the two main carbohydrates?

fruits, vegtables, grains, milk

A

plant foods and lactose

40
Q

how many calories are in one gram of carbohydrates?

A

4

41
Q

what is the recommended amount of carbohydrates?

A

130 g/day for children and adults, but increases to 175 g/day during pregnancy and 210 g/day for lactating women.

42
Q

what percent do carbohydrates account for?

A

55 to 60%

43
Q

what is the main role of protien?

A

facilitating the growth and repair of body tissues.

44
Q

what is the simplest form of a protien?

A

amino acid

45
Q

what is the recommened protien intake?

A

0.8 g/kg of body weight, or an average of 56 g/day for adult males, 46 g/day for adult females

46
Q

what percent should protien take up?

A

12 to 20%

47
Q

what is the role of fat?

A
  • normal growth and development
  • synthesis and regulation of certain hormones, tissue structure, nerve impulse transmission and protection of vital organs.
48
Q

what are the two essential fats?

A

linoleic (omega 6) and alpha-linolenic (omega 3) acids

49
Q

how many calories is in one gram of fat?

A

One gram of fat yields 9 calories of energy

50
Q

what percent should fats account for?

A

20-30%

51
Q

what are the two main micronutrients?

V and M

A

vitamins and minerals

52
Q

what is the role of micronurtients?

A

essential for growth, development, and metabolic processes that occur continuously throughout the body.

53
Q

what percent accounts for the amount of water the body is composed of?

A

60 to 80%

54
Q

how much water should the average adult consume?

A

2.5 to 3L

55
Q

what ?’s should the nurse ask to illicit questions about nutrtion?

A

current health status, past health history, family history, personal and psychosocial history, and risk factors.

56
Q

what is gynoid obesity?

A

pear shape

57
Q

what is android obesity?

A

apple shaped

58
Q

what are the diffrent abuses that shapes a person’s mental?

A
  • alchol
  • drug
  • personal
59
Q

what is the cage / audit tool used for?

A

to calculate suspision of alcholism

60
Q

what is SMAST-G used for?

A

the first short-form alcoholism screening instrument tailored to the needs of older adults.

61
Q

what does a high score indicate on the cage/ audit test as well as the SMAST- G?

2 or higher

A

alcoholism

62
Q

what are commonly abused drugs?

M, C, O, B A, HA

A

Marijuana.
Cocaine.
Opiates.
Barbiturates.
Amphetamines.
Hallucinogenic agents

63
Q

what are the signs of human trafficing

UTPA, VD, DO, N, IH, A

A

o Unable to provide address.
o Vague description of reason for seeking care.
o Dcreased orientation (Unsure of current location, date, or time)
o Nervous or afraid (avoids eye contact).
o Inconsistent history.
o Accompanied by a person who answers for the patient

64
Q

What are the indications of depression in older adults?

A
  • decreased apetite
  • problems concentrating
  • unable to report sadness
65
Q

what are some examples of passive mistreatment?

Food, Medications, Medical treatment, Personal care

A

Failure to provide goods and services

66
Q

what are examples of active mistreatment?

A

Held deliberately for malicious reasons

67
Q

What is the purpose of a MMSE cognitive assessment?

A

To test cognitive function

68
Q

What is the purpose of a mini cog assessment?

A

Detect early dementia

69
Q

What is the basic format history of pediatrics?

PH, G/D, BS

A
  • perinatal history
  • growth and development
  • behavioral status
70
Q

What should be measured every well baby visit until 2 yrs old?

A

Head circumference

71
Q

When should a chest measurement be taken?

A

Only if abnormal chest size is suspected

Health Assesment (4 decks)

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