Test 1 Flashcards
Culture
Thoughts communications actions of racial ethnic religious or social groups
Subcultures
Religious groups with characteristics distinct from the dominant culture
Ethnicity
Shared identity related to social and cultural heritage such as language and racial characteristics
Emic worldview
Native perspective
Etic worldview
Outsider perspective
Enculturation
Socialization into one’s primary culture as a child
Assimilation
Members of an ethnocultural community are observed into another community and lose their characteristics such as language
Biculturalism
Individual identifies equally with two or more cultures
Transcultural nursing
Comparative study of cultures to determine similarities and differences across human groups
Culturally congruent care
Care that fits the persons life patterns values and a set of meetings
Cultural competence
Process of acquiring specific knowledge skills and attitudes to ensure delivery of culturally congruent care
Ethnocentrism
A tendency to hold one’s way of life as superior to others
Cultural imposition
Use their own values and lifestyles as an absolute guide and dealing with patients and interpreting their behaviors
Naturalistic practitioners
Attribute illness to natural and personal and biological forces that cause alteration in the equilibrium of the human body uses herbs chemicals heat cold
Personalistic practitioners
Believe that an X ternal agent which can be human or nonhuman causes health and illnesses
Culture bound syndromes
Illnesses that are specific to one culture
Rights of passage
Significant social markers of changes in a persons life
Cultural pain
Healthcare providers disregard values or cultural beliefs
Ethnohistory
Significant historical experiences of a particular group
Fictive
Non-blood kin
Bilineal
Kinship extends to both the mother and father side of the family
Patrilineal
Kinship extends to father
Matrilineal
Kinship mother side
Cultural care preservation or. Maintenance
Retain and or preserve relevant care values so patient maintains their well-being recover from illness or face handicaps and or death
Cultural care accommodation or in the Negotiation
Adapt or negotiate with others for a beneficial or satisfying health outcome
Cultural care repatterning or restructuring
Reorder change or greatly modify patients lifestyles for a new different and beneficial healthcare pattern
Perceptual bias
Human tendencies that interfere with accurately perceiving and interpreting messages from others
Intrapersonal communication
Communication that occurs within an individual
Interpersonal communication
One on one interaction between a nurse and another person that often occurs face-to-face
Transpersonal communications
Interaction that occurs within a person spiritual domain
Small group communication
Interaction that occurs when a small number of persons met
Public communication
Interaction with an audience
Referent
Motivates one person to communicate with another
Sender
Person who encodes and delivers the message
Receiver
One who receives the message
Message
Content of Communication
Channels
Means of conveying and receiving messages through visual auditory oil and tactile senses
Feedback
Message the receiver returns
Interpersonal variables
Factors within both the sender and receiver that influence communication
Environment
Setting for sender receiver interactions
Verbal communication
Spoken or written words
Nonverbal communication
Five senses and everything that does not involve the spoken or written word
Symbolic communication
Verbal and nonverbal symbolism used by others to convey meaning
Metacommunication
Broad term that refers to all factions of influence communication
Autonomy
Being self-directed an independent in accomplishing goals and advocating for others
Assertiveness
Allows you to express feelings and ideas without judging or hurting others
Therapeutic communication
Specific responses that encourage the expression of feelings and ideas and convey acceptance and respect
Active listening
Being attentive to what a patient is saying both verbally and nonverbally
Empathy
Ability to understand and accept another persons reality accurately perceive feelings and communicate this understanding to the other
Sympathy
Concern sorrow or pity felt for a patient
Inspection
Occurs when interacting with a patient watching for nonverbal expression of emotion and mental status
Olfaction
Smelling
Palpation
Sense of touch together information
Percussion
Tapping the skin with the fingertips to vibrate underlying tissues and organs
Auscultation
listening to sounds of the body makes to detect variations from normal
Integumentary system
Skin hair scalp and nails
Pigmentation
Skin color varying from body part to body part and from person to person
Cyanosis
Bluish discoloration in the lips nailbed and palms
Jaundice
Yellow orange discoloration
Erythema
Red discoloration
Indurated
Hardened
Turgor
Refers to the elasticity of the skin
Petechia
Non-blanching pinpoint size red or purple spots on the skin caused by a small hemorrhages in the skin layer
Edema
Swollen
Alopecia
Hair loss
Nystagmus
Involuntary rhythmic occultation of the eyes
Ptosis
Abnormal drooping over the lid of the pupil
Ectropion
Eyelid margin turns out
Entropion
Eyelid margin turns in
Conjunctivitis
Read conjunctiva
Archie senilis
Thin white ring along the margin of the iris
pERRLA
Pupils equal round reactive to light and accommodation
Cerumen
Earwax
Ototoxicity
Andrew the auditory nerve
Excoriation
Local skin breakdown
Polyps
Tumor like growths
Malignancy
Abnormality of superficial limp nodes
Vocal or tactile fremitus
Vibrations you palpate externally on the abdomen
Adventitious sounds
Just sounds
Apical impulse or point of maximum impulse
PM I Apex touching the anterior chest wall at approximately the 4th to 5th intercostal space just medial to the left midclavicular line
Dysrhythmia
Failure of heart to be at regular successive intervals
Ventricular gallop
S III
Murmurs
Sustain swishing or blowing sounds heard at the beginning middle or end of the systolic or diastolic phase
Thrill
Continuous palpable sensation that resembles the purring of a cat
Syncope
Loss of consciousness
Stenosis
Narrowing
Bruit
Blowing sound when the lumen of a blood vessel is narrow it disturbs bloodflow when blood passes through the narrowed section it creates turbulence causing a blowing or swishing sound
Clubbing
A bulging of the tissue at the nailbed
Acculturation
Second culture learning that occurs when the culture of the minority is gradually displaced by the culture of the dominant group in the process of assimilation
Biophysical development
How are physical bodies grow and change
Freud’s psychoanalytical model of personality development
Individuals go through five stages of psychosexual development and each stage is characterized by sexual pleasure and parts of the body the mouth to anus and the genitals
Ericksons theory of psychosocial development
Individuals need to accomplish a particular task before successfully mastering the stage and progressing to the next one
Temperament
Behavioral style that affects an individual’s emotional interaction with others
Piaget’s theory of cognitive development
For periods that are related to age and demonstrate specific categories of knowing and understanding
Open ended questions
Bronze patients to describe a situation in more than one or two words
Back channeling
Includes active listening problems such as all right go on or uh-huh this indicates that you have heard with the patient’s said and arr interested in hearing the full story
Closed ended questions
Limit answers to one or two words such as yes
Nursing health history
During either your initial or an early
Concomitant symptoms
Associated symptoms
Review of systems
Systematic approach for collecting the patient self-reported data on all body systems