UNIT 1 TEST Flashcards

1
Q

Intrapersonal

A

Occurs within an individual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Interpersonal

A

One-to-one interaction between a nurse and another person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Transpersonal

A

Interaction that occurs within a person’s spiritual domain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Small Group

A

Interaction that occurs with a small number of persons; goal directed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Public/interdisciplinary

A

Interaction with an audience/team consist of patient family and all health care personnel involve in providing care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Referent

A

Motivates one person to communicate with another

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Sender

A

who encodes and delivers a message

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Receiver

A

Person who decodes the message and interprete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Message

A

Content of the communication/ using verbal or non verbal symbols

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Channels

A

Means of conveying and receiving messages through the senses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Feedback

A

Indicates whether the receiver understood the meaning of the sender’s message

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Interpersonal variables

A

Factors within both the sender and the receiver that influence communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Environment

A

Setting for the sender -receiver interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Verbal Communication

A

code that conveys specific meaning through the combination of words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Connotative meaning

A

Interpretation of a word’s meaning influenced by the thoughts and feelings that people have about the word

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Intonation

A

Tone of voice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Timing

A

When a pt expresses an interest in communicating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pacing

A

Thinking before you speak and developing an awareness of the rhythm of your speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Clarity and brevity

A

Simple brief and direct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Active Listening

A

being attentive to what the pt is saying bother verbally and nonverbally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Sharing observations

A

helps the pt communicate without the need for extensive questioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

sharing empathy

A

ability to understand and accept another persons reality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

sharing hope

A

sense of possibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

sharing humor

A

coping strategy to adjust to stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

using touch

A

most potent form of communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

sharing feelings

A

subjective feelings that result from one’s thoughts and perception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

using silence

A

useful when people are confronted with decisions that require much thought

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

providing information

A

pt’s have the right to know about their health status ans what is happening in their environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

clarifying

A

restating an unclear or ambiguous message

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

focusing

A

used to center on key elements or concepts of the message

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

paraphrasing

A

restating another’s message more briefly using one’s own words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

asking relevant questions

A

seeking info needed for decision making

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

summarizing

A

concise review of key aspects of an interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

self-disclosure

A

subjectively true, personal experiences about self that are intentionally revealed to another

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

confrontation

A

helping the pt become aware of inconsistencies in his or her feelings, attitudes, beliefs, and behaviors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

asking personal questions

A

“why don’t you and john get married?:

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

giving personal opinions

A

“If i were you i’d put your mother in an nursing home.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

changing the subject

A

“Let’s not talk about your problems with the insurance company. it’s time for your walk.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

autonomic responses

A

“older adults are always confused”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

false reassurance

A

“dont worry; everything will be all right”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

sympathy

A

“im so sorry about your mastectomy ; it must be terrible to lose a breast”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

asking for explanations

A

“why are you so anxious?”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

approval or disapproval

A

“you shouldnt even think about assisted suicide; it is not right”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

defensive responses

A

“no one here would intentionally lie to you”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

passive responses

A

“things are bad, and there’s nothing i can do about it”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

arguing

A

“how can you say you didnt sleep a wink? you were snoring all night long.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

communication techniques for those who cannot speak clearly

A

listen, do not interrupt; ask simple questions; use visual ques; allow time for them to answer ; do not shout

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

communication techniques for those who are cognitively impaired

A

use simple sentences; be attentive ; include family/friends; listen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

communication techniques for the who are hearing impaired

A

check for hearing aids; reduce noise; rephrase; speak in a normal voice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

communication techniques for those who are visually impaired

A

check for glasses; identify yourself; use 14 pt font; speak in a normal tone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

communication techniques for those who are unresponsive

A

call pt by name; explain all procedures; orientate; speak as if they were responsive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Communication techniques for those who do not speak English

A

use an interpreter; avoid using family ; develop communication aids; use normal tones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Communication

A

ongoing dynamic series of events that involves meaning from the sender to receiver; life long process; not natural/needs to be learned; ongoing and multidirectional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

purposes of communication in nursing

A

assessing the health status of clients of;being a patient/family/professional advocate;helps to meet legal ethical clinical standards;alleviates anxiety and fear in patients and their love ones;teaching ;problems solving/critical thinking;aid in coordination of the health care team; facilitates expression of feelings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

assessing the health status of the client

A

gathering a history; its a base line to plan/identify problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

being a patient/family/professional advocate

A

speak for those who cant speak for themselves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

helps to meet legal ethical and clinical standards

A

documentation about patient progress;

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

teaching

A

call light; urinal;teaching familys about care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

problems solving/critical thinking

A

communication with each other to solve problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

developing communication skills

A

practice;have a good understanding of the communication practice;have good critical thinking skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Good critical thinking skills

A

know the theory behind communication;evaluate and rationalize

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

factors that influence communication

A

values and perceptions,culture,territoriality, space and distance,time,nursing attitudes,development,roles in relationships,gender

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

values and perceptions

A

behavior and personal views of an event;clarification is a must

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

culture

A

blueprint for thinking and behaving ex.. eye contact;learn through experience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

territoriality, space and distance

A

boundaries maintain our right to space; easily violated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

intimate zone

A

0-18” ex. dressing changes/ADLs/assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

personal zone

A

18”-4’ usual zone for communication ex. shift change teaching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

Social zone

A

4’-12’very little sharing of thoughts ex. rounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

public zone

A

12’+ ex. clear verbalization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

social zone

A

generally permission not needed ex. behands arms back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

consent

A

permission needed ex. mouth feet and wrist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

vulnerable

A

permission needed ex. face kneck front of body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

intimate

A

permission needed genitalia and rectal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

time

A

hardest for nurses;uneven between all pts.;good orginizations skills needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

nursing attitudes

A

a positive atitude is caring and warmth; a negative attitude would be condescending and cold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

development

A

cognitive ability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

roles in relationships

A

assume authority; past experience will influence this

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

gender

A

females seek confirmation and are eager to share; males dont speak directly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
79
Q

vocabulary

A

medical term used appropriately ex. jargons or trends

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
80
Q

denotative

A

meaning due to common language

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
81
Q

relevance

A

they have to see it explain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
82
Q

credibility

A

reliable;trust worthy;persistent;consistent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
83
Q

NON VERBAL COMMUNICATOINS:

PERSONAL APPEARANCE

A

grooming; first impression;

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
84
Q

posture and gate

A

reflect our attitudes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
85
Q

facial expression

A

pts watch our faces;

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
86
Q

eye contact

A

signals a readiness to communicate;differs from culture to culture;can show respect or lack of;can show lack of confidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
87
Q

gestures

A

can communicate safely; clarify

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
88
Q

sound

A

active listening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
89
Q

non verbal communications accounts for

A

55% of communications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
90
Q

verbal

A

accounts for 7% of communications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
91
Q

social cues accounts for

A

38% of communications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
92
Q

phases of therapeutic relationships

A

pre-interactions; orientations;working and termination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
93
Q

pre-interaction phase

A

reviews records anticipate plans; become aware of other person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
94
Q

orientation phase

A

meet and greet; sets tone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
95
Q

working phase

A

client and nurse work together;work to solve problems and set goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
96
Q

termination phase

A

during the end of the relationships; reminds pts. that termination is near evaluate goal achievement relinquish responsibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
97
Q

elements of professionalism related to communication

A

courtesy;use of names; trustworthiness;autonomy; and responsibility;assertiveness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
98
Q

courtesy

A

knocking adressing pts. and family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
99
Q

use of names

A

call them by their formal name. avoid elder speak and call them by room number

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
100
Q

trustworthiness

A

rely on someone without doubt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
101
Q

autonomy and responsibility

A

respect for pts. responsible for outcomes and actions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
102
Q

assertiveness

A

expression without judgement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
103
Q

assessing the communication situations

A

developmental status socio-cultural status;physical and emotional status;values and perceptions;environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
104
Q

life span considerations

A

infants;todlers and preschoolers;school age; adolescents;elderly;

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
105
Q

infants

A

crying smiling posture expression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
106
Q

toddlers

A

simple;use play to communicate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
107
Q

school age

A

include them in communications;get on their eye level; honesty and word choices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
108
Q

adolescent

A

be nonjudgmental; active listening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
109
Q

elderly

A

avoid elder speak; be aware of sensory deficit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
110
Q

socio-cultural status

A

their age ethnic and religious practices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
111
Q

physical and emotional status

A

address their pain;and pick up on cues/clues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
112
Q

values and perceptions

A

individualize cultural differences and their motivations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
113
Q

environment

A

privacy and noise;distractions free,space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
114
Q

Goals and outcomes

A

establish trust;state the side effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
115
Q

priority setting

A

how to communicate urgent needs; tone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
116
Q

continuity of care

A

share info with staff, keep the info private that should be though

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
117
Q

LEVELS OF COMMUNICATIONS WITH YOUR PATIENTS

A

first level; second level; third level;fourth level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
118
Q

first level

A

cliche conversation; requires least involvement as it does not require much thought ex. introducing oneself : “ how are you?”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
119
Q

second level

A

fact reporting; basically objective and does not reveal much about the persons involved in the interations ex. PTS report symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
120
Q

Third Level

A

sharing personal ideas and judgments; some sharing of self is taking place: ex.. guide PTs. into next level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
121
Q

fourth level

A

sharing of feelings(fears hopes,illness,dying,sex,death,etc.);some may not reach this level due to fear and rejection, appearing weak: ex.. ask whats wrong and build a relationship

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
122
Q

IMPLEMENTING NURSING INTERVENTIONS FOR COMMUNICATION

A

INTRODUCE YOURSELF,FOCUS CONVERSATIONS ON PATIENT, EXPLAIN THE PURPOSES OF THE INTERACTIONS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
123
Q

introducing yourself

A

a.always introduce your professional position of nursing.b. Explain your purpose for being there.C. explain the duration you will be there EX. “good morning, I am Jane, an ivcc nursing student. i am going to be participating in your nursing care today till 11a.m”

124
Q

focus conversation on the PTS., not yourself

A

redirect; refocus when necessary

125
Q

explain the purposes of your interaction

A

validate confidentiality .” mrs. jones i am going to ask you some questions in order to get informations to plan your care for the day”

126
Q

TO ENCOURAGE POSITIVE INTERACTIONS

A
  1. encourage the patient to begin to continue to express feelings and ideas. 2. pick up on cues/clues. 3. accept the patients exactly as is. 4. ask questions to better understand what the patient thinks and feels rather than just to get or give specific factual information.5. wait for validations of how your pts is understanding before proceeding. 6. follow up on your promises
127
Q

Be aware of negative influences on communication

A
  1. ignoring or missing patients cues; verbal or nonverbal; doing anything on or to the pts without an appropriate explanations/communication; responding only to the literal meaning of the pts words; ignoring the importance of the pts questions and statements;assuming that you understand the pts feelings and ideas and not validating your understanding; using any of the non therapeutic techniques of communication; not follow up on your promises
128
Q

CHALLENGING COMMUNICATIONS SITUATIONS

A

dealing with anger

129
Q

dealing with anger

A

be aware of nonverbal communication.. be aware of cues that reflect anger, hostility, etc; validate the presence of anger if possible; do not close the anger down too soon.. anger is a feeling not logical reasoning; listening for the cause and meaning of the individuals anger. at the last of control it may not always be.search for sollution if situations escalate offer a time out. discuss with individual other ways to deal with the anger

130
Q

dealing with dependency and manipulation

A

be calm, firm, nonjudgmental attitude; dont accept derogatory remarks; set limits on attention-seeking behaviors; what can we do; allow time for the person to express feelings; manipulation; reinforce independent behavior and successes

131
Q

CULTURE

A

thoughts,m communication, actions,customs,beliefs,values & Institutions of racial ethnic, reliqious or social groups

132
Q

ethnicity

A

within a culture, shaved identity related to social and cultural heritage

133
Q

subculture

A

distinct characteristics from dominant culture; socioeconomics “nurse”

134
Q

Socioeconomic culture

A

group simnilar in financial position or wealth, education and/or occupation who have similar status, lifestyle, feelings, attitudes, language usage, and/or behavior

135
Q

religious culture

A

refers to type of religious group what have specific values, attitudes, and/or behaviors

136
Q

family culture

A

consists of ways of living and thinking that constitute the family and sexual aspects of group life.

137
Q

Religion

A

is a major component of one’s heritage. religion is defined as a system of beieifs, practices and ethical values a person practices to express spirituality.

138
Q

CULTURAL CONCEPTS

A

emic,etic,enculturation,acculturation,assimilation

139
Q

Emic worldview

A

insider(native) ex. Korean woman wants seaweed soup

140
Q

etic worldview

A

outsider view.ex. nurse doesnt understand

141
Q

enculturation

A

socialization; ex. two different sides of parents. two different languages

142
Q

acculturation

A

adapting new culture; involuntary; ex. affiliation in dominant culture

143
Q

assimilation

A

adopts dominant culture-lose their culture; ex. facial covering of the muslim women, then in the US they remove them

144
Q

biculturalism

A

identify-with 2 or more cultures; ex. canadians

145
Q

cultural backlash

A

rejects a culture; connotation; ex. Rum Springer

146
Q

Diversity

A

facts or state of being different. ex. race gender, religion

147
Q

race

A

classification of people according to shared biologic characteristics, genetics markers, or features; different ethnic group can belong to the same race; not all people of the same race share the same culture; ex. skin color

148
Q

transcultural nursing

A

comparative study of cultures to understand similarities and differences across human groups..goal is; culturally congruent care.

149
Q

Culturally Congruent Care

A

care that fits the persons life patterns, values, and a set of meanings

150
Q

cultural competent care

A

process of acquiring specific knowledge, skills and attitudes to ensure delivery of culturally congruent care.. 5 components; ability to bridge cultural gaps in caring, address cultural differences/assist to achieve supportive care.

151
Q

Cultural conflicts

A

ethnocentrism, discrimination, cultural imposition, prejudice, stereotyping,culture shock

152
Q

ethnocentrism

A

holding ones own way of life as superior to others. view from own cultural perspective. ex. nurse refusing to give meds to african bcuz she thinks they all use drugs

153
Q

discrimination

A

action of prejudice ex. all Mediterranean are terrorists

154
Q

cultural imposition

A

use own values/lifestyles as absolute guide in dealing w pts. and interpreting their behaviors. ex. nurse refuses pts. discomfort because she believes they should bare the pain quietly

155
Q

prejudice

A

negative belief or preference that is generalized about a group that leads to a “pre-judgment” ex. passenger iraq was asked to exit the plane after other passengers complained

156
Q

stereotyping

A

assuming all members of a culture or ethnic group are alike. ex. all men are weak. mean dont cry

157
Q

culture shock

A

disorder that occurs in response to transition from one cultural setting to another; former behavior patterns are ineffective in such a setting and basic cue for social behavior are absent.ex. change of culture and adapt study at home

158
Q

WHY DO NURSES NEED TO KNOW ABOUT VARIOUS CULTURES?

A

to provide people of other cultures with nursing care; improve pts/familys compliance; become cultural competent

159
Q

cultural assessment

A

systematic and comprehensive exam of the cultural care values, beliefs, and practices of individuals families and communities- this allows nurses to gather info that enables the nurse to implement culturally congruent and safe pts care.

160
Q

cultural assessment

A

NURSES NEED TO BE AWARE OF THE POPULATION DEMOGRAPHICS IN THE COMMUNITY SETTING IN WHICH THEY PRACTICE

161
Q

Communication

A

Ask questions establish relationships and Take into consideration Beliefs about Eye contact space and touch

162
Q

Asking questions

A

What is their dominant language ?are they willing to share thoughts ?know the meaning of touch and personal space; use their name

163
Q

Establishing relationships

A

Miscommunication is common; do you need an interpreter ? use touch and expressions ;watch for cues and clues

164
Q

Heritage and ethnohistory

A

Heritage includes their country of origin; if they are younger they may be more Americanized Ethnohistory is the significant historical experiences of a particular group ;older Americans save everything because of the Great Depression

165
Q

Bio cultural

A

Certain diseases based on culture and race

166
Q

Social organization

A

Know the roles of family members and determine the hierarchy

167
Q

Religious and spiritual beliefs

A

Ask about special diets and rituals with death

168
Q

Communication pattern

A

Determine different linguistics nonverbal patterns and cues and close

169
Q

Time orientation

A

Is what is happening right now more important are they present time orientated; Attached meds two events to get them to take them better

170
Q

Cultural care preservation and maintenance

A

Retain or preserves relevant care values so patient maintains their well-being recover from illness or face handicaps and/or death

171
Q

Cultural care accommodation or negotiation

A

Adapt or negotiate with others for beneficial or satisfying health outcome

172
Q

Cultural care repatterning or restructuring

A

Reorder change or greatly modify the patient’s lifestyle for a new different and beneficial healthcare pattern

173
Q

Professional standards review organization(PSRo)

A

Created by federal government reviews quality quantity and cost of healthcare

174
Q

Utilization review UR

A

Reviews admissions ,plans of care ;identifies eliminates over use or misuse of resources

175
Q

(PPS)prospective payment system

A

1983, what medicare will pay for

176
Q

(DRG) Diagnostic Related Group

A

fixed rate- decreased stay ; classification or grouping of PTS. according to med diagnosis ; over 500 DRGs

177
Q

(RUG)Resources Utilization groups

A

used in long term care same as a DRG

178
Q

Capitation

A

fixed amount per client; payment plan based on best standards and care practices

179
Q

managed care

A

administrative control over primary health care services; predetermined payment; cost containment/reduction; client satisfactory; health /functional status

180
Q

Medicare

A

federal funded health insurance 1965 social security act ; 1972 permanently disabled added; 1988 increase to major illness/drugs/ 2006 part D-MED; no dentures, glasses ,hearing aids, 2 parts A med/surg B voluntary partial-Dr. visit

181
Q

Medicaid

A

1965 Federal State funded welfare; partial health care services to indigent people; SSI Diability; state should be reimbursed by the Federal Govt.

182
Q

Private Health Insurance

A

3rd party payers; purchased as individual/group;payments for services varies;premiums/deductible/ x> 40% on insured

183
Q

managed care organizations

A

focuses on health maintenance/primary care; needs referral; gait keeper PCP

184
Q

Preferred Provider (PPO)

A

select physicians within system; networks of providers give discounts

185
Q

Health Maintenance Organizations(HMO)

A

littel/no deductible-cheap; wellness prevention;only PCP can refer PTS. to specialist ; limited service provisions

186
Q

Exclusive Provider (EPO)

A

limits choices; less access to specialist

187
Q

Long-term care Insurance

A

supplemental for LTC;expensive; may covered skilled care, assisted living home care

188
Q

factors influencing delivery of health care

A

Cost;Access:Quality

189
Q

Costs

A

driving force for change in the health care system; spend more on this than any other people needs; increase costs due to; oversupply of specialized providers;surplus of hospital beds; passive consumer;inequitable financing of services

190
Q

access

A

americans cannot afford to get sick because they have no insurance; people have limited transportation.; many people are underinsured

191
Q

quality

A

30-40% of diagnostic and medical precedures in USA are unnecessary : Health institution are focused on cost containment. 80% of hyster. unnecessary

192
Q

Primary Care

A

focuses on health services provided on individual basis

193
Q

Primary Health Care

A

focuses on improved health outcomes for entire POP.

194
Q

Primary Care services

A

Schools;Occupational health;physicians office;parish nursing;community settings

195
Q

schools

A

school nurses

196
Q

occupational health

A

within workplace

197
Q

physician offices

A

Nurse Practitioner and P.A. B/P screenings

198
Q

community settings

A

outpatient clinics WIC

199
Q

secondary & tertiary care

A

Acute Care; hospitals; critical care access

200
Q

Psychiatric Facilities

A

Choices; Very limited for mental health services

201
Q

Restorative care

A

Home Care Agencies; Home Health care

202
Q

Rehabilitation facilities

A

PT

203
Q

Skilled Nursing Facilities

A

Bounce Back; Intermediate Care

204
Q

Extended Care Facilities

A

Intermediate Nursing Care; Kindled

205
Q

Continuing Care Facilities

A

Assisted Living; No Nursing Care

206
Q

Nursing Centers (ex. Gateway. Horizon house)

A

24 HR Custodial Care

207
Q

Hospice

A

Family centered care 6month or less survival rate

208
Q

Respite

A

relief for care givers

209
Q

Adult Day Care

A

day time services for people who are not ready for long term care

210
Q

challenges within Healthcare System

A

disillusionment with professionals;lost of control;decreased hospital use;changing practice setting; ethical issues; vulnerable populations

211
Q

Disillusionment with professionals

A

think HCP are greedy untrusting of drug companies; publicity of errors

212
Q

Loss of control

A

jobs based on benefits

213
Q

decreased hospital use

A

pt going home more quickly

214
Q

changing practice settings

A

70-80% of care in home

215
Q

ethical issues

A

compassion vs. cost

216
Q

Vulnerable Populations

A

elderly/children/disabilities/poor

217
Q

trends affecting Healthcare

A

Listed below

218
Q

“Graying of America”

A

more long term illness 95% of elderly at home; 85+ Increases population

219
Q

Number of children decreasing

A

23% in 2010 less children

220
Q

greater family diversity

A

single parent home 90% mom ; 26% live with biological parents

221
Q

changing life style

A

increase obesity; drug/alcohol

222
Q

unstable economy in the USA

A

1/4 children in poverty

223
Q

greater demand for primary care providers

A

decrease Physicians

224
Q

advances in technology and demands for them in outpatient settings

A

Decrease PHY

225
Q

More emphasis on disease prevention

A

PTs discharged sooner; outpt care

226
Q

more emphasis on individuals assuming more responsibility for their care

A

globilizations of health care;internet; recruitment of foreign nurses; outsourcing

227
Q

Community based Health Care

A

model of health care; focuses on primary care; health prevention; outside traditional health care institutions

228
Q

list some of the challenges in community based health care that you believe affects area

A

underimmunilized

229
Q

community-based nursing

A

focus is on individual within community; promotes autonomy acute/chronic care

230
Q

vulnerable population

A

\most likely to develop problems; illegal;abusive sit.; mentally ill

231
Q

Major Aspects Of A Community Assessment

A

Listed Below

232
Q

Physical Environment

A

boundaries of community; houses;vandalizm; substances abuse

233
Q

Education

A

Schools; Lunch Programs?;Library?

234
Q

Safety & Transportation

A

Public; Fire/Police; EMS System; Air Quality

235
Q

Politics & government

A

Democrat? or Republican?

236
Q

Health & Social Services

A

Average life Expectancy

237
Q

Communication

A

Newspaper/Radio/Postal Service

238
Q

Economics

A

Main industry- Stable?

239
Q

Recreation

A

Church; Parks; Sports

240
Q

Preparing Pts. to return home

A

listed below

241
Q

Personal Health Data

A

Pts. history. Background

242
Q

abilities to perform ADLs

A

needed help?

243
Q

disabilities/limitations

A

comfortable

244
Q

care responses/ abilities

A

whats their relationship to the patient

245
Q

Financial Resources

A

any increase concerns; how do you get food; diabetic education

246
Q

community resources

A

legal monetary

247
Q

home hazard appraisal

A

lock at safety lighting; grab bars

248
Q

need for healthcare assistance

A

meals on wheels; ADL assistants

249
Q

Health Wellness

A

Health is a multidimensional concept and difficult to define

250
Q

Health

A

Environment: complete physical, mental, and social well being; not absence of disease/illness

251
Q

holism

A

views health according to mind body, spirit

252
Q

physiologic

A

maslows, air, food,water

253
Q

psychological

A

mental health,anxiety

254
Q

socioculture

A

interaction of ppl

255
Q

intellectual

A

ability to learn use info

256
Q

spiritual

A

belief in source that gives our life meaning

257
Q

health beliefs

A

ideas,convictions,attitudes about health,illness, influences health behavior

258
Q

Health Behaviors

A

actions taken by the individuals based on health beliefs

259
Q

Models of health and illness

A

listed below

260
Q

1.Basic human needs model

A

based on maslow hierarchy of need-physiological-safety and security-love and belonging-self-esteem-self-actualization

261
Q

2.Health belief model

A

Listed below

262
Q

addresses relationships between persons belief and behaviors: aids in understanding and predicting

A

3 listed Below

263
Q

individual perceptions

A

susceptibility to disease

264
Q

modifying factors

A

perceive it as serious

265
Q

likelihood of action

A

person changes behavior based on beliefs

266
Q

3.Health Promotion Model

A

Below

267
Q

Defines health as a positive, dynamic state, not merely absence of disease

A

individual characteristics and experience, behavior-specific cognitions and affect;behavior outcome

268
Q

INFLUENCING VARIABLES

A

Below

269
Q

1.INTERNAL

A

?Below

270
Q

Developmental

A

children, fearful, anxiety

271
Q

intellectual

A

beliefs shaped by knowledge/ lock of

272
Q

perceptions

A

gathered-subjective; verified-objective

273
Q

emotional

A

stress fear, coping abilities

274
Q

spiritual

A

what do they value

275
Q

EXTERNAL

A

below

276
Q

family

A

perceptions of seriousness

277
Q

socioeconomic

A

increase risk for illness

278
Q

cultural

A

influences values

279
Q

Health Promotion

A

help PT. maintain/enhance present level of health

280
Q

Wellness

A

state of well being

281
Q

Comprehensive of wellness

A

social,emotional,intellectual,spiritual,occupational, environmental??

282
Q

Prevention

A

protect clients from threats to health avoid decline in health

283
Q

passive vs. active strategies for health promotions

A

P-gain from others; A- choose

284
Q

Levels of Prevention Care

A

Below

285
Q

Primary Prevention

A

True prevention: ex. Immunizations

286
Q

Secondary Prevention

A

Diagnosis prevent complications; Ex. Screenings

287
Q

Tertiary Prevention

A

Rehab irreversible: ex. Rehab

288
Q

risk Factor

A

any situation that puts a person at risk

289
Q

Non-modifiable risk factors

A

Age;Gender;Sex

290
Q

Modifiable Risk Factors

A

Environment:Lifestyle:Stress

291
Q

Illness

A

physical, emotional, intellectual that diminished person

292
Q

Acute VS.Chronic Illness

A

A-Heal; C-6month + lead to disability

293
Q

illness behavior

A

how behaviors affect illness; coping mechanism;internal/external variables.

294
Q

Travis wellness-illness continuum

A

Below

295
Q

Highest death level of wellness——Dichotomy——–

“normal”

A

——-Premature

296
Q

throughout life, an individual can travel back and

A

forth among this continuum

297
Q

Impact of Illness

A

below

298
Q

Behavior and emotions

A

mild illness; extreme anxiety

299
Q

body image

A

physical appearance

300
Q

self-concept

A

mental self image of strength/weakness

301
Q

family roles

A

sandwich system

302
Q

family dynamics

A

death;divorce

303
Q

HEALTH MAINTENANCE

A

below

304
Q

Health promotion activities

A

are actions to improve a person health status. this means every person , even without disease present; bike safety

305
Q

health protection activities

A

are actions usually taken by gov. and community agencies for the betterment of all individuals. these are done for the good of all

306
Q

Disease Prevention Activities

A

are actions to protect people from actual or potential threats to their health status. individual may have one or more risk factors for certain diseases or have an actual disease that could be better controlled to prevent further problems from developing: HEALTH THREAT