week 6 (ch 6): professional attitudes/communications (test 2) Flashcards
continuum of cultural competency (left to right)
cultural destructiveness
cultural incapacity
cultural blindness
cultural pre-competence
cultural competence
cultural proficiency
notes on improving communications: Anglo-American
-eye contact expected
-tend to be stoic, but will ask for pain meds when needed
-expect to know and understand condition and tx
-germs are cause for illness/biomedical tx
notes on improving communications: Asian
-avoid making eye contact
-reluctant to admit pain
-may indicate agreement with no intention to consent/complete
-traditional healing methods
notes on improving communications: Middle Eastern
-eye contact depends on gender
-loud and expressive when in pain
-wives defer to husbands
-evil eye, amulets, dampness/cold as cause of illness/disease
notes on improving communications: NA/AN
-avoid direct eye contact
-stoicism is valued, may not admit pain
-mistrust, uncomfortable signing consents
-medicine bag, holistic
age specific communications: birth - 1 year
-total ________ on parents/adults
-older infants have ______________
-primary interaction will be with ________
-care also given to parents
-tone of voice and touch
-safety issues: _______________
-dependence
-fear of strangers
-parent
-never leave unattended, crib/bed rails up
age specific communication: Toddler (1-2 years)
-fear of ____________
-use ___________
-praise child, __________
-________ with toy or other object
-be prepared ahead of time
-safety issues: _____________
-being separated from parent
-child’s name
-be cheerful and emotive
-distract
- keep supplies out of child’s reach, crib/bed rails up
age specific communication: Preschool (3-5 years):
-more ____________
-take things __________
-can understand __________
-like to have _______
-_______________
-reassurance and praise
-safety issues: ____________________
-more independence and communication skills
-take things literally
-can understand simple explanations
-like to have choices
-short attention span
-reassurance and praise
-safety issues: child proof room, immobilization, fear/anxiety
age specific communication: school age (6-12 years)
School age (6-12):
-can think _________
-increasingly ___________
-________ things thoroughly and clearly
-allow them to participate in ___________
-____________ important
-safety issues: _____________________
School age (6-12):
-can think logically
-increasingly independent
-explain things thoroughly and clearly
-allow them to participate in decision making
-parental presence important
-safety issues: explain choices, may want to help/touch, fear/anxiety
age specific communication adolescent (13-18 years)
-________________
-show __________
-______________need to be maintained
-talk to adolescent __________, away from parents is ____________
-engage them and treat them as ________
-safety issues: ___________________
-hypersensitive or non-interactive
-show empathy -modesty and privacy need to be maintained
-talk to adolescent directly, away from parents is okay and sometimes needed
-engage them and treat them as an adult
-safety issues: pregnancy declaration, fainting
age specific communication: young adult (18-45 years)
-involve them in _____________
-personal identity and self-reliance
-allow ____________-
-tailor instruction to _____________
-safety issue: ________________
-involve them in all decision making
-personal identity and self-reliance
-allow privacy
-tailor instruction to their level of understanding
-safety issue: pregnancy declaration, cost/assistance fear
age specific communication: Middle adult (45-64 years)
-established _____________
-________________ begin to occur
-decreased endurance, body mass, loss of skin elasticity
-explain procedures and allow time to talk about concerns
-________________ when possible
-safety issues: ________________________
-established financially
-common health problems begin to occur
-decreased endurance, body mass, loss of skin elasticity
-explain procedures and allow time to talk about concerns
-allow for choices when possible
-safety issues: decreased bone mass, coordination, vision/hearing loss, fear
age specific communications: late adult (65-79 years)
-wide difference in health, ______________
-changes in family status and/or financial situation
-higher risk of_____________________
-visual and hearing problems
-safety issues: __________________________
-wide difference in health, avoid assumptions
-changes in family status and/or financial situation
-higher risk of health problems and infection
-visual and hearing problems
-safety issues: fall precautions, bruising/skin care, choking
age specific communication: Old Adults (80+ years)
-physical issues/mobility
-mental acuity and memory decrease
-may feel __________
-keep instructions ______________
-be patient, assist as needed
-safety issues: ________________________-
-physical issues/mobility
-mental acuity and memory decrease
-may feel isolated or upset
-keep instructions simple and only give one at a time
-be patient, assist as needed
-safety issues: fall risks, higher risk of infection, skin care, anxiety/confusion
Procedure w/ approximate comparable natural background radiation
CT Chest
2 years
