Week 8 | MIDTERM 2

Question 1

5 key words for Therapeutic nurse-client relationship

Answer 1

1) trust
2) respect
3) professional intimacy
4) empathy
5) power

Question 2

what years were the residential schools going?

Answer 2

1857-1996

Question 3

what was the aim for residential schools?

Answer 3

to assimilate aboriginals into the Canadian life

Question 4

name some effects of colonialism

Answer 4

• PTSD
• hopelessness
• depression
• anxiety
• family violence

Question 5

define intergenerational trauma

Answer 5

when untreated trauma-related stress is passed on to the second and subsequent generations

Question 6

define health disparities

Answer 6

a relative disproportionate burden of disease on a particular population

Question 7

define health inequities

Answer 7

causes of the disparities which sit largely outside of the typically constituted domain of “health”

Question 8

define cultural humility

Answer 8

cultural humility is defined as having traits of respect, empathy, and critical self-reflection at both intrapersonal and interpersonal levels

Question 9

how can we build relationships?

Answer 9

• face-to-face visits
• regular contact with community circles
• consider talking or sharing circles
• trusting relationships

Question 10

define communication deficit

Answer 10

impairment in the ability to receive, send, process and comprehend concepts or verbal, nonverbal, and graphic symbol systems

Question 11

is communication disability an impairment?

Answer 11

indeed it is

Question 12

what is the nursing goal for individuals with a communication deficit?

Answer 12

maximize client’s ability to successfully communicate and to interact with the health care system to ensure optimal health and quality of life

nurses have the obligation to make necessary adjustments/accomidations

Question 13

what are the 4 steps in nursing actions for clients with communication deficits?

Answer 13

1) convey respect and concern
2) early recognition of deficits
3) assess current communication deficits
4) utilize appropriate strategies to support client’s ability to interact with health care team towards optimal health

Question 14

what are the types of deficits?

Answer 14

1) hearing loss
2) vision loss
3) cognitive processing concerns
4) mental health issues
5) sensory deprivation

Question 15

what are the 2 types of hearing deficits?

Answer 15

1) sensorineural: damage to the inner ear or the auditory nerve
2) conductive: sound waves cannot reach inner ear due to excessive wax, buildup, fluid or punctured eardrum

Question 16

what is hearing loss called when it affects old people?

Answer 16

presbycusis

Question 17

what are some communication strategies for an individual with hearing loss?

Answer 17

identify if patient has hearing aid and if so when speaking to the client the nurse should:

• reduce environmental noise
• gain client’s attention prior to speaking
• speak near or into the unaffected ear

Question 18

what are some communication strategies for an individual with vision loss?

Answer 18

• use touch
• allow client to hold your arm when walking
• let client know you’re moving around or leaving
• orient client to the environment

Question 19

what are some communication strategies for an individual with linguistic loss?

Answer 19

• address one topic at a time
• face patient when speaking
• allow extra time for processing and for replying

Question 20

define expressive aphasia

Answer 20

client can understand what is being said but cannot express thoughts or feelings in words

Question 21

define receptive aphasia

Answer 21

difficulty receiving and processing written and oral messages

Question 22

define global aphasia

Answer 22

client has difficulty with both expressive and receptive language

Question 23

what is the main cause of aphasia?

Answer 23

CVA (cerebral vascular accident) aka STROKE

Question 24

What is dysarthria?

Answer 24

speech motor disorder results in slur speech and client may not be able to control and coordinate the functional movements for speech.

Question 25

what are some diseases caused by dysarthria?

Answer 25

• Parkinson’s
• MS(multiple sclerosis)
• cerebral palsy

Question 26

what are some communication strategies for an individual with speaking challenges?

Answer 26

• ask yes/no questions
• active listening
• be honest and let client know when you dont understand what it is they’re trying to say
• encourage alternate modes of communication such as pointing, using pictures, technology

Question 27

what age is considered:

1) young old?
2) old-old?
3) oldest-old

Answer 27

1) 65-74
2) 75-84
3) 85+

Question 28

what values do you embody hen communicating?

Answer 28

• respect
• caring
• compassion
• patience