NS 332 Fundamentals Final Quizlet

incivility/bullying

rude, intimidating, and undesirable behavior directed at another person

complementary therapies

seen as the "answer" to the problem of chronic disease

intrapersonal communication

self-talk; communication within a person

ethnicity

sense of identification with a collective cultural group

culture

shared system of beliefs, values, and behavioral expectations

factors inhibiting sensitivity to diversity

stereotyping, implicit bias, cultural imposition, cultural blindness, culture conflict

integrative health (IH)

the combination of complementary health and conventional health approaches in a coordinated way

culture shock

the feelings a person experiences when placed in a different culture. may result in psychological discomfort or disturbances

Theories of Homeopathy: "Like cures like"

the notion that a disease can be cured by a substance that produces similar symptoms in healthy people

Theories of Homeopathy: "Law of minimum dose"

the notion that the lower the dose of the medication, the greater its effectiveness; many homeopathic remedies are so diluted that no molecules of the original substance remain

stereotyping

the practice of assuming that all members of a cultural group act alike

holism

theory and philosophy that focuses on connections and interactions between parts of the whole

enery-healing therapies

therapeutic touch, healing touch, sound healing

receiver (decoder)

translates and interprets the message being receive. confirmation of the message provides feedback

allopathic medicine

treatment of symptoms and diseases using drugs, radiation, or surgery

race

typically based on specific characteristics- skin pigmentation, body stature, facial features, hair texture

St. John's Wort

used to treat depression. reacts with many other medications

cultural imposition

values, beliefs, or practices that are forced upon a person or people of a group. belied tat everyone should conform to the majority belief system

workplace violence

violent acts, including physical assaults and threats of assault, directed towards persons at work on duty

Dispositonal traits

warmth and friendliness, openness and respect, empathy, honesty, authenticity, trust, caring, competence

organizational communication

when people, or groups, within an organization communicate to achieve a goal

cultural blindness

when we actually think that we have addressed cultural differences and that we understand the differences, but don't. people ignore differences in the cultures in which they live and proceed as if they do not exist

guided imagery

works by using the imagination to stimulate all five sensory channels in addition to inner self-talk. used to reduce anxiety/stress

ADPIE

• Assessment: 1st step, subjective and objective data • Diagnosis: analysis, formulation of nursing diagnosis • Planning: prioritizing problems, determining goals, plan of care • Implementation: nursing action (rather than medical action) • Evaluating: comparing outcomes, communicate and document findings

five major categories of race

-American Indian or Alaska Native -Asian -Black or African American -Native Hawaiian or Other Pacific Islander -White

Blocks to Communication

-Failure to perceive the patient as a human being -Failure to listen -Nontherapeutic comments and questions -Using cliches (Don't worry, everything will be okay) -Using closed questions -Using questions containing the words "why" and "how" -Using questions that probe for information -Using leading questions -Using comments that give advice -Using judgmental comments -Changing the subject -Giving false assurance -Using gossip and rumors -Using disruptive interpersonal behavior

three categories of complementary health approaches

-mind-body practices -natural products -other CHAs

Which factor is the most important to consider when caring for clients with limited income? A. Basic human needs going unmet B. Limited access to reliable transportation C. Decreased access to healthcare services D. Risk for increased incidence of disease

A. Basic human needs going unmet

Despite the presence of many older adult residents from Asian cultures, a long-term care facility has not integrated the medical concept of hot and cold into meal planning. The nurses at the facility should recognize this as an example of: A. cultural blindness. B. stereotyping. C. cultural assimilation. D. cultural imposition.

A. cultural blindness.

Which consideration should a nurse prioritize relating to the use of herbs and supplements by a client? A. potential interactions with drugs B. the client's cultural background and beliefs C. the client's previous use of herbal supplements D. pharmacologic alternatives to herbs and supplements

A. potential interactions with drugs

A nurse is talking with a coworker about the diversity of cultures in the client population being admitted to their unit. During the conversation, the coworker becomes defensive about personal beliefs and values that are different. The coworker becomes condescending and begins to ridicule the values of the different client populations, stating, "Their beliefs and values are really out there. They make absolutely no sense. No way would I ever believe them." The nurse interprets the coworker's behavior and statements as reflective of which concept? A. culture blindness B. cultural imposition C. cultural conflict D. culture shock

C. cultural conflict

While conducting a health history, the client responds yes to the nurse's inquiry of the use of complementary health approaches (CHAs) to treat headaches. The nurse asks which specific therapies the client uses. Which response would require the nurse to ask further questions? A. "I practice meditation for relaxation to prevent getting headaches." B. "I use relaxation to help me go to sleep so I avoid getting stress headaches during the day." C. "Each week I have an acupuncture session to reduce the number of headaches I get." D. "I take herbs to treat my headaches when I have them and to help prevent them from occurring."

D. "I take herbs to treat my headaches when I have them and to help prevent them from occurring."

An older adult client is brought to the emergency department via ambulance due to a fall. The client does not speak the area's dominant language. Shortly after the client arrives, several family members and a neighbor who called the ambulance arrive, all of whom speak the area's dominant language. When attempting to gather information about what happened, which action by the nurse is appropriate? A. Enlist the aid of a family member to answer the nurse's questions. B. Have the neighbor who called the ambulance explain what happened. C. Ask the client to explain as best as possible what occurred. D. Arrange for an interpreter to be present to translate.

D. Arrange for an interpreter to be present to translate.

Four Levels of Communication

Intrapersonal Interpersonal Small-group Organizational

SBAR

Situation Background Assessment Recommendation

rapport builders

Specific objectives Comfortable environment Privacy Confidentiality Patient vs. task focus Utilization of nursing observations Optimal pacing

Assessment (SBAR)

What is the nurse's assessment of the situation? What do you think is going on?

Recommendation (SBAR)

What is the nurse's recommendation or what does he/she want? New orders, order change, patient needs to be seen now

Situation (SBAR)

a concise statement of the problem. identify self, unit, patient, room number. briefly state problem, what is it, when it happened or started, and how severe

minority group

a physical or cultural characteristic identifies the people as different from dominant group

cultural conflict

a type of conflict that occurs when different cultural values and beliefs clash. when people become aware of cultural differences, feel threatened, and act negatively

Gingko Bilboa

anti-inflammatory. DO NOT use if taking anti-coagulants, e.g. aspirin and warfarin

common types of yoga

ashtanga bikram iyengar kripaula

channel of communication

auditory, visual, kinesthetic, (role of interpreter)

Ethnocentrism

belief that one's ideas, beliefs, and practice are the best or superior or are most preferred to those of others

cultural diversity

coexistence of different ethnic, racial, and socioeconomic groups within one unit. varies based on religion, language, physical size, sexual orientation, disability, occupational status, and geographical location

integrative health care

combination of allopathic and complementary and alternative modalities

qi gong

has been suggested to hold potential as an intervention to improve balance and reduce falls in older adults and has been used successfully to promote balance and coordination in other age groups

dominant group (usually the largest group)

has the most authority to control values and sanctions of society

group dynamics

how group members relate to each other; helping to achieve the goals, being sensitive to the needs of the group, being mutually respectful

complementary health approaches (CHA)

interventions that are not typically part of conventional medical care but can be used together

Cultural assimilation (acculturation)

minorities living within a dominant group lose the characteristics that made them different values replaced by those of dominant culture

shamanism

most widely practice medical system. illness is thought to originate in the spirit world

small group communication

occurs between two or more people in order to achieve a goal. e.g., staff meetings, teaching sessions, patient care conferences

interpersonal communication

occurs between two or more people with a goal to exchange messages

Background (SBAR)

pertinent and brief information related to the situation admitting diagnosis and date of admission, list of current meds, allergies, IV fluids and labs, most recent vital signs, lab results (date/time and previous tests for comparison), other clinical info, code status

holistic nursing

practice built on a holistic philosophy; healing the whole person is the goal

cultural humility

recognition of diversity and power imbalances among individuals or communities, with the action of being open, self-aware, egoless, flexible, exuding respect and supportive interactions, focusing on both self and other to formulate a tailored response