exam 2 study guide. EDAPT

Develops through exposure to other cultures. This exposure can be through reading, travel, movies, visits to ethnic neighborhoods and restaurants, attending ethnic celebrations, speaking with persons from other cultures, and attending religious events outside your own religious affiliation.

cultural skill

Stacy phones the healthcare provider. Which statement represents the recommendation?​

"Can I have a prescription for a stronger pain medication?"​

Being aware of objects or qualities through the use of sensory stimulation ​

perception

"Good afternoon, Ms. Philips." ​

A

Where is the best location for the hand-off report to occur?​

Inside the client's room​

"I'm sure your test results will be normal."

false reassurance

Decreases Learning:

-No Concentration -Unmotivated -Mobile devices and alerts -Forced learning

"How can you say that you are in pain? You are texting on your phone."

Arguing

What factor may result in an increased likelihood of developing an acute or chronic health problem?​

Limited access to healthcare clinics providing prevention services​

A nurse cares for a client diagnosed with asthma during an acute attack.

Downstream Factors​

Early stages of learning a particular skill under the guidance of an instructor that involves imitation and practice of a demonstrated act

Guided Response

Advocate for community funding to reopen the nighttime shelter.

Upstream Factors​

Readiness to take a particular action; there are three sets: mental, physical, and emotional ​

set

"I'm so sorry for the loss of your father. You must be devastated."

sympathy

The nurse meets with elected community officials to advocate for more affordable housing options.​

upstream factors

Sally and Tommy are an unmarried couple living together with Sally's child from a previous relationship. Sally is currently pregnant. Tommy's brother is living with the couple. ​ What family form is represented?

Alternative

A nurse works with the local community health department to implement a pediatric lead screening program. ​

Upstream Factors​

"It's time for your medications. We can talk about your concerns about discharge later."

changing the subject

Acting and responding with a consistent value system; requires introspection and self-examination of one's own values in relation to an ethical issue or particular experience

characterizing

Making oneself available to clients in an unconditional manner demonstrates what communication technique by the nurse?

clarification

In which phase of the therapeutic relationship does building rapport occur?

Orientation

What are elements of professional demeanor? Select all that apply. ​

Clear voice ​ Good listening skills Confident ​ Warm and friendly​

Attaching worth and value to the acquired knowledge as demonstrated by the learner's behavior

Valuing

Motor skills are well developed and movements can be modified when unexpected problems occur ​

adaptation

Which communication technique involves repeating the client's exact statements word for word?​

parroting

Which factors can influence a person's health? Select all that apply.

Geographic area of residence Socioeconomic status

The nurse is teaching a client how to choose low-sodium foods from a menu.

personal distance

Ability to assess factors that influence client treatment and care. Acquired through the practice of communication. One example is learning a different language.

Cultural awareness

What communication technique is demonstrated by the nurse?

using touch

Smoothly and accurately performing a motor skill that requires complex movement patterns ​

Complex overt response

Phase(s) of the Clinical Judgment Measurement Model: The client will understand how cigarette smoking contributes to respiratory illnesses, cancer, and heart disease.

Prioritize Hypotheses and Generate Solutions

The nurse asks simple yes or no questions and uses visual aids when teaching.

Client with aphasia

The nurse uses simple sentences and avoids long explanations.

Client with cognitive impairment

The nurse turns off the TV and faces the client when speaking.

Client with hearing impairment

The nurse announces entrance into the room and avoids the use of hand gestures when speaking.

Client with vision impairment

The nurse is teaching the client in the ________________ domain and should use____________________.

Cognitive, discussion.

Jared begins to recognize that he may have an implicit bias against those from other cultures. What is the first step Jared should take toward cultural competence? ​

Cultural awareness

Identifying and understanding one's own background, recognizing biases, prejudices, and assumptions about others. To develop a greater cultural awareness, time needs to be spent in thinking about and discussing various cultural experiences.

Cultural desire

Organize a free health fair in the community, offering immunizations and health screenings.

midstream factors

At the end of the shift, Jared reflects on what he has learned today through his interactions with Mr. Liu. Which reflection best describes Jared's experiences?​

Developing cultural competence is a process that occurs over time. ​

Steps of the Nursing Process: Recognize my knowledge deficit related to cultural differences, as evidenced by my inability to understand or accept the customs while delivering nursing care.

Diagnosis

What could Mary do to correct her errors? Select all that apply. ​

Seek clarification frequently Use short sentences Speak directly to the client using the first person

An experienced healthcare professional tells a student, "I have found that most Hispanic immigrants live in unsanitary conditions but are hard workers." The student can best classify this statement as________________.

Stereotyping

Coordinates discharge to home with home health services​

Case manager

Marie Jones (preferred pronouns she, her) is the primary guardian for her two granddaughters, Giselle and Sophia. The girls' mother died in a car accident last year and their father has been incarcerated for the past 3 years. He was abusive to their mother, which the girls witnessed numerous times. Marie's son lives with the family to provide financial and social support. ​ What family form is represented?​

alternative

Which strategies implemented by the nurse would facilitate safe client transfer from the medical-surgical unit to the intensive care unit (ICU)? Select all that apply. ​

-The nurse should use a standardized communication tool to provide information to the ICU nurse. ​ -The nurses from both departments should meet face-to-face to discuss the client's transition.​ -The nurse should allow time to answer any questions the ICU nurse has before transitioning the client. ​

When caring for a client who is hearing-impaired, which techniques may improve communication? Select all that apply.​

Allow the client time to process the information and respond.​ Keep communication short, simple, and direct. ​ Assess the need for adaptive equipment, such as a hearing device.​

Phase(s) of the Clinical Judgment Measurement Model: Knowledge deficit of health-related effects of smoking related to verbalized knowledge deficiency as evidenced by smoking behaviors.

Analyze Cues and Prioritize Hypotheses

Which part of Provision 9 addresses our need as nurses to have a united voice in our shared values?​

Articulation and assertion of values

A healthcare professional is practicing cultural competence to improve care. Which step should the professional take first?​

Assess own biases and attitudes

Steps of the Nursing Process: I am uncomfortable with the headscarves (hijab) Muslim women wear and I don't even know what they are called.

Assessment

The nurse provides a qualified interpreter when teaching.

Client who only speaks Portuguese

"Your surgery will take about 1 hour. You will wake up afterward in the recovery room. I will be there to take care of you."​

E

"We would never intentionally withhold your medication."

Defensive response

"You should not stop your cancer treatments."

Disapproval

"Your procedure is scheduled for 3 p.m. The surgeon will be here to speak with you very soon."​

D

Steps of the Nursing Process: Record my findings in a personal reflection journal and assess my new attitude using the nursing process.

Evaluation

What are elements of professional appearance? Select all that apply. ​

Follow uniform requirements​ Avoid strong-smelling perfumes​ Clean and well-groomed​

"My name is Anna. I am a registered nurse working in the surgery department."​

I

A standardized communication tool used in healthcare to enhance quality care and client safety uses the acronym ISBAR. What does ISBAR stand for?

Identify, Situation, Background, Assessment, Recommendation

How does interprofessional collaboration improve health and wellness?

Leverages knowledge from multiple disciplines to improve the care of an individual

Higher level of behavior in which a person gains confidence and proficiency in performing a skill that is more complex or involves several more steps than a guided response

Mechanism

A nurse identifies that a client is struggling with food insecurity and recommends a local food bank for assistance. ​

Midstream Factors​

Marie fell last night and broke her hip. She is hospitalized and will need surgery and rehabilitation. Her son, the girls' uncle, will be the primary caregiver for the children until Marie is recovered. Additionally, Marie's sister will be staying with the family to help with household needs. Which family attribute does this represent?

Resiliency

Provides community referrals to a support group

Social worker

"Thank you for trusting us with your care. I will be back with the surgeon in 30 minutes."​

T

What family values or behaviors may negatively impact health and wellness of one of its members?​

The father consistently smokes marijuana at home​.

Interactions to learn about other cultures. Acquired through caring for culturally diverse populations across the lifespan.

cultural knowledge

Learner is passive and needs only to pay attention and receive information

receiving

A few hours later, Mr. Liu's call bell rings and Jared enters the room with the medical interpreter. Mr. Liu's spouse is sitting on the couch. She states, "You do not need an interpreter. I speak English." Which response by Jared is most appropriate?​

"Mr. Lee is here to help with medical interpretation services in case I say anything that is confusing."​

Increases learning:

-Actively involved -Topic important to you -Desire to learn -Attentive -Need to learn -Interest in the topic

A healthcare professional is using an interpreter to communicate with a client. Which actions are appropriate when working with an interpreter? Select all that apply.

-Avoid medical terminology and jargon. ​ -After the encounter, thank the interpreter and client. ​ -Use short sentences and pause periodically for clarification. ​

After the surgery, Marie is discharged to her home with a home health nurse to visit weekly. The home health nurse determines that Marie's son is struggling with caregiver role strain.​ What actions by the nurse may be beneficial? Select all that apply. ​

-Describe the importance of accepting assistance to give the primary caregiver rest​. -Provide information about community resources, such as support groups and children's day camps​. -Provide contact information for nursing and healthcare providers to call with questions or concerns​.

How does using a systematic process to plan client education assist the nurse? Select all that apply.​

-Identifies targeted information that is individualized for the client​ -Allows the nurse an opportunity to assess the client's health literacy​ -Determines what the client already knows about a health topic before teaching​

After the surgery, Marie is discharged to her home with a home health nurse to visit weekly. The home health nurse determines that Marie's son is struggling with caregiver role strain.​ Which observations indicate that the family is demonstrating hardiness and resiliency in this situation? Select all that apply.

-The children continue to attend school daily and are enrolled in an after-school program​. -Marie's son accepts physical and financial help from his local church community​. -Marie's son contacts a local food bank to provide nutritious food for the children​.

Amelia Sanchez (preferred pronouns she, her) is a registered nurse working in a local health clinic. The surrounding community is largely immigrant, and many children are unvaccinated. Additionally, the community has seen a 10% increase in tuberculosis cases in the past year. Despite the availability of health services within very close proximity to the community, many residents are unaware of these services. ​ Which actions may best serve this community?​

-Working with community leaders to ensure public transportation stops near the clinic ​ -Raising awareness about community health and prevention resources -Teaching community classes about health promotion strategies

You are in a health fair and are asked by a participant to explain an abnormal blood sugar. Put the following items in the proper sequence you would use to teach this client.

-ask the client what they know about diabetes -identify and compare what the client knows and what they need to know -decide what you will teach the client about high blood sugar and diabetes -use pictures charts and models to teach diabetes -ask the client questions about what they've learned about diabetes and high blood sugar

Select all the steps that Mary needs to improve when working with an interpreter. Mary Jones (preferred pronouns she, her) is teaching a client through an interpreter who is sitting next to the client. Mary begins by looking at the interpreter and asking, "Can you please tell her that we will be discussing her new medications?" After the client nods their head in agreement, Mary quickly continues through the education session. After 20 minutes, Mary turns to the interpreter and waits. Mary notices that the client looks confused

-begins by looking at the interpreter -Can you please tell her -Mary quickly continues through the education session

Chen Liu (preferred pronouns he, him) is a (72-year-old client )from China who (does not speak English) and was admitted to an inpatient rehabilitation unit following a total knee replacement surgery. Mr. Liu was originally (discharged to his home) but he lives alone and refused to allow home health services to enter his residence. Now, he reports a decreased appetite, weight loss, and being too fatigued to participate in physical therapy. His condition is deteriorating. ​ Jared Solomon is the healthcare professional assigned to care for Mr. Liu today. Jared wants to learn more about Mr. Liu's culture so he can provide appropriate care. Jared locates an interpreter for assistance. During the first interaction, Jared asks Mr. Liu if he is in any pain. Mr. Liu responds, "No." Jared then asks Mr. Liu if he is feeling anxious or depressed about being admitted to the hospital. Mr. Liu responds, "No, I am fine, (just leave me alone)." Jared observes that Mr. Liu will not make eye contact with him or the translator. ​ Select all the behaviors noted above that are concerning to Jared.

-refused to allow home health services to enter his residence -just leave me alone.

Which clients may benefit from motivational interviewing? Select all that apply.

A client who recently had a heart attack and does not want to reduce fat intake A client who has asthma and does not want to rehome their cat to prevent an attack A client who is obese and does not think they have time to exercise

After the teaching session, Stacey uses the teach-back method to evaluate the client's learning. What are the benefits of this method of evaluation? Select all that apply. ​

Decreases hospital readmissions​ Identifies misconceptions or confusion​ Improves client satisfaction​ Improves client adherence to education​

Family caregivers are more likely to suffer from declining health. Which disorder is most common?​

Depression

The family includes two parents, a family friend who needs shelter, and the friend's three children. ​

Diversity ​

Host a winter coat drive and provide donations to the local hospital to distribute to clients treated for frostbite.

Downstream Factors​

One parent dies when the children are very young. The remaining partner remarries and the children form a bond with the stepparent. ​

Durability

Last month, the family was well fed and both parents were working. Today, one parent lost their job and is unable to afford the rent. ​

Dynamic

Phase(s) of the Clinical Judgment Measurement Model: Have the client discuss the education from his perspective to assess his learning; observe smoking behaviors; reassess for readiness to stop smoking.

Evaluate Outcomes

What is the communication technique demonstrated by the nurse who selects a single topic or concept that the client has expressed to explore further?

Focusing

Stacey begins to prepare the room for the teaching session. What should the nurse consider? Select all that apply. ​

Furniture placement​ Noise level​ Distractions​ Temperature​ Privacy​

Phase(s) of the Clinical Judgment Measurement Model: Assess reading level, comprehension skills, and motivation to quit.Be mindful of cultural differences and actively demonstrate respect and Chamberlain Care® attitude (cultural humility); provide educational sessions with handouts printed in native language; educate about smoking cessation opportunities.

Generate Solutions and Take Action

Which are aspects of nonverbal communication? Select all that apply. ​

Gestures Eye contact Sounds Personal space​ Appearance​

What are the characteristics of a therapeutic nurse-client relationship? Select all that apply.​

Goal-directed Purposeful Boundaries

Steps of the Nursing Process: Research the custom, talk to a Muslim woman about it, and understand the value women have about it.

Implementation

According to the video on health literacy (Blue Cross Blue Shield of Michigan, 2021), what are the consequences of low health literacy? Select all that apply.

Increased incidence of chronic conditions​ Increased emergency room visits​ Poor self-care

Which part of Provision 9 of the American Nurses Association (ANA) Code of Ethics is Amelia displaying through her actions?​

Integrating social justice​

When educating a patient on diabetes type 2, what are important factors to consider related to their health literacy? Select all that apply.

Level of education completed​ Socioeconomic status​ Primary language spoken​ Age​

The nurse works with clients to improve substandard housing. ​

Midstream factors

A father and his two children are experiencing homelessness. Which statement best describes the effects of homelessness on children? Select all that apply.​

More cavities and dental problems​ Higher incidence of asthma​ Lack of recommended immunizations​

A client recently purchased a home in an older neighborhood where lead paint was used. The client has two young children. The client decides to take the children to a local community clinic's lead screening program. Which Healthy People 2030 domain to mitigate social determinants of health is this clinic addressing?​

Neighborhood and built environment

Which outcome would indicate that Carmen's efforts to reduce health disparities have been effective?

No clients are treated for frostbite in the Emergency Department in the past three months

Justin and Jacob are a married couple with no biological children. They have two dogs. ​What family form is represented?​

Nuclear

Which are appropriate to share with the client? Select all that a

Observations Humor Information Hope Empathy

What is the most important characteristic of small group communication? ​

Organized and concise

Developing a value system by identifying and organizing values according to their worth

Organizing

Using existing psychomotor skills to create new movement patterns and perform them as needed in response to a particular situation or problem​

Origination

Steps of the Nursing Process: Understand the reasons for this cultural dress, accept it, and feel comfortable so that my care is not affected.

Planning

Adverse childhood events (ACEs) can have a significant impact on future health. What are the adverse effects of ACEs? Select all that apply.

Problem avoidance​ Decreased self-esteem​ Poor self-control Pessimistic thinking​

A healthcare professional is providing health education to an Asian client who is newly diagnosed with diabetes mellitus. The educator notes that the client is nodding yes to everything that is being said. Based on an understanding of cultural attributes in Asian Americans, how should the professional respond?

Prompt further to elicit additional questions or concerns

A healthcare professional is providing care for a culturally diverse population. Which action indicates the professional is successful in the role of providing culturally competent care?​

Provides care that fits the client's valued life patterns and set of meanings

Which of the following are domains of learning? Select all that apply. ​

Psychomotor​ Affective​ Cognitive​

Phase(s) of the Clinical Judgment Measurement Model: Newly arrived in this country; all in extended family smoked; has many stories of family who have died from respiratory illnesses; says that he does not understand how smoking can make one ill; physical assessment indicates clubbing of fingers, wheezing, and shortness of breath walking up one flight of stairs.

Recognize and Analyze Cues

Requires active participation through listening and reacting verbally and nonverbally

Responding

Xavier Jones is talking with a family whose grandfather has just passed away. While answering questions and providing information, Xavier shares a story about his experience of losing his grandmother last year. What communication technique is Xavier using?​

Self-disclosure​

After leaving the room, Jared expresses frustration to his supervisor and mentions how difficult it is to care for clients who do not speak English. Jared states, "Older Asian adults believe they must be stoic about pain and refuse to talk about mental health problems. Mr. Liu wouldn't even let home health help him." Which of the following is Jared displaying?​

Stereotyping​

adverse childhood events are potentially _____________ events occurring during _________________ that can affect ___________development and how the body responds to___________.

TRAMATIC, childhood, brain, stress. ​

What is the purpose of active listening?​

To convey trust and respect to the client

Jared decides to try again and uses the 4 Cs to begin a new conversation with Mr. Liu. Which questions should Jared ask? Select all that apply. ​

What are your concerns about the problem?​ How do you cope with the problem?​ What do you call the problem you are having?​ What do you think caused the problem?​

ted and Rhonda are a married couple. Ted has three children from a previous relationship that are grown and living independently, while Rhonda's son still lives at home. Ted recently suffered a stroke and has been hospitalized. Last week, he came home but still requires a lot of home care. ​ What family form is represented?​

blended

Motivation and willingness to learn from others. Be open-minded to learn about cultural differences. Accept learning about others as part of your professional nursing role.

cultural encounter

The nurse works with the local health department to increase the availability of allergy and asthma treatments for high-risk populations.​

downstream factors

Social determinants of health (SDOH) represent ________________ preventable differences that impact health. Health disparities are external factors __________________ that impact a person's ability to achieve health.

external factors, preventable differences.

"If I were you, I would take a leave of absence from work."

giving advice

The content or main idea of what the client said is repeated by the nurse, allowing the client to continue or correct perceptions. Which communication technique is demonstrated by the nurse?

validation

A single parent becomes ill with colon cancer. The adolescent son steps in as primary caregiver to the younger siblings. ​

​ Resiliency