NR222 Exam 2

STAGES OF THE FAMILY LIFE CYCLE: Family with young children

*Accepting new generation of members into system *Adjusting marital system to make room for children, taking on parental roles, realigning extended family relationships (grandparent roles)

STAGES OF THE FAMILY LIFE CYCLE: Unattached Young Adult

*Accepting parent-offspring separation *Developing peer relationships & establishing self in work

STAGES OF THE FAMILY LIFE CYCLE: Family later in life

*Accepting shifting of generational roles *Maintaining interests in the face of physical decline, dealing with retirement, dealing with death

STAGES OF THE FAMILY LIFE CYCLE: Joining of families through marriage

*Committing to new system *Forming marital system & realigning relationships with extended families to include spouse

STAGES OF THE FAMILY LIFE CYCLE: Family with adolescents

*Increasing flexibility of family boundaries *Shifting parent-childrelationships, refocusing on midlife and career issues, and beginning shift towards concern for older generation

STAGES OF THE FAMILY LIFE CYCLE: Family with young adults

*Launching children and moving on *Adjusting to reduction in family size, developing adult-adult relationships with children, dealing with death of parents

STAGES OF THE FAMILY LIFE CYCLE: Family without children

*Maintaining flexibility *Refocusing on career issues and opportunities, refocusing on partner/marriage issues, and redefining recreational activities

which statement made by a new graduate nurse about the teach back technique requires intervention and further instruction by the nurses preceptor? 1. "After teaching a patient how to use an inhaler, I need to use the teach back technique to test my patience understanding". 2. "the teach back technique is an ongoing process of asking patients for feedback". 3. "using teach back will help me identify explanations and communication strategies that my patients will most commonly understand". 4. "using pictures, drawings, Ann models can enhance the affectedness of the teach back technique".

1. "After teaching a patient how to use an inhaler, I need to use the teach back technique to test my patience understanding".

which of the following changes can help create a more inclusive environment for lesbian, gay, bisexual, and transgender patience? (Select all that apply.) 1. Explicitly including sexual orientation and gender identity and to nondiscrimination policies. 2. displaying art that reflects LGBT community 3. modifying healthcare forms to provide opportunities for gender identity and sexual orientation disclosure 4. not asking patients about their gender identity and sexual orientation to avoid making them uncomfortable 5. ensuring access to unisex or single stall bathrooms.

1. Explicitly including sexual orientation and gender identity and to nondiscrimination policies. 2. displaying art that reflects LGBT community 3. modifying healthcare forms to provide opportunities for gender 5. ensuring access to unisex or single stall bathrooms.

during a visit to a family clinic, a nurse teaches a mother about immunization, car seat use, and home safety for an infant and toddler. Which type of nursing interventions are these? 1. Health promotion activities 2. acute care activities 3. restorative care activities 4. growth and development care activities

1. Health promotion activities

a nurse needs to teach a young woman newly diagnosed with asthma how to manage her disease. Which of the following topics does the nurse Teach First? 1. How to use an inhaler during an asthma attack 2. the need to avoid people who smoke to prevent asthma attacks 3. where to purchase a medical alert bracelet that says she has asthma 4. the important of maintaining a healthy diet and exercising regularly

1. How to use an inhaler during an asthma attack

a new nurse complaint to her preceptor that she has no time for therapeutic communication with her patience. Which of the following is the best strategy to help the nurse find more time for this communication? 1. Include communication while performing tasks such as changing dressings and checking vital signs. 2. Ask the patient if you can talk during the last few minutes of visiting hours 3. ask pastoral care to come back a little later in the day 4. remind the nurse to complete all her task and then set up remaining time for communication

1. Include communication while performing tasks such as changing dressings and checking vital signs.

Which of the following are behaviors of active listening? (Select all that apply) 1. Maintaining an open posture 2. writing down what the client says so that details are not forgotten 3. establishing and maintaining eye contact 4. nodding in agreement with the client throughout the conversation 5. responding positively when giving feedback

1. Maintaining an open posture 3. establishing and maintaining eye contact 5. responding positively when giving feedback

and patient with chest pain is having an emergency cardiac catheterization. Which teaching approach does the nurse use in this situation? 1. Telling approach 2. selling approach 3. interesting approach 4. participating approach

1. Telling approach

a nurse has been gathering physical assessment data on a patient Ann is now listening to the patients concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment decisions. This is an example of the nurse engaged in which phase of the nurse patient relationship? 1. Working phase 2. Preinteraction phase 3. Termination phase 4. orientation phase

1. Working phase

Which of the following are considered social determinants of health? (Select all that apply.) 1. lack of Primary Health care providers in a zip code. 2. poor-quality public-school education that prevents a person from developing adequate reading skills. 3. lack of affordable health insurance 4. employment opportunities that do not provide paid vacation or sick leave 5. number of times a person exercises during a week 6. neighborhood safety that prevents a person from walking around the block or socializing with neighbors outside of his or her home.

1. lack of Primary Health care providers in a zip code. 2. poor-quality public-school education that prevents a person from developing adequate reading skills. 3. lack of affordable health insurance 4. employment opportunities that do not provide paid vacation or sick leave 6. neighborhood safety that prevents a person from walking around the block or socializing with neighbors outside of his or her home.

which of the following are examples of problems with the health care system that contribute to health disparities? (Select all that apply.) 1. a health care provider assumes that the patient missed two appointments because the patient does not care about his or her health and does not inquire about the reasons for missed visits. 2. The discharge nurse at a hospital uses teach back with a patient to ensure that she has communicated the discharge instructions clearly. 3. a Community Hospital lacks an adequate staff of social workers who are able to ensure patients access to resources that need to take care of their health. 4. a hospital discharges a patient without ensuring that the patient has a primary care provider and has made a follow up appointment. 5. a nurse uses a family member as an interpreter to explain the patient's medications. 6. Hospital conducts quality improvement without stratifying data by race, ethnicity, language, social economic status, sexual orientation, and other axes of social group identity's.

1. a health care provider assumes that the patient missed two appointments because the patient does not care about his or her health and does not inquire about the reasons for missed visits. 3. a Community Hospital lacks an adequate staff of social workers who are able to ensure patients access to resources that need to take care of their health. 4. a hospital discharges a patient without ensuring that the patient has a primary care provider and has made a follow up appointment. 5. a nurse uses a family member as an interpreter to explain the patient's medications. 6. Hospital conducts quality improvement without stratifying data by race, ethnicity, language, social economic status, sexual orientation, and other axes of social group identity's.

When working with an older adult who is hearing impaired, the use of which technique would improve communication? (Select all that apply) 1. check for needed adaptive equipment 2. exaggerate lip movements help the patient lip read 3. give the patient time to respond to the questions 4. keep communication short and to the point communicate only through written information

1. check for needed adaptive equipment 3. give the patient time to respond to the questions 4. keep communication short and to the point communicate only through written information

which strategies should in nurse use to facilitate a safe transition of care during a patients transfer from the hospital to a skilled nursing facility? (Select all that apply) 1. collaboration between staff members from sending and receiving departments 2. requiring that the patient visit the facility before a transfer is arranged 3. using a standardized transfer policy and transfer tool 4. arranging all patient transfers during the same time each day 5. relying on family members to share information with the new facility

1. collaboration between staff members from sending and receiving departments 3. using a standardized transfer policy and transfer tool

a family has decided to care for a grandparent with terminal cancer and the daughters home. Family caregiving is new to the family. When helping this family as they began to plan for their caregiving roles, what are the two top priority assessments to best learn about family functioning? (Select all that apply) 1. communication 2. decision making 3. development 4. economic status 5. family structure

1. communication 2. decision making

a new immigrant family consisting of a grandparent, 2 adults, an 3 school age children has decided to receive their health promotion care at the community Wellness Center. This is their first visit, and a family assessment, a health history, and a physical of each family member are needed. Which of the following are included in a family function assessment? (Select all that apply) 1. cultural practices 2. decision making 3. neighborhood services 4. rituals and celebrations 5. neighborhood crime data 6. availability of parks

1. cultural practices 2. decision making 4. rituals and celebrations

you are caring for a family that consists of a father and three year old boy who has well managed asthma but misses care infrequently. they live in state supported housing. The father is in school studying to be an information technology professional. His income and time are limited, and he admits to going to fast food restaurants frequently for dinner. However, he and his son spend a lot of time together. The family receives state supported health care for his son, but he does not have health insurance or a personal physician. He has his son enrolled in a government-assisted day care program. Which of the following are risks to this families level of health? (Select all that apply.) 1. economic status 2. chronic illness 3. underinsured 4. government-assisted daycare 5. frequency of fast food dinners 6. state-supported housing

1. economic status 3. underinsured 5. frequency of fast food dinners

which of the following are possible outcomes with clear family communication? (Select all that apply) 1. family goals 2. increase socialization 3. decision making 4. methods of discipline 5. improved education 6. impaired coping

1. family goals 3. decision making 4. methods of discipline

a family is facing job loss of the father, who is the major wage earner, and relocation to a new city where there is a new job. The children will have to switch schools, and his wife will have to resign from the job she likes. Which of the following contribute to this families hardiness? (select all that apply) 1. family meetings 2. established family roles 3. new neighborhood 4. willingness to change in time of stress 5. passive orientation to life

1. family meetings 2. established family roles 4. willingness to change in time of stress

Motivational interviewing (MI) is a technique that applies understanding a patient's values and goals and helping the patient make behavior changes. What are other benefits of using MI techniques? (Select all that apply) 1. gaining an understanding of patient's motivations 2. focusing on opportunities to avoid poor health choices 3. Recognizing patients strengths and supporting their efforts 4. providing assessment data that can be shared with families to promote change 5. identifying differences in patients health goals and current behaviors

1. gaining an understanding of patient's motivations 3. Recognizing patients strengths and supporting their efforts 5. identifying differences in patients health goals and current behaviors

When providing care to patients with varied cultural backgrounds, it is imperative for the nurse to recognize that: 1. cultural considerations must be put aside if basic needs are in jeopardy 2. generalizations about the behavior of a particular group may be inaccurate 3. current health standards should determine the acceptability of cultural practices 4. similar reactions to stress will occur when individuals have the same cultural background

2. generalizations about the behavior of a particular group may be inaccurate

a patient is admitted through the emergency department after a serious car accident. The nurse assesses the patient and quickly learns that he speaks little English. Spanish is his primary language. The nurse speaks some Spanish. Which interventions would be appropriate at this time? (Select all that apply.) 1. nurse request a professional interpreter. 2. since this is an emergent situation, the nurse will interpret and identify the patient's priority needs. 3. the nurse determines the interpreter's qualifications and make sure that the interpreter can speak the patients dialect. 4. The nurse uses short sentences to explain the treatment provided in the ED. 5. the nurse directs questions to the patient by looking at the patient instead of the interpreter.

1. nurse request a professional interpreter. 3. the nurse determines the interpreter's qualifications and make sure that the interpreter can speak the patients dialect. 4. The nurse uses short sentences to explain the treatment provided in the ED. 5. the nurse directs questions to the patient by looking at the patient instead of the interpreter.

How can a nurse work on developing cultural awareness? (Select all that apply) 1. reflect on his or her past learning about health, illness, race, gender, and sexual orientation 2. develop greater self-knowledge about personal biases 3. recognize consciously the multiple factors that influence his or her own worldview 4. engage in an in-depth self-examination of his or her own background 5. learn as many facts as possible about an ethnic group

1. reflect on his or her past learning about health, illness, race, gender, and sexual orientation 2. develop greater self-knowledge about personal biases 3. recognize consciously the multiple factors that influence his or her own worldview 4. engage in an in-depth self-examination of his or her own background

A family is undergoing a major change period just as twins graduate from college and leave home to begin their careers, the husband loses his executive well paying job. Because the family had two children in college at the same time, they did not save for retirement. They planned to save aggressively after the children left college. In this situation, which of the following demonstrate family resilience? (Select all that apply) 1. resuming full time work when spouse loses job 2. increasing problems among siblings 3. developing hobbies when children leave home 4. placing blame on family members 5. expecting children to help financially 6. consulting a financial planner

1. resuming full time work when spouse loses job 3. developing hobbies when children leave home 6. consulting a financial planner

when planning for instruction on cardiac diets to a patient with heart failure, which of the following instructional methods would be the most appropriate for someone identified as a visual/spatial learner? 1. Printed pamphlets on cardiovascular disease and dietary recommendations from the American Heart Association 2. a role play activity requiring the patient to select proper foods from a wide selection 3. colored visual diagrams that categorize foods according to fat and sodium content 4. a lecture style discussion on heart healthy diet options

3. colored visual diagrams that categorize foods according to fat and sodium content

a patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion her illness and post-operative orders. What is the nurses best plan in teaching this patient? 1. Teach the patients spouse 2. focus on knowledge patient will need in a few weeks 3. provide only the information that the patient needs to go home 4. convince the patient that learning about her health is necessary

3. provide only the information that the patient needs to go home

when a nurse is teaching a patient about how to administer an epinephrine injection in case of a severe allergic reaction, the nurse tells the patient to hold the injection like a dart. Which of the following instructional methods did the nurse use? 1. Telling 2. Analogy 3. Demonstration Simulation

2. Analogy

a patient who is hospitalized has just been diagnosed with diabetes. he is going to need to learn how to give himself injections. Which teaching method does the nurse use? 1. Simulation 2. Demonstration 3. group instruction 4. one on one discussion

2. Demonstration

when you care for a patient who does not speak English, it is necessary to call a professional interpreter. Which of the following are proper principles for working with interpreters? (Select all that apply) 1. expect the interpreter to interpret your statements word for word so there is no misunderstanding by the patient. 2. If you feel an interpretation is not correct, stop and address the situation directly with the interpreter 3. face a conversation so there is time for the patient's response to be interpreted. 4. direct your question to the interpreter. 5. ask the patient for feedback and clarification at regular intervals.

2. If you feel an interpretation is not correct, stop and address the situation directly with the interpreter 3. face a conversation so there is time for the patient's response to be interpreted. 5. ask the patient for feedback and clarification at regular intervals

a nurse is planning a teaching session about health nutrition with a group of children who are in first grade. The nurse determines that after the teaching session the children will be able to name three examples of foods that are fruits. This is an example of: 1. a teaching plan 2. a learning objective 3. reinforcement of content 4. enhancing the children's self-efficacy

2. a learning objective

To be effective in meeting various ethnic needs, the nurse should: 1. treat all patients alike 2. be aware of patients cultural differences 3. act as if he or she is comfortable with the patient's behavior because 4. avoid asking questions about the patients cultural background

2. be aware of patients cultural differences

patient needs to learn how to administer a subcutaneous injection. Which of the following reflects that the patient is ready to learn? 1. Describing difficulties a family member has had in taking insulin 2. expressing the importance of learning the skill correctly 3. being able to see and understand the markings on the syringe 4. having the dexterity needed to prepare and inject the medication

2. expressing the importance of learning the skill correctly

a Hospice nurse is caring for a family that is providing end of life care for their grandmother, who has terminal breast cancer. When the nurse visits, the focus is on symptom management for the grandmother and helping the family with coping skills. This approach is an example of which of the following? 1. Family as context 2. family as patient 3. family as system family as structure

2. family as patient

nurse is organizing a disease prevention program for a specific cultural group. To affectively meet the needs of this group the nurse will: (select all that apply) 1. assess the needs of the community in general 2. involve those affected by the problem in the planning process 3. Developed generalized goals and objectives for the program 4. use educational materials that are simplistic and have many pictures 5. assess commonly held health beliefs among the cultural group 6. educate the specific cultural group about western concepts of health and illness 7. include cultural practices that are relevant to the specific community

2. involve those affected by the problem in the planning process 5. assess commonly held health beliefs among the cultural group 7. include cultural practices that are relevant to the specific community

what is the most common reason for calling on grandparents to raise their grandchildren? 1. Single parenthood 2. legal interventions 3. dual-income families 4. increased divorce rate

2. legal interventions

in the United states, there has never been a president of Asian or Hispanic culture. This is an example of: 1. social inequality 2. marginalization 3. under inclusion 4. social location

2. marginalization

a nurse is talking with a young adult patient about the purpose of a new medication. The nurse says "I want to be clear. Can you tell me in your words the purpose of this medication?" This exchange is an example of which element of the transactional communication process? 1. Message 2. obtaining feedback 3. channel 4. referent

2. obtaining feedback

The nurse eases silent as a therapeutic communication technique what is the purpose of the nurses silence? (Select all that apply) 1. prevent the nurse from saying the wrong thing 2. prompt the patient to talk when he or she is ready 3. allow the patient time to think and gain insight 4. allow time for the patient to drift off to sleep 5. determine if the patient would prefer to talk with another staff member

2. prompt the patient to talk when he or she is ready 3. allow the patient time to think and gain insight

a family has decided to care for their father who is in the last stages of a debilitating neurological illness. Although he is alert, he cannot speak clearly or carry out self -care activities; he indicates that he wants to remain involved in family life as long as possible Ann loves spending time with his wife and two teenage children. Which best defines family caregiving? (Select all that apply) 1. designing a nurturing family to raise children 2. providing physical and emotional care for a family member 3. establishing a safe physical environment for a family 4. monitoring for side effects of illness and treatments 5. reducing the use of community resources

2. providing physical and emotional care for a family member 3. establishing a safe physical environment for a family 4. monitoring for side effects of illness and treatments

nurses must communicate effectively with the health care team for which of the following reasons? (Select all that apply) 1. improve the nurses status with the health team members 2. reduce the risk of errors to the patient 3. provide optimum level of patient care 4. improve patient outcomes 5. prevent issues that need to be reported to outside agencies

2. reduce the risk of errors to the patient 3. provide optimum level of patient care 4. improve patient outcomes

nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (Select all that apply) 1. when there are visitors in the room 2. when the patient states that he or she is pain free 3. just before lunch when the patient is most awake and alert 4. when the patient is talking about current stressors in his or her life 5. when the patient is being transported for a procedure

2. when the patient states that he or she is pain free 3. just before lunch when the patient is most awake and alert

a new nurse is experiencing lateral violence at work. Which steps could the nurse take to address this problem? 1. Challenge the nurses in a public forum to embarrass them and change their behavior 2. talk with the department secretary and ask if this has been a problem for other nurses 3. talk with the preceptor or manager an ask for assistance in handling the issue 4. say nothing and hope things get better

3. talk with the preceptor or manager an ask for assistance in handling the issue

a patient is evaluated in the emergency department after causing an automobile accident while being under the influence of alcohol. While assessing the patient, which statement would be the most therapeutic? 1. "Why did you drive after you had been drinking?" 2. "We have multiple patients to see tonight as a result of this accident". 3. "tell me what happened before, during, and after the automobile accident tonight". 4. "it will be OK. No one was seriously hurt in the accident".

3. "tell me what happened before, during, and after the automobile accident tonight".

during an encounter with an elderly patient, the nurse recognizes that a thorough cultural assessment is necessary because the patient has recently come to the United states from Russia and has never been hospitalized before. The nurse wants to discuss cultural similarities between herself and the patient. Which step of the learn mnemonic is this? 1. Listen 2. Explain 3. Acknowledge 4. recommend treatment 5. negotiate agreement

3. Acknowledge

The Collins family includes a mother; Stepfather, two teenagers biological daughters of the mother; And a 25 year old biological daughter of the father. The father's daughter just moved home following the loss of her job in another city. The family is converting a study into Stacy's bedroom and in the process of distributing household chores. When you talk to members of the family, they all think that their family can adjust to lifestyle changes. This is an example of family: 1. Diversity 2. Durability 3. Resiliency 4. Configuration

3. Resiliency

a patient who is Spanish speaking does not appear to understand the nurse's information on wound care period which action should the nurse take? 1. Arrange for a Spanish-speaking social worker to explain the procedure 2. Ask a fellow Spanish-speaking patient to help explain the procedure 3. Use a professional interpreter to provide wound care education in Spanish 4. Ask the patient to write down question that he or she has for the nurse.

3. Use a professional interpreter to provide wound care education in Spanish

which of the following family assessments are most important for successful family caregiving? (Select all that apply) 1. educational level of family members 2. cultural food preferences 3. collaboration between family members 4. social support 5. conflict resolution practices

3. collaboration between family members 4. social support 5. conflict resolution practices

a new nurse is caring for a hospitalized obese patient who is homeless. This is the first time the patient has been admitted to the hospital, and the patient is scheduled for surgery. Which of the following is a universal skill that will help the nurse work affectively with this patient? 1. The nurse shifts her focus to understanding the patient by asking her, "describe for me the course of your illness". 2. the nurse tells the patient, "your choices of foods and unwillingness to exercise are adding to your health problems". 3. the nurse asked the patient, "tell me about the main problems you have had with your health from not having a home". 4. the nurse explains, "because you have obesity it is important to know the effects it has on wound healing because of reduced tissue profusion".

3. the nurse asked the patient, "tell me about the main problems you have had with your health from not having a home".

nurse has worked in a home health agency for a number of years period she goes to visit a patient who has diabetes and who lives in a public housing facility. This is the first time the nurse has cared for the patient. The patient has four other family members who live with her in the one bedroom apartment. Which of the following is an example of cultural awareness. 1. The nurse begins a discussion with the patient by asking, "tell me about your family members who live with you?" 2. nurse asks, "what do you believe is needed to make you feel better?" 3. the nurse silently reflects about how her biases regarding poverty can influence how she assesses the patient. 4. the nurse uses a therapeutic and caring approach to how she interacts with the patient.

3. the nurse silently reflects about how her biases regarding poverty can influence how she assesses the patient.

a nursing student is reviewing a process recording with the instructor. The student engaged the patient in a discussion about availability of family members to provide support at home once the patient is discharged. The student reviews with the instructor whether the comments used encouraged openness and allowed the patient to "tell his story". this is an example of which step of the nursing process? 1. Planning 2. Assessment 3. Intervention 4. Evaluation

4. Evaluation

a nurse is preparing to perform a cultural assessment of a patient. Which of the following questions is an example of a contrast question? 1. Tell me about your ethnic background. 2. Have you had this problem in the past? 3. Where do other members of your family live? 4. How different is this problem from the one you had previously?

4. How different is this problem from the one you had previously?

A nurse is assigned to care for a patient for the first time and states, "I don't know a lot about your culture and want to learn how to better meet your healthcare needs." which therapeutic communication technique did the nurse use in this situation? 1. Validation 2. Empathy 3. Sarcasm 4. Humility

4. Humility

and the older adult is being started on a new anti-hypertensive medication. In teaching the patient about the medication, the nurse: 1. speaks loudly 2. presents the information once 3. expects the patient to understand the information quickly 4. allows the patient time to express himself or herself and ask questions

4. allows the patient time to express himself or herself and ask questions

Two single mothers are active professionals and have teenage daughters. They also have busy social lives and date occasionally. Three years ago they decided to share a house in housing costs, living expenses, and child care responsibilities. The children consider one another as their family. What type of family form does this represent? 1. Diverse family relationship 2. blended family relationships 3. extended family relationships 4. alternative family relationships

4. alternative family relationships

1- which of the following most greatly affects our families access to adequate health care, opportunity for education, and sound nutrition? 1. Development 2. family function 3. family structure 4. economic stability

4. economic stability

interviewing the family as context, what is the primary focus? 1. Family members within a system 2. family process and relationships 3. family relational and transactional concepts 4. health needs of an individual member

4. health needs of an individual member

a nurse is teaching a group of young college age women the importance of using sunscreen when going out in the sun. Which type of content is the nurse providing? 1. Simulation 2. restoring health 3. coping with impaired functions 4. health promotion in illness prevention

4. health promotion in illness prevention

A patient needs to learn to use a Walker. Which domain is required for learning this skill? 1. Affective domain 2. cognitive domain 3. attentional domain 4. psychomotor domain

4. psychomotor domain

Cultural Vocabulary: Race

A categorization of people based on physical properties and biological heredity

Define health disparity

A particular type of health difference that is closely linked with social, economic, and or environmental disadvantage

What does AIDET communication tool stand for?

A- Acknowledge I- Introduce D- Duration E- Explanation T- Thank you

Family resiliency

Ability to cope with expected and unexpected stressors

Cultural Vocabulary: Acculturation

Adapting to and adopting a new culture

Cultural Vocabulary: Ethnicity

Allows people to identify with groupings of people based on commonalities (language, history, nation/region of origin, customs, religion, physical appearance, ancestry, etc.)

a nurse is teaching a 27-year-old gentleman how to adjust his insulin dosages on the basis of his blood sugar results. This type of activity addresses learning in the cognitive domain at the level of ___________.

Application

Cultural Vocabulary: Value

Beliefs about the worth of something that influence behavior and thinking

What does communication technique C-LARA stand for

C- Calm yourself down L- Listen to the patients and families perspective A- Affirm, the patient R- Respond to what was said A- Add additional

During a visit to a family clinic, a nurse teaches a mother about immunizations, car-seat use, and home safety for an infant and toddler. Which type of nursing interventions are these? A. Acute care activities B. Restorative care activities C. Health promotion activities D. Growth and development care activities

C. Health promotion activities

Two single mothers are active professionals and have teenage daughters. They also have busy social lives and date occasionally. Three years ago they decided to share a house and housing costs, living expenses, and child care responsibilities. The children consider one another as their family. What type of family form does this represent? A. Nuclear family relationship B. Blended family relationships C. Extended family relationship D. Alternative family relationship

D. Alternative family relationship

What are health care disparities?

Differences among populations in the availability, excess ability, and quality of health care services aimed at prevention, treatment, and management of diseases and their complications.

Cultural Vocabulary: Health Disparities

Difficulties to achieve optimal health experienced by disadvantaged populations

Cultural Vocabulary: Transcultural Nursing

Discipline that seeks to understand similarities and differences among groups of people

What does communication technique ETHNIC stand for

E- Explanation- patient explains their perception of problem T- Treatment- which types of treatments have the patient tried for the problem? H- Healers - has the patient sought at vice from alternative health practitioners? N- Negotiate - try to find an option that is mutually acceptable I- Intervention- agree on an appropriate intervention C- Collaborate - include patient, family members, and other health care professionals and healing

Core measures are:

Key quality indicators that help health care institutions improve performance, increase accountability, and reduce costs

What does the communication technique LEARN stand for

L- Listen E- Explain A- Acknowledge R- Recommend N- Negotiate

What is Metacommunication?

Involves reading between the lines

Nuclear Family

Mother, father and children living as a unit

Cultural Vocabulary: Cultural Competency

Nurse strives to achieve ability to work effectively with communities, families & individuals

Cultural Vocabulary: Ethnocentrism

Practice of viewing other ways as inferior, unnatural or wrong

What does the communication technique RESPECT stand for

R- Rapport E- Empathy S- Support P- Partnership E- Explanations C- Cultural Competence T- Trust

1- A nurse prepares to contact a patient's physician about a change in the patient's condition. Put the following statements in the correct order using SBAR (Situation, Background, Assessment, and Recommendation) communication. 1. "She is a 35 year old female who was admitted two days ago with pneumonia and was started on Levaquin at 5:00 PM yesterday she complains of a poor appetite". 2. "patient reported feeling very nauseated after her dose of Levaquin an hour ago" 3. "would you like to make a change in antibiotics, or could we give her a nutritional supplement before her medication?" 4. "patient started complaining of nausea yesterday evening and has vomited several times during the night"

S- 4. "patient started complaining of nausea yesterday evening and has vomited several times during the night" B- 1. "She is a 35 year old female who was admitted two days ago with pneumonia and was started on Levaquin at 5:00 PM yesterday she complains of a poor appetite". A- 2. "patient reported feeling very nauseated after her dose of Levaquin an hour ago" R- 3. "would you like to make a change in antibiotics, or could we give her a nutritional supplement before her medication?"

Social determinants of health are:

The conditions in which people are born, grow, live, work, and age shaped by money, power and resources at global, national, and local levels

Cultural Vocabulary: Culture

Shaped by the values, beliefs, norms and practices shared by the members of the same group

Family durability

System of support and structure within a family that extends beyond the walls of the household

the _____ is a closed loop communication technique used to evaluate patient understanding and retention of material

Teach Back method

Cultural Vocabulary: Health Equality

The accomplishment of the highest level of health for all people

Alternative Family

Two or more people who live together as a family yet who are not related by blood, marriage, or adoption

Family diversity

Uniqueness of each family unit

Single-Parent Family

a family in which only one parent is present to care for the children

Extended Family

a family that extends beyond the nuclear family, including grandparents, aunts, uncles, and other relatives, who all live nearby or in one household.

Blended Family

a family whose members were once part of other families

The nurse is organizing a disease prevention program for a specific cultural group. To effectively meet the needs of this group the nurse will: Select all that apply. a. Assess the needs of the community in general. b. Involve those affected by the problem in the planning process. c. Develop generalized goals and objectives for the program. d. Use educational materials that are simplistic and have many pictures. e. Assess commonly held health beliefs among the cultural group f. Educate the specific cultural group about Western concepts of health and illness. g. Include cultural practices that are relevant to the specific community.

b. Involve those affected by the problem in the planning process. e. Assess commonly held health beliefs among the cultural group g. Include cultural practices that are relevant to the specific community.

A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse's best plan in teaching this patient? a. Teach the patient's spouse b. Focus on knowledge the patient will need in a few weeks c. Provide only the information that the patient needs to go home d. Convince the patient that learning about her health is necessary

c. Provide only the information that the patient needs to go home

Cultural competence refers to:

developmental process that evolves overtime and relation to level of awareness, knowledge, and skills

Linguistic competence is:

the ability of an organization and its staff to communicate effectively and convey information in a manner that is easily understood by diverse audiences