Caring And Diversity Flashcards

(59 cards)

1
Q

Texas Administrative Code Title 22 examining board

A

Provide without discrimination, nursing services regardless of age, disability, economic, status gender, national origin, race, religion, health problems, or sexual orientation of the client served.

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2
Q

ANA Code of Ethics for Nurses

A

The nurse in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social economic status, personal attributes or the nature of health problems.

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3
Q

Spirituality

A

Complex concept that is unique to each individual and is dependent upon a persons culture, development, life experiences, beliefs, and ideas of life

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4
Q

Spiritual wellness

A

Aware of one’s inner self
Connection to a higher being nature
Values
Highly individualized

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5
Q

Spiritual Wellness Attributes

A

Harmony
Purpose
Self acceptance
Clear values
Positive outlook
Peacbalance
Growth

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6
Q

Spiritual Wellness

A

Positive effect on health
Enhanced quality of life
Accept hardships and even mortality

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7
Q

Types of spirituality

A

Religious
Non- religious

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8
Q

Spirituality and Health

A

■Reduce stress
■Improve health outcomes with chronic condition
■Helps with pain management
■Comfort for the dying and bereaving
■Enhances recovery from illness and surgery

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9
Q

Spirituality and healing process

A

Enhances comfort
Provides inner peace
Healps patient come to terms with disability and death

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10
Q

Spirituality and Relationships
Aspects of relationship that affect spirituality

A

Love
Trust
Hurt
Mistrust
Communication

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11
Q

Spiritual Distress

A

The state in which the individual experiences or is at risk for experiencing disturbance in his belief system that is the source of his strength and hope

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12
Q

Spiritual Distress Characteristics

A

●Concern with the meaning of life
●Concern about belief syste
●Anger toward God/religous representatives
●No longer participates in religious practices
● Concern about his/her relationships with God
●Questioning meaning of own existence
●Felts guilts, shame, remorse
●Feels helpsless and hopeless
●Seek spiritual assistance
●Demonstrate gallows humor
●Suffers from sleep disturbances
● Alterations in mood and behavior

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13
Q

Spiritual Assessment

A

● Faith/Belief
●Life and self responsibility
●Connectedness to God
●Life satisfaction
●Culture
●Fellowship and Community
●Ritual and Practice
●Vocation

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14
Q

Nurse Care
Nurse patient relationships

A

Compassionate Presence
Active listening to fears, hopes, dreams, and pain
Respect
Freedom of choice
No judgement
Use support systems
Diet
Prayer meditation

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15
Q

Nursing Action

A

●Offer to contact the pastoral care department
●Plan activities to promote healing body, mind, and spirit
●Offer to teach relaxation, guided imagery, and meditation techniques

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16
Q

Religion

A

Organized beliefs and worship
State of doing

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17
Q

Agnostic

A

A person who believes that nothing is known or can be known of the existence or nature of God of anything beyond material phenomena.

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18
Q

Atheist

A

A person that says God is not real
Who disbelieves or lacks belief in the existence of God or Gods and ultimate reality.

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19
Q

Roman Catholism

A

May desire a eucharist or mass daily
You know these lol 😆

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20
Q

Mormonism/Church of Latter Day Saints

A

Joseph Smith-prophet
Healthful living no tea, alcohol, coffee or tobacco
Believes in Jesus
Forgiveness of sins
Baptism for the newborn
Last rites
Communion

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21
Q

Jehovahs Witness

A

Do not celebrate birthdays or holidays
Refusal of blood products no blood in food
Does not believe in immediate after life
Jehovah is God no trinity

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22
Q

Mennonites

A

Christian
Pacifism
Many speak in low German or Spanish
Modest apparel for women
Caps indicates submission and headship order (God man , woman)

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23
Q

Islam Muslim

A

Many engage in prayer 3 to 5 times a day facing Mecca
Face, hands, feet are washed before prayer
Right hand used fir everything but elimination
No pork or alcohol
Gender concordant care
Modesty

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24
Q

Judaism

A

Kosher certified foods
Sabbath is from sunset Friday to sunset Saturday
Sabbath may not want to use a call light
Cremition is prohibited
Daily prayers are valued
Circumcision

25
Buddhism
No belief in personal creator Mindfulness and mental clarity Quite and peaceful environment Maybe vegetarian Prefer family to bathe, toileting, feed Suffering is part of life Karma
26
Hinduism
Reincarnation Personal hygiene important and must be daily Cremation common on day 2 after death Right hand for eating left hand for toiletiing Vegetarian Accept illness as part of life Elders have a strong influence on decision making
27
What is Diversity?
The unique variations between individuals informed by genetics and cultural background, refined by experience and personal choice.
28
Variations
Race Gender Sexual orientation Age Education Abilities/disabilities Life experiences Geographic Parental status Langauge Profession/occupation
29
What is culture?
Learned and shared beliefs involving ; knowledge, behaviors, ideas, attitudes, values, habits, work and lifestyle practices, traditions, languages, symbols, rituals, expressions of thoughts and emotions, ceremonies, and practices that are unique to a particular group of people.
30
Cultural Care By Leininger
Transcultural nursing as a comparative study of cultures to understand silimilarities and differences acrross human groups.
31
Cultural sensitivity
Is being aware of cultural similarities and differences of others without assigning them value based on similarities and differences.
32
Cultural competence
Recquires acquiring knowledge, skills, and attitudes to ensure delivery of culturally congruent care.
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Cultural awareness
Self exam of ones own bias
34
Cultural knowledge
Sound education based about diversity
35
Cultural skills
Gathering information through a cultural assessment and being aware of physical findings that are based on race and ethnicity.
36
Cultural encounters
Engage face to face
37
Cultural desire
Want to engage with diverse populations.
38
Cultural congruent care ANA standard 8
39
Barriers to Culturally Competent Care Bias
One sideness tendency to lean a certain way. Lack of impartiality
40
Barriers to Culturally Competent Care Prejudices
Negative attitudes towards others based on race gender sexual orientation
41
Barriers to Culturally Competent Care Ethnocentrism
Believing your way of living is superior than others. Cause biases and prejudices
42
Barriers to Culturally Competent Care Cultural Imposition
Use their own values and lifestyles and the absolute guide in dealing with patients.
43
Barriers to Culturally Competent Care Cultural Stereotypes
All people if certain racial or ethnic group are alike in certain aspects
44
Barriers to Culturally Competent Care Discrimination
Behavior manifestations of prejudices
45
Cultural and life transition
Pregnancy Childbirth Newborn Grief and lOss
46
Cultural Assessment
Family structure Communication patterns Foods with cultural significance Time orientation Space and Control
47
Ethnicity
A cultural groups shared identity such as values, languages, geographical space racial characteristics
48
Race
The grouping of people based on biological similarities and attributes
49
World view
Set of assumptions which guide how people perceive the world around them. Viewing the world through a lens which was created throughout our life Etic - outsider perspective Emic - insider perspective
50
Health Disparities
A health difference because of a social, economic or environmental disadvantage or part of marginalized groups (people of color, gay, lesbian, bisexual, transgender, physically or mentally challenged and people not college educated) Examples: Black males have a higher incidence of colorectal cancer than white males American Indian and Alaskian natives have a higher incidence of Diabetes Type 2 than whites.
51
What are Stress and Stressors?
Physical, emotional or psychological perceived demands that may lead to growth, personal development or a crisis. ●Stress is the result of an exposure to a stressor.
52
53
Selye’s General Adaptation Syndrome
Any event (stressor) that threatens an individual leads to a 3 stage response Alarm Resistance Exhaustion
54
Consequences of Stress Highly Variable
Type and number of stressors Anticipated stressor Perception of stressors Length of time that stressor occurs Type of coping mechanism implemented Resilience of individual/feelings of competence Previous experiences State of health Available resources
55
Assessment History
Medical General state of health Illnesses Surgeries Medications Treatments Use of alcohol, tobacco and/or drugs Changes in sleep, eating, sexual patterns
56
Signs and Symptoms of Stress
Cognitive Decreased concentration, comprehension, & memory Behavioral Irritability, withdrawal, violence Emotional Fear, anxiety, depression, fatigue Physiological Increased BP, HR, Respirations, etc Somatic symptoms Decreased immune response
57
What is coping?
Coping mechanisms are ways to which external or internal stress is managed, adapted to or acted upon. Susan Folkman and Richard Lazarus define coping as "constantly changing cognitive and behavioral efforts to manage specific external and/or internal demands that are appraised as taxing".
58
Key points of coping
Coping can apply to an individual, a family, or an entire community Coping occurs along a spectrum from effective/adaptive responses to ineffective/maladaptive responses Coping may be problem focused or emotion focused All individuals use coping mechanisms regardless of race, sex, or gender. Outcomes of coping range from resolution to acceptance
59
Spirituality (Person)
Connectedness Meaning of life Inner strength and peace Faith and hope Transcendence abd self transcendence.