Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Nsg 3120 > Final Week > Flashcards

Final Week Flashcards

(48 cards)

Start Studying
1
Q

What is Culture?

A

Shared beliefs, values, traditions and practices that influence a group’s thinking and behaviour

Cultural “norms” define what is normal or abnormal within a particular cultural construct.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are some barriers to mental health care?

A
  • Communication
  • Stigma
  • Misdiagnosis (i.e. culture-bound syndromes)
  • Genetic variations in pharmacodynamics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the components of Cultural Competence?

A
  • Cultural Awareness
  • Cultural Knowledge
  • Cultural Encounters
  • Cultural Skill
  • Cultural Desire
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define Cultural Awareness.

A

Examine own beliefs, values and practices
- three cultures intersect - nurse, patient, setting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Define Cultural Knowledge.

A

Learn by attending cultural events/programs and establishing relationships with diverse cultural groups

Helps nurses
- establish rapport
- ask culturally relevant questions
- identify cultural variables to consider

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the goal of Cultural Skill?

A

Mutually agreeable therapeutic plan that is
- culturally acceptable
- capable of producing positive outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is Cultural Safety?

A

Client-defined feeling of safety and respect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Who defines Cultural Safety?

A

Client

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the relationship between Cultural Humility and Cultural Safety?

A

Cultural humility is the path; cultural safety is the destination—defined by the client.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What factors influence beliefs and attitudes regarding mental health and illness?

A

Culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What percentage of Indigenous respondents reported avoiding mental health care due to past discrimination in a 2023 Canadian survey?

A

Over 60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are some mental health concerns of Indigenous Peoples?

A
  • Historical trauma
  • Colonization
  • Residential school system
  • National assimilation policies
  • Suicide
  • Interpersonal and structural violence
  • Substance use
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What mental health concerns do refugees face upon arrival in Canada?

A
  • immigrants from radicalized groups and refugees are at risk for deteriorating health soon after arrival

*Post-traumatic stress
* Anxiety and depression
* Increased risk of substance misuse
* Suicide in some second and third-generation immigrant groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the term used for the experience of individuals whose gender identity does not align with their sex assigned at birth?

A

Transgender

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Fill in the blank: _______ is the disturbance in planning, sequencing, organizing, and abstracting.

A

Cognitive impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the CURBSIDe acronym used for?

A

Assessing decision-making capacity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the symptoms of Delirium?

A
  • Sudden onset
  • Fluctuating course
  • Decreased consciousness, attention, cognition
  • Hallucinations
  • Incoherent speech
  • Involuntary motor activity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the characteristics of Dementia?

A
  • Chronic cognitive impairments, differentiated by underlying cause, not symptom patterns
  • Insidious onset
  • Stable course
  • Minimal impact on attention and consciousness
  • no impact on motor activity
  • hallucinations or illusions may be present
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are some assessments used for Delirium?

A
  • Identify what ‘normal’ is
  • Prior history
  • Physical exam and functional testing
  • Confusion Assessment Method (CAM)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What type of dementia is associated with strokes or transient ischemic attacks?

Study These Flashcards
A

Vascular dementia

21
Q

What is Complicated Grief?

Study These Flashcards
A

Severe and prolonged grief that may develop into depressive or adjustment disorders

22
Q

What are common barriers to mental health care for older adults?

Study These Flashcards
A
  • Stigma
  • Accessible care
  • Fragmented health care system
  • Financial burden
  • Caregiver burden
  • Ageism
23
Q

What is the Geriatric Depression Scale used for?

Study These Flashcards
A

To assess depression in older adults

24
Q

What are the risk factors for suicide in older adults?

Study These Flashcards
A
  • Caucasian
  • Male
  • Over 65
  • Perceived isolation
  • Recent loss
  • Chronic health problem or mental illness
25
What is the definition of Adjustment Disorders?
Maladaptive reaction to identifiable psychosocial stressors
26
What are common descriptions used to refer to resistance to care?
* Uncooperative * Stubborn * Non-compliant * Aggressive
27
What risk factors are associated with substance abuse in older adults?
* Male * Single * Low educational and socioeconomic status * Smoking
28
What does the term 'Disenfranchised grief' refer to?
Grief that may not be acknowledged or expressed openly.
29
What is the Mini-Cog used for?
To assess cognitive function in older adults
30
What interventions can be used for managing cognitive symptoms in dementia?
* Validation therapy * Memory enhancement * Orientation * Support visuospatial functioning
31
Western Cultural Traditions
- individual identiy - mind-body divide -disease has a cause, therefore treat the cause - linear time - success= preparation for the future
32
Eastern cultural traditions
- family identification - mind-body-spirit as one - disease caused by fluctuation in opposing forces - circular time - fate drives future
33
Indigenous cultural traditions
- tribal identification - humans in natural world - person as relates to others - disease = lack of harmony between person and enviroment
34
What is a cultural encounter
- deter nurses from sterotyping - gain confidence in cross- cultural interactions - avoid or reduce cultural pain
35
What is cultural skill
Ability to pefform a cultural assessment in a sensitive way - use professional interpreter to ensure meaningful communication - use culturally sensitive assessment tools
36
What is cultural desire
- genuine concern for patients welfare - willingness to listen until patients viewpoint is understood - patience, consideration, and empathy
37
Who defines cultural competence and cultural humility
The provider
38
Types of decision making
- personal directive - adult guardianship - co-decision making - supported decision making - specific decision making - trustee
39
Factors affecting decision making
- delirium - dementia - mental illness - chronic illness/ pain - medication misuse/ substance abuse
40
Mental health issues: sexuality and gender
- internalized homophobia - depression - self- harm - suicide - substance abuse - barriers to care
41
CURBSIDe
C- communicate URB- understanding risks and benefits S- situation I- impact De- decision
42
Delirium
Disorder of acute cognitive impairment which can have multiple etiologies (pain, medical conditions, substance abuse, infection) - sudden onset - fluctuating course - decreased conciseness, attention, cognition, activity (fluctuating levels of awareness and impulsivity) - hallucinations (generally visual) - incoherent speech - involuntary motor activity (tremulousness)
43
Assessments for dementia
- establish baseline functioning (self care, sleep, nutritional status) - pain and comfort levels - mini-cog and MoCA/SLUMS
44
Interventions for delirium
- rule out life-threatening causes - discontinue all suspected contributaitons (e.g meds) - treat underlying cause - monitor vital signs - supportive measures/ safety
45
Interventions for dementia
- manage cognitive symptoms delay decline - treat non-cognitive symptoms - encourage independence - manage pain and enviroment - support family
46
Psychological assessments for dementia
Cognitive status - memory, language, visuospatial impairment executive functioning (MoCA, SLUMS) Psychotic symptoms - suspiciousness, delusions, illusions Mood changes - anxiety, catastrophic reactions Behavioural responses - apathy & withdrawal, restlessness, agitation and aggression, aberrant motor behaviour, disinhibition and hyper sexuality
47
Substance abuse in older adults
Risk factors - male: single, low educational and socioeconomic status, smoking Women- anxiolytics Men- alcohol - greater use of marijuanna in young-old population (65-75 y) - largest consumers of over the counter prescription medicaitons
48
General presentation of substance related disorders for older adults
Rarely present for help with addiction, rather: - falls - confusion - GI symptoms - lack of self care - anxious mood - withdrawal symptoms

Nsg 3120 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions