Health assessment Exam 6 Flashcards
(51 cards)
1
Q
What does understanding cultural diversity start with?
A
You need to understand your own cultures values and beliefs first.
2
Q
What must the nurse assess first when providing culturally competent health care to asian American patients?
A
The nurses own cultural beliefs first.
3
Q
What is the total population of the US?
A
328 million
4
Q
What are the percentages of population in the US
A
- 60% white
- 18% Hispanic or latino
- Blacks are the largest minority racial group
5
Q
How much of the population isn’t American at birth?
A
14%
6
Q
What percent of foreign born individuals understand and are fluent in English?
A
53%
7
Q
What factors play into health (What are the social determinants of health?)
A
- constellation of related factors
- affect a person from preconception until death
- EBP indicates that poverty has the greatest influence on health status.
8
Q
What are the 5 factors of social determinants of health?
A
- Neighbourhood and built environment
- Healthcare and health
- Social and community context
- Education
- Economic stability
9
Q
What are healthcare disparities?
A
a particular type of health difference that is closely linked with social, economic, or environmental disadvantage
10
Q
Health care disparities include what?
A
- Social, economic or environmental disparities
11
Q
National cultural and linguistic standards What is it?
A
- A set of 15 standards
- Provide a blueprint to improve quality of care for diverse populations to eliminate health disparities
12
Q
What is title VI?
A
- Limited English proficiency
- Provides assistance with communication utilizing resources such as interpreters
13
Q
What are the 4 basic characteristics of culture?
A
- LEARNED from birth and socialization
- SHARED by all members of the same cultural group
- ADAPTED to specific conditions related to environmental and technical factors in the context of available resources
- DYNAMIC interphase that is ever changing.
14
Q
What Is ethnicity?
A
- Social group with shared traits
15
Q
What is ethnic identity?
A
- Self identification with a particular ethnic group
16
Q
Acculturation?
A
- Process of adopting culture and behaviour of the majority culture
17
Q
What is assimilation?
A
- Taking on the characteristics of the dominant culture
18
Q
What is biculturalism and integration?
A
- Allow for reciprocal change and maintaining ethnic identity
19
Q
Acculturative stress What is it?
A
- Based on input from environment social/interpersonal and societal
20
Q
Spirituality defintion
A
- Broader term that encompasses something larger than ones own existence with belief in transcendence
21
Q
Religion Definition
A
- Refers to an organized system of beliefs as a shared experience that can assist in meeting ones individual and spiritual needs.
22
Q
Do religion and spirituality have to exist simultaneously?
A
No, they can but down have to
23
Q
what should you do if a person says they are not religious?
A
- still conduct a spiritual assessment
24
Q
What are the 3 types of beliefs of causes of diseases?
A
- That they are scientific and there is a cause and effect
- That they are naturalistic and forces of nature
- That they are supernatural and a result of good and evil (MAGICORELIGIOUS) Voodoo
25
What should you do if a person states they want a fold healer?
- Ask about them and learn what they are about
26
What 3 things are required to practice culturally competent care?
- Cultural awareness: recognize your own culture before you can work to understand a different one
- Cultural knowledge and skills: Learn about other cultures
- Cultural humility: being able to see value in others beliefs
27
What is cultural sensibility?
- Proactive behaviour by healthcare providers who examine cultural situations though thoughtful reasoning, responsiveness, and discrete interactions.
28
What screening tool is used for spirituality assessments?
- FICA, faith, importance, community and action
29
What is 2 drinks or less for men classified as?
Safe
30
What is 15 or more or 8 or more drinks for men then women classified as?
- Heavy drinking
31
What is binge drinking classed as?
- 5 or more for men in 2 hours
- 4 or more for women in 2 hours
32
What percent of emergency visits are alcohol related?
18%
33
How many categories of drug class are there?
- Marajuana
- Cocaine
- Heroin
- Hallucinogens
- Inhalants
- Methamphetemines,
34
What percentage of people use illicit drugs?
12%
35
What is the gold standard in diagnosing substance abuse?
- Well defined in the diagnostic and statistic manual of mental health disorders
36
What percent of pregnant females report drinking during pregnancy?
30%
37
What substances are safe during pregnancy?
- no amount
38
What is the audit questionnaire maximum score and ranges?
0-7 Low risk
8-14 hazardous or harmful
15 or more is alcohol dependent
40 is max
39
What does the CAGE score stand for?
- Cut down
- Annoyed
- Guilty
- Eye opener
(ASK THESE QUESTIONS AND IF THERE IS MORE THAN 2 YESSES THERE IS A PROBLEM)
40
What are the TWEAK questions for?
Pregnant women
41
What is the SMAST-G questionnaire for?
- For older adults
42
What should you do if your assessment concludes the patient has a dependance
- Explain that this is a problem and causing problems in your body and that you are willing to help.
43
What lab tests can indicate alcohol use?
- GGT
- Carbohydrate deficient transferring (CDT)
- Serum aspirate aminotransferase (AST)
- Mean corpuscular volume (MCV)
- Direct biomarker phosphatidylethanol (PETH)
- breathalyzer
44
What is the CIWA scale for?
- Measuring withdrawal with 10 different criteria
- score of 0-7 means monitor every 4 hours
- score of below 8 for 72 hours means you can discontinue
45
What are the withdraw signs of abused substances.
- Alcohol: unsteady gait, incoordination, nystagmus, flushed face
- Marijuana: red eyes, tachycardia, increased appetite, dry mouth, relaxation, slowed time perceptions.
- Cocaine: pupils dilates, elevated or lowered blood pressure, chills, nausea, vomiting, weight loss.
- Amphetamines: Similar to cocaine
- Opiates: Pinpoint pupils, decreased pulse respirations and temperature, slurred speech, euphoric initially, impaired memory and judgement. May mimic influenza
46
What percent of older adult abuse happens by family members?
- 60%
47
What are risk factors for human trafficking?
- mental health disorders
- minority
- gender
48
What are 3 barriers to treatment of intimate partner violence?
- Societal stressors
- Legal status
- Lack of access to culturally appropriate care
49
What age range should be screened to intimate partner violence?
14-46
50
What is the HITS assessment used for
- Scores of 10 or higher indicate intimate partner violence
51
How do you assess for homicide?
Use the DA scale which is a 20 item yes or no scale.
