Population Health

Question 1

describe barriers to communication

Answer 1

failure to perceive the patient as a human being

failure to listen

nontherapeutic communication and questions

using cliches

using closed questions

using questions containing the words “why” and “how”

using questions that probe for information

using leading questions

using comments that give advice

using judgmental comments

changing the subject

giving false assurance

using gossip and rumors

using disruptive interpersonal behavior

Question 2

cultural assimilation

Answer 2

minorities living within a dominant group lose the characteristics that made them different

Question 3

culture shock

Answer 3

feelings a person experiences when placed in a different culture; psychological discomfort or disturbances

Question 4

cultural imposition

Answer 4

belief that everyone should conform to the majority belief system

Question 5

cultural blindness

Answer 5

ignores differences and proceeds as if they do not exist

Question 6

guidelines for culturally competent nursing care

Answer 6

develop cultural self-awareness

develop cultural knowledge

accommodate cultural practices in health care

respect culturally based family roles

avoid mandating change

seek cultural assistance

Question 7

characteristics of the assertive nurse’s self-presentation

Answer 7

confident; open body posture

use of clear, concise “I” statements

ability to share effectively one’s thoughts, feelings, emotions

working to capacity with or without supervision

remaining calm under supervision

asking for help when necessary

giving and accepting compliments

admitting mistakes and taking responsibility for them

Question 8

target populations of disparities

Answer 8

patient/individual
family/friends/social supports
organization and provider
policy and community

Question 9

goal outcomes

Answer 9

improved clinical outcomes
avoidable hospital admissions
patient experiences of care
equity of services
affordability

Question 10

initiatives to eliminate disparities

Answer 10

2011 DHH Action plan for eliminating racial and ethnic disparities

Affordable Care Act

Racial and Ethnic Approaches to Community Health (REACH) - grants from CDC for community focused interventions to reduce specific neighborhood disparities

Question 11

Affordable Care Act

Answer 11

established office of minority health to coordinate disparity reduction efforts

promotes workforce diversity and cultural competence

prevention initiatives with emphasis on racial and ethnic disparities

extended indian health service