Quiz #2 Flashcards Preview

N635 - Med Surg II SPRING 2014 > Quiz #2 > Flashcards

Flashcards in Quiz #2 Deck (39):

This implies having the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities



Explain culturally competent care

Providing patients with health care that is sensitive to the values that emerge out of their particular background


An all inclusive concept and includes differences in race, color, ethnicity, national origin and immigration status, religion, age, gender, gender identity, sexual orientation, ability/disability, political beliefs, social and economic status, education, occupation, spirituality, marital/parental status, urban vs rural, enclave identity and other attributes of groups of people in society

Diverse populations


Name some socio-cultural factors that nurses must consider when planning and carrying out their care

Racism, discrimination, socioeconomic status, homelessness, unemployment, religious beliefs, and cultural knowledge


Health care organizations should ensure that patients/consumers receive from all staff members effective, understandable, and respectful care that is provided in a manner compatible with their cultural health beliefs and practices and preferred language.

TRUE; standard 1


What is standard 4?

HCO must offer and provide language assistance services, including bilingual staff and interpreter services at no cost to each patient/consumer with limited English proficiency at all point of contact


Friends and family should not be used to provide interpretation services (except on request by the patient/consumer)

TRUE; standard 6


What is the Campinha Bacote Model of Cultural Competence?

Cultural awareness, cultural knowledge, cultural skill and a cultural encounter where the cultural desire motivates those involved to engage in a process of cultural competence


What does the "ASKED" model stand for?

Awareness (aware of personal bias towards other cultures different than yours?), skill (to conduct a cultural assessment & perform a culturally based physical assessment?), knowledge (do you have the knowledge of the patient's worldview?), encounters (how many FTF encounters have you had w/ pts from diverse cultural backgrounds?), desire (what is your desire to be culturally competent?)


This nursing model is unique and should be assessed according to six cultural phenomena: communication, space, social organization, time, environmental control and biologic variations

Giger and Davidhizar's Model of Transcultural Nursing


This nursing model interrelates concepts that explain, describe, influence, and or predict the phenomenon of learning/developing cultural competence and incorporates the construct of transcultural self efficacy/confidence as a major influencing factor

Jeffreys' Cultural Competence/Confidence Model


What is Leninger's Cultural Care Diversity and Universality Theory/Model?

This model promotes better understanding of both the universally held and common understandings of care among human culture groups. The model guides the ID of patterns of human behaviors in relationship to care and caring, guiding nurses in the assessment, planning, implementation, and evaluation of their care


This model explores what ppl do to maintain, protect, or restore health by showing the interrelated phenomena of physical, mental, and spiritual health and the methods ppl use to maintain, protect, and restore health

Spector's Health Traditions Model


Provider is encouraged to develop a respectful partnership with each pt through pt focused interviewing, exploring similarities/differences btw his own, each pt's priorities, goals & capacities.

Cultural humility


What is the most serious barrier to cultural humility?

Lack of knowledge of the details of any given cultural orientation, but the providers' failure to develop self awareness and a respectful attitude toward diverse points of view


What is COPD/CRD?

A functional category applied to respiratory disorders that obstruct the pathway of normal alveolar ventilation either by spasm of the airways, mucous secretions, or changes in airway/and or alveoli


"Pink puffer"



Obstructive lung diseases include:

emphysema, bronchitis, and asthma


This is the breakdown of elastin and collagen fiber network of alveoli whereby alveoli enlarge or walls are destroyed; leads to formation of larger than normal air spaces



What is bronchitis?

It is an inflammatory response in small and large airways leading to vasodilation, congestion, mucosal edema, and bronchospasm; a chronic cough and productive sputum are present for minimum of 3 mths in one year


What is asthma?

It is a chronic inflammatory airway disorder resulting in reversible bronchoconstriction and air hunger in response to triggers from a variety of sources


What are the treatment options of patients with COPD/CRD?

Improve ventilation (bronchodilators, breathing exercises), promote secretion removal (hydration and humidification), prevent complications


Name PO meds for asthma

H1 antihistamines, leukotriene antagonists (singulair, Accolate, Zyflo), and theophylline


Selective B2 agonists (albuterol, Serevent), anticholinergic (Atrovent), prophylactic (Cromolyn), and corticosteroids are

Inhaler treatments for asthma


Name acute exacerbation of chronic conditions

Respiratory failure, status asthmaticus, and acute infections


Assessment of the pulmonary system includes:

Diagnostic tests (pics, bronchoscopy, PFT, TB test), lung sounds (auscultation), symmetry, lung expansion, trach position, rate, use of accessory muscles, O2 (SaO2, color, nail beds, mucosa, lips), physical (dyspnea, cough, sputum)


Coughing up blood



Physical sign of CRD



Awakening from deep sleep with sever SOB

Paroxysmal nocturnal dyspnea


Signs of inadequate airway include

stridor, noisy inhalation/exhalation, retractions, flaring nares, labored breathing with use of accessory muscles


Absence of air exchange, minimal or absent chest wall mvmt, signs of an obstructed airway, central cyanosis, decreased or absent breath sounds, anxiety, confusion are signs of

Inadequate ventilation


Signs of impaired gas exchange include

Tachypnea, increased dead space, cyanosis (late sign), chest infiltrates, PaO2 (hypoxemia, oxygen toxicity)


Name some nursing diagnoses for CRD

Impaired gas exchange r/t alteration in supply of oxygen, ineffective breathing pattern r/t secretions in respiratory track AEB..., ineffective airway r/t obstruction of..., sleep deprivation r/t instability to breathe AEB, acute confusion r/t decreased supply of oxygen, pain, altered comfort r/t cough, fluid deficit, hyperthermia, and activity intolerance


Name some nursing interventions for CRD

Maintain O2 delivery, monitor effectiveness of O2, bronchial hygiene (TCDB, ICS)


Avoid glycerine swabs or mouthwash that contain alcohol for oral hygiene.



You as the nurse, should reposition the pt Q1-2 hrs, support out of bed activities, and encourage early ambulation



This respiratory disease is a breakdown of elastin and collagen fiber network of alveoli whereby alveoli enlarge or walls are destroyed; leads to formation of larger than normal air spaces



Bronchitis causes a barrel chest appearance.

False. Air trapping in emphysema results in hyper-inflated lungs, causing a barrel chest appearance


Clients maintain ABGs by hyperventilating and have a pink appearance to skin in this respiratory disease