Unit 3 & 5

Question 1

Culture

Answer 1

refers to learned patterns of values, veliefs, customs, and behaviors that are shared by a group of individuals.

• is a phenomenon through which norms and values are socially transmitted from generation to generation
• allows members of a group to predict each other’s actions and react accordingly.

Question 2

Subculture

Answer 2

a group of individuals within a society who share values, beliefs, and behaviors that differ from those of the dominant society.

Question 3

ethnic group

Answer 3

a group of people with a common origin who hold basically similar values, beliefs, etc

Question 4

misconception

Answer 4

because each person views his own culture as correct, many people think only other people have a culture.

Question 5

American Cultural Values

Answer 5

1. Automation
2. Time
3. Success
4. Cleanliness
5. Optimal Health

Question 6

Attitudes, Values, Prejudices of Health Care Workers

Answer 6

1. Every health care worker has his/her own set of values, attitudes, and prejudices
2. Assessment of culture sensitivity starts with the self

Question 7

Sexuality

Answer 7

the expression and experience of the self as a sexual being. Is a state of both the body and mind
(Not limited to sexual relationship; affects all relationships)

Question 8

Sensuality

Answer 8

the ability experience enjoyment through the sense. Is one aspect of sexuality.
Ex. Touching velvet.

Question 9

Sex roles

Answer 9

culturally determined patterns associated with male and female social behavior

Question 10

gender identity

Answer 10

How one chooses to view oneself as a male of female in interactions with others. As an individual and unique expression.

Question 11

When does the basic recognition of one’s sex form.

Answer 11

childhood

Question 12

Gender identity

Answer 12

how the child feels about his or her sexual identity

Question 13

Gender role

Answer 13

how the child’s gender identify will be expressed in behavior with others of the same or opposite sex

Question 14

What form of gender identity happens in pre adolescent years?

Answer 14

cond or friendships form with peer of same sex

Question 15

what form of gender identity happens in adolescent years?

Answer 15

relationships with opposite sex begin

Question 16

what form of gender identity happens in early and middle adult years?

Answer 16

focusing on solidifying a long term relationship -> procreation.

Question 17

Sexual Object Choice

Answer 17

1. Opposite Sex
2. Same sex
3. Paraphillias

Question 18

Paraphilic disorder

Answer 18

Refers to acts or sexual stimuli that are outside of what society considers normal but that are required for some individuals to experience desire, arousal, and orgasm.
Ex. Sadism, Voyerism, Exhibitionism.

Question 19

Common sexual problems

Answer 19

1. Erectile dysfunction
2. Premature ejaculation
3. vaginismus (spastic contractions of the vagina during or before intercourse)
4. Orgasmic dysfunction

Question 20

Role of the Nurse

Answer 20

1. obtain sex history
2. Planning - must include both partners.
3. clarification of communication between partners
4. suggest activities to improve sexual problems
5. specially trained sex therapists

Question 21

5 Dimensions of Nursing Assessment

Answer 21

Biophysical 
Psychological
Cognitive
Sociocultural 
Spiritual

Question 22

Tools of Assessment

Answer 22

1. Nursing History
2. Psychological Testing
3. Mental Status Exam
4. Self-assessment tools
5. Interview

Question 23

Basic Elements of Informed Consent

Answer 23

1. knowledge - adequate and accurate knowledge and information
2. competency - an individual with the legal capacity to consent
3. free will - voluntarily given consent

Question 24

Conditions under which treatment may be performed without obtaining informed consent

Answer 24

1. when a patient is mentally incompetent to make a decision and treatment is necessary to preserve life or avoid serious harm.
2. when refusing treatment endangers the life or health of another.
3. In an emergency when a patient is in no condition to exercise judgement
4. in court ordered situations

Question 25

Substituted consent

Answer 25

1. court appointed guardian 2. client's nearest relative 3. states vary on requirements for obtaining substituted informed consent.

Question 26

Legal Considerations

Answer 26

1. Basic rights of psychiatric clients 2. Informed Consent 3. Confidentiality and right to privacy 4. admissions to psychiatric units 5. restrains and seclusion

Question 27

Situations that warrant breach of confidentiality

Answer 27

1. When threats on the lives of third persons are involved 2. Child abuse situations 3. elder abuse situations

Question 28

Types of Psychiatric admissions

Answer 28

1. Voluntary 2. Emergency admission (involuntary) 3. Involuntary

Question 29

Restraints

Answer 29

refers to a set of leather straps that are used to restrain the extremities of an individual that is "out of control" and poses a threat to self or others.

Question 30

Seclusion

Answer 30

placement in a locked room and denial of access to the rest of the treatment unit.

Question 31

Negligence

Answer 31

the failure to do something which a reasonable person would do or doing something that a prudent and reasonable person would not do.

Question 32

Malpractice

Answer 32

professional negligence - the failure of one rendering professional services to exercise that degree of skill and learning commonly applied by the average prudent reputable member of the profession with the result of injury, loss, or damage to the recipient of these services.

Question 33

Five Element for Successful Malpractice Suit

Answer 33

1. Duty to use due care toward patient 2. Performance below standard of care - breach of duty 3. As a result of breach of duty, patient was injured 4. the breach of duty could forseeably have caused an injury 5. Proof of patient injuries

Question 34

Types of Lawsuits in Psychiatric Nursing

Answer 34

1. breach of confidentiality 2. defamation of character 3. invasion of privacy 4. assault/battery 5. false imprisonment

Question 35

libel

Answer 35

defamation of character in writing

Question 36

slander

Answer 36

verbal defamation of character

Question 37

Assault

Answer 37

act that result in a person's genuine fear that he/she will be touched without their consent

Question 38

Battery

Answer 38

the unconsented touching of another person

Question 39

5 basic principles of bioethics

Answer 39

``` Beneficence Autonomy Justice Fidelity Veracity ```

Question 40

Beneficence | 5 basic principles of bioethics

Answer 40

the duty to act to benefit or promote the good of others. | Ex. spending extra time to help calm an extremely anxious person

Question 41

Autonomy | 5 basic principles of bioethics

Answer 41

respecting the rights of others to make their own decisions | Ex. acknowledging the patient's right to refuse medication promotes autonomy

Question 42

Justice | 5 basic principles of bioethics

Answer 42

the duty to distribute resources or care equally, regardless of person attributes Ex.an ICU nurse devotes equal attention to someone who has attempted suicide as to someone who suffered a brain aneurysm.

Question 43

Fidelity | 5 basic principles of bioethics

Answer 43

Nonmaleficence Maintaining loyalty and commitment to the patient and doing no wrong to the patient Ex. maintaining expertise in nursing skill through nursing education

Question 44

Veracity | 5 basic principles of bioethics

Answer 44

One's duty to communicate truthfully | Ex. describing the purpose and side effects of psychotropic medications in a truthful and non-misleading way.

Question 45

enculturation

Answer 45

the process in which a culture's worldview, beliefs, values, and practices are transmitted to its members.

Question 46

ethnocentrism

Answer 46

the universal tendency of humans to believe that their way of thinking and behaving is the only correct and natural way.