week 6 (ch 6): professional attitudes/communications (test 2) Flashcards
(32 cards)
continuum of cultural competency (left to right)
cultural destructiveness
cultural incapacity
cultural blindness
cultural pre-competence
cultural competence
cultural proficiency
notes on improving communications: Anglo-American
-eye contact expected
-tend to be stoic, but will ask for pain meds when needed
-expect to know and understand condition and tx
-germs are cause for illness/biomedical tx
notes on improving communications: Asian
-avoid making eye contact
-reluctant to admit pain
-may indicate agreement with no intention to consent/complete
-traditional healing methods
notes on improving communications: Middle Eastern
-eye contact depends on gender
-loud and expressive when in pain
-wives defer to husbands
-evil eye, amulets, dampness/cold as cause of illness/disease
notes on improving communications: NA/AN
-avoid direct eye contact
-stoicism is valued, may not admit pain
-mistrust, uncomfortable signing consents
-medicine bag, holistic
age specific communications: birth - 1 year
-total ________ on parents/adults
-older infants have ______________
-primary interaction will be with ________
-care also given to parents
-tone of voice and touch
-safety issues: _______________
-dependence
-fear of strangers
-parent
-never leave unattended, crib/bed rails up
age specific communication: Toddler (1-2 years)
-fear of ____________
-use ___________
-praise child, __________
-________ with toy or other object
-be prepared ahead of time
-safety issues: _____________
-being separated from parent
-child’s name
-be cheerful and emotive
-distract
- keep supplies out of child’s reach, crib/bed rails up
age specific communication: Preschool (3-5 years):
-more ____________
-take things __________
-can understand __________
-like to have _______
-_______________
-reassurance and praise
-safety issues: ____________________
-more independence and communication skills
-take things literally
-can understand simple explanations
-like to have choices
-short attention span
-reassurance and praise
-safety issues: child proof room, immobilization, fear/anxiety
age specific communication: school age (6-12 years)
School age (6-12):
-can think _________
-increasingly ___________
-________ things thoroughly and clearly
-allow them to participate in ___________
-____________ important
-safety issues: _____________________
School age (6-12):
-can think logically
-increasingly independent
-explain things thoroughly and clearly
-allow them to participate in decision making
-parental presence important
-safety issues: explain choices, may want to help/touch, fear/anxiety
age specific communication adolescent (13-18 years)
-________________
-show __________
-______________need to be maintained
-talk to adolescent __________, away from parents is ____________
-engage them and treat them as ________
-safety issues: ___________________
-hypersensitive or non-interactive
-show empathy -modesty and privacy need to be maintained
-talk to adolescent directly, away from parents is okay and sometimes needed
-engage them and treat them as an adult
-safety issues: pregnancy declaration, fainting
age specific communication: young adult (18-45 years)
-involve them in _____________
-personal identity and self-reliance
-allow ____________-
-tailor instruction to _____________
-safety issue: ________________
-involve them in all decision making
-personal identity and self-reliance
-allow privacy
-tailor instruction to their level of understanding
-safety issue: pregnancy declaration, cost/assistance fear
age specific communication: Middle adult (45-64 years)
-established _____________
-________________ begin to occur
-decreased endurance, body mass, loss of skin elasticity
-explain procedures and allow time to talk about concerns
-________________ when possible
-safety issues: ________________________
-established financially
-common health problems begin to occur
-decreased endurance, body mass, loss of skin elasticity
-explain procedures and allow time to talk about concerns
-allow for choices when possible
-safety issues: decreased bone mass, coordination, vision/hearing loss, fear
age specific communications: late adult (65-79 years)
-wide difference in health, ______________
-changes in family status and/or financial situation
-higher risk of_____________________
-visual and hearing problems
-safety issues: __________________________
-wide difference in health, avoid assumptions
-changes in family status and/or financial situation
-higher risk of health problems and infection
-visual and hearing problems
-safety issues: fall precautions, bruising/skin care, choking
age specific communication: Old Adults (80+ years)
-physical issues/mobility
-mental acuity and memory decrease
-may feel __________
-keep instructions ______________
-be patient, assist as needed
-safety issues: ________________________-
-physical issues/mobility
-mental acuity and memory decrease
-may feel isolated or upset
-keep instructions simple and only give one at a time
-be patient, assist as needed
-safety issues: fall risks, higher risk of infection, skin care, anxiety/confusion
Procedure w/ approximate comparable natural background radiation
CT Chest
2 years
Procedure w/ approximate comparable natural background radiation
CT LCS
6 months
Procedure w/ approximate comparable natural background radiation
Chest x-ray
10 days
Procedure w/ approximate comparable natural background radiation
Lumbar spine
6 months
Procedure w/ approximate comparable natural background radiation
extremity x-ray
less than 3 hours
what does FMLA stand for?
family medical leave act
what does EMTALA stand for?
emergency medical treatment and labor act
what does CLIA “deal” with?
medical lab safety
what are the 5 stages of coping with death?
DABDA
Denial
Anger
Bargaining
Depression
Acceptance
Which age group is likely to become combative when afraid?
toddlers and preschool age
