Week Thirteen Flashcards Preview

Semester One - Nursing 111 > Week Thirteen > Flashcards

Flashcards in Week Thirteen Deck (79)
1

              Acculturation

Involuntary process that occurs when people adapt or borrow traits from another culture

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Cultural assimilation

The process by which an individual develops a new cultural identity

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Culture

The nonphysical traits, values, beliefs, attitudes and customs that are shared by a group of people and passed from one generation to the next.

4

Subculture

Composed of people who have a distinct identity, yet are related to a larger cultural group

5

Culture shock

Disorder that occurs in response to transition from one cultural setting to another

6

Ethnicity

Group within the social system that claims to possess variable traits such as a common religion or language

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Ethnocentrism

Belief that one's own culture or way of life is better than that of others

8

Folk medicine

Those beliefs and practices relating to illness prevention and healing that derive from cultural traditions rather than from modern medicine

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Race

The classification of people according to shared biologic characteristics, genetic markers or features

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Stereotyping

Assuming that all members of a culture or ethnic group are alike

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Transcultural care

Describes the provision of nursing care across cultural boundaries that takes into account the difference and similarities of the beliefs, values, and patterns of culture

12

Magico-religious Health views

Health and illness are controlled by supernatural forces

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Biomedical Health Views

Life and life processes are controlled by physical and biochemical forces that can be manipulated by humans

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Holistic Health views

Balance or harmony must be maintained in forces of nature

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Body

Physical

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Mind

Cognitive Process

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Spiritual

Positive and negative learned spiritual practices and teachings, dreams, symbols, stories, metaphysical forces

18

How does communication influence health care?

Verbal: vocabulary, voice speed, silence, use of interpreters. Non-Verbal: touch, eye contact, facial expressions, posture

19

How does space influence health care?

intimate, personal, social, public space

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Intimate Space

touching- 1.5 ft

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Personal Space

1.5ft-4 ft

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Social Space

4 to 12 feet

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Public Space

12 ft or greater

24

How does time influence health care?

significance placed on past, present, future

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How do nutritional patterns influence health care?

staple foods, food preparation, remedies for illness

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How does family pattern influence health care?

who is the authority figure, how are they treated, are they the keepers of wisdom, can the wife be involved, whom is involved, how to properly address individual

27

How does the nurse develop cultural sensitivity?

proactive, consider diversity an asset, identify and control personal beliefs & attitudes, include cultural assessment as part of your overall nursing assessment/history, acknowledge the patient/family right to make health care choices, convey respect and cooperate with traditional healers and caregivers, seven steps to cultural competence, self assessment, education, listen, observe, share what you learn, be alert to discomfort

28

What are specific strategies for interacting with clients of differing culture of heritage?

  • Give your full name, title, and how you would like to be addressed
  • Address patients and others by their last names until given permission to do otherwise
  • Be authentic and honest
  • Convey respect for practices, support persons
  • Explore patient's thoughts, feelings about health problems, treatments
  • You Statements

29

What information should be collected during a nursing history when assessing culturally diverse clients?

  • Birthplace of immediate and close extended family
  • Location of family now and when growing up
  • Contact with extended family and geographic proximity
  • Change in family name or spelling
  • Ethnic/Religious background of spourse
  • neighborhood affiliation with same religious or ethnic background
  • Preparation of foods based on tradition or heritage
  • Paticipation in ethnic activities or holidays
  • Native and primary language

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Faith

To believe in or be committed to something or someone, gives life meaning, provides strength and hope, includes beliefs, values, language, and rituals

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Religion

Sense of community cound by common beliefs, organized system of beliefs and practices, guidance for responding to life, includes rituals, disciplines and rules of conduct

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Spirituality

part of being human that seeks meaning through intra-, inter- and transpersonal connection, reflection of an inner experience that is expressed individually, a sense of balance and purpose

33

What spiritual needs underlie all religion?

meaning and purpose, trust, respect, value, meaning to the fullness of life, creativity, belonging to a community, preperation for and acceptance of death, hope, forgiveness, dignity, values, connection with a God of higher power or being who is greater than oneself, vision

34

What are characterisitics of spirituality in an individual?

meaning, values, transcendence, connection, becoming

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Meaning

Having a purpose, can make sense of life

36

Values

Having cherished beliefs and standards

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Transcendence

Appreciating a dimension that is beyond self (like music)

38

Becoming

Reflection, allowing life to unfold and knowing who you are

39

What factors affect spirituality?

past experience, culture, perceived importance/value, lifestyle, family, availability, environment, society, family

40

Information to be collected during a nursing histry when assessing a client's spirituality?

  • Are any particular religious practices important to you?
  • How will being sick interfere with your religious practices?
  • How is your faith helpful to you?
  • How might I support your spirit?
  • Visit from spiritual counselor or chaplain?
  • What are your hopes and sources of strength?

41

What are normal findings of a spiritual assessment?

  • sense of inner peace
  • compassion for others
  • reverence for life
  • generosity 
  • capacity for unconditional love
  • gratitude
  • humor
  • wisdom
  • ability to transcend self
  • sppreciation of both unity and diversity

42

What assessment findings that are deviations from normal spiritual wellness?

  • expressions of lack of hope, meaning, or purpose in life
  • refuses interaction with family/friends
  • sudden changes in spiritual practices
  • expressed feelings of abandonment by or having anger toward God 
  • requests visit from religious leader
  • no interest in reading spiritual literature if there was an interest before

43

Define Spiritual Distress

An inability to experience and integrate meaning and purpose in life through connectedness with self, others, or other meaningful pursuits

44

Defining Characteristics for Spiritual Distress

anger, lack of courage, lack of acceptance, lack of hope, lack of love, lack of serenity, lack of purpose of meaning in life, guilt, poor coping 

45

Define Spiritual Well-being, Readiness for Enhanced

Ability to experience and integrate meaning and purpose in life

46

Defining characteristics of Spiritual Well-being, Readiness for Enhanced

connectedness with self, others, art, music, literature, nature, and/or a power greater than oneself

47

TNIS for Spiritual Diagnoses

Provide presence, support religious practices, assist clients with prayer/meditation, discussion, referral for spiritual counseling

48

What health promotion techniques assist in meeting a patient's spiritual beliefs and religious practices?

  • Develp a trusting relationship
  • Query how you can help
  • Allow privacy and time as needed 
  • Respect religious articles and practices
  • Implement dietary preferences as needed
  • Self Education (become aware of different values/practices)

49

Shoulder Flexion

Raise arm in front of body up over head. NR 0-180

50

Where is 0 degrees when referring to the ROM of an extremity?

south pole in an inferior direction

51

Shoulder Extension

raise arms behind body, NR 0-180 degree

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Shoulder Abduction

raise arm at side of body up over head, NR 0-180

53

Consciouness

an ongoing process of awareness of the self and the environment which may change from moment to moment. Alert, letharic, stuperous, comatose

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Alert

fully awake, oriented X 3 and responds spontaneously to verbal stimuli

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Lethargic

drowsy, sleepy but respond appropriately when aroused

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Stuporous

no spontaneous movement and arouse only to vigorous stimuli in a nonverbal manner

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Comatose

does not arouse even to painful stimuli

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Orientation

person, place, time. oriented X 3= normal

59

Dementia

chronic illness characterized by a slow insidious process that results in progressive loss of several essential cognitive and physical functions. the patient exhibits a dcline in memory, judgment, language, abstract reasoning and problem solving. impulse behavior, stupor, confusion, and disorientation may also be observed. the RN may observe traces of joy or sorrow and a tendency to return to the same complaints frequently. Alzheimer's disease is a acommon type of dementia.

60

Temperature

testing of this sensation is not usually performed if pain sensation is within normal limits

61

Light Touch

This sensation is tested at the same spot on both sides of the body

62

Three purposes of abdominal assessment

presence of abdence and quality of bowel sounds, determine the presence or absence of a distended bladder, investigate client's complaints of abdominal pain

63

Red Flags of Abdominal Assessment

involuntary rigidity (contracted, hard, unable to relieve), intense pain experienced with any movement, pain shifts from umbilicus to lower right quadrant (appendicitis), N, V, decreased BP, elevated T

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Inguinal hernias

may be seen or felt as a bulge in the groin, near where you would feel the pulsation of the femoral artery

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Ventral hernia

seen or felt as a bulge between layers of muscles that come together at the midline or near any abdominal scar

66

Heart/Lungs order of assessment techniques

inspection, palpation, percussion, auscultation

67

order of assessment techinques for abdomen

inspection, auscultation, percussion, palpation

68

Distention

may indicate ascites, measure abdominal girth, look elsewhere for edema in the body

69

old scars

may be clue to previous operations

70

Hernias or bulges

ask client to raise head from supine position to emphasize the mass,location may provide clues to client's symtoms

71

Visible pulsations or peristalsis

assess further during auscultation and palpation poritons of the exam

72

Hyperactive bowel sounds

every three seconds-continuous. may indicate early intestinal or bowel obtruction or intestinal ischemia which can be medical emergencies. ask about diarrhea and passage of blood. 

73

Hypoactive bowel sounds

fewer than 3 per minute, increasing from none may indicate return of bowel function after surgery, if decreasing may indicate later stages of progressive bowel obstruction

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Absent bowel sounds

5 minutes. may indicate parlytic ileus or may indicate complete bowel obstruction which is a medical emergency

75

Tenderness or Pain

may indicate infection

76

Bulges/Massess

may indicate hernias or lipomas or enlarged organs

77

Involuntary rigidity of muscles

may indicate peritoneal irriatation r/t a life threatening process

78

Tenderness abdomen

may indicate pathology of underlying structures

79