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93 Cards in this Set

  • Front
  • Back
Define Trans-cultural nursing?
comparative study of cultures to understand similarities and differences.
Define cultural competence?
is the process of acquiring specific knowledge, skills, and attitudes to ensure delivery of culturally congruent care.
What are the five interlocking components of cultural competence?
Cultural awareness
knowledge
skills
encounters
desire.
Define cultural imposition?
Using your own values as a guide to treat others.
What are culture-bound syndromes?
illnesses specific to one culture.
What is Hwa-byung?
Korenen caregivers experience a great deal of stress.
What do some chinese mothers prefer to eat post-partum?
rice, soup, rice wine, and eggs.
What do some guatamalen women perfer to eat postpartum?
avoid beans, eggs, and milk.
Immigrints originating from the nile are suseptable to?
parasitic infections.
Third world countries with poor water supply are at risk for?
infections such as hepatitis.
Tay-Sachs is common amoung?
ashkenazi jews.
Malignent hypertension is common among?
african americans.
Fictive?
non-blood kin.
On sabbath jews?
refrain from using electricity.
Devount hindus?
avoid beef.
After death hindus?
place holy water on the lips of the deceased.
Jews prefer what kind of surgery?
bloodless, they avoid blood transfusions.
Italians eat what on christmas eve?
eel.
Russians consider honey to have?
healing properties for coughs and colds.
How do asians feels about saying no to superiors.
they do not say no to superiors.
Within present time orineted cultures it is?
admissible to be late.
How do nurses achieve culturally congruent care?
Cultural assesment, cultural preservations, accomidation and reppatering.
Enculturation is when?
A 6-mo old child socialization into american midestern culture.
A Bosnian woman who did not celebrate christmas is now experincing assimilation because?
She adapted to adopt the american culture.
Which of the following is required to deliver culturally competent care?
a. learning about vast cultures.
b.acquiring specific knowlege, skills, and attitudes.
B.
Which of the following best represents the domininat values in american society on individual autonomy and self-determination?
A. phycisan orders
b. ADVANCE DIRECTIVE.
C. DURABLE POWER of autorny.
b. advance directive.
Mothers from Gana do not resume sexual activity until ?
the baby is weaned.
Caring for a person that is homless is like caring for a person from a different?
culture
When interviewing a native american pt. what is approiate to ask, select all that apply?
A. Use folk remides?
B. Use Shaman?
C. Family phycisian?
D. Fam. history of Alchol abuse?
ABC
Sociologist find 4 therats to the family?
Economic status
Homelessness
Violence
Illness
Absolute homelessness is?
People not living in places made for human habitation.
Homeless children are frequently under what?
under immunized and at risk for illnesses.
Define family hardiness?
Internal strengths and durability.
Define family resiliency is the?
ability to cope with expected and unexpected stressors
What are the three levels of approach in family nursing?
Context
patient
system
Explain family as a context?
Focuses on each individual member existing in the family.
Explain family as a patient?
Family processes and relationships are the focus.
Explain approaching the Family as a system?
This is both family as a context and patient. using all available environmental, social, psychological, and community recourses.
Three factors organize the approach to the nursing process when caring for families, what are they?
1. The nurse views all the individual within their family context.
2. families have an impact on individuals.
3. individuals have an impact of families.
Define reciprocity?
acknowledging the importance of the capability of care recipients to share exchanges that contribute to a caregiver's perception of self worth.
The most common reason grandparents raise there grand children is?
legal interventions.
Communication among family members is an example of?
family function
Which of the following contribute to family hardiness? All that apply
A. Fam. meetings
b. fam roles
c. Change in times of stress
d. passive orientation to life,
ABC
When nurse focuses on family as a context?
An individuals health issues
Who are the four main developmental theorist?
Frued, Erikson, Piaget, and Kohlberg.
What is Frued model and phases?
psychosexual development
Oral stage- 0-18mo
Anal18mo-3years
Phallic 3-5 years
Latent 6-12 years
Genital 12-19 years
What occurs during Frued's philiac stage?
they become aware of their genitals.
What occurs during Frued's latency stage?
they repress there sexual desires
What occurs during Frued's genital stage?
sexual urges re-awaken.
What are eriksons five stages of development?
Infancy= trust vs. mistrust- ability to trust others
Toddler- Autonomy vs. shame and doubt
Preschool- initiative vs. guilt highly imaginative
Childhood- industry vs. inferiority engaged in task
adolescence- identify vs. role confusion- who am I
What are Piaget 5 stages of development?
Infancy- sensorimotor
Toddler- Preoperational- thinking using symbols
Preschool- Use of symbols egocentric
Childhood- Concrete operations and logical thinking
adolescence- formal operations and abstract thinking
What are Kholbergs 4 stages of development?
Toddler- Preconventional- punishment- obedience
Preschooler- Preconventional- premoral, instrumental oreientation
Childhood- conventional- good boy nice girl
Adolescence- post conventional- social contract orientation.
Describe Stella Chess and Alexander Thomas's theories of tempermant?
Easy child
difficult child
slow to warm up child
Describe the Easy child?
Predictable habits, adaptable, typically posative
Describe the difficult child?
Active, irritable, irregular habits, withdrawn toward others, requires structured environment, adapts slowly to new routines, people, and situations, primarily negative.
Describe the slow to warm up child?
Typically reacts negatively to new, adapts slowly unless pressured.
What are the three stages of pregnancy?
Preembryonic stage- conception - 14 days
Embryonic- 14 days- 8 weeks
Fetal stage- 8 weeks to birth.
Early parent child interactions encourgage?
attachment
The neonatal stage is the is?
the first 28 weeks of life.
How should infants be positioned?
on their backs to prevent sids.
What screening procedures are done?
Blood test for IEMs. PKU, hypothyroidism, and glactocemia.
How should they face in car seats?
backwards until 2 or the proper weight.
whats the most rapid time of growth.
1 mo. to 1 year.
by four months an infant can?
hold there head up with no head lag.
They can grasp and rattle by?
2 mo.
2 - 3 mo. can?
smile responsively.
at 8 mo. they can?
differentiate between stranger and familiar people.
by 9 mo. they can.
play peek a boo and patty cake.
Toddlers are unable to?
view another persons perspective.
an 18 mo old shoud speak?
10 words
A 24 mo old should speak?
300 words
What is interpersonal communication?
Self talk
What is intrapersonal communication?
one on one
What is transpersonal communication?
Spirtual
What is referent?
Motivates one person to communicate to another.
What is metacommunication?
all factors that influence communication.
What is assertiveness?
allows you to express feelings and ideas without judging or hurting others.
What is the acronym for active listening?
SOLER
Sit facing pt.
Observe
Lean toward
Eye contact
Relax
What is sympathy?
concern, sorrow, or pity felt.
What is necessary for an infection to happen?
Infectious agent
Reservoir
Port of exit
Mode of transmission
port of entry
susceptible host
What is virulence?
ability for disease to survive.
What happens during the inflammatory process?
Vascular response
Exudates
Tissue repair
What is an iatrogenic infection?
happens through medical procedure.
What type of water should you use when cleaning objects?
COld
When using disinfects remember?
Soaps can deactivate them
Rinse of organic materials.
date bottles and throw out after 24 hours
Rosenstoch's, becker, and maiman's health belief model consist of three parts?
1. Belief of susceptibility to illness.
2. Perception of seriousness
3. Likelihood that person will take preventative action.
Pender defines health as?
a positive dynamic state not merely the absence of disease.
Health defined by the WHO.
State of complete physical, mental, and social well being not merely the absence of disease or infirmity.
In the holistic health model who is the expert?
Pt.
What is Maslow's Hierarchy of needs from the bottom up?
Psysiological, Saftey and security, love and belonging, self-esteem, self-actualization.
What is primary prevention?
Health promotion
What is secondary prevention?
Prevention of complications.
What is tertiary prevention?
Irreversible effects of disease, focus on not getting worse.