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Cult. & Spirit. Sensitive Care; Delegation & Leadership
Terms in this set (50)
A shared system of beliefs, values, and behaviors that provides a social structure for daily living influenced by birthplace and family origin
What are some visible components of cultural diversity?
What are some invisible components of cultural diversity?
- Health care
- Economic status
Term for a large group of people who are members of a larger group of people with diverse characteristics (e.g. nurses, educators, bikers, AA, transgender)
A term used to describe a person who has multiple patterns of identification or lifestyles, and sets of values (e.g. biracial, multiracial)
Term for the state of being different. This occurs not only between ethnic groups but also within them
____________ is linked to biology or genetics
- black, caucasian, hispanic, asian
_______________________ is the sense of identity within a collective cultural group based on the group's common heritage
- belonging through birth or adoption
- cultural expression and behavior patterns
___________________________ is the sovereign state or country where an individual has membership or origin
__________________________ is a system of beliefs, practices, and ethical values about superhuman or divine power
Which concept of culture is this?
- a minority culture is fully absorbed into a majority culture
- gradually loses the group's mark of identity becomes one with larger culture
ex. Muslim women in America, Tex-Mex food
Belief that one's group is superior or better and others are wrong or of lesser importance
- Eating behaviors in cultures (chopsticks, fingers, forks and knives)
A preconceived judgement (favorable or unfavorable) not based on sufficient knowledge
Assumptions about racial groups (e.g., belief that some races of people are better than others)
Term for unjust or prejudicial treatment of different groups of people based on prejudicial or arbitrary reasons
__________________________ is assuming that all members of a culture, ethnic group or race act alike
A nurse states, "That woman is 78 years old - too old to learn how to change a dressing".
What is the nurse demonstrating?
B. Cultural competency
__________________ ______________ refers to health differences between groups of people:
- how diseases affect the group
- mortality and morbidity in the group
- inadequate access to care and/or substandard quality of care
What are the four (4) categories of "determinants of health"
4. Biologic and Genetic
What is an important intervention by the nurse when communicating with verbally challenged patients (different language)?
Seeking a language interpreter
What are the five (5) Health Care Agency Communication Requirements as it pertains to language assistance?
1. Translator in person or through video conferences
2. Translator must be competent and trained/certified; Speak to the patient directly
3. Never use an untrained individual for translating; e.g. family member
4. Give verbal and written info the PT
5. Make sure the info you give to the PT is easy to read and appropriate to their age/education
____________________ is the basic unit of society
A young Hispanic mother comes to the local clinic because her baby is sick. She speaks only Spanish and the nurse speaks only English. What should the nurse do?
A. Use short words and talk more loudly
B. Ask an interpreter for help
C. Explain why care can't be provided
D. Provide instructions in writing
You are a nurse caring for a 79 year old man, a retired railroad worker who was admitted with dizziness and a history of falling. During your shift, your nursing assistant reports (with frustration) that the patient refuses to use his urinal while in bed and insists on standing bedside or walking to the bathroom to eliminate. The assistant requests a physician's order for urinal use in bed only.
A. What questions should you ask yourself in this situation
B. What teaching (and to whom) could be involved in resolving the situation
C. What factors could be inhibiting cultural sensitivity?
A nurse is interviewing a newly admitted patient. Which question would be considered culturally sensitive?
A. "Do you think you will be able to eat the food we have here?"
B. "Do you understand that we can't prepare special meals?"
C. "What types of food do you eat for meals?"
D. "WHy can't you just eat our food while you're here?"
_________________ is the human tendency to seek meaning and purpose in life, inner peace, and acceptance, forgiveness, connection (love)
What are the two types of spiritual dimensions?
1. All belonging to each other
2. Spirituality drives them all
Confident belief in something for which there is no proof or material evidence
Term for unifying force of being human with life, others' nature, the environment, and the cosmos
Term that's defined as harmony and fulfillment
Term for understand the impact of one's life, the essence of self-becoming/shaping our journey
Term for an organized system of beliefs, practices, and conduct
List some beliefs related to birth and death
Circumcision, baptisms, dedications
A nurse is caring for a patient who is Jehovah's Witness and is scheduled for surgery. The surgeon tells the patient she will need a blood transfusion. The patient states she will not be able to have a transfusion, due to her religious values and mandates. Which of the following responses should the nurse make?
A. "I believe in this case you should make an exception and accept the transfusion."
B. "I know your family would approve of your decision to have a transfusion."
C. "Why does your religion mandate that you cannot receive blood transfusions?"
D. "Let's discuss the necessity for a transfusion with your religious and spiritual leaders and come to a reasonable solution."
What are some possible outcomes when discussing the evaluation of spiritual care?
- Expression of more spiritual comfort
- Expression of satisfaction with spirituality
- Demonstrates some of the defining characteristics of spiritual well-being
- Describes a number of support systems to use when spiritual conflict arises
What are some characteristics of a nurse leader?
- Focus on people and relationships
- Strong listeners
- Excellent communicators
- Ability to implement effective change
Difference between an explicit and implicit leader?
Explicit is a formal leader who is appointed to official authority to make decisions and act (ex. a nurse manager, charge nurse, director of nursing)
Implicit leaders are not official appointed but become the leader of a group of people due to their seniority, experience, abilities, etc.
Which types of leaders are these?
1. Authoritarian leader who makes decisions for the group without much input from the group; can sometimes became dictators; lack of creativity, autonomy, etc. (can be helpful in an emergency situation where multiple people shouldn't be giving directions)
2. Group decision making, input from the group to the leader that is used to make decisions. Used often in multidisciplinary roles
3. Might be used in an environment where the team has a lot of autonomy and can use self-regulation. Used best in experienced and mature groups that don't need a lot of guidance
4. Leaders take a more horizontal role where they look at their team and organization as interconnected and look at change as something that is positive and dynamic instead of upsetting or laborious
5. Incentives are traded for certain things (for example, getting Christmas off for taking a Thanksgiving shift)
6. Leader is okay with risk taking and empowering the group's vision. Servant leadership where they integrate themselves into the group
List some barriers to teamwork
- Pressure to conform
- Poor communication
- Personal conflicts
- Power struggles
List some successes to teamwork
- Roles and norms
- Setting goals
- Plan for conflict
- Listen and discuss
What are the Management Functions?
1. Planning (What, When, Where, How, What Resources?)
2. Organizing (data, establishing chain of command)
3. Staffing (team-building activities, updating skills/ protocols)
4. Directing (getting the work accomplished, assigning tasks)
5. Controlling (evaluation process, adjustments, ensuring that quality care is being provided, financial accountability)
Which Conflict Management styles are these?
1. Avoiding/ignoring the conflict
2. Joint effort between two conflicting parties that results in them accepting a mutual resolution and responsibilities
3. Both parties willing to relinquish something of equal value
4. Allowing one party to win for an "I owe you"
5. Doesn't resolve the issue at hand. The leader compliments the party to avoid disagreements between the two
What are the two (2) types of change?
Planned and Unplanned
What is the eight (8) step process for planned change?
1. Recognize symptoms of change needed
2. Identify the problem to be solved
3. Determine alternative solutions
4. Identify course of action
5. Plan for change
6. Implement plan
Term for the act of transferring to a competent individual the authority to perform a selected nursing task in a selected situation
What are the five (5) rights of delegation?
1. Right Task
2. Right Circumstances
3. Right Person
4. Right Direction and Communication
5. Right Supervision and Evaluation
True or False
Nurses cannot delegate anything related to the nursing process
Delegate (Yes) or Not Delegate (No)
1. Vital signs, intake and output, weighing
2. Inserting NG tubes
3. Patient transfer and ambulation
4. Bathing and postmortem care
5. Patient education
7. Care of invasive lines
8. Simple dressing changes
10. Nursing diagnoses and care planning
12. Giving medications
Which healthcare professional's scope of practice is this?
- Medication (except IV)
- Trach care and suctioning (for chronic trachs)
- Wound care
- Enteral feedings
- Monitoring patients
Which healthcare professional's scope of practice is this?
- Vital signs, I & O, weights
- Specimen collection
- Blood glucose checks
CNA or UAP
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