NSG 3107 EVALUATION EXAM ACTUAL QUESTIONS
AND SOLUTIONS GRADED A+
✔✔why fcc? - ✔✔pt. safety
quality outcomes
personalized plan of care
decreased malpractice
effective
parents gain sense of ctrl
✔✔what is culture - ✔✔shared patterns of learned behaviours + calues that are
transmitted over time
✔✔cultural competence - ✔✔An understanding of how a patient's cultural background
shapes his beliefs, values, and expectations for therapy.
✔✔cultural sensitivity - ✔✔knowledge , awareness, and acceptance of other cultures
✔✔5 steps to cultural competence - ✔✔1. valuing diversity
2. capacity for cultural self-assessment
3. being conscious of the dynamics inherent when cultures interact
4. institutionalized cultural knowledge
5. adaptations of service delivery reflecting an understanding of cultural diversity
✔✔chronic illness - ✔✔long term condition, interferes w/ daily functioning
✔✔congenital abnormality - ✔✔structural or functional anomalies that occur during
intrauterine life
✔✔developmental delay - ✔✔physical, intellectual, or another type of delay in achieving
milestones
✔✔developmental disability/disorder - ✔✔cognitive limitations due to presence of a
developmental disability
✔✔disability - ✔✔6 months +, daily activities are limited by long-term conditions
✔✔handicap - ✔✔social and enviro consequences of an individual's impairment
✔✔life-limiting illness - ✔✔die before adulthood or that results in a limited expectation of
life
✔✔medically complex - ✔✔1. 1+ chronic conditions
2. fcnal limitations
, 3. high HC utilization
4. coordinated care by a specialized interdisciplinary team of HCPs
✔✔5 distinct patterns of coping - ✔✔1. develops competence and optimism
2. feels different and withdraws
3. irritable and acts out
4. adheres to Tx
5. seeks support
✔✔promotion of normal development - ✔✔Early childhood
Basic trust, separation from parents, and beginning independence
School age
Industry/activity
Adolescence
Developing independence/autonomy
✔✔stressors of hospitalization - ✔✔- Separation anxiety
- Protest phase: cry and scream, cling to parent
- Despair phase: crying stops; evidence of depression
- Detachment phase: denial; resignation but not contentment, may seriously affect
attachment to parent after separation
✔✔Effects of Hospitalization on the Child - ✔✔Effects may be seen before admission,
during hospitalization, or after discharge
Child's concept of illness is more important than intellectual maturity in predicting
anxiety
✔✔isolation - ✔✔added stressor
probable limited understanding of child
dealing w/ child's fears
potential for sensory deprivation
✔✔HIMSS - ✔✔global not for profit organization focused on better health through info
and tech
leads efforts to optimize health engagements and care outcomes using info tech
✔✔ABCDEFG - ✔✔airway
breathing
circulation
disability
exposure
fluids
glucose
✔✔confidentiality - ✔✔protect user and pas
AND SOLUTIONS GRADED A+
✔✔why fcc? - ✔✔pt. safety
quality outcomes
personalized plan of care
decreased malpractice
effective
parents gain sense of ctrl
✔✔what is culture - ✔✔shared patterns of learned behaviours + calues that are
transmitted over time
✔✔cultural competence - ✔✔An understanding of how a patient's cultural background
shapes his beliefs, values, and expectations for therapy.
✔✔cultural sensitivity - ✔✔knowledge , awareness, and acceptance of other cultures
✔✔5 steps to cultural competence - ✔✔1. valuing diversity
2. capacity for cultural self-assessment
3. being conscious of the dynamics inherent when cultures interact
4. institutionalized cultural knowledge
5. adaptations of service delivery reflecting an understanding of cultural diversity
✔✔chronic illness - ✔✔long term condition, interferes w/ daily functioning
✔✔congenital abnormality - ✔✔structural or functional anomalies that occur during
intrauterine life
✔✔developmental delay - ✔✔physical, intellectual, or another type of delay in achieving
milestones
✔✔developmental disability/disorder - ✔✔cognitive limitations due to presence of a
developmental disability
✔✔disability - ✔✔6 months +, daily activities are limited by long-term conditions
✔✔handicap - ✔✔social and enviro consequences of an individual's impairment
✔✔life-limiting illness - ✔✔die before adulthood or that results in a limited expectation of
life
✔✔medically complex - ✔✔1. 1+ chronic conditions
2. fcnal limitations
, 3. high HC utilization
4. coordinated care by a specialized interdisciplinary team of HCPs
✔✔5 distinct patterns of coping - ✔✔1. develops competence and optimism
2. feels different and withdraws
3. irritable and acts out
4. adheres to Tx
5. seeks support
✔✔promotion of normal development - ✔✔Early childhood
Basic trust, separation from parents, and beginning independence
School age
Industry/activity
Adolescence
Developing independence/autonomy
✔✔stressors of hospitalization - ✔✔- Separation anxiety
- Protest phase: cry and scream, cling to parent
- Despair phase: crying stops; evidence of depression
- Detachment phase: denial; resignation but not contentment, may seriously affect
attachment to parent after separation
✔✔Effects of Hospitalization on the Child - ✔✔Effects may be seen before admission,
during hospitalization, or after discharge
Child's concept of illness is more important than intellectual maturity in predicting
anxiety
✔✔isolation - ✔✔added stressor
probable limited understanding of child
dealing w/ child's fears
potential for sensory deprivation
✔✔HIMSS - ✔✔global not for profit organization focused on better health through info
and tech
leads efforts to optimize health engagements and care outcomes using info tech
✔✔ABCDEFG - ✔✔airway
breathing
circulation
disability
exposure
fluids
glucose
✔✔confidentiality - ✔✔protect user and pas
