NU 650 EXAM 1 WITH COMPLETE SOLUTION

NU 650 EXAM 1 WITH COMPLETE SOLUTION three dimensions of cultural humility 1) Self-awareness. Learn about your own biases...we all have them. 2) Respectful communication. Work to eliminate assumptions about what is "normal" Learn directly from your pt's-they are the experts on their culture and illness. 3) Collaborate partnerships. Build your pt. relationship on respect and mutually acceptable plans. types of cognitive errors anchoring bias: locking in on feature in pts presentation too early availability heuristic: overlooking differentials confirmation bias: diagnostic momentum: using previous diagnoses to explain sx (MI vx acid reflux) framing effect: representation error: failure to take prevalence into account when estimating probability of diagnosis visceral bias: feeling towards pt that can lead to poor diagnostic decisions acute pain normal response to stimulus that lasts less than 3-6 months, associated with acute illness/injury chronic pain lasts more than 6 months or one month beyond typical course process of clinical reasoning and what happens at each step gather info (health hx and exam), organize and interpret info (problem presentation), generating hypothesis (differential diangoses), testing hypothesis, planning diagnostic and tx strategy key social determinants of health economic stability, education, social and community, health/healthcare, neighborhood and built environment core values of medical ethics nonmaleficence, beneficence, respect for autonomy, decisional capacity, confidentiality, informed consent, truth telling, justice positions for physical exam (12) standing, sitting, supine, prone, lithotomy, dorsal recumbent, lateral recumbent, trendelenburg, reverse trendelenburg, semi fowlers, fowlers, high fowlers seven attributes of a symptom 1. Location 2. Quality 3. Quantity or severity 4. Timing (including onset, duration, and frequency) 5. The setting in which it occurs 6. factors that have aggravated or relieved the symptom 7. associated manifestations