AND ANSWERS
o Being open to the client's ideas and way of life
o Exhibit respect and patience
o Being aware of your own culture application question - answer- Nursing actions to
consider for culture and nursing. . .
o Dynamic
o Shared
o Learned - answer- Properties of culture SATA QUESTION:
Aware of your own culture - answer- Nursing actions: be...
An attitude of openness to respect for and curiosity about different cultural values
and traditions and ideally includes a broader critical analysis of power relations
affecting health disparities - answer- Cultural competence is...
- Have a defined set of values and principles
- Demonstrate behaviors attitudes policies and structures that enable them to work
- effectively cross-culturally - answer- institutional competence??
For community and public health agencies to be culturally competent, they must
have the capacity to:
- Cultural Humility - answer- o an acknowledgment that everyone's views are
culturally influenced, that our own are not inherently better than those of our clients,
and that our clients can teach us.
- Ask open-ended questions about beliefs and practices of the client and family.
- Ask about traditions. What does the client think may have caused an illness, and
how has the client already tried to address it? - answer- o Client interviews in regard
to culture should consider. . .
acknowledgment that everyone's views are culturally influenced, that our own are not
inherently better than those of our clients, and that our clients can teach us. -
answer- Cultural humility is...
- Assumption that others believe and behave as the dominant culture does, or the
belief that the dominant culture is superior to others
Example: "They are in the US now; you would think that they would act like us." -
answer- Ethnocentrism is...
and ex:
related. . . Without case management there would not be care management. It is the
building block of care management. - answer- Care and case management are...
a. form of electronic communication used to deliver:
, - Acute care and specialty consultations
- Home telenursing
- Electronic referrals to specialists in expert health facilities
b. two kinds of approaches that are applicable to home care. . . Stores data that can
be shared and real interactions between a patient and provider. - answer- Telehealth
is...
- Assisted living supports people that can't live alone, but do not meeting nursing
home criteria. - answer- Home care model, hospital one:
a. development and coordination of care for a selected client and family
b. An integrated collaborative process of assessment, planning, facilitation, and
advocacy for options and services to meet the client's needs
c. Advocacy in case management is significant, to advance change - answer- Case
Management is...
a. part of a continuum of care where clients can live and move through the
experiences of subacute, chronic, and end-of-life care. - answer- Home Healthcare
is...
a. developed in last 25 years to save money and maintain control of costs. Objective
is to maintain levels of quality and increase collaboration as part of the care
continuum - answer- Hospital-based Agencies...
1) Homebound
2) Plan of care
3) Skilled needs
4) Intermittent care needs
5) Necessity - answer- 1. Medicare for example has the following criteria for
eligibility- must be renewed every 60 days: (SATA Q)
a. 24 hours of a referral - answer- 1. Home Visit initiating the visit within...
a. Living room #1
b. Bedroom - answer- 1. Most common fall areas in home are...
a. Diabetes
b. CHF
c. Pain
d. Hypertension
e. Incontinence - answer- 1. Common Chronic and managed in-home care are:
(SATA)
- Assessing for risk of medication errors- develop a medication profile. Consider
interventions to support- pg. 259 Box 12.5
- Assessing for risk of falls- most common fall areas are living room* and bedroom*
pay attention to common fall areas on test*
- Assessing for risk of abuse and neglect- note the issue of self-neglect -> given up
on themselves