CHAPTER 10: - answer
What is a medical record? - answer a confidential, permanent legal document of
information relevant to that patients health care
What does the health care information system do? - answer support and enhance
health care
Define informatics. - answer use of information and computer technology to support all
aspects of nursing practice
What does the EMR/EHR do? - answer increases patient safety
What are the five steps of expected documentation? - answer nursing assessment, care
plan, interventions, patient's outcomes or response to care, assessment of patient's
ability to manage.
Military time: what is 11:42 a.m. and p.m.? - answera.m. - 1142
p.m. - 2342
What does SOAP stand for? - answersubjective-objective-assessement-plan
What does PIE stand for? - answerproblem-intervention-evaluation
What does DAR stand for? - answerdata-action-response
What is charting by exception? - answerdocument when something out of the ordinary
is observed
What are the advantage of using charting by exeption? - answereasy to track
unexpected changes, eliminated repetition and subjective data, decreases time spect
on charting
Define case managment. - answera model of delivering care that includes a
multidisciplinary approach
What is used to direct and monitor client care and foster identification of variances? -
answercritical pathway
What are the 2 types of hand-off report? - answerchange in shift report or a transfer
report (move patient to new floor)
, What communication does a nurse use during a telephone report? - answerSBAR
CHAPTER 21: - answer
Define culture. - answerhow health, illness, and healthcare are precieved by a group
Define health disparity. - answerhealth difference linked to disadvantage
What are social determinants of health? - answerconditions in which persons are born,
grow, live, work, and age
What is a report? - answeroral, written, audiotapes exchange of information between
members of the healthcare team
Define intersectionality. - answeris a research and policy model used to study the
complexities of peoples lives and experiences
Define marginalization. - answerplaces or keeps someone in a powerless or an
unimportant position within a society or group
ex: gay, bisexual, transgender, people of color
Define oppression. - answeris a formal and informal system of advantages and
disadvantages tied to membership in social groups
Define world-view. - answerassumptions that develop during childhood and guide how
one sees, think about, experiences, and interprets the world
What is Campinha-Bacote's model of cultural competency (5). - answerawareness,
knowledge, skill, encounter, desire
Cultural awareness requires a ___________________ of ones own biases. -
answerself-examination
What is cultural imposition? - answerto make unfair use of own values when caring for
people for people of culture, use own customs and values as a guide in dealing with
patients
The ___________ ____________ is a tool that helps visulize the visible and invisible
aspects of your own world view. - answerIceberg Analogy
What is the term for when an individual gives uphill or her ethnic identity in favor of the
dominant culture. - answerassimilation