EXAM 4 NURSING FUNDAMENTALS
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
What is health disparity? - ANSWER a particular type of health difference that is closely linked with
social, economic, and/or environmental disadvantage
What causes health disparity? - ANSWER people bing in marginalized groups
What are marginalized groups? - ANSWER people more likely to die at an earlier age because of complex
interactions between genetics and behaviors, public and health policy, community and environmental
factors, and quality of health care
What characteristics of care demonstrate culturally congruent care? - ANSWER culturally congruent care
fits a person's life patterns, values, and system of meaning
What does culturally congruent care do? - ANSWER it bridges the cultural gaps to provides meaningful
and supportive care for all patients
What is the focus of patient centered care? - ANSWER to provide individualized care and restore an
emphasis on personal relationships. It aims to elevate quality for all patients
What is the focus of cultural competent care? - ANSWER to increase health equity and reduce disparities
by concentrating on people of color and other disadvantaged populations
How does the nurse provide patient centered care for the LGBT patient? - ANSWER 1. Create welcoming
environment. Prominently posted nondiscrimination policy.
2. Unisex or single-stall bathrooms
3. Fair visitation policies and nondiscriminatory in manner
4. Avoid assumptions ab out sexual orientation and gender identity
5. use LGBT-inclusive language on forms. ex. Partner, guardian/parent, etc
,6. Use neutral/inclusive language when talking with pt and see what they use. ex. partner,wife, husband,
etc.
What does the communication pneumonic RESPECT stand for? - ANSWER R- Rapport:
E- Empathy
S- Support
P- Partnership
E- Explanations
C- Cultural competence
T- Trust
What does the R in RESPECT embody? - ANSWER Rapport- connect on social level
seek pt's point of view
consciously attempt to suspend judgement
recognize & avoid assumptions
What does the first E in RESPECT embody? - ANSWER Empathy
remember pt. came to you for help
Seek out/understand pt's rational for their behavior/illness
verbally acknowledge pt's feelings
What does the S in RESPECT embody? - ANSWER Support
ask about/ understand barriers to care/ adherence
help pt overcome barriers by providing resources
involve fam if appropriate
reassure pt that you are/ will be available for help
What does the P in RESPECT embody? - ANSWER Partnership
be flexible w/ regard to issues of control
, Negotiate roles when necessary
Stress that you will be working together to address problems
What does the second E in RESPECT embody? - ANSWER Explanations
check often for understanding
use verbal clarification techniques
What does the C in RESPECT embody? - ANSWER Cultural competence
Respect pt & believes
Understand pt's view of you may be influenced by stereotypes
Be aware of your own biases
Know your limitations in addressing med issues across cultures
Understand your style and understand when it isn't working with given patient
What does the T in RESPECT embody? - ANSWER Trust
self-disclosure may be difficult for some pts
dont assume trust, take necessary time and work to earn trust
What are the principals of working with interpreters? - ANSWER - Introduce self to interpreter &
describe purpose of meeting
-Determine their qualifications
-consider the impact of differences in education/socioeconomic status of pt & interpreter
-pt & interpreter both understand their role
- introduce to each other
-Dont expect word for word
-If interoperation isn't going well stop and address interpreter
-Pace speech by using short sentences but don't break sentences
-direct q's to patient
-ask pt for feedback @ regular intervals
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
What is health disparity? - ANSWER a particular type of health difference that is closely linked with
social, economic, and/or environmental disadvantage
What causes health disparity? - ANSWER people bing in marginalized groups
What are marginalized groups? - ANSWER people more likely to die at an earlier age because of complex
interactions between genetics and behaviors, public and health policy, community and environmental
factors, and quality of health care
What characteristics of care demonstrate culturally congruent care? - ANSWER culturally congruent care
fits a person's life patterns, values, and system of meaning
What does culturally congruent care do? - ANSWER it bridges the cultural gaps to provides meaningful
and supportive care for all patients
What is the focus of patient centered care? - ANSWER to provide individualized care and restore an
emphasis on personal relationships. It aims to elevate quality for all patients
What is the focus of cultural competent care? - ANSWER to increase health equity and reduce disparities
by concentrating on people of color and other disadvantaged populations
How does the nurse provide patient centered care for the LGBT patient? - ANSWER 1. Create welcoming
environment. Prominently posted nondiscrimination policy.
2. Unisex or single-stall bathrooms
3. Fair visitation policies and nondiscriminatory in manner
4. Avoid assumptions ab out sexual orientation and gender identity
5. use LGBT-inclusive language on forms. ex. Partner, guardian/parent, etc
,6. Use neutral/inclusive language when talking with pt and see what they use. ex. partner,wife, husband,
etc.
What does the communication pneumonic RESPECT stand for? - ANSWER R- Rapport:
E- Empathy
S- Support
P- Partnership
E- Explanations
C- Cultural competence
T- Trust
What does the R in RESPECT embody? - ANSWER Rapport- connect on social level
seek pt's point of view
consciously attempt to suspend judgement
recognize & avoid assumptions
What does the first E in RESPECT embody? - ANSWER Empathy
remember pt. came to you for help
Seek out/understand pt's rational for their behavior/illness
verbally acknowledge pt's feelings
What does the S in RESPECT embody? - ANSWER Support
ask about/ understand barriers to care/ adherence
help pt overcome barriers by providing resources
involve fam if appropriate
reassure pt that you are/ will be available for help
What does the P in RESPECT embody? - ANSWER Partnership
be flexible w/ regard to issues of control
, Negotiate roles when necessary
Stress that you will be working together to address problems
What does the second E in RESPECT embody? - ANSWER Explanations
check often for understanding
use verbal clarification techniques
What does the C in RESPECT embody? - ANSWER Cultural competence
Respect pt & believes
Understand pt's view of you may be influenced by stereotypes
Be aware of your own biases
Know your limitations in addressing med issues across cultures
Understand your style and understand when it isn't working with given patient
What does the T in RESPECT embody? - ANSWER Trust
self-disclosure may be difficult for some pts
dont assume trust, take necessary time and work to earn trust
What are the principals of working with interpreters? - ANSWER - Introduce self to interpreter &
describe purpose of meeting
-Determine their qualifications
-consider the impact of differences in education/socioeconomic status of pt & interpreter
-pt & interpreter both understand their role
- introduce to each other
-Dont expect word for word
-If interoperation isn't going well stop and address interpreter
-Pace speech by using short sentences but don't break sentences
-direct q's to patient
-ask pt for feedback @ regular intervals
