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NU 518 Exam 1

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1. Sequence of the clinical encounter 1. initiating the encounter 2. gathering information 3. performing physical exam 4. explaining and planning 5. closing the encounter social determinants of health 1. economic stability 2. education 3. social and community context 4. health and health care 5. neighborhood and built environment 1. Culture Humility A process that requires humility as individuals continually engage in self-reflection and self-critique as lifelong learners and reflective practioners Three dimensions of cultural humility i. Self-awareness ii. Respectful communication iii. Collaborative partnerships The 5 Rs of Cultural Humility i. Reflection: there is always something to learn ii. Respect: preserve dignity and respect iii. Regard: don't let unconscious bias interfere iv. Relevance: apply culture to every encounter v. Resiliency Core values of medical ethics 1. non-maleficence 2. beneficence 3. autonomy 4. decisional capacity 5. confidentiality 6. informed consent 7. truth telling 8. justice How to resolve a clinical ethical delimma 1. state the ethical question 2. collect relevant info 3. identify eithical principles and guidelines 4. delineate and relate options to values and principles 5. evaluate the different options 6. make an action plan Skilled interview techniques a. Active or attentive listening b. Guided questioning c. Empathetic responses d. Summarization e. Transitions f. Partnering g. Validation h. Empowering the patient

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NU 518 Exam 1
yy yy yy




1.yySequenceyyofyytheyyclinicalyyencounter 1.yyinitiatingyytheyyencounter
2.yygatheringyyinformation
3.yyperformingyyphysicalyyexam
4.yyexplainingyyandyyplanning
5.yyclosingyytheyyencounter
socialyydeterminantsyyofyyhealth 1.yyeconomicyystabilityyy
2.yyeducation
3.yysocialyyandyycommunityyycontextyy
4.yyhealthyyandyyhealthyycare
5.yyneighborhoodyyandyybuiltyyenvironment
1.yyCultureyyHumility
Ayyprocessyythatyyrequiresyyhumilityyyasyyindividualsyycontinuallyyyengageyyinyyself-
reflectionyyandyyself-critiqueyyasyylifelongyylearnersyyandyyreflectiveyypractioners
Threeyydimensionsyyofyyculturalyyhumility i.yySelf-awareness
ii.yyRespectfulyycommunication
iii.yyCollaborativeyypartnerships
Theyy5yyRsyyofyyCulturalyyHumility i.yyReflection:yythereyyisyyalwaysyysomethingyytoyylearn
ii.yyRespect:yypreserveyydignityyyandyyrespect
iii.yyRegard:yydon'tyyletyyunconsciousyybiasyyinterfere
iv.yyRelevance:yyapplyyycultureyytoyyeveryyyencounter
v.yyResiliency
Coreyyvaluesyyofyymedicalyyethics 1.yynon-maleficence
2.yybeneficence
3.yyautonomy
4.yydecisionalyycapacity
5.yyconfidentialityyy
6.yyinformedyyconsentyy
7.yytruthyytellingyy
8.yyjustice
Howyytoyyresolveyyayyclinicalyyethicalyydelimma 1.yystateyytheyyethicalyyquestion
2.yycollectyyrelevantyyinfoyy
3.yyidentifyyyeithicalyyprinciplesyyandyyguidelines
4.yydelineateyyandyyrelateyyoptionsyytoyyvaluesyyandyyprinciples
5.yyevaluateyytheyydifferentyyoptions
6.yymakeyyanyyactionyyplan
Skilledyyinterviewyytechniques a.yyActiveyyoryyattentiveyylistening
b.yyGuidedyyquestioning
c.yyEmpatheticyyresponses
d.yySummarization
e.yyTransitions
f.yyPartnering
g.yyValidation

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