NR 503 FINAL STUDY EXAMS

NR 503 FINAL STUDY EXAMS Kleinman explanatory Model - CORRECT ANSWER-Eliciting the patient's (explanatory) model gives the physician knowledge of the beliefs the patient holds about his illness, the personal and social meaning he attaches to his disorder, his expectations about what will happen to him and what the doctor will do, and his own therapeutic goals Cultural competence - CORRECT ANSWER-Cultural competence is defined as "a dynamic, fluid, continuous process whereby an individual, system or health care agency find meaningful and useful care delivery strategies based on knowledge of the cultural heritage, beliefs, attitudes, and behavior of those to whom they render care" Cultural Awareness - CORRECT ANSWER-:Self-examination of one's own prejudices and biases toward other cultures. An in-depth exploration of one's own cultural/ethnic background. Cultural humility - CORRECT ANSWER-A lifelong commitment to self-evaluation and self-critiques, redressing the power of imbalances in the patient- physician dynamic, developing mutually. Beneficial relationships. Cultural Knowledge - CORRECT ANSWER-Obtaining a sound educational foundation concerning the various worldviews of differences cultures. Obtaining knowledge regarding biological variations, disease and health conditions and variation in drug metabolism. Cultural Skill: - CORRECT ANSWER-Ability to collect culturally relevant data regarding the client's health history and presenting problem. Ability to conduct culturally based physician assessments. Conducting these assessments in a culturally sensitive manner. Cultural Desire - CORRECT ANSWER-Motivation of the healthcare provider to "want" to engage in the process of cultural competence, characteristics of compassion, authenticity, humility, openness, availability, and flexibility, commi tment and passion to caring, regardless of conflict. ethnicity - CORRECT ANSWER-as "the aggregate of cultural practices, social influences, religious pursuits, and racial characteristics shaping the distinctive identity of community" Cultural competence in nursing consists of four principles. - CORRECT ANSWER-Care is designed for the specific client. Care is based on the uniqueness of the person's culture and includes cultural norms and values. Care includes self-employment strategies to facilitate client decision making to improve health behaviors. Care is provided with sensitivity and is based on the cultural uniqueness of clients. The APN may also use the Kleinman Explanatory Model of Illness (1978). Below are the questions that can be utilized. - CORRECT ANSWER-What do you call your problem? What do you think caused your problem? Why do you think it started when it did? What does your sickness do to you? What do you fear most about your sickness? What are the chief problems your sickness has caused you? What kind of treatment do you think you should receive? What is the most important result you hope to receive from the treatment? According to Giger and Davidhizer (2000), although cultures differ, they all have the same basic organizing factors that must be assessed in order to provide care for culturally diverse patients. These factors include - CORRECT ANSWER-communication (verbal and nonverbal); personal space; social organization; time perception; environmental control; and biological variations. The National Center for Cultural Competence (NCCC) provides national leadership and contributes to the body of knowledge on cultural and linguistic competency within systems and organizations. Major emphasis is placed on translating evidence into policy and practice for programs and personnel concerned with health and mental healthcare delivery, administration, education, and advocacy. - CORRECT ANSWERThe NCCC uses four major approaches to fulfill its mission, including - CORRECT ANSWER-Web-based technical assistance, (2) knowledge development and dissemination, (3) supporting a community of learners, and (4) collaboration and partnerships with diverse groups. These approaches entail the provision of training, technical assistance, and consultation and are intended to facilitate networking, linkages, and information exchange. The NCCC has particular expertise in developing instruments and conducting organizational self-assessment processes to advance cultural and linguistic competency. - CORRECT ANSWEREpidemiological Triad: - CORRECT ANSWER-host, agent, environment Genetics is considered an agent in the epidemiological triad - CORRECT ANSWERGenetics - CORRECT ANSWER-The study of individual genes and their impact on relatively rare single gene disorders Genomics - CORRECT ANSWER-The study of all genes in the human genome as well as their interaction with other genes, the individual's environment, and the influence of cultural and psychosocial factors Genetic epidemiology - CORRECT ANSWER-the link of epidemiology and genetics Absolute risk - CORRECT ANSWER-is the probability of an event, such as illness, injury, or death Absolute risk - CORRECT ANSWER-gives no indication of how its magnitude compares with others. The odds ratio - CORRECT ANSWER-closely approximates the relative risk if the disease is rare. Odds ratio and the relative risk are used - CORRECT ANSWER-to assess the strength of association between risk factor and outcome. Attrubutible risk - CORRECT ANSWER-is used to make risk-based decisions for individuals. Population-attributable risk measures - CORRECT ANSWER-are used to form public health decisions EGAPP: - CORRECT ANSWER-Evaluation of Genomic Applications in Practice and Prevention GAPPNet - CORRECT ANSWER-Genomic Applications in Practice and Prevention Network (established in 2009) is a collaborative initiative involving partners from across the public health sector working together to realize the promise of genomics in health care and disease prevention. GEDDI - CORRECT ANSWER-Genetics Early Disease Detection Intervention project (GEDDI) (established in 2009) developed a model strategy for using clinical, genetic, and family history information to reduce the risk of disease, death, and disability in affected individuals, family members, and populations.