MATERNAL CHILD NURSING CARE CHAPTER 1 EXAM

Currative approach, wellness is the absence of disease, goal is to cure illness, features paternalism - answer-Medical Model Ethnopluralism - answer-Diverse cultures, traditional medical model was based on Euro-Caucasian descent, this is no longer relevant with the growing diverse cultures in U.S. New medical model must evolve to include consumerism, holism and diverse cultures. Also called multi-ethnic Ethnocentrism - answer-Belief that your culture or one culture is superior to another, Traditional Medical Model featured belief that Euro-Caucasian male health care system values are superior. This view can critically compromise effective health care. Describe the nursing process in relations to the TRADITIONAL LINEAR health wellness continuum - answer-Emphasis on treating the illness defined the scope of the nurse practice: assess for signs of illness, diagnose alternations in health, determine interventions to restore health, conceptualize a targeted health outcome moving away from illness, evaluate treatment plan for nurse determined modifications Describe the shift in nursing process in relations to the health wellness continuum - answer-Shared experience of transcending or controlling the health threat and changing it into one of purposeful meaning. The nurse patient relationship is now circular/spiral. The goal is to motivate the patient towards promotion, maintenance and restoration of health, prevention of illness, self-care Describe the shared connectedness between patient and nurse in the new health promotion nursing process - answer-The RN should experience the illness/health threat in the same manner that the patient perceives it. Move patient to a patient defined state of coping, harmony, holism, spirituality (meaning) Nursing Aesthetics - answer-the art of nursing, low-tech, high-touch artistry of caring that strengthens the patient's confidence in their patient to manage the healing process, make changes or master the threatening health event. Can be described as a transformative and spiral process. Name three nursing interventions that fall under Nursing Aesthetics Art - answer-Imagery, Music Therapy and Touch Name the 12 nursing aesthetics that strengthen confidence in mastering a health threat - answer-Low tech, high tech, reflective sharing, listening, touching, imaging, experiencing, presencing, caring, valuing, facilitating, ALL Foundations of the RELATIONSHIP Engaging Transpersonal Care - answer-Nursing approach which has evolved from the simple nursing basics of providing treatment-driven, high-technology centered care. Opportunity for the patient and family to utilize the nursing process in a new way. Nurse asseses the patient's confidence to manage the health threat, diagnose's health alteration from patient's viewpoint, conceptualizes the outcomes as the patient envisions it, supports the patient in chosen changes and evaluates the ongoing maintenance of health as it is lived by the patient. Name three ways that patients have changed - answer-Trust in providers has declined, increased consumerism, increased accessibility of health information, family structures have also changed Family - answer-A group of people sharing interpersonal bonds, tasks, and activities Dyad Family - answer-Two cohabitating companions or spouses Nursing Process - answer-Developed as a framework of systematic problem solving and actions to be used by the nurses identifying, preventing or treatment of individual health needs. Historically the nursing process has been problem oriented, goal directed, and involved critical thinking. Clear differentiation between nursing diagnosis and medical diagnosis NANDA - answer-North American Nursing Diagnosis Association Family Centered Care - answer-Placing family relationships, their coping mechanisms, priorities and perceptions at the center of a patient's health care needs. Nurse facilitates, does not tell family what to do, provides education Community Health Maps - answer-Used to assess the health of a family by using tool to look at family structure, function and support networks. Focus on family health, past successes and current strengths, NOT family problems Name the three parts of a Community Health Map - answer-Structural Family Assessment, Developmental Family Assessment, Functional Family Assessment Cultural Sensitivity - answer-Learning, recognizing, and comprehending that these cultural factors are what shape a family's perception of their health and health related events Cultural Sensitivity - answer-How the patient and family comprehend and respond to a particular health event is shaped by cultural factors, values and beliefs Cultural Competence - answer-Open and receptive to gaining awareness and respect of cultural influences. Sensitive and understanding of cultural differences. Framing nursing process (assessment, intervention, outcome expectation and evaluation) with holistic perspective