NUSA 401 Exam 1 Questions and Answers Graded A+
cultural competence - Answers a set of congruent behaviors, attitudes, and policies that come together
in a system among professionals that enables work in cross-cultural situations
implies that the caregivers understand and attend to the
total context of the individual's situation, including awareness of immigration status, stress factors, and
cultural similarities and differences
culture competence must have knowledge of: - Answers personal heritage, nursing heritage, health care
system heritage, and patient heritage
RESPECT - Answers realize you must know heritage of yourself and patient
examine patient blah blah
Steps to Cultural Competence - Answers 1. Understand one's own heritage-based values, beliefs,
attitudes, and practices
2. Identify meaning of "health" to patient
3. Understand how health care system works
4. Acquire knowledge about social backgrounds of patients
-Become familiar with languages, interpretive services, and community resources available to nurses
and patients
culture - Answers the nonphysical attributes of a person--the thoughts, communications, actions, beliefs,
values, and the institutions of racial, ethnic, religious, or social groups, genetic but subject matter must
be learned
4 basic characteristics of culture - Answers learned, shared, adapted, dynamic
ethnicity - Answers a social group within the social system that claims to possess variable traits such as a
common geographic origin, migratory status, and religion
ethnocentrism - Answers tendency to view your own way of life as the most desirable, acceptable, or
best and to act superior to another culture's lifeways
what is the purpose of a genogram - Answers uses symbols to depict gender, relationship, age of
immediate blood relatives in 3 generations, in order to highlight patient's prolonged contact with
communicable disease or environmental hazard such as smoking or to flag effect of family member's
illness
,clarification - Answers examiner's response used when the patient's word choice is ambiguous or
confusing
closed questions - Answers questions that ask for specific information; elicit a short, one or two word
answer, a yes or no, or a forced choice
elder speak - Answers infantilizing and demeaning language used by a health professional when
speaking to an older adult
-diminutives (honey, dear)
-plural nouns (are we ready)
-tag questions (you'd like to sit here, wouldnt you)
-avoid short sentences, speaking slower, and simple vocab like baby talk
empathy - Answers viewing the world from the other person's inner frame of reference while remaining
yourself; recognizing and accepting the other person's feelings without criticism
interpretation - Answers examiner's statement that is not based on direct observation, but is based on
examiner's inference or conclusion; it links events, makes associations, or implies cause
leading question - Answers a question that implies that one answer would be better than another
open question - Answers asks for longer narrative information; unbiased; leaves the person free to
answer in any way
reflection - Answers examiner response that echoes the patient's words; repeats part of what patient
has just said
summary - Answers final review of what examiner understands patient has said; condenses facts and
presents a survey of how the examiner perceives the health problem or need
delirium - Answers an acute confusional change or loss of consciousness and perceptual disturbance,
may accompany acute illness, and usually resolves when the underlying cause is treated
dementia - Answers a gradual progressive process, causing decreased cognitive function even though
the person is fully conscious and awake, and is not reversible
memory - Answers ability to lay down and store experiences and perceptions for later recall
mood - Answers prolonged display of a person's feelings
orientation - Answers awareness of the objective world in relation to the self
perception - Answers awareness of objects through any of the five senses
, nosocomial infection - Answers an infection acquired during hospitalization
sphygmonanometer - Answers instrument for measuring arterial blood pressure
bradycardia - Answers heart rate is less than 50 beats per minute in the adult
tachycardia - Answers heart rate is greater than 90 bpm in the adult
acute pain - Answers short-term, self-limiting, often predictable trajectory; stops after injury heals
initial pain assessment looks for: - Answers location
duration
quality
intensity
aggravating/relieving factors
chronic pain - Answers pain continues for 6 months or longer after initial injury, abnormal processing by
pain fibers
PAINAD scale - Answers Patients whose dementia is so advanced that they cannot verbally communicate
referred pain - Answers Pain in a different spot then the injury or injured organ (often from GI issues)
somatic pain - Answers musculoskeletal tissues
deep somatic= originating from muscle, bone, joints, tendons, or blood vessels
ex: arthritis, osteoporosis
visceral pain - Answers Pain that presents with an automatic response such as nausea, vomiting, pallor
(paleness), or diaphoreses and originating from larger interior organs (stomach, intestines)
diet history - Answers a detailed record of dietary intake obtainable from 24 hour recalls, food
frequency questionnaires, food diaries, and similar methods
malnutrition - Answers may mean any nutrition disorder but usually refers to long term nutritional
inadequacies or excesses
nutrition screening - Answers a process used to identify individuals at nutrition risk or with nutritional
problems
cultural competence - Answers a set of congruent behaviors, attitudes, and policies that come together
in a system among professionals that enables work in cross-cultural situations
implies that the caregivers understand and attend to the
total context of the individual's situation, including awareness of immigration status, stress factors, and
cultural similarities and differences
culture competence must have knowledge of: - Answers personal heritage, nursing heritage, health care
system heritage, and patient heritage
RESPECT - Answers realize you must know heritage of yourself and patient
examine patient blah blah
Steps to Cultural Competence - Answers 1. Understand one's own heritage-based values, beliefs,
attitudes, and practices
2. Identify meaning of "health" to patient
3. Understand how health care system works
4. Acquire knowledge about social backgrounds of patients
-Become familiar with languages, interpretive services, and community resources available to nurses
and patients
culture - Answers the nonphysical attributes of a person--the thoughts, communications, actions, beliefs,
values, and the institutions of racial, ethnic, religious, or social groups, genetic but subject matter must
be learned
4 basic characteristics of culture - Answers learned, shared, adapted, dynamic
ethnicity - Answers a social group within the social system that claims to possess variable traits such as a
common geographic origin, migratory status, and religion
ethnocentrism - Answers tendency to view your own way of life as the most desirable, acceptable, or
best and to act superior to another culture's lifeways
what is the purpose of a genogram - Answers uses symbols to depict gender, relationship, age of
immediate blood relatives in 3 generations, in order to highlight patient's prolonged contact with
communicable disease or environmental hazard such as smoking or to flag effect of family member's
illness
,clarification - Answers examiner's response used when the patient's word choice is ambiguous or
confusing
closed questions - Answers questions that ask for specific information; elicit a short, one or two word
answer, a yes or no, or a forced choice
elder speak - Answers infantilizing and demeaning language used by a health professional when
speaking to an older adult
-diminutives (honey, dear)
-plural nouns (are we ready)
-tag questions (you'd like to sit here, wouldnt you)
-avoid short sentences, speaking slower, and simple vocab like baby talk
empathy - Answers viewing the world from the other person's inner frame of reference while remaining
yourself; recognizing and accepting the other person's feelings without criticism
interpretation - Answers examiner's statement that is not based on direct observation, but is based on
examiner's inference or conclusion; it links events, makes associations, or implies cause
leading question - Answers a question that implies that one answer would be better than another
open question - Answers asks for longer narrative information; unbiased; leaves the person free to
answer in any way
reflection - Answers examiner response that echoes the patient's words; repeats part of what patient
has just said
summary - Answers final review of what examiner understands patient has said; condenses facts and
presents a survey of how the examiner perceives the health problem or need
delirium - Answers an acute confusional change or loss of consciousness and perceptual disturbance,
may accompany acute illness, and usually resolves when the underlying cause is treated
dementia - Answers a gradual progressive process, causing decreased cognitive function even though
the person is fully conscious and awake, and is not reversible
memory - Answers ability to lay down and store experiences and perceptions for later recall
mood - Answers prolonged display of a person's feelings
orientation - Answers awareness of the objective world in relation to the self
perception - Answers awareness of objects through any of the five senses
, nosocomial infection - Answers an infection acquired during hospitalization
sphygmonanometer - Answers instrument for measuring arterial blood pressure
bradycardia - Answers heart rate is less than 50 beats per minute in the adult
tachycardia - Answers heart rate is greater than 90 bpm in the adult
acute pain - Answers short-term, self-limiting, often predictable trajectory; stops after injury heals
initial pain assessment looks for: - Answers location
duration
quality
intensity
aggravating/relieving factors
chronic pain - Answers pain continues for 6 months or longer after initial injury, abnormal processing by
pain fibers
PAINAD scale - Answers Patients whose dementia is so advanced that they cannot verbally communicate
referred pain - Answers Pain in a different spot then the injury or injured organ (often from GI issues)
somatic pain - Answers musculoskeletal tissues
deep somatic= originating from muscle, bone, joints, tendons, or blood vessels
ex: arthritis, osteoporosis
visceral pain - Answers Pain that presents with an automatic response such as nausea, vomiting, pallor
(paleness), or diaphoreses and originating from larger interior organs (stomach, intestines)
diet history - Answers a detailed record of dietary intake obtainable from 24 hour recalls, food
frequency questionnaires, food diaries, and similar methods
malnutrition - Answers may mean any nutrition disorder but usually refers to long term nutritional
inadequacies or excesses
nutrition screening - Answers a process used to identify individuals at nutrition risk or with nutritional
problems
