COMPLETE ANSWERS
What are the elements of Blanchet and Pepin's description of how to develop cultural
competence? - Answer-build relationships with each other, work outside of usual
practice, reinvent practice
Give a few examples of appropriate nursing assessment questions related to culture.
- Answer-- What do you believe might have caused your illness?
- Have you used any remedies for your illness before this?
- What pronouns do you prefer?
What is a client's explanatory model and how does it affect the assessment process?
- Answer-what happened to them, how are their symptoms, etc.
when the physician sees the patient as a body experiencing symptoms rather than a
person with a problem
How can core measures reduce disparities in health care? - Answer-treating
everyone equally can make a difference (no biases, racial thoughts, or judgements
passed)
How can families be defined? - Answer-by their family make-up
- what helps them meet challenges & gives them strength
- how well do they bounce back?
- are they a part of the community culture or are they outcasts?
Give examples of family forms. - Answer-blended families, single parent families,
marital roles, adolescent pregnancy
what are some examples of current trends in family issues? - Answer-changing
economic status, homelessness, domestic violence, acute & chronic illness, end of
life care
explain the impact of illness and injury on families & how to deal with it. - Answer-—
acute/chronic: plan of care, shared decision making, teach illness
— trauma: cope, be realistic
— end of life: concept of death, end of life wishes, family education
What are the stages of the family life cycle? - Answer-Leaving home ~> marriage ~>
children ~> parenting teenagers~> empty nest ~> later in life
what are the attributes of the family? - Answer-— structure & function
— what do they do & how do they achieve goals?
— roles
— demands
, Explain nursing care when the family is the context for the client situation. - Answer-
assess the individual and what the family contributes
Explain nursing care when the family is the client. - Answer-family process /
relationships are the focus.
Explain nursing care when the family is being treated as a system. - Answer-care for
each family member individually & whole
What are the purposes of client education? - Answer-- health maintenance and
promotion
- restoration of health
- coping with impaired functions
What is the difference between teaching and learning? - Answer-- Teaching =
imparting knowledge through directed activities
- Learning = purposeful acquisition of knowledge
What is the purpose of the Speak Up tips for clients? - Answer-- clients who speak
up are more likely to get the care they need
- ethical right to teaching
> if there are questions, ask!
> pay attention
> educate yourself
> know your medicines
> participate in decision making
What are the 3 domains of learning? Explain them. - Answer-— Cognitive: must think
and acquire knowledge/skills (remember & recall, understand, apply, analyze,
evaluate, create)
— Affective: expressing of feelings - value clarification. (passive & pays attention,
responding, valuing, organizing, characterizing)
— Psychomotor: skills through motion - mental & physical. (Perception & using
senses, mental, physical, & emotional readiness, guided response, mechanism,
overt response, adaptation, origination)
What is a child's ability to learn? - Answer-concrete to abstract
How do adults learn? - Answer-based on events and their readiness to learn
What are things that should always be considered when figuring out a patient's ability
to learn? - Answer-size, strength, coordination, sensory, and energy levels
What aspects of a learning environment help a student to learn better? - Answer-the
amount of people present, lighting, noise, ventilation, furniture, visual aids, etc.