NUR 243 - Exam 2 Quizzes and Solutions
Health disparities to focus on
Avoidable and unacceptable
Health disparity
Racial or ethnic differences in people that cause a change in their quality of care
Avoidable and unacceptable health disparities
- Lack of health insurance or being underinsured
- Language barriers
- Lack of transportation
- Provider bias
Language barrier interventions
Use qualified interpreter and not family/friend
How to use a qualified interpreter
- Maintain eye contact w/ pt and not interpreter
- Use simple language and avoid medical terms
- 1 - 2 sentences at a time
Reasons to use a qualified interpreter
- Avoid medical errors
- Better provider/pt communication
- Helps w/ follow-up
- Increases compliance w/ aftercare directions
Culture
Behaviors, ideas, attitudes, values, traditions learned from family or group members
Race
Physical characteristics of a group of people
Ethnicity
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State of belonging to a social group that has common cultural factors such as language or
religion
Cultural competence in nursing
- Have knowledge about resources where can learn more about other cultures
- Self-awareness of own culture
- Desire to understand other cultures
- Skill in determining pt has another culture and how to incorporate into practice w/ pt
Subcultures
Variations w/in the main culture D/T blending
Cultural assessment
- Pt understanding of illness
- Pt expectations regarding care and TX
- Perceptions regarding herbal remedies
- RN observe pt behaviors
- Ask about languages spoken
- Dietary preferences
- Dress/clothing preferences
- Spiritual beliefs
- Religious beliefs and practices
- Preferred method of communication (directly to pt, multiple family members + pt)
Health policy
- Set forth at federal, state, and/or local levels
- Set forth by regulatory agencies formed by government agencies
- Set forth by institution (hospital, LTC center, rehab center) based on higher
governmental policy
Health policy steps
- Agenda setting
- Formation/written
- Adoption
- Implementation
- Evaluation
Nurses can __________ affect policy
NUR 243 exam