NSG 250- Exam 1
(Terminology)
questions and
answers(verified for
accuracy)
Chapters 1, 2, & 3 - answer
Diagnostic Reasoning - answer the process of analyzing health data
and drawing conclusions to identify diagnoses
- attend to cues, formulate hypothesis based on explanation of cues,
gather data, evaluate hypothesis with new data to form final
diagnosis; known as Hypothetico-Deductive Process
Nursing Process: diagnosis - answer nurse must compare clinical
findings w/ normal & abnormal variation and developmental events;
interpret data by identifying clusters of clues to make hypotheses,
testing these hypotheses; also assessing, and deriving diagnoses;
validating the diagnoses; and document the diagnoses
Standards of practice in nursing: critical thinking in diagnostic
reasoning and clinical judgment - answer essentially the nursing
process of assessment, diagnosis, (outcome identification),
planning, implementation, and evaluation
Culture - answer thoughts, communications, actions, beliefs, values,
and institutions of racial, ethnic, religious, or social groups
,Characteristics of Culture - answer learned- from birth through the
processes of language acquisition and socialization
shared- by all members of the same cultural groups
adapted- to specific conditions related to environmental and
technical factors and to the availability of natural resources
dynamic- and ever changing
Cultural Competence - answer includes attitudes, knowledge, and
skills necessary for providing quality care to diverse populations
to be culturally competent is to best know your own culture before
you being to understand someone else's culture
being culturally competent implies that the caregivers understand
and attend to the total context of the individuals situation,
including awareness of immigrations status, stress factors, other
social factors, and cultural similarities
Cultural Sensitivity - answer Possessing basic knowledge of and
constructive attitudes toward diverse cultural populations
Cultural Appropriate - answer applying underlying background
knowledge necessary to provide the best possible health care
Cultural Formulation Model - answer a well-recognized tool to use to
provide an in-depth exploration of the patient's issues in the
context of culture; has 5 categories:
- Cultural identity of the individual
- cultural explanation of the individuals illness
,- cultural factors related to psychosocial environment and level of
functioning
-cultural elements of the relationship b/w the individual and
clinician
RESPECT - answer Realize- know pt & your own heritage
Examine- consider cultural context
Select- simple questions, speak slowly
Pace- questioning throughout
Encourage- discuss meanings
Check- check understanding
Touch- within boundaries of heritage
best approaches for overcoming language barriers with pts - answer
- use translator: preferable one with med. background; if not
available then use family members
- find a medically-trained interpreter or use "language line" that you
can call from any room and choose any language to be interpreted.
best to find a bilingual interpreter who can help perform full
communication b/w english speaking nurse and non english
speaking pt
- trained interpreters can improve overall health outcomes, improve
use of primary care, and increase client satisfaction
, -best to avoid using an "ad hoc" interpreter, should never use a
minor unless an emergency
Validating assessment findings: importance - answer validate data
you collect to make sure it's accurate
as you validate, look for gaps in data collection and be sure to find
missing pieces
identifying missing information is an essential critical thinking skill
how you validate depends on your experience
Subjective data - answer what is said by the pt
Objective data - answer what you, the nurse, actually observes
Levels of Priorities: 1st - answer life threatening:
- airway
- breathing
- cardiac
- vital sign concerns
emergent, life-threatening, immediate
Levels of Priorities: 2nd - answer if not fixed quickly, could become
level 1:
- mental changes
(Terminology)
questions and
answers(verified for
accuracy)
Chapters 1, 2, & 3 - answer
Diagnostic Reasoning - answer the process of analyzing health data
and drawing conclusions to identify diagnoses
- attend to cues, formulate hypothesis based on explanation of cues,
gather data, evaluate hypothesis with new data to form final
diagnosis; known as Hypothetico-Deductive Process
Nursing Process: diagnosis - answer nurse must compare clinical
findings w/ normal & abnormal variation and developmental events;
interpret data by identifying clusters of clues to make hypotheses,
testing these hypotheses; also assessing, and deriving diagnoses;
validating the diagnoses; and document the diagnoses
Standards of practice in nursing: critical thinking in diagnostic
reasoning and clinical judgment - answer essentially the nursing
process of assessment, diagnosis, (outcome identification),
planning, implementation, and evaluation
Culture - answer thoughts, communications, actions, beliefs, values,
and institutions of racial, ethnic, religious, or social groups
,Characteristics of Culture - answer learned- from birth through the
processes of language acquisition and socialization
shared- by all members of the same cultural groups
adapted- to specific conditions related to environmental and
technical factors and to the availability of natural resources
dynamic- and ever changing
Cultural Competence - answer includes attitudes, knowledge, and
skills necessary for providing quality care to diverse populations
to be culturally competent is to best know your own culture before
you being to understand someone else's culture
being culturally competent implies that the caregivers understand
and attend to the total context of the individuals situation,
including awareness of immigrations status, stress factors, other
social factors, and cultural similarities
Cultural Sensitivity - answer Possessing basic knowledge of and
constructive attitudes toward diverse cultural populations
Cultural Appropriate - answer applying underlying background
knowledge necessary to provide the best possible health care
Cultural Formulation Model - answer a well-recognized tool to use to
provide an in-depth exploration of the patient's issues in the
context of culture; has 5 categories:
- Cultural identity of the individual
- cultural explanation of the individuals illness
,- cultural factors related to psychosocial environment and level of
functioning
-cultural elements of the relationship b/w the individual and
clinician
RESPECT - answer Realize- know pt & your own heritage
Examine- consider cultural context
Select- simple questions, speak slowly
Pace- questioning throughout
Encourage- discuss meanings
Check- check understanding
Touch- within boundaries of heritage
best approaches for overcoming language barriers with pts - answer
- use translator: preferable one with med. background; if not
available then use family members
- find a medically-trained interpreter or use "language line" that you
can call from any room and choose any language to be interpreted.
best to find a bilingual interpreter who can help perform full
communication b/w english speaking nurse and non english
speaking pt
- trained interpreters can improve overall health outcomes, improve
use of primary care, and increase client satisfaction
, -best to avoid using an "ad hoc" interpreter, should never use a
minor unless an emergency
Validating assessment findings: importance - answer validate data
you collect to make sure it's accurate
as you validate, look for gaps in data collection and be sure to find
missing pieces
identifying missing information is an essential critical thinking skill
how you validate depends on your experience
Subjective data - answer what is said by the pt
Objective data - answer what you, the nurse, actually observes
Levels of Priorities: 1st - answer life threatening:
- airway
- breathing
- cardiac
- vital sign concerns
emergent, life-threatening, immediate
Levels of Priorities: 2nd - answer if not fixed quickly, could become
level 1:
- mental changes
