Term
| What are the advantages of having a highly ethical health care professional? |
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Definition
| The public can be reasonably certain of what the knowledge and practice of a given professional entails. Also allows for trust to develop. |
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Term
| What are clients rights regarding their health care records? |
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Definition
• Right to Confidential Communications
• Right to Adequate Notice of Use and Disclosure of Individually Identifiable Health Information
• Right to Obtain Paper Copy after Electronic Notice
• Right to Request Access/Inspect/Copies of Individually Identifiable Health Information
• Right to Request Amendment to Individually Identifiable Health Information
• Right to Accounting of Disclosures of Individually Identifiable Health Information
• Right to Request Privacy Restrictions for Individually Identifiable Health Information
• Right to a Contact Person to Whom Client May Lodge Privacy Complaint |
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Term
| What are the legalities for subject participation in research? |
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Definition
-Prior Informed consent: subjects should be informed of the nature, purpose, and methodology of the research; the possible risks and benefits; any compensation will be made to them should anything go wrong as result of the experiment, and the fact that they can withdraw at any time.
-risk versus benefit ratio
-determine whether the research could be done without human participants
-deal with promises made to subjects
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Term
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Definition
| Consent by a patient to a surgical or medical procedure or participation in a clinical study after achieving an understanding of the relevant medical facts and the risks involved. |
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Term
| Are ethical and legal principals absolute? |
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Definition
Ethical - yes (either the health professional did or did not behave in an ethical manner)
Legal - no - they involve a qualifying factor of degree. |
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Term
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Definition
| A set of standards and codes held as essential by professionals for the welfare of their patients and their professional standing. |
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Term
| What is the principal of responsibility? |
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Definition
| Acceptance of the consequences of their own actions by health professionals |
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Term
| Understand the principals of competency regarding health care professionals. |
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Definition
| High standards of skills be maintained and health professionals must accurately represent their education, training, specialties, limitations, and boundaries. |
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Term
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Definition
| willful infliction of physical or mental pain through acts of omission |
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Term
| What is considered restraint? |
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Definition
| limitation of physical or verbal activity by chemical restraint (sedating drugs) or physical restraints (tying the patient down) |
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Term
| What was the model for the Elder Abuse Prevention and Identification and Treatment Act? |
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Definition
| Child abuse act of 1974 which defines abuse, exploitation, and neglect. |
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Term
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Definition
- becoming depressed
- presenting multiple medical problems
- being hypercritical of caregivers or professional attendants
- regressing to childlike behavior
- denying any abuse |
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Term
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Definition
| verbal abuse or threats of physical abuse |
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Term
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Definition
| person's inability to make decisions in his or her own best interest |
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Term
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Definition
| physical or mental impairment that interferes with normal life |
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Term
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Definition
| deprivation of services necessary to maintain health |
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Term
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Definition
| willful infliction of physical or mental pain through acts of commission or omission; can include exploitation and/or neglect; adn can include deprivation of services necessary to maintain health. |
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Term
| Who controls allied health education accreditation? |
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Definition
| American Medical Association |
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Term
| Who controls allied health organizations accreditation? |
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Definition
| Joint Commission on Accreditation of Health care organizations |
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Term
| What is reciprocity of licensure? |
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Definition
| if a health professional is licenced in one state and certain other states automatically honor that license. most states allow a grace period of out of practice with an out of state license, but health professionals must rapidly take and pass the new states exam. |
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Term
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Definition
| professional with education, training, skill, or experience in specified field beyond that of normal people. Commonly seen as 'hired guns'.They set the standard of care. |
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Term
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Definition
Elements of negligence - all four must be satisfied: 1)duty of care that exists once a professional relationship has been established. 2)Dereliction of duty (i.e. deviation from standard of care). 3) Damage to the patient, which must occur.
4) Direct Cause (i.e. the deviation from the standard of care was the direct cause of the patient's injury).
[DERELICTION OF DUTY DIRECTLY CAUSES DAMAGE] |
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Term
| How do you prevent suits? |
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Definition
- good communication!!
- an informed patient
- documentation!!
- rapport
- good standards of practice |
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Term
| Common values in the U.S. populace. |
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Definition
1. lean is healthy
2. change is positive
3. self-determination
4. materialism |
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Term
| What do Jehovah’s witnesses value about blood transfusions? |
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Definition
| the beliefs that blood is sacred to God, blood means life in God's eyes, blood is used for the fulfillment of sins, and faith must be expressed that Jesus Christ shed blood to redeem the faithful. |
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Term
| Know which ethnic groups have the highest rate of type II diabetes. |
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Definition
TC book-African Americans and Hispanics (Puerto Ricans 12.6%, Mexican Americans 11.9% Cubans 8.2%)
CC book- 1 out 3 Native American Indians, 1 out of 7 Hispanics,and 1 out of 14 Blacks. |
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Term
| The act of being late can be a sign of which personality traits? |
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Definition
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Term
| How are health and illness defined? |
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Definition
health: not simply the absence of disease but a state of complete physical, mental, and scoial well being.
illness: a disruption of any of the above (a disruption of health) |
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Term
| Name some of the diversities that health care providers see. |
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Definition
-People from different geographical locations
- differing ethnic backgrounds and cultures
- different physical abilities and genders
- differing beliefs and practices |
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Term
| What is Impression Formation Theory? |
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Definition
| The way we make our first judgments of others - the mind couples characteristics together so that a friendly person is rarely perceived as dishonest. |
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Term
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Definition
| implies the existence of two distinct cultural groups, usually of unequal status and power, within a society united by one economic and political structure When a person self identifies with more than one cultural group and can see both sides and function in both cultural worlds. The majority of US individuals consider themselves to be this |
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Term
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Definition
| Not being able to figure out where ones cultural values lay. |
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Term
| Goal of Trans-cultural Nursing |
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Definition
| Identify ways to provide culturally congruent nursing care to people of diverse or similar cultures (cultures exhibit both diversity and universality) |
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Term
| What is the major criticism of the cultural competency movement? |
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Definition
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Term
| What are the 4 major paradigms of nursing? |
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Definition
| 1)the concept of person (may refer to a single person, a family, or any group of people who are in need of nursing care); 2)environment (cultural, social, political, spiritual and economic influences on the individual, and nursing care includes monitoring and sometimes modifying the interactions of the individual with the environment); 3)health (harmonious connection of the physical, psychological, social and spiritual parts of an individual within himself); 4) nursing (involves the individual's experiences, feelings, behaviors and interactions with his environment.) |
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Term
| What is the cultural formulation model? |
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Definition
| Assesses if an accurate diagnosis is made across cultural boundaries and that the formulated treatment plan is acceptable to the patient based on info found during a clinical encounter. It consists of 5 components: assessing cultural identity, cultural explanations of the illness, cultural factors related to the psychosocial environment and levels of functioning, cultural elements of the clinician-patient relationship , and the overall impact of culture on diagnosis and care |
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Term
| What is cultural mismatch? |
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Definition
| what happens when people violate each others cultural expectations (i.e. a nurse interrupting a Muslim's prayer session..) |
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Term
| Who is the best person to have act as an interpreter for a client who does not speak English |
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Definition
| A qualified professional interpreter who are culturally competent in one’s culture, family members should be avoided as interpreters as much as possible because of the possibly of editing and role strain; if you use a hospital employee, first explain the process in great detail (you will be talking to and looking at the patient etc…) |
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Term
| Know the statistical facts associated with the current and future U.S. population. |
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Definition
| 4th largest population: white hispanic african american asain 2+ races and native american. |
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Term
| What is the model for medical management? |
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Definition
| Healthcare organizations have shifted from the Western biomedical model which is a provider-focused model to the health belief model which is a patient-focused model. |
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Term
| How do you assess comprehension? |
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Definition
| The easiest and quickest way to assess comprehension is to ask the patient to repeat an explanation or instruction. |
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Term
| Culturally competence care displays what characteristics? |
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Definition
| effective, compatable with the patients culture, and communicated in a language that the patient fully understands |
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Term
| Know what CLAS has as standards and mandates. |
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Definition
| Too many to mention. Read page 104, Box 4-1 in Cultural Competence for nurses Here are some: pt recieves effective, understandable and respectful care that is compatible with their culture,health pratices and preferred language. Recruit and retain diverse staff and leadership that represent the demoghapic of service area. |
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Term
| Know IOM suggestions to alleviate health disparities. |
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Definition
The IOM recommendation for alleviating health disparities is education, first-focusing on Attitudes (cultural sensitivity/awareness) second- knowlegde (multicultural/categorical) and third- cross-cultual training.
Also through patients' rating of care and recruiting more minority healthcare workers. |
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Term
| Know the 3 recommendations for cross cultural education. |
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Definition
| 1) attitudes (cultural sensitivity/awareness approach), 2)knowledge (multicultural/categorical approach) 3)Skills (cross-cultural approach) (ASK) |
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Term
| Understand standards for ethical decision making. |
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Definition
Normative ethics is the primary standard utilized for ethical decision making in nursing and medicine.
Which include: Autonomy (indendence), nonmaleficence (avoidence of harm), beneficence (produce benefit), and Justice (fairness) |
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