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Population Based Health Care
Ethics, Cultural Competency, Vulnerable population, Disaster and Public HEalth Preparedness, & Environmental Health
108
Nursing
Undergraduate 3
03/25/2012

Additional Nursing Flashcards

 


 

Cards

Term
Advocacy
Definition
The act of pleading for or supporting a course of action on behalf of a person, group, or community.
Term
Beneficence
Definition
A principle that is complementary to nonmaleficence and requires that we "do good."  We are limited by time, place, and talents in the amount of good we can do.  We have general obligations to perform those actions that maintain or enhance the dignity of other persons whenever those actions do not place an undue burden on health care providers.  Health care professionals have special obligations of _________ to clients.
Term
Bioethics
Definition
A brance of ethics that applies the knowlege and processes of ethics to the examination of ethical problems in health care.
Term
Code of Ethics
Definition
Moral standards that specify a profession's values, goals, and obligations.
Term
Communitarianism
Definition
Maintains that abstract, universal principles are not an adequate basis for moral decision making.  History, tradition, and concrete moral communities should be the basis of moral thinking and action.
Term
Consequentialism
Definition
An approach wherby the right action is the one that produces the greatest amount of good or the least amount of evil in a given situation.
Term
Deontology
Definition
An ethical theory that bases moral obligation on duty and claims that actions are obligatory irrespective of the good or bad consequences that they produce.  Because humans are rational, they have absolute value.  Therefore, persons should always be treated as ends in themselves and never only as means.
Term
Distributive Justice
Definition
Requires that there be a fair distribution of the benefits and burdens in society based on the needs and contributions of its members.  This principle requires that consistent with the dignity and worth of its members and within the limits imposed by its resources, a society must determine a minimal level of goods and services to be available to its members.
Term
Ethical Decision Making
Definition
Making decisions within an orderly framework that considers context, ethical approaches, client values, and professional obligations.
Term
Ethical Dilemmas
Definition
Puzzling moral problems in which a person, group, or community can envision morally justified reasons for both taking and not taking a certain course of action.
Term
Ethical Issues
Definition
Moral challenges facing the nursing profession.
Term
Ethics
Definition
A branch of philosophy that includes both a body of knowledge about the moral life and a process of reflection for determining what persons ought to do or be, regarding this life.
Term
Ethics of Care
Definition
The belief in the morality of responsibility in relationships that emphasize connection and caring.
Term
Feminist Ethics
Definition
Knowledge and critique of classical ethical theories developed by men and women; entails knowledge about the social, cultural, political, economic, environmental, and professional contexts that insidiously and overtly oppress women as individuals, or within a family, group, community, or society.
Term
Feminists
Definition
Women and men who hold a worldview advocating economic, social, and political status for women that is equivalent to that of men.
Term
Moral Distress
Definition
Uncomfortable state of self when one is unable to act ethically.
Term
Morality
Definition
Shared and generational societal norms about what constitutes right or wrong conduct.
Term
Nonmaleficence
Definition
A principle, according to Hippocrates, that requires that we do no harm.  It is impossible to avoid harm entirely, but this principle requires that health care professionals act according to the standards of due care and try to cause the least amount of harm possible.
Term
Principlism
Definition
An approach to problem solving in bioethics that uses the principles of respect for autonomy, beneficence, nonmaleficence, and justice as the basis for organization and analysis.
Term
Respect for Autonomy
Definition
Based on human dignity and respect for individuals and allows them to choose those actions and goals that fulfill their life plans unless those choices result in harm to another.
Term
Utilitarianism
Definition
An ethical theory based on the weighing of morally significant outcomes or consequences regarding the overall maximizing of good and minimizing of harm for the greatest number of people.
Term
Values
Definition
Beliefs about the shared worth or importance of what is desired or esteemed within a society.
Term
Virtue Ethics
Definition
Asks "What kind of person should I be?" and purports that people should be allowed to flourish as human beings.
Term
Virtues
Definition
Acquired traits of character that dispose humans to act in accord with their natural good.
Term
Biological Variations
Definition
The physical, biological, and physiological differences that exist and distinguish one racial group from another.
Term
Cultural Accommodation
Definition
Negotiation with clients to include aspects of their folk practices with the traditional health care system to implement essential treatment plans.
Term
Cultural Awareness
Definition
An appreciation of and sensitivity to a client's values, beliefs, practies, lifestyle, and problem-solving strategies.
Term
Cultural Blindness
Definition
When differences between cultures are ignored and persons act as though these differences do not exist.
Term
Cultural Brokering
Definition
Advocating, mediating, negotiating, and intervening between the client's culture and the biomedical health care culture on behalf of clients.
Term
Cultural Competence
Definition
An interplay of factors that motivates persons to develop knowledge, skill, and the ability to care for others.
Term
Cultural Conflict
Definition
A percieved threat that may arise from a misunderstanding of expectations between clients and nurses when neither is aware of their cultural differences.
Term
Cultural Desire
Definition
The nurse's intrinsic motication to provide culturally competent care.
Term
Cultural Encounter
Definition
Interaction with a client related to all aspects of his or her life.
Term
Cultural Imposition
Definition
The process of imposing one's values on others.
Term
Cultural Knowledge
Definition
The information necessary to provide nurses with an understanding of the organizational elements of cultures and to provide effective nursing care.
Term
Cultural Nursing Assessment
Definition
A systematic way to identify the beliefs, values, meanings, and behaviors of people while considering their history, life eperiences, and the social and physical environments in which they live.
Term
Cultural Preservation
Definition
The use by clients of those aspects of their culture that promote healthy behaviors.
Term
Cultural Repatterning
Definition
Working with clients to make changes in health practices when the client's cultural behaviors are harmful or decrease their well-being.
Term
Cultural Shock
Definition
The feeling of helplessness, discomfort, and disorientation experienced by an individual attempting to understand or effectively adapt to another cultural group that differs in practices, values, and beliefs.  It results from the anxiety caused by loosing familiar sights, sounds, and behaviors.
Term
Cultural Skill
Definition
The effective integration of cultural knowledge and awareness to meet the needs of clients.
Term
Culture
Definition
The learned ways of behaving that are communicated by one group to another to provide tested solutions to vital problems.
Term
Environmental Control
Definition
The ability of individuals to control nature and to influence factors in the environment that affect them.
Term
Ethnicity
Definition
Shared feelings of peoplehood among a group of individuals.
Term
Ethnocentrism
Definition
Belief that one's own group or culture is superior to others.
Term
Immigrants
Definition
People who come into a new country in order to settle there.
Term
Nonverbal Communication
Definition
The use of body language or gestures to convey information that cannot or may not be indicated verbally.
Term
Prejudice
Definition
The emotional manifestation of deeply held beliefs about other groups; it involves negative attitudes.
Term
Race
Definition
A biological designation whereby group members share distinguishing features (e.g., skin color, bone structure, genetic traits such as blood groupings).
Term
Racism
Definition
A form of prejudice that refers to the belief that persons who are born into particular groups are inferior in intelligence, morals, beauty, and self-worth.
Term
Social Organization
Definition
The way in which a cultural group structures itself around the family to carry out role functions.
Term
Space
Definition
The physical distance between individuals during an interaction.
Term
Sterotyping
Definition
The basis for ascribing certain beliefs and behaviors about a group to an individual without giving adequate attention to individual differences.
Term
Time
Definition
Refers to the past, present, and future times, as well as to the duration of and period between events.  Some cultures assign greater or lesser value to events that occurred in the past, occur in the present, or will occur in the future.
Term
Verbal Communication
Definition
The use of language in the form of words within a grammatical structure to express ideas and feelings and to describe objects.
Term
Advocacy
Definition
A set of actions undertaken on behalf of another while supporting the other's right to self-determination.  Nurses may function as advocates for vulnerable populations by working for the passage and implementation of policies that will result in improved public health services for these populations.  An example would be a nurse who serves on a local coalition for uninsured people and works toward development of a plan for sharing the provision of free or low-cost health care by local health care organizations and providers.
Term
Case Management
Definition
Interchangeable term with care management.  Used to describe a service given to clients that contains the following activities:  screening, assessment, care planning, arranging for, and coordinating service delivery, monitoring, reassessment, evaluation, and discharge.  _______________ is a process that enhances continuity and appropriateness of care.  It is most often used with clients whose health problems are actually or potentially chronic and complex.
Term
Comprehensive Services
Definition
Health services focusing on more than one health problem or concern.
Term
Cumulative Risks
Definition
The additive effects of multiple risk factors.
Term
Disadvantaged
Definition
People who lack adequate resources that other people may take for granted.
Term
Disenfranchisement
Definition
A sense of social isolation; a feeling of isolation from mainstream society.
Term
Federal Poverty Level
Definition
Income level for a certain family size that the federal government uses to define poverty.
Term
Health Disparities
Definition
Refers to the wide variations in health services and health status among certain population groups.
Term
Human Captial
Definition
The combined human potential of the people living in a community.
Term
Linguistically Appropriate Health Care
Definition
Communicating health-related assessment and information in the recipient's primary language when possible and always in a language the recipient can understand.
Term
Poverty
Definition
Lacking resources to meet basic living expenses for food, shelter, clothing, transportation, and medical care.
Term
Resilience
Definition
The ability to withstand many forms of stress and deal with several problems simultaneously without developing health problems.
Term
Risk
Definition
The likelihood that some event or outcome will occur in a given time frame.
Term
Social Justice
Definition
Providing humane care and social supports for the most disadvantaged members of society.
Term
Vulnerability
Definition
Results from the interaction of internal and external factors that cause a person to be susceptible to poor health.
Term
Vulnerable Populations
Definition
Those with increased risk of developing poor health outcomes.
Term
Wrap-Around Services
Definition
Social and economic services provided, either directly or through referrals, in addition to available comprehensive health services.  In this way, social and economic services that will help ensure the effectiveness of health services are "_________________" health services.
Term
Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE)
Definition
Describes the full spectrum of munitions used to create a human-mae disaster.
Term
Delayed Stress Reactions
Definition
Occur after a disaster and can include exhaustion and an inability to adjust to postdisaster routines.
Term
Disaster
Definition
A human-caused or natural event that causes destruction and devastation that cannot be alleviated without assistance.
Term
Disaster Medical Assistance Teams (DMATs)
Definition
Teams of specially trained civilian physicians, nurses, and other health care personnel who are sent to a disaster.
Term
Emergency Support Functions (ESFs)
Definition
The 15 functions used in a federally declared disaster.  Each function is headed by a primary agency.
Term
Human-Made Disasters
Definition
Destruction or devastation caused by humans.
Term
Mitigation
Definition
Actions of measures to prevent a disaster from occuring or to reduce the severity of its effects.
Term
National Response Framework (NRF)
Definition
The successor to the national response plan.  NRF presents the guiding principles to enable all response partners to prepare for ad provide a unified national response to diseases and emergencies.
Term
Natural Disasters
Definition
Destruction or devastation caused by natural events.
Term
Prepardness
Definition
Advance preparation to cope with a disaster.
Term
Prevention
Definition
Strengthening a person, family, or community's resources to ensure that a disruption does not occur.
Term
Recovery
Definition
The last stage in a disaster; when agencies join to restore the economic and civic life of the community.
Term
Response
Definition
Organized actions to deal with a disaster.
Term

Triage

Definition
Process of separating casualties and allocating treatment based on the victim's potential for survival.
Term
Agent
Definition
Causative factor invading a susceptible host through an environment favorable to produce disease, such as a biological or chemical agent.
Term
Compliance
Definition
Processes for ensuring that permitting requirements are met.
Term
Consumer Confidence Report (CCR)
Definition
A report that began in 1996 when Congress amended the Safe Drinking Water Act to add a provison that required all community water systems to deliver a brief annual water quality report to their customers.  The CCR includes information on the water source, the levels of any detected containments, and compliance with drinking water rules, plus some educational material.  The rationale for these reports is that consumers have a right to know what is in their drinking water.  The reports help customers make informed choices that affect their health.
Term
Enforcement
Definition
Occurs when formal actions are taken to control environmental damage.  Examples include fines or penalties, suspension of specific operations, or closure of the facility.
Term
Environment
Definition
All of those factors internal and external to the client that constitue the context in which the client lives and that influence and are influenced by the host and agent-hjost interactions; the sum of all external conditions affecting the life, development, and survival of an organism.
Term
Environmental Epidemiology
Definition
The study of the effect on human health of physical, chemical, and biological factors in the external environment.
Term
Environmental Justice
Definition
Equal protection from environmental hazards for individuals, groups, or communities regardless of race, ethnicity, or economic status.
Term
Environmental Standards
Definition
Norms that impose limits on the amount of pollutants or emissions produced.  The Environmental Protection Agency establishes minimum standards, but states are allowed to be stricter.
Term
Epidemiologic Triangle
Definition
Infectious agent, host, and environment.
Term
Epidemiology
Definition
The science that explains the strength of association between exposures and health effects in human populations.
Term
Host
Definition
A living human or animal organism in which an infectious agent can exist under natural conditions.
Term
Indoor Air Quality
Definition
A measure of the breathable air inside a habitable structure or conveyance.  a measure of the chemical, physical, or biological contaminants in indoor air.
Term
Methyl Mercury
Definition
An organic form of mercury.  Methyl mercury may be formed when inorganic mercury enters lakes and combines with bacteria.
Term
Monitoring
Definition
Periodic or continuous surveillance or testing to determine the level of compliance with statutory requirements and/or pollutant levels in various media or in humans, plants, and animals.
Term
Nonpoint Source
Definition
Diffuse population source (i.e., without a single point of origin or not introduced into a receiving stream from a specific outliet). The pollutants may be carried off the land by storm water.
Term
Permitting
Definition
The first step in the process of controlling pollution.  A process by which the government places limits on the amount of pollution emitted into the air or water.
Term
Persistent Bioaccumulative Toxins (PBTs)
Definition
Highly toxic, long-lasting substances that can build up in the food chain to levels that are harmful to human health and cause environmental harm.  These contaminants can be transported long distances and move readily from land to air and water.
Term
Persistant Organic Pollutants (POPs)
Definition
Toxic substances composed of organic chemical compounds and mixtures.
Term
Point-Source
Definition
Stationary location or fixed facility from which pollutants are discharged; any single identifiable source of pollution.
Term
Right to Know
Definition
The right of citizens to have direct access to information about issues of environmental concern such as information on the quality of drinking water, the use of food additives, and chemical use in the workplace and community.
Term
Risk Assessment
Definition
Qualitative and quantitative evaluation of the risk posed to human health and/or the environment by the actual or potential presence and/or use of specific pollutants.
Term
Risk Communication
Definition
The exchange of information about health or environmental risks among, for example, risk assessors and managers, the general public, news media, and interest group.
Term
Toxicology
Definition
The basic science that studies the health effects associated with chemical exposures.
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