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Stack #4531633
| Question | Answer |
|---|---|
| Importance of Cultural Competency | Improves care quality, access, and accuracy by respecting diversity and building strong patient-provider relationships |
| Theory of Culture Care Diversity & Universality | this theory about caring for people of all cultures in the 1950s and shared it in the 1980s |
| Madeline Leininger | made the theory of culture care diversity & universality |
| Leininger's Sunrise Enabler | A cultural assessment tool showing cultural factors in care, guiding nurses to provide culturally congruent, holistic health support |
| Cultural Awareness | Willingness to explore and understand differences in perceptions, beliefs, traditions, and values within one's own and other cultures |
| Cultural Competence | Ability to appreciate, accept, and respect diverse cultural beliefs, customs, and values |
| Health Disparities | Differences in health outcomes among socioeconomic groups |
| Vulnerable Populations | Groups at higher risk for poor health from social, economic, or environmental barriers, e.g., people with mental illness |
| Diversity | Variety of differing elements, qualities, or perspectives, including inclusion of people from different races, cultures, and backgrounds |
| Equity | Fair systems and actions that identify and remove barriers to provide equal opportunities for everyone |
| Culturally Competent Nurses Must GROW | R - Respectful, Communicating the Value of the Human Being |
| Religion and Nursing | Ask patients about beliefs regarding blood and blood products; some may be allowed based on conscience |
| Blood Fractions | Albumin, immunoglobulin, and hemophiliac preparations |
| Buddhist : Meditation | Provide peace and quiet for mindfulness, especially during crises |
| Buddhist : Intent/End-of-Life Wishes | Clarify analgesic use to respect awareness before death |
| Buddhist : Non-Disturbance of Body | Keep body still after death; avoid jostling; may affect organ donation |
| Buddhist : Death Rituals | Allow families time with the body for religious rites |
| Buddhist : MIND Mnemonic | Quiet mindfulness, analgesic awareness, body still, religious rites |
| Hindu : Modesty/Privacy | Respect modesty, especially with opposite-sex caregivers; genital or urinary issues may not be discussed with spouse |
| Hindu : Observant Diet | Adhere to vegetarian diet; avoid meat, animal by-products, and sometimes onions or garlic |
| Hindu : Meaningful Death | Recognize death as karmic transition; allow pre-death rituals and preference for dying at home |
| Hindu : End-of-Life Attendance | Permit family presence with the deceased, including washing the body and constant accompaniment |
| Hindu : HOME Mnemonic | Modest, Vegetarian, Karmic Transition, Washing the Body |
| Muslim : Femininity/Modesty | Respect modesty; allow covering, family presence, and keeping clothes on during exams |
| Muslim : Acknowledge Pain Quietly | Patients may take suffering quietly and hesitate to request pain management |
| Muslim : Intervene Carefully at End-of-Life | Generally discourage withholding or withdrawing life-sustaining therapy |
| Muslim : Timing of Death Rituals | Allow family presence to whisper faith into patient's ear before death |
| Muslim : Hospital Fasting Support | During Ramadan, provide pre-dawn meals, dates, water, and sunset dinner if medically safe |
| Muslim : FAITH Mnemonic | Modest (cover), Emotional reserve, Discourage withholding therapy, Ramadan-pre-dawn meals |
| Documentation | Allows the healthcare team to record client care |
| ANA Standards | Entries must be factual, accurate, complete, timely, and organized; no opinions |
| SOAP : Subjective | Client's feelings, concerns, or views about their health |
| SOAP : Objective | Observable or measurable data like vitals, labs, or diagnostics |
| SOAP : Assessment | Nurse's conclusions from subjective and objective data |
| SOAP : Planning | Next steps or consultations for treatment and care |
| SOAP Mnemonic | Subjective, Objective, Assessment, Plan |
| EHR | enabling comprehensive patient care management |
| EHR : Components | Demographics, medical history, diagnoses, treatment plans, meds, labs, notes, portals, order management, reporting, decision support |
| EHR : Access & Benefit | Clients can access records electronically and interact with providers via portals |
| EHR : History | First introduced by the Department of Veteran Affairs in the 1970s |
| EHR Mnemonic | Complete Access & History |
| Documentation : Confidential | HIPAA keeps patient info private |
| Documentation : Access | Only caregivers directly providing care may view records |
| Documentation Mnemonic | Confidential & Access |
| Blood Pressure : Brachial | Place cuff's artery marker on brachial artery |
| Hypertension : High BP | High blood pressure |
| Hypertension : Pain | Pain can increase BP |
| Hypertension Mnemonic | H-P : High Pressure |
| Hypotension : Low BP | Low blood pressure |
| Hypotension : Fluids | Increase intake to raise circulatory blood volume and BP |
| Hypotension Mnemonic | L-F : Low BP? Give Fluids! |
| Patient Prep : Supine | Supine 3-5 min before BP/HR |
| Patient Prep : Rest | Patient relaxed and comfortable |
| Patient Prep : Morning | Morning measurements |
| Patient Prep : Check Medications | Check for BP/HR effects |
| Patient Prep Mnemonic | S-R-M-C |
| BP & HR Measurement : Supine | Take initial BP and HR while lying down |
| BP & HR Measurement : Sit | Sit, dangle feet 1-3 min, then measure BP |
| BP & HR Measurement : Repeat | Measure after standing 1-3 min |
| BP & HR Measurement : Systolic/Diastolic | Record top and bottom numbers |
| BP & HR Measurement Mnemonic | S-S-R-S |
| Evaluating OH : BP Drop | ≥20 systolic or ≥10 diastolic after standing |
| Evaluating OH : Symptoms | Dizziness, lightheadedness, blurred vision, nausea, fainting |
| Evaluating OH : HR | Heart rate rises with standing |
| Evaluating OH Mnemonic | B-S-H |
| Documentation : Record for OH | BP, HR, position, and symptoms |
| Interventions : Medications | Adjust as needed |
| Interventions : Fluids/Salt | Increase intake |
| Interventions : Compression/Counter-maneuvers | Wear stockings, physical maneuvers |
| Interventions Mnemonic | M-F-C |
| Pulse : Anxiety | Anxiety affects HR |
| Pulse : Exercise | Exercise affects HR |
| Pulse : Disease | Disease affects HR |
| Pulse : Efficient Perfusion | Athletes' hearts pump more efficiently, lowering HR |
| Pulse Mnemonic | A-E-D-E |
| Bradycardia : <60 BPM | Low pulse rate |
| Bradycardia : Dizziness | Caused by decreased brain perfusion |
| Bradycardia Mnemonic | B-D |
| Hypothermia : Cold Exposure | Prolonged/wet exposure |
| Hypothermia : Age | Infants, children, older adults at risk |
| Hypothermia : Falls/Accidents | Contribute to heat loss |
| Hypothermia : Impaired Heat Production | Medical conditions, substances, medications |
| Hypothermia : Apparel/Shelter | Lack of clothing or shelter |
| Hypothermia Mnemonic | C-A-F-I-A |
| Hypothermia : Symptoms Mild | Shivering, Clumsiness, Confusion |
| Hypothermia : Symptoms Moderate | Drowsiness, Loss of coordination, Shivering may stop |
| Hypothermia : Symptoms Severe | Unconscious, very slow vitals, rigid muscles |
| Hypothermia Symptoms Mnemonic | S-C-D-L-U |
| Hypothermia : Treatment Warm Core | Torso, neck, head, groin |
| Hypothermia : Treatment Avoid Rapid Warming | No hot water bottles/heating pads |
| Hypothermia : Treatment Remove Wet Clothing | Move to warm, dry environment |
| Hypothermia : Treatment Medical Attention | Call 911, offer warm drinks |
| Hypothermia Treatment Mnemonic | W-A-R-M |
| Fever : Evaporation | Sweat reduces body heat |
| Fever : Heart | HR increases to circulate blood |
| Fever : Elevated RR | Lungs breathe faster to meet O₂ demand |
| Fever Mnemonic | E-H-E |
| Tachypnea : Respiratory Infection | e.g., pneumonia |
| Tachypnea : Increase RR | High respiratory rate |
| Tachypnea : Pneumonia | Example |
| Tachypnea Mnemonic | R-I-P |
| Bradypnea : Medications | Can slow RR |
| Bradypnea : Illness | Disease affecting lungs |
| Bradypnea : Lung Conditions | Impair gas exchange |
| Bradypnea : Opioids | CNS depression slows RR |
| Bradypnea Mnemonic | M-I-L-O |
| Supplement Oxygen : SpO₂ | Increase oxygen saturation levels |
| Supplement Oxygen : Pink | Assess pink mucous membranes |
| Supplement Oxygen : Oxygen | Administer via nasal cannula or face mask |
| Supplement Oxygen Mnemonic | S-P-O |
| Evidence | Diarrhea, Dizziness, Skin |
| Improvements | BP, Pulse, Perfusion/skin |
| Vitals | BP ↓, HR ↑, Temp may rise |