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Final exam for Comm
| Question | Answer |
|---|---|
| What is the Western healthcare system subculture | biomedical model, based on use of technology to prevent Dx, and treat illness and disease |
| What is the Western healthcare system subculture goal | to rapidly treat and resolve pt's symptoms and ultimately cure pathology |
| Def of hospital subculture | a complex organization dedicated to the common goal of healthcare delivery (many teams involved: docs, nursing, pharm, med tecs.,) |
| Def of professional subculture | professionals who are licensed by legislative and authority to provide healthcare |
| professionals have a code of ______ that defines ______ | conduct, appropriate behavior and communication, it protects the public |
| what is the commercial/ business subculture | business managers are needed to maintain the environment of the hospital so it can meet the goal of delivering healthcare, belief in financial responsibility, market competition, |
| commercial/ business subculture is in conflict w/ who | professional subculture |
| What is the LTC and clinic subculture | comm. terms differ from hospitals causing some confusion between the two, care not cure is the goal, residents |
| what is def of nursing as a subculture | nursing is defined aculture b/c it is learned in nursing school, follow specific rules of behavior, they have their own language, |
| what is the patient subculture | they are a vulnerable stranger, the lose control and identity, they do not know the language, their beliefs greatly effect how they interact in healthcare, |
| how are nurses a culture broker | they are pt advocate, they educate pt in terms that they understand, they are aware of cultural values, clarification is important |
| what is transcultural communication barriers between healthcare workers | when cultural and communication differences occur between healthcare workers |
| what are communication issues in culture | biases, prejudice, diff. in time orientation, diff. in values, language differences, how pain is managed, status of men and women, feelings of mental illness, death and dying |
| what is a therapeutic relationship | a professional relationship between the nurse/ md/ therapist with a pt |
| therapeutic relationship: what is the focus | is to help the pt solve problems and achieve certain well-defined mutually agreed upon health related goals |
| therapeutic relationship: how long is it maintained | only as long as the patient requires professional help for health care |
| what are the 2 main components of communication with patients | information exchagne, relational exchange |
| therapeutic relationship: what are the 4 phases | preinteraction phase, orientation phase, working phase, termination phase |
| therapeutic relationship: what is the preinteraction phase | main phase for learning health related info on pt (H&P, mdecial records, S&S), form communication strategies, perany cultural issues that may arise |
| therapeutic relationship: what is the orientation phase | ask pt any futher questions about health, perform phys/psych assessment, formulate mutual goals, dicuss what needs to be done to meet those goals, establish trust and repport, |
| therapeutic relationship: guidlines for rapport in orientation phase | approach slowly and wait for pt to acknowledge, greet pt respectfully, provide a quiet setting, determine if pt wants family members to stay, sit comfortable distance, open posture, do not interrupt, listen about s/s, offer pt ot ask questions |
| therapeutic relationship: guidlines for eye contact and touch | take cue from patient, gender rules, take cues from patient, interview before doing a physical assessment |
| therapeutic relationship: whatis the working phase | assess pt's concerns, establish a contract w/ patient regarding expectations, decide upon mutual goals, make plan of action, set limits, discuss time frame |
| therapeutic relationship: what is termination phase | review areas that need improvements, discuss progress, discuss new goals, discuss feelings |
| What is limited phrase switching | health professionals have some knowledge of the pt's language or coding system and they can speak a limited # of owrds in pt's language, aka "getting by", prob: accuracy is unreliable, used to establish relational rapport w/ pt |
| the best interpreters are also ________ | a culture broker, they are familier with the culture and know the culture no nos of communication |
| what are characteristics of effective interpreters | collaborate w/ health care pros, interpret verbal and nonverbal communication, understand medical terminology, establish a trusting relationship |
| what to discuss to interpreter prior to encounter | purpose of communication, what the health visit includes, medical terminology that will be used, emphasize the importance of asking questions if unsure of the words interpreting, interpreter should inform health pro. about any cultural rules |
| what is a big no no in interpretation | two of the persons excluding the third |
| interpretation methods: what is proximal consecutive interpretation | most common type, interpreter is physically present in the room w/ pt and health pro, sender of the message speaks durectly to interpreter |
| interpretation methods: what is remote simultaneous interpretation | sender and receiver wear headsets and microphone, interpreter is in another room and simultaneous interprets as sender speaks, they can observe nonverbals better, hard for interpreter |
| interpretation methods: what is telephone line communication | great for small hospitals, expensive, contract, two way phone system, |
| interpretation methods: what is bilingual staff interpreters | health pros. who are fluent in moret han one language, less cost, confidential, varying degrees of roficiency in other language |
| what is a culture broker | interpreters that are knowledgeable of the language, the nonverbal communication nuances and the cultural rules of the pt and health pro |
| def of beneficence | doing good |
| def of nonmaleficence | do no harm |
| def of autonomy | pt's rights to be self directed, right to make decisions on what happens to their body, refuse tx, western value, determine who makes pt healthcare decisions |
| def of justice | fairness, treating pt equally, no discrimination (title 6 of civil rights act 1964), must provide language services to all persons free of charge, |
| fedural and state regulation in regards to language | that is health care institutions utilize federal funds they must provide langauge access (medacaid and medicare), |
| what are malpractice issues with language | pt sign consent w/o really knowing what is going to happen, not enough health info obtained from patient, pt did not understand tx |
| what is the hill burton act | federal funds to public institutions for construction and modernization pruposes, any institution receiving these funds must provide community service for an unlimited period of time to persons in their serive area |
| what is the emergency medical tx and labor act | hospitals that receive medicare money and have an er must provide adequate medical screening of patients prior to discharge |
| what is tort liability | basis for malpractice suits |
| tort: what is intentional | assault battery, defamation of character, invasion of privacy, fraud, false imprisonment |
| tort: what is nonintentional | negligence |
Created by:
jmkettel
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