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From ANCC Review

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Pt centered care is based on principle that   healthcare services should be coordinated and directed by a single provider  
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Access Model: Pts can access services   from multiple access points Services can be located in same facility or an integrated care network of providers in different locations can be accessed when needed  
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Welcoming environment   physical space that is welcoming, initial personal interaction is welcoming, familiar and not intimidating  
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Respect for pt's values and expressed needs   obtain information re:pts care preferences, inform and involve pt and family/caregivers in decision making tailor care to individual promote mutually respectful consistent pt provider relationship  
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pt empowerment aka   activation  
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NP must do this for empowerment/activation   educate and encourage the pt to expand his/her role in decision making, health related behaviors and self management  
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Sociocultural competence   understand and consider culture, economic and educational status, health literacy understand and consider family patterns, traditions and situation - including alternative/folk remedies communicate in language and @ level that pt understands  
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Coordination and Integration of Care   assess pts need for formal and informal services that may impact health/tx provide team based care, care mgmt and or referrals as needed ensure smooth transitions between different providers and phases of care  
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Comfort and Support   emphasize physical comfort, privacy and emotional support involve family and friends in accordance with pts preferences  
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To assess health literacy   tell me about your medication  
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Access and Navigation Skills   Provide what the pt can consider a medical home Keep waiting times to a minimum Provide convenient service hours Promote access and patient flow Help patients attain skills to better navigate healthcare system  
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Community Outreach   make demonstrable, proactive efforts to understand and reach out to the local community  
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Cultural Competence is   the ability to view each patient as a unique individual, fully considering the pts cultural experiences within the context of the common ecological challenges faced by all people.  
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Recommended standards for culturally and linguistically appropriate health care services can be found   With the Department of Health and Human Services Office of Minority Health  
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Cultural Competence should now be referred to as   Cultural Sensitivity  
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Cultural Competence Requires   respect for diversity & understanding of attitudes, beliefs, behaviors, practices, & comm. patterns of multiple cultures and their languages requires the development of interpersonal skills, comm skills & awareness of the uniqueness of individuals  
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Assessment of Cultural Identity includes   How the person defines, him/herself Degree of acculturation Affinity of the pt to native culture/host culture Language use/abilities/preferences Language spoken when growing up Pts percep of culture of origin Hx of acculturation/migration Religion  
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Assessment of Spiritual Needs   Pt definition of spirituality, beliefs/faith, religious background, spiritual practices/rituals/symbols/ traditions Distinguishing b/w spiritual expression & pathology Encouraging pt to define values Dx spiritual distress Soucres of Hope/Strength  
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Assimilation definition per ANCC Reviewer   process where the majority of culture is absorbed or gets lost takes generations, language lost, completely absorbed  
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Acculturation is   cultural aspects are adapted without loss of traditions  
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Religious traditions may define how people interpret   health meaning of illness and suffering life hope vs. despair healing and what it entails death and life after death  
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Recovery is   a process of change through which individuals improve their health and wellness, live a self directed life and strive to reach their full potential  
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Four Dimensions of Recovery   Health Home Purpose Community  
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Four Dimensions of Recovery - Health   overcoming or managing one's disease or sx ex. abstaining from ETOH, substance etc. Make informed healthy choices that support physical and emotional well being  
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Four Dimensions of Recovery - Home   a stable and safe place to live  
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Four Dimensions of Recovery - Purpose   meaningful daily activities - job, school, volunteerism, family caretaking or creative endeavors and independence, income and resources to participate in society  
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Four Dimensions of Recovery - Community   relationships and social networks that provide support, friendship, love and hope  
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Principles of Recovery   emerges from hope pt driven occurs via many pathways holistic supported by peers and allies, rxnshps & networks culturally based & influenced addressing trauma based on respect involves individual, fam, community strengths/responsibility  
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Counseling across the lifespan   tailor comm./interventions to age/develp. appropriate for pt consider pts presentation/needs w/in clinical setting consider pt/family values/traditions consider risk/protective factors consider commu resources id facilitators/barriers to care  
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