From ANCC Review
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each of the black spaces below before clicking
on it to display the answer.
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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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