Exam 1: NUR 2356/ NUR2356 Multidimensional Care 1 (MDC 1) Exam 1 Review | Complete Guide with Questions and 100% Correct Verified Answers| 2023/ 2024
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1. Personal Distance
Answer: 18 inches to 4 feet.
2. Social Distance
Answer: 4 to 12 feet.
It is used in more formal interaction or when communicating with a group of individuals at the same time.
3. Public Distance
Answer: > 12 feet.
This distance requires loud and clear enunciation for communication.
4. An interpreter is specially trained to
Answer: provide the meaning behind the words Serve as a cultural broker by conveying the client's responses to questions and by providing general information about the client's culture.
5. Recognize empathy by
Answer: a. Adapt to different styles, tone, vocabulary and behavior
b. Place yourself in the patients situation c. Understand the needs (be sensitive)
6. Is silence a communication barrier?
Answer: No, Remaining attentive and waiting for the client to compose the next statement in the conversation enhances therapeutic communication.
7. What does the acronym stand for (SBAR)?
Answer: Situation, Background, Assessment, Recommendation-Readback
8. What types of situations are appropriate for use of SBAR?
Answer: i. Interdisciplinary communication
ii. Critical situations
iii. Rapid response needed
iv. Nurse- physician communication
v. Team communication and collaboration
9. Socialization
Answer: learning how to become a member of a society or a group.
10. Acculturation
Answer: An individual assumes the characteristics of a culture they just immigrated too.
11. Assimilation
Answer: A new member learn and take essential values, beliefs and behaviors of the dominant culture gradually.
12. Stereotype
Answer: Considering everyone are the same under their racial or ethnic group.
i. Assuming everyone from that culture practices health or treats illnesses the same way.
13. Example pf stereotype
Answer: All Asians are naturally intelligent. All Africans are naturally athletes or runners.
14. Archetype
Answer: Something recurrent that makes beliefs that everyone has under the same racial or ethical group
15. Ex. of Arcgetype
Answer: All Irish population will have reddish tone hair color. All
Mexican will have brown eyes. All Europeans will have light color skin.
16. Social effect in meeting basic care & comfort needs
Answer: o Close social orga- nization (Man is dominant and female is housemaker)
o Social organization related to birth, death, illness, grieving & mourning (Delaying treatment with home remedies)o Kinship and social ties (VIP care compared to homeless)
17. Health effects in meeting basic care & comfort needs
Answer: o Scientific (hospi- tals, clinics, medications)o Magico-Religious: alternative or indigenous (supernatur- al forces of healing, rituals)
o Holistic: need for harmony and balance of the body with nature (yoga, meditation)
18. Folk medicine effects in meeting basic care & comfort needs
Answer: o Beliefs and practices an individual performs when ill than conventional medicine (eating soup, resting, folk healer, teas, circumcision)
o Passed down by generations to generations
19. Environmental effect in care
Answer: i. person's beliefs that they could change the outcomes of an illness without seeking help.
20. Biological effect in care
Answer: i. Genetic and physical aspects that determine situations
ii. Ex. African American Females have a higher risk for breast cancer, Pacific Islanders and Native Hawaiians have a higher rate of uncontrolled diabetes and hypertension
1. Crepitus is a
Answer: crinkly, crackling or grating sound or feeling in the subcutaneous tissue. It can be an indication that free air has entered the tissue.
Review signs and symptoms of hypoxia
2. Hypoxia is a
Answer: low oxygen level in the blood, which leads to symptoms that may affect the client's basic care and comfort needs.
3. Hypoxia S/S
Answer: Dyspnea Elevated blood pressure Increase respirations Increased pulse
Pallor/pale skin
Cyanosis/blue-tinged lips or oral cavity
Anxiety Restlessness Confusion Drowsiness
4. Hypoxia Interventions
Answer: · Oxygen therapy (O2 delivery methods, amount of O2 delivered per device, safety education)
· Incentive spirometry
· Turn, Cough and Deep Breath
· Pursed lip breathing
· Collecting a sputum specimen as examples
5. who is the most reliable source of pain?
Answer: Patient
6. Non verbal cues for pain
Answer: Grimacing, guarding, and holding or touching the affected area
7. Verbal cues for pain
Answer: describing quality -sharp, dull, aching, mild, constant
8. Pharmacological Interventions
Answer: i. Analgesics are the mainstay for relieving pain.
ii.NSAIDs iii.Opioids
1.PCA
2.IM [Show Less]