Midterm Exam: NR509/ NR 509 (New 2024/ 2025 Update) Advanced Physical Assessment | Complete Guide| Questions and Verified Answers| Weeks 1-4 Covered| 100%
... [Show More] Correct| A Grade - Chamberlain
QUESTION
Hx taking: 2 main questions to start
Answer:
-How can i help you?
-Do you have any other symptoms or concerns we should discuss?
QUESTION
ask all patients their preferred name and gender pronouns, this includes:
Answer:
-formal titles such as Mr., Mrs., Ms. or honorifics such as Professor or Doctor
-preferred name may be a nickname, use of a middle name, or some other name altogether
-Except with children or adolescents, avoid first names until you have specific permission
-gender pronouns: him/she and hers/they and theirs. Some of your patients may use nontraditional pronouns.
QUESTION
Implicit bias
Answer:
a set of unconscious beliefs or associations that lead to a negative evaluation of a person on the basis of their perceived group identity.
QUESTION
Cultural humility
Answer:
-process that requires humility as individuals continually engage in self-reflection and self-critique as lifelong learners and reflective practitioners
-in an effort to address power imbalances and to advocate for others
-the difficult work of examining cultural beliefs and cultural systems of both patients and providers to locate the points of cultural dissonance or synergy that contribute to patients' health outcomes
QUESTION
Three Dimensions of Cultural Humility
Answer:
Self-awareness
Respectful communication
Collaborative partnerships
QUESTION
The 5Rs of Cultural Humility
Answer:
Reflection
Respect
Regard
Relevance
Resiliency
QUESTION
Core Values of Medical Ethics
Answer:
-Nonmaleficence
-Beneficence
-Respect for autonomy
-Decisional capacity
-Confidentiality
-Informed consent
-Truth telling
-Justice
QUESTION
Nonmaleficence
Answer:
("first, do no harm") directive that health care professionals should avoid causing harm to patients and minimize the negative effects of treatments.
QUESTION
Beneficence
Answer:
dictum that clinicians are to act for the patients' good by preventing or treating disease.
QUESTION
Respect for autonomy
Answer:
commitment to accept the choices patients with decisional capacity make about which treatments to undergo, including to reject treatment. The addition of this value to medical ethics changed the clinician-patient relationship from a paternalistic one to a more collaborative one.
QUESTION
"Ask Me Three" approach
Answer:
intended to help patients become more active members of their healthcare team
1. What is my main problem?
2. What do I need to do?
3. Why is it important for me to do this?
*Modifying this approach to "Tell Them Three" can also help clinicians keep their message focused and simple.
QUESTION
Informed Consent
Answer:
The following are the required elements for documentation of the informed consent discussion:
-Nature of the procedure or treatment
-Risks and benefits of the procedure or treatment
-Reasonable alternatives
-Risks and benefits of alternatives
-Assessment of the patient's understanding of the first four elements
*Clinicians have a legal and ethical duty to follow the process of obtaining consent without leaving out any of the core elements.
QUESTION
SPIKES
Answer:
The Six-Step Protocol for Delivering Bad News:
S - Setting up the interview
P - assessing the patient's Perception
I - obtaining the patient's Invitation
K - giving Knowledge and information to the patient
E - addressing the patient's Emotions with Empathic responses
S - Strategy and Summary5
QUESTION
Skin Tissue [Show Less]