QUIZ 4 CB

What are the types of lateral violence?

verbal (rude comments, verbal attacks, condescending language), physical (sexual misconduct), psychological (lack of collaboration, attacking a person's integrity, blaming in front of patient's or family, witholding important info, lacking empathy, engaging in nonverbal innuendo, or breaking confidences)

What are the effects of lateral violence?

fatigue, insomnia, stress, depression, shame, guilt, isolation, ptsd, substance abuse, suicidal behavior, moral distress

What professional guidance is available?

ANA code of ethics

What practice changes are occurring?

team building (building trust, clarifying roles, engaging staff in decision making, role-modeling positive interactions, and holding others accountable for inappropriate behavior) and crucial conversation (stakes are high for all members and opinions may vary) CRIB: Commit to seek mutual purpose, Recognize
the purpose, Invent a mutual purpose, and Brainstorm new
strategies

What are CUS words and how are they used?

I am CONCERNED
I am UNCOMFORTABLE
This is a SAFETY issue
Serves as an effective verbal alarm, empowering healthcare providers to “stop the line.”

What is the Two challenge rule and how is it used?

It is your responsibility to assertively voice concern at least two times to ensure that it has been heard. The team member being challenged must acknowledge that concern has been heard

How does one use DESC?

D: Describe the specific situation. E: Express your concerns. S: Suggest other alternatives. C: Consequences stated.

What are the stages of anger?

Mild: annoyance

Moderate: frustration

Severe: hostility

Rage: crisis

What are the 5 styles of response to conflict? Be able to identify them in examples

Competing: one party seeks to satisfy interest regardless of impact to other party

Collaborating: both parties win

Compromise: both parties win to give up something

Avoiding: one or both parties seek to suppress the conflict

Accommodating: one party yields the win to the other party

What is the difference between aggressive and assertive behavior?

Assertive behavior is all about standing up for yourself, but aggression usually involves threatening, attacking, or (to a lesser degree) ignoring others

​Culture

Social identity, passed from generation to generation, that includes communication, customs, beliefs, values, and behaviors

​Cultural diversity

Variation among cultural groups within a society

​Worldview

your perception of reality within that society

​Assimilation

Takes place as the individual from a different culture fully accepts and adopts the behaviors, customs, and values of the mainstream culture as part of his or her social identity

​Acculturation

The process of initially learning the norms and values of another culture and beginning to adopt the cultural behaviors and language

​Ethnicity

group of people who share a common social identity based on ancestral, national, cultural experiences

​Ethnocentrism

belief that one’s own culture is superior to all others and should be the norm

​Subculture

a smaller group of people living within the dominant culture with a distinct lifestyle, shared beliefs, and expectations that set them apart from the mainstream

​Health disparities

Health difference that is closely linked with social economic, and or environmental disadvantage

​Cultural relativism

concept that each culture is unique and should be judged only on the basis of its own values and standards

c

The adaptation of care in a manner that is congruent with the client’s culture”

The ability to work effectively with people, regardless of cultural differences

​Cultural sensitivity

“Responsiveness to the attitudes, feelings, or circumstances of groups of people that share a common and distinctive racial, national, religious, linguistic, or cultural heritage.”

Understanding how one’s own cultural beliefs/values impact nursing care

The LEARN model

Listen: Assess each patient’s understanding of their health condition, its causes and potential treatments. Elicit expectations for the encounter, and bring an attitude of curiosity and humility to promote trust and understanding.

Explain: Convey your own perceptions of the health condition, keeping in mind that patients may understand health or illness differently, based on culture or ethnic background.

Acknowledge: Be respectful when discussing the differences between their views and your own. Point out areas of agreement as well as difference, and try to determine whether disparate belief systems may lead to a therapeutic dilemma.

Recommend: Develop and propose a treatment plan to the patient and their family.

Negotiate: Reach an agreement on the treatment plan in partnership with the patient and family, incorporating culturally relevant approaches that fit with the patient’s perceptions of health and healing.

The Purnell model- know the domains and be able to identify an example of each

Overview and Heritage

Communication

Family roles and organizations

Workforce issues

Biocultural ecology

High-risk behaviors

Nutrition

Pregnancy

Death rituals

Spirituality

Healthcare practices

Healthcare practitioners