Role development exam

What are the controlled acts a RPN can perform?

-care of wound below dermis or muscous membrane by cleansing, soaking or dressing

-assisting client with health management actitivites , procedure putting an instrument beyond nasal passage, larynx or urethra labia majora

anal

-psychotherapy thechnique through therapeutic relationship

What are the 4 areas of the nursing scope of practice?

1. Promoting health and wellness

2. preventing illness

3. restoring health

4. caring for the dying

Who was Marie Rollet Herbet?

1617 new france

first to provide care for the sick in canada

who was jean mance ?

established the first hospital the hotel dieu montreal

Who were the 4 grey nuns?

travelled by canoe from montreal to Manitoba with a mission to care for the sick, treated people at home with medicine and herbs

Who were the 3 augustinian nuns?

formed first nursing mission dealing with smallpox epidemic, 93% survived

Who were the 6 sisters of st john the divine?

founded toronto amplican sisterhood later established first surgical hospital for women

Who was Florence Nightingale?

Founder of modern nursing

superintendent of crimean war reduced mortality of soldiers from 47% to 2.2%

established first nursing school in england in 1860

Advocated health of people, health care reformed and education for nurses

not established in Canada due to limited finances

Who is the ICN (international council of nurses) ?

Professional welfare of nurses, interest in women, improvement of peoples health

Who is the CNA (canadian nurses association)?

Established legislation for registration of nurses

provincial nursing association formed

When was the first nursing diploma formed?

1874 in st catherines

What is an RPN scope of practice?

Assessment (symptoms, vital signs, report, monitoring)

Care through therapeutic communication

Health teaching

Rehabilitation

Palliative care and support

When can you initiate a controlled acts?

Assess the client and identify the problem

consider all available options

weigh risks and benefits

decide course of action

anticipate management of outcome

accept accountability for deciding procedure (only in community care)

What conditions have to be met in order to initiate a controlled act?

Competent

client factors

environment support

document

accountability

what is the 3 factor framework?

Client factor

Predictability

Risk of negative outcome

What was Florence nightingales nursing theory?

Shifted focus from disease process to the environment.

Differentiated roles of nursing from illness

Environmental Theory:

Nursing: acts of using environment of patient to assist in recovery and healing. Learnt scientific principles

Health: Link to environmental factors, deficiency of these=illness, prevention of disease is through control of the environment and social responsibilities

Environment: Fresh air, pure water, efficient drainage, cleanliness, light=increase healing (nurse assist in the environment)

Person: Recipients of compassionate care, nurse->environment, patient->self care

examples:

open windows for sunlight, pictures of loved ones, turn on tv or give a book, recreational activities, therapy animals, more bed around facing window

What was Barbara Carper ways of knowing?

Empirical knowledge: science of nursing, observing and labelling things

Personal knowing: therapeutic use of self, getting to know another person

Ethical knowing: moral component, guides our action

Aesthetic knowing: Art of nursing, understand illness and experience compassion

Emancipatory knowing: Advocating for change

Pattern of Knowledge application in nursing

What was Virginia Henderson’s nursing theory?

Nursings needs theory

Nursing: assist individual and autonomy, nursing function, collab with professionals for client plan

Health: Biological, psychosocial, social and spiritual elements of a person, the way illness is experienced and health reclaimed

Environment: Needs of patient are addressed by nurses working interdependently with other health care professionals

Person: 14 basic needs (breathing, eating, drinking, elimination of bodily waste, sleeping, dressing and undressing, move and maintain body posture, maintain body temperature, being clean and well groomed, avoiding danger, communication, worshipping, working, playing/participating in recreation and learning

examples:

be the substitute of patient (helper, partner), consult other specialists, 3 levels of nurse patient relationship

What was Rosemary Parse’s nursing theory?

Theory of human becoming

Nursing: Client choose and bear responsibility for patterns of health, nurses support, defines what strategies and how you feel but the nurse creates the space for that conversation, giving suggestions and ask if they are of any interest to them

Health: continually changing process, changing health priorities: QOL co-created by humans

Environment: Lived experiences unfold in world

Person: individuals freely choose to co-create patterns of relating but never changing, want patient to be in-charge of decision making

Human becoming process:

caring presence of nurses and patterns of relating

ways of thinking and acting that unite familiar patterns with new realities

nursing practice assists true presence, uncover personal meaning of situation

Focus managing lived experiences and unfolding with presence of nurse

examples:

give them homework, resources, self help, tea time to make space for them to open up, instead of thinking of us as a nurse think of us like family and what you would tell them, help each other (has to help himself for nurse to help him), 10min accompanied walk to garden, fresh air and sun, change of scenery, group support

What was Jean Watson’s nursing theory?

Theory of human caring

moral idea central

values, kindness, concern, love of others and myself

3 major ideas:

1. Transpersonal caring relationship

2. Caring moment or occasion

3. Caring healing consciousness

Nursing: consciousness of caring for another, nurse seeks to understand health, illness and human experience, promote and restore health, prevent illness

Health: mind, body, soul, harmony, illness/disease=disharmony

Environment: Internal and external environment, nursing creates supportive protective and corrective and spiritual environment

Person: confined in space and time, person seen in totality viewed as transpersonal self

example:

therapeutic relationships, communicate to know reason for pain, encourage family and kids interaction, encourage spirituality (e.g visit chapel), knowing capacity while providing compassionate care

What was Madeline Leningers Nursing theory?

Culture care theory:

Nursing: human care, activities to maintain well being or health in cultural ways

Health: culturally defined state of well being health = ability to do ADL’s

Environment: Physical, ecological, sociopolitical and cultural context of events experienced

Person: Individuals, families, clans, collective groups within culture, values, beliefs, and life ways

What was Patricia Benner’s nursing theory?

Primacy of caring

Provide necessary conditions to help client grow and develop

Nursing: caring is primary, nurses enable others through connections made in therapeutic relationships and through concern for others

Persons: live and defined in context, person embodied mind, body. Respond to meaningful situations in an embodied way

Health: what can be assessed. well being as experience of health (e.g have disease and not experience illness)

Situation: used instead of environment, reflects social environment and meaningful to person, xomes to interpret and understand their situation

Advanced beginner (student) -> Novice (new grad, rules and tasks) -> competent (recognize patterns that need attention) -> Proficient (perceive situation as a whole) -> Expert (intuition guide)

examples:

therapeutic approach (showing compassion, empathy, engage family participation like get well cards), get them to brainstorm, self reflect on positive things in their life, affirmation, get them to communicate with old friends

what are the 7 CNO standards?

1. Accountability:

Identify role, advocate and promote well being of client, share knowledge, responsibility for errors, reporting to health care team any abuse

2. Continuing competence (QA program)

responsibility for own professional development,

quality assurance program (self assess, learning plan, feedback and input, quality practice) improve knowledge

3. Ethics

identify ethical issues and report and options to resolve, personal values that they don’t conflict, promote client wellbeing, choice, respect

4. Knowledge

evidence based decisions, informed about nursing roles, legislation and standard, learning resources, how practice environment affect professional practice

5. Knowledge application

practice based on theory, describe client situation, planned approach, taking appropriate action, managing multiple nursing interventions, using best practice guidelines, integrating research findings

6. Leadership

self knowledge, respect, trust, shared vision, good communication, integrity, role modelling values and beliefs, advocating for client, providing direction, participating in nursing committee’s, providing leadership through formal and informal roles, take action to resolve conflict and solutions

7. Relationships

therapeutic (client needs is focus) and professional relationships, nurse responsibility to establish and maintain relationships, maintain boundaries, personal need met, collaborative partnership with client and family that respect needs, wishes, knowledge, experience, values and beliefs, recognize potential for abuse and stop when necessary

CNO practice standard VS practice guideilnes

standards: expectations of all nurses that contribute to the public

guidelines: addresses specific practice issue (obtaining consent, conflict prevention, etc) how to make safe ethical decisions

What are the basic values of client advocacy?

Providing safe, compassionate, competent and ethical care

promoting health and well being

prommoting and respecting informed decision making

honouring dignity

maintainging privacy and confidentiality

promoting justice

being accountable

What is Joyce’s principle?

Created after the death of Joyce Echaquan, right to equitable access without discrimination and protection of indigenous people

Requires recognition and respect of indigenous people's traditional and living knowledge in all aspects of health

What is Jordan’s principle?

Legal requirement resulting from the orders of the canadian human rights tribunal

Spent life in hospital, caught in jurisdictional dispute between the government of canada and manitoba both refusing to pay in home medical care necessities for him to live at home and community

What is the PHIPA act?

-Client person information to be kept confidential and only shared within health care team directly involved

-Information is only to be used for purpose it was collected

-Client has the right to withhold or withdraw consent at any given time (lockbox provision)

-Personal health information belongs to the client

-Note from physician about absence from work is not a personal health information

-Nurse needs to remove details of personal health information mixed records that is shared with employer

When would a client be refused to their personal health information?

Quality assurance information generated for a regulatory college quality assurance program

Raw data from a psychological test or assessment

May present a risk or serious harm to the treatment or recovery of the client or bodily harm to another

Access would reveal the identity of a confidential source of information

When can personal health disclosure occur without consent?

-Required to provide health care and consent can't be obtained quickly

-to contact a relative or friend of an injured, incapacitated or ill client for consent

-to confirm that a client is a resident or client in a facility, provide his or her location and comment on general health status

-eliminate or reduce significant risk of harm to a person

What is the lockbox provision?

The client has the right to say no, withdraw or withhold consent at any time

What are the different registration categories and classes?

General class: most RN and RPN are registered here

Extended class: NP

Temporary class: recent RN and RPN grads or applicants from another province who have met all entry to practice requirements

Special assignment class: short term, non renewable registration for RN and RPN from outside of canada practicing on specific terms

Emergency assignment class: RN and RPN outside of canada who the government asks the college to issue certifications

Non-practicing class: current, previous or extended class not allowed to practice or represent themselves

What are the registration requirements for CNO?

Nursing education

evidence of practice

registration examination

jurisprudence examination

proficiency in english or french

authorization to work

past offences and findings

health and conduct

What is the CNO self assessment guide?

Reflect on your practice -> identify gaps in your practice for continued learning -> develop learning goals -> link goals to CNO code of conduct -> identify and complete your learning activity -> reflect on your plan and evaluate changes in your practice

A nurse working in a new position in policy development has been asked to identify agencies in Canada that have undertaken an effort to reduce wait times, reduce duplication of tests, and support coordination of care. Which of the following agencies would you expect to be on the list? (Select all that apply.)

1. Canada eHealth

2. Canadian Institute for Health Information

3. Canada Health Infoway

4. Canadian Institutes for Health Research

5. Consumer Association of Canada

2. Canadian Institute for Health Information

3. Canada Health Infoway

4. Canadian Institutes for Health Research

What is the metaparadigm of nursing?

person, environment, health, nursing

A theory is best understood as a set of assumptions or propositions that becomes useful when it does which of the following?

1. Helps people meet their self-care needs

2. Isolates concepts

3. Helps the nurse implement care

4. Provides a systematic view of explaining, predicting, and prescribing phenomena

4. Provides a systematic view of explaining, predicting, and prescribing phenomena

The enterprise of early theorizing about nursing practice was primarily driven by:

1. Physicians

2. Political leaders

3. Nursing educators

4. Policymakers

3. Nursing educators

The central idea characterizing the McGill model for nursing is that it:

1. Focuses on health rather than on illness or treatment

2. Accounts for holistic aspects of the individual, rather than component parts

3. Views the person as an energy field in constant interaction with the environment

4. Considers the human experience to be based on behavioural drives

1. Focuses on health rather than on illness or treatment

The distinctive contribution that Canadian theorist Evelyn Adam added to nursing's thinking at the time was a conceptualization of the essence of nursing as:

1. A collaboration with health care providers

2. A helping process

3. The management of patients and health care systems

4. All of the above

2. A helping process

The idea that nursing theorists drew specifically from systems theories was to consider the human being as:

1. An irreducible whole

2. A whole and component parts in intricate interaction with one another

3. An embodiment of mind, body, and spirit

4. All of the above

2. A whole and component parts in intricate interaction with one another

The most distinctive feature of Rosemarie Parse's theory is that it considers the individual as a unitary being who is engaged in which of the following?

1. Seeking health

2. Engaging in a continuing process of making choices

3. Striving for homeostasis

4. All of the above

2. Engaging in a continuing process of making choices

What is required to tell a patient for informed consent?

A brief, complete explanation of the procedure or treatment

• Names and qualifications of people performing and assisting in the procedure

• A description of any possible harm, including permanent damage or death, that may occur because of the procedure

• An explanation of therapeutic alternatives to the proposed procedure or treatment, as well as the risks of doing nothing. Patients also need to be informed of their right to refuse the procedure or treatment without discontinuing other supportive care and of their right to withdraw their consent even after the procedure has begun.

What do you need when a patient refuses treatment?

written, signed and witnessed

The nursing practice acts are an example of:

1. Statute law

2. Common law

3. Public law

4. Criminal law

1. Statute law

Treating a patient without his or her consent is considered:

1. Battery

2. Negligence

3. Implied consent

4. Expressed consent

1. Battery

A nurse is sued for negligence for failure to properly monitor a patient after surgery. Which of the following statements are correct? (Select all that apply.)

1. The nurse does not need any representation.

2. The patient must prove that harm or injury occurred.

3. The patient must show the nurse provided substandard care.

4. The patient must show the nurse's actions or inactions caused the injury.

5. The burden of proof is always the responsibility of the nurse.

2. The patient must prove that harm or injury occurred.

3. The patient must show the nurse provided substandard care.

4. The patient must show the nurse's actions or inactions caused the injury.

A confused patient falling out of bed because side rails were not used when they were ordered is an example of which type of liability?

1. False imprisonment

2. Assault

3. Battery

4. Negligence

4. Negligence

What should you do if you think the patient does not understand the procedure for which he or she is being asked to give consent?

1. Do not be concerned if the consent is already signed.

2. Notify the physician or nursing supervisor.

3. Send the patient for the procedure and discuss it afterward.

4. Ask a family member to give consent.

2. Notify the physician or nursing supervisor.

A nurse stops to help in an emergency at the scene of an accident. If the injured party files suit and the nurse's employing institution's insurance does not cover the nurse, the nurse would probably be covered by the:

1. nurse's automobile insurance

2. nurse's homeowner's insurance

3. National Care Act, which may grant immunity from suit if the injured party consents

4. Good Samaritan laws, which grant immunity from suit if no gross negligence is involved

4. Good Samaritan laws, which grant immunity from suit if no gross negligence is involved

The nurse knows that values clarification plays a major role in

1. Creating a set of rules for conduct

2. Identifying values that should be accepted by all

3. Resolving issues of "value conflict"

4. Developing a code of ethics

3. Resolving issues of "value conflict"

In Canada, equitable access to health care means that all citizens have equal access to medically necessary services. Which ethical principle would reflect equal access to health care?

1. Accountability

2. Autonomy

3. Relational ethics

4. Justice

4. Justice

A patient is admitted to a medical unit. The patient is fearful of hospitals. The nurse carefully assesses the patient to determine the exact fears and then establishes interventions designed to reduce these fears. In this setting, how is the nurse practising patient advocacy?

1. Seeking out the nurse supervisor to talk with the patient

2. Documenting patient fears in the medical record in a timely manner

3. Working to change the hospital environment

4. Assessing the patient's point of view and preparing to articulate it

4. Assessing the patient's point of view and preparing to articulate it

If a nurse assesses a patient for pain and then offers a plan to manage the pain, the principle that encourages the nurse to monitor the patient's response to the plan is

1. Beneficence

2. Justice

3. Nonmaleficence

4. Respect for autonomy

4. Respect for autonomy

Including patients in decision making regarding their care and respecting their choices of treatment demonstrate the principle of

1. Beneficence

2. Autonomy

3. Justice

4. Veracity

2. Autonomy

Ethical dilemmas often arise over a conflict of opinion. Once the nurse has determined that the dilemma is ethical, which action should the nurse take first in negotiating the difference of opinion?

1. Consult a professional ethicist to ensure that the steps of the process occur in full

2. Gather all relevant information regarding the dilemma

3. List the ethical principles that inform the dilemma so that negotiations agree on the language of the discussion

4. Ensure that the attending physician has written an order for an ethics consultation to support the ethics process

2. Gather all relevant information regarding the dilemma

A nurse working in a new position in policy development has been asked to identify agencies in Canada that have undertaken an effort to reduce wait times, reduce duplication of tests, and support coordination of care. Which of the following agencies would you expect to be on the list? (Select all that apply.)

1. Canada eHealth

2. Canadian Institute for Health Information

3. Canada Health Infoway

4. Canadian Institutes for Health Research

5. Consumer Association of Canada

2. Canadian Institute for Health Information

3. Canada Health Infoway

4. Canadian Institutes for Health Research

What is the metaparadigm of nursing?

person, environment, health, nursing

A theory is best understood as a set of assumptions or propositions that becomes useful when it does which of the following?

1. Helps people meet their self-care needs

2. Isolates concepts

3. Helps the nurse implement care

4. Provides a systematic view of explaining, predicting, and prescribing phenomena

4. Provides a systematic view of explaining, predicting, and prescribing phenomena

The enterprise of early theorizing about nursing practice was primarily driven by:

1. Physicians

2. Political leaders

3. Nursing educators

4. Policymakers

3. Nursing educators

The central idea characterizing the McGill model for nursing is that it:

1. Focuses on health rather than on illness or treatment

2. Accounts for holistic aspects of the individual, rather than component parts

3. Views the person as an energy field in constant interaction with the environment

4. Considers the human experience to be based on behavioural drives

1. Focuses on health rather than on illness or treatment

The distinctive contribution that Canadian theorist Evelyn Adam added to nursing's thinking at the time was a conceptualization of the essence of nursing as:

1. A collaboration with health care providers

2. A helping process

3. The management of patients and health care systems

4. All of the above

2. A helping process

The idea that nursing theorists drew specifically from systems theories was to consider the human being as:

1. An irreducible whole

2. A whole and component parts in intricate interaction with one another

3. An embodiment of mind, body, and spirit

4. All of the above

2. A whole and component parts in intricate interaction with one another

The most distinctive feature of Rosemarie Parse's theory is that it considers the individual as a unitary being who is engaged in which of the following?

1. Seeking health

2. Engaging in a continuing process of making choices

3. Striving for homeostasis

4. All of the above

2. Engaging in a continuing process of making choices

What is required to tell a patient for informed consent?

A brief, complete explanation of the procedure or treatment

• Names and qualifications of people performing and assisting in the procedure

• A description of any possible harm, including permanent damage or death, that may occur because of the procedure

• An explanation of therapeutic alternatives to the proposed procedure or treatment, as well as the risks of doing nothing. Patients also need to be informed of their right to refuse the procedure or treatment without discontinuing other supportive care and of their right to withdraw their consent even after the procedure has begun.

What do you need when a patient refuses treatment?

written, signed and witnessed

The nursing practice acts are an example of:

1. Statute law

2. Common law

3. Public law

4. Criminal law

1. Statute law

Treating a patient without his or her consent is considered:

1. Battery

2. Negligence

3. Implied consent

4. Expressed consent

1. Battery

A nurse is sued for negligence for failure to properly monitor a patient after surgery. Which of the following statements are correct? (Select all that apply.)

1. The nurse does not need any representation.

2. The patient must prove that harm or injury occurred.

3. The patient must show the nurse provided substandard care.

4. The patient must show the nurse's actions or inactions caused the injury.

5. The burden of proof is always the responsibility of the nurse.

2. The patient must prove that harm or injury occurred.

3. The patient must show the nurse provided substandard care.

4. The patient must show the nurse's actions or inactions caused the injury.

A confused patient falling out of bed because side rails were not used when they were ordered is an example of which type of liability?

1. False imprisonment

2. Assault

3. Battery

4. Negligence

4. Negligence

What should you do if you think the patient does not understand the procedure for which he or she is being asked to give consent?

1. Do not be concerned if the consent is already signed.

2. Notify the physician or nursing supervisor.

3. Send the patient for the procedure and discuss it afterward.

4. Ask a family member to give consent.

2. Notify the physician or nursing supervisor.

A nurse stops to help in an emergency at the scene of an accident. If the injured party files suit and the nurse's employing institution's insurance does not cover the nurse, the nurse would probably be covered by the:

1. nurse's automobile insurance

2. nurse's homeowner's insurance

3. National Care Act, which may grant immunity from suit if the injured party consents

4. Good Samaritan laws, which grant immunity from suit if no gross negligence is involved

4. Good Samaritan laws, which grant immunity from suit if no gross negligence is involved

The nurse knows that values clarification plays a major role in

1. Creating a set of rules for conduct

2. Identifying values that should be accepted by all

3. Resolving issues of “value conflict”

4. Developing a code of ethics

3. Resolving issues of "value conflict"

In Canada, equitable access to health care means that all citizens have equal access to medically necessary services. Which ethical principle would reflect equal access to health care?

1. Accountability

2. Autonomy

3. Relational ethics

4. Justice

4. Justice

A patient is admitted to a medical unit. The patient is fearful of hospitals. The nurse carefully assesses the patient to determine the exact fears and then establishes interventions designed to reduce these fears. In this setting, how is the nurse practising patient advocacy?

1. Seeking out the nurse supervisor to talk with the patient

2. Documenting patient fears in the medical record in a timely manner

3. Working to change the hospital environment

4. Assessing the patient's point of view and preparing to articulate it

4. Assessing the patient's point of view and preparing to articulate it

If a nurse assesses a patient for pain and then offers a plan to manage the pain, the principle that encourages the nurse to monitor the patient's response to the plan is

1. Beneficence

2. Justice

3. Nonmaleficence

4. Respect for autonomy

4. Respect for autonomy

Including patients in decision making regarding their care and respecting their choices of treatment demonstrate the principle of

1. Beneficence

2. Autonomy

3. Justice

4. Veracity

2. Autonomy

Ethical dilemmas often arise over a conflict of opinion. Once the nurse has determined that the dilemma is ethical, which action should the nurse take first in negotiating the difference of opinion?

1. Consult a professional ethicist to ensure that the steps of the process occur in full

2. Gather all relevant information regarding the dilemma

3. List the ethical principles that inform the dilemma so that negotiations agree on the language of the discussion

4. Ensure that the attending physician has written an order for an ethics consultation to support the ethics process.

2. Gather all relevant information regarding the dilemma

What are the 5 principles of the canadian health act?

1. Public Administration (Insurance, non profit basis)

2. Comprehensiveness (health care service; physicians, hospital, dentists, etc)

3. Universality (all residents receive same level of health care)

4. Portability (Resident moving inside canada entitled coverage from home province)

5. Accessibility (all insured people have reasonable access to health care facilities)

What are the patient's bill of rights?

1. RIght to receive all necessary health care service

2. Accessible universal, comprehensive and publicly administered and funded

3. Freedom of choice

4. Timely treatment

5. Personal income does not determine access to care

6. Right to be dealt with by health care service providers

7. Right to participate in any assessment of personal care

8. Right to make complaints, raise concerns

9. Right to be informed

10. Right to access health care records confidentiality

Describe the three categories of a client's health care needs (urgent, emergent, elective)

Urgent- save a life, serious complication

Emergent- Diagnosis and treatment, require few days/weeks

Elective- slow progression may resolve without intervention

What is the spiraling process

Exploring (help me understand)

zeroing in (what is the most important thing that we should talk about

Working out (What should happen next?)

Reviewing (so we have discussed, what do you think now about?)

What are the 4 nursing accountabilities?

1. Therapeutic communication

2. Client centred care

3. maintaining boundaries

4. Protecting the client from abuse

What are the four types of theories?

1. Grand theory: Insight into broad abstract phenomena (world views)

2. Middle range theory: Specific phenomena (pain)

3. Descriptive theory: Describe a phenomena (how to cope with illness)

4. Prescriptive theory: nursing interventions

What are the hierarchy of substitute decision maker?

1. Guardian of person appointed by court

2. Someone named as attorney of personal care

3. Appointed representative by CCB

4. Spouse, child 16 or older, parent, sibling, other relative (specific order)

5. PGT last resort or two sub cannot agree

What are examples of culture that might be visible, less visible and not visible?

Visible: behaviours or artifacts

Less visible: personal values or attitudes (can be talked about, food, music, family, rituals, child bearing)

Not visible: Cultural values and assumptions (subcons, spiritual connection, normative rules)

Given the linguistic diversity those vulnerable are those that do not speak canada's two official languages, best practice to assist a new immigrant in receiving care would be to

a. Allow a family member to interpret

b. Allow a professional interpreter who charges fees to interpret

c. Do not engage an interpreter

b. Allow a professional interpreter who charges fees to interpret

Who are the vulnerable populations?

uncompleted high school

insecure jobs

insecure food

insecure housing

without clean water or sanitation

new immigrants

first nation on reserve

poor neighbourhood

What is cultural awareness vs cultural sensitivity?

cultural awareness: awareness of cultural differences

Cultural sensitivity: self exploration identifying biases and assumptions impact on others

What does leninger identify culture vs campinha-bacote?

Leninger: explicit use of culturally based care and health knowledge in sensitive, creative, and meaningful ways to fit the general lifeways and needs of individuals or groups for beneficial and meaningful health and well being or to help face illness, disabilities or death

Campinha bacote: Cultural competence as an ongoing process, whereby nurses continuously strive to work within the patients cultural context

What is cultural safety VS cultural humility?

Cultural safety: Allows for an awareness and recognition of power differences and discrimination. Address inequities in health status, enabling safe service

Cultural humility: Actions demonstrate interpersonal respect and interpersonal reflection of one's cultural assumptions and biases. this is a life long learning process

What are the 5 aspects to assessment according to leninger?

1. Observe using all 5 senses

2. listen and attend to folk practices apparent

3. Identify patterns and narratives

4. Synthesize what you are seeing and hearing as important

5. Collaborating with client to develop care plan

What nursing interventions are aligned with Leningers theory?

1. Preservation or maintenance (decisions that maintain and preserve values and beliefs that prove helpful to a persons health)

2. Accommodations or negotiation (adapt to fit culture)

3. Repatterning or restructuring (involve client for care plan)

The ontario health, bill 74 focuses on which of the following?

a. LHIN's

b. Consent to treatment

c. OHIP

d. None of the above

a. LHINs

What is a LHIN?

Local Health Integration Network

The patients bill of rights includes which of the following rights (select all that apply)

a. The need to be informed

b. The need for team based care delivery

c. The need to evacuate families if an emergency order is made

d. The need to be dealt with courtesy and respect

a. The need to be informed

d. The need to be dealt with courtesy and respect

OHIP allows for the provision of which services?

Hospital care, dental care in hospital, ambulance services, northern health grant for travel to health care facilities

What is the focus of the interprofessional team?

Coordinate care in a seamless manner

Collaborate with all team members including the client and their family members

Resolve conflicting issues that relate to patient care

Clarify how to best support patient care given the team expertise

What are the 6 core competencies national IPC

Interprofessional communication

Patient/client/family/community centered care

role clarification

team functioning

collaborative leadership

Interprofessional conflict management

Regulated professionals are guided by ____ legislation

They have a professional ____ to regulate their practice

They all have a ___ process that establishes continuing competence and enforces standards

unregulated roles are guided by workplace standards, job descriptions and workplace policies. The ___ oversees their practice

RHPA legislation

College

QA process

workplace