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PN2 Exam 1 Study Guide (updated) – Rasmussen College | PN2 Exam 1 Study Guide (updated)

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PN2 Exam 1 Study Guide (updated) – Rasmussen College EXAM 1 • Discuss communication practices necessary for patient-centered care and teamwork (Knowledge, skills and attitudes) o Communicat... ion is an integral component of health care, so much so that there are special "tools" to use such as SBAR forms, and Medication Reconciliation forms - the Joint Commission includes aspects of communication in the National Patient Safety Goals. In regards to patient care nurses use communication to facilitate providing quality patient-centered care, and to promote teamwork with others involved in providing that care. o S= Situation- What is happening at the present time that has needed the SBAR communication tool (State your name, the patient, and the problem) o B= Background- Explain the circumstances leading up to the situation (State admission diagnosis, medical history and treatment to date) o A=Assessment- Indicate what you think the problem is (Give last vital sign, heart rhythm, pain) o R= Recommendation- Express what you believe the patient needs or what order specifically you want (i.e. Give Fluids) • OR ADPIE o A=Assess- Gather information and review o D= Diagnose- Identify the problem through a nursing diagnosis o P=Plan- Set your goals to solve the problem o I=Implement- Reach goals through nursing actions o E= Evaluate- Determine outcome of goals and what if anything needs changed • Review concept of cultural competence as it relates to care of diverse clients across life span o Developing awareness of one’s own existence, sensations, thoughts and environment without letting them have an undue influence on those from other backgrounds o Demonstrate knowledge and understanding of patient’s culture, health-related needs, and culturally specific meanings of health and illness o Continuing to learn about cultures of patients whom one provides care o Recognizing that the variant cultural characteristics determine the degree to which patients adhere to the beliefs, values and practices of their dominant culture o Accepting and respecting cultural differences in a matter that facilitates the patient’s and family’s abilities to make decisions to meet their needs and beliefs o Not assuming that the health-care providers beliefs and values are the same as the patients o Resisting judgmental attitudes such as “different is not as good” o Being open to cultural encounters o Being comfortable with cultural encounters o Adapting care to be congruent with patient’s culture o Engaging in cultural competence is a conscious process and not necessarily a linear one Accepting responsibility for one’s own education in cultural competence by attending conferences, reading professional literature and observing cultural practices. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ♣ 3rd Family ♣ 4th Person ϖ Inside o Communication (Dominant language, Volume/Tone, Eye content, Touch) o Family roles & Organization (Head of household, Gender roles, Lifestyles) o Workforce Issues (Autonomy, Language barriers) o Biocultural ecology (Skin color, Heredity, Genetics, Drug metabolism) o High-Risk Behaviors (Tobacco, Alcohol, Recreational Drugs, Physical activity, Safety) o Nutrition (Common foods, rituals, limitations, health promotion) o Pregnancy (Fertility practices, birthing, postpartum) o Death rituals (Death rituals, bereavement) o Spirituality (Religious practices, use of prayer, meaning of life, spirituality & health o Health-care practices (Focus on health care, traditional practices, self-medication, mental health barriers) o Health-care practitioners (Perception, Folk practices, Gender & health care) o Overview/ Heritage (Origins, Residence, Economics, Politics, Education, Occupation) ϖ MODULE 2 o One key quality and Safety Education for Nurses (QSEN competencies is based on ATTITUDE [Show More]

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