Exam 1: NUR257/ NUR 257 (Latest 2023/ 2024 Update) Aging and Chronic Illness in Nursing Exam Review| 100% Correct- Galen

Exam 1: NUR257/ NUR 257 (Latest 2023/

2024 Update) Aging and Chronic Illness in

Nursing Exam Review| 100% Correct- Galen

Q: quality measures of LTC facilities:

what is considered a short stay quality measure?

Answer:

1.pain, ulcer, vaccines, new antipsychotic med,

2.successful d/c to community, outpatient ED visits

3.re-hospitalized after NH admin

4.improvements with functionality

Q: quality measures of LTC facilities:

what is considered a long stay quality measure?

Answer:

1.falls, pain, ulcer, vaccines,

UTI, loss of b/b,

2.chronic cath insertion, physical restraint

3.ADL help, wt loss, depression, antianxiety/hypnotic med

4.worsening mobility/independence

Q: culture change cont:

homelike setting doesn't look/function like hospital, how so?

Answer:

1.allows them to make decisions they're used to making,

2.greater respect for individuality & preferences

Q: what is transitional care

Answer:

1.moving from one practitioner/setting to another as need/condition changes

2.occurs due to rehospitalizations, infx, new dx, relapses

Q: true statements of re-admissions?

Answer:

1.1:5 readmitted within 30d of d/c

2.some may be predicted but should be prevented

3.projects designed to avoid re-admins & transitions

Q: transitional care model for improving transitional care

Answer:

1.reduce read- mins/costs,

2.improve health outcomes,

3.enhances pt satisfaction

4.nurse roles- transition coach, care coordinators/managers

Q: cultural destructiveness

Answer:

1.systematic elimination of another culture

2.ex: genocide of jews in eastern europe

3.treatment of american indians & AA in U.S

Q: cultural blindness

Answer:

1.thinks everyone is same, ignores differences

2.applies negative stereotypes, "all old people have dementia"

3.prevents sensitive & effective caregiving

Q: cultural precompetence

Answer:

1.aware of own's biases, prejudices, attitudes, be- haviors

2.aware of one's own ageist attitudes & ageism in world

3.learns how health is viewed by others

Q: cultural competence

Answer:

1.accepts others bring different values, choices, priori- ties

2.accepts that people are unique & deserving of respect

Q: cultural proficiency

Answer:

1.knowledge for assignment, communication, negotiation, intervention

2.build relationships with other culturals as daily practice

3.knowledge about ethnicity, culture, language, beliefs, skills to optimize intercultural

communication

Q: cultural knowledge includes

Answer:

orientation to family, self, time, health beliefs

Q: health belief models

Answer:

1.western (biomedical)

2.personalistic (magiocoreligious)

3.naturalistic (holistic)