Healthstream cultural competence test answers

Introduction

Purpose/Overall Goal

Course Objectives

Communication Across the Ages

Complex Communication Needs

Neonates: Birth-28 Days

Infants and Toddlers: 0-3 Years

Young Children: 4-6 Years

Older Children: 7-12 Years

Adolescents: 13-20 Years

Young Adults: 21-39 Years

Middle Adults: 40-64 Years

Older Adults: 65-79 Years

Adults Age 80 And Older

Summary

References

Section 2: Cultural Competence

Introduction

Purpose/Overall Goal

Course Objectives

Cultural Diversity

Valuing Diversity

Assessing One’s Own Cultural Competency

Managing Cultural Differences

Managing Cultural Differences: Asking Nonjudgmental Questions

Managing Cultural Differences: Listening Carefully

Managing Cultural Differences: Setting Realistic Goals for Behavior Change

Managing Cultural Differences: Solving Problems Together

Managing Cultural Differences: Working with An Interpreter

Incorporating Cultural Knowledge into Care

Adapting to Diversity

Barriers to Culturally Competent Care

Clinical Outcomes

Summary

References

Section 3: Ethics

Introduction

Purpose/Overall Goal

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Course Objectives

Ethical Standards

Organizational Ethics

Individual Rights

Individual Responsibilities

Benefits of An Ethics Program

Integrated Ethics Model

Shared Decision-Making with Patients

Patient Privacy and Confidentiality

Professionalism in Patient Care

Ethical Practices in the Workplace

Examples of Ethical Dilemmas

Summary

References

Section 4: 2019 National Patient Safety Goals for Hospitals Nursing Education Module

Introduction

Course Objectives

Goal 1: Improve the accuracy of patient identification.

Goal 2: Improve the effectiveness of communication among caregivers.

Goal 3: Improve the safety of using medications.

Goal 6: Reduce the harm associated with clinical alarm systems.

Goal 7: Reduce the risk of healthcare-associated infections.

Goal 15: The hospital identifies safety risks inherent in its patient population.

Universal Protocol

Resources

Section 5: Patient Rights

Introduction

Purpose/Overall Goal

Course Objectives

The Patient’s Bill Of Rights

Nurses as Patient Advocate

Patient Responsibilities

Summary

References

Section 6: Patient Safety Systems and Events

Introduction

Purpose/Overall Goal

Course Objectives

Key Terms

Sentinel Events

Comprehensive Systematic Analysis

Action Plans

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Patient Safety Systems

Summary

References

Congratulations!

Section 1: Age-Specific Patient Care

Introduction

Every patient is different – and so is every age group. As a caregiver, you must be aware of certain considerations related to each age group and ways to effectively communicate with patients of various ages. It is important to understand patient needs and what they might be facing at certain times of their lives. This can help you identify issues such as speech or hearing impairments, stress, learning disabilities, depression, and much more. Educating yourself about these factors can help you deliver the best care possible to your patients.

Purpose/Overall Goal

This module outlines age-specific care and best practices for nine different age groups, from birth to age 80 and beyond. The goal of this module is to provide healthcare workers with information on how to physical, emotional, social, spiritual, and other needs for different age groups, and how to adjust your patient care with age-specific needs in mind.

Course Objectives

After completing this module, the learner should be able to:

• Demonstrate appropriate communication skills for various age groups

• Describe appropriate healthcare practices for various age groups

• Explain physical and emotional considerations for patients of different ages

• Describe common health conditions to assess in patients at various life stages

Communication Across the Ages

As a healthcare worker, clear communication with patients is key to providing good age- specific care. Each age group has unique physical, psychosocial, and cognitive needs, as well as unique fears and stressors. By understanding the age-specific needs usually associated with each stage of life, you can provide better, more appropriate care, tailored to the needs of each individual. For every patient across all age groups you should: Assess primary language

• Check for speech or hearing impairments

• Check for confusion, depression, and signs of illness or stress

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• Be aware of possible learning disabilities

• Be mindful of cultural differences

• Understand family structure

Regardless of a patient’s age, caregivers must respond to the need of each patient and family for:

• Safety

• Privacy

• Confidentiality

• Comfort

• Pain management

• Healthcare choices

Complex Communication Needs

Keep in mind that individuals with complex communication needs (CCN) who cannot communicate by natural speech alone have the same social, emotional, and physical needs as other individuals. Communication supports, also known as augmentative and alternative communication (AAC), can help these individuals express themselves. Examples of AACs include:

• Gestures and body language

• Sign language

• Paper and pencil written communications

• Picture boards or books

• Devices that produce voice output (speech generating devices) or written output

• Electronic communication aids that use picture symbols, letters, and/or words and

phrases to create messages

Neonates: Birth-28 Days

The first 28 days of life are a time when neonates are in a state of total dependency and their basic body functions are being established. The following is a checklist of functions to test:

• Reflexes such as grasping, gagging, and startling

• Vital signs (temperature, pulse, respiration)

• Steady weight gain

• Blood glucose levels when appropriate

Keep these practices in mind:

• Always handle the neonate in a gentle, comforting manner to avoid overstimulation.

• Swaddling increases feeling of security and comfort.

• Teach parents proper childcare skills for feeding, diapering, cord care, and bathing.

• Teach parents to always put the baby down on his or her back for sleeping, to help avoid

sudden infant death syndrome (SIDS).

• Make sure parents understand the importance of safety devices such as car seats.

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Infants and Toddlers: 0-3 Years

Infants and toddlers grow and learn rapidly. Although they are dependent, this is when they begin to develop a separate self. With infants:

• Limit the number of staff workers assigned to each one to avoid “stranger anxiety.”

• Always speak to an infant before a touch to avoid startling him or her.

When delivering care to toddlers:

• Keep in mind that toddlers are impulsive and their moods change quickly.

• Expect an exaggerated response to pain, frustration, and changes in the environment.

• Give one direction at a time, since toddlers have a short attention span.

• Speak at eye level with the child and maintain eye contact.

• Discuss procedures with toddlers immediately before they happen, not too far in

advance, since their sense of time is the immediate present.

• Use play to prepare for and explain procedures.

• Provide support and comfort during procedures.

• Use the least intrusive procedures possible, such as axillary temperature and oral

medications.

When speaking with parents:

• Emphasize proper hand-washing as a way to prevent disease transmission.

• Encourage parents to communicate with the child, and to touch and cuddle.

In infants and young children, small veins may make inserting an intravenous (IV) line a challenge. Keep these facts in mind:

• Be aware that the child may want to play with the IV tubing.

• Secure the site with a transparent dressing so you can see it easily.

• Inspect and palpate the site every hour.

• Avoid wrapping tape too tightly.

Young Children: 4-6 Years