A nursing instructor asks a group of students if they can ...

[berenicecastro]

A nursing instructor asks a group of students if they can identify some nursing theories and models that have been developed to assist nurses in the delivery of culturally competent care.
 
  Which response by a student would indicate that further teaching is needed? a. Leininger's Transcultural Nursing
  b. Purnell's Model for Cultural Competence
  c. Campinha-Bacote's Process of Cultural Competence
  d. Giger and Morrison's Model for Transcultural Awareness

Question 2

You are working on an orthopedic floor and receive a call from the RN in the post-anaesthetic recovery unit who gives you a report on a patient you will be receiving.
 
  The nurse tells you the following information:
  Mr. Levine is a 70-year-old patient who had a laparoscopic appendectomy today, after a three-day history of abdominal pain. The appendix was intact; it had not ruptured. His vital signs are stable (the values are provided) and he had minimal blood loss during the procedure. He is well pain controlled and his laparoscopic sites are dry and intact. He is comfortable currently, but was nauseated when he first came out of the operating room. I would suggest that he have another dose of the antiemetic when it's due; he says this always happens post-op.
  This is an example of __________.
  a. a debriefing
  b. SBAR communication
  c. a huddle
  d. a call-out

[jojobee318]

Answer to Question 1

D
Several nursing theories and models have been developed to help nurse leaders prevent workplace
difficulties when working with people who are different due to age, ethnicity, race, culture, or religion.
Some of these theories and models are Leininger's Transcultural Nursing, Purnell's Model for Cultural
Competence, Campinha-Bacote's Process of Cultural Competence in the Delivery of Health Care
Service, and Giger and Davidhizar's Transcultural Assessment Model (not Giger and Morrison's
Model for Transcultural Awareness)..

Answer to Question 2

b

a. Incorrect: Debriefings are used to identify what happened in specific circumstances, what was learned, and what can be done better next time. This method of communication would not be appropriate for conveying information about a patient during a change of shift or move from one unit of a hospital to another.
b. Correct: SBAR stands for Situation, Background, Assessment, and Recommendation, and is a communication strategy that was by designed by the military, adapted by the aviation industry, and more recently by health care. It can serve as a checklist for nurses when they are communicating important information about a patient.
c. Incorrect: In a huddle, all team members come together for a short, structured communication to review what their next steps should be. Huddles can be used at routine times, such as the beginning of a shift, or when team members feel they need to regroup to think about an issue or a patient. A huddle would likely include more than two nurses involved in patient care.
d. Incorrect: Call outs are used particularly in the OR, to confirm the phase of a process. This communication method would not be used for discussing patient care after a procedure.