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NR-503 Epidemiology Final Exam Questions and Complete Solutions Graded A+
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NR-503 Epidemiology Final Exam Questions and Complete Solutions Graded A+
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NR-503 Epidemiology Final ExamQuestions and Complete Solutions
Graded A+
Kleinman explanatory Model - Answer: Eliciting the patient's (explanatory) model gives the physician
knowledge of the beliefs the patient holds about his illness, the personal and social meaning he attaches
to his disorder, his expectations about what will happen to him and what the doctor will do, and his own
therapeutic goals
Cultural competence - Answer: Cultural competence is defined as "a dynamic, fluid, continuous process
whereby an individual, system or health care agency find meaningful and useful care delivery strategies
based on knowledge of the cultural heritage, beliefs, attitudes, and behavior of those to whom they
render care"
Cultural Awareness - Answer: :Self-examination of one's own prejudices and biases toward other
cultures. An in-depth exploration of one's own cultural/ethnic background.
Cultural humility - Answer: A lifelong commitment to self-evaluation and self-critiques, redressing the
power of imbalances in the patient- physician dynamic, developing mutually. Beneficial relationships.
Cultural Knowledge - Answer: Obtaining a sound educational foundation concerning the various
worldviews of differences cultures. Obtaining knowledge regarding biological variations, disease and
health conditions and variation in drug metabolism.
Cultural Skill: - Answer: Ability to collect culturally relevant data regarding the client's health history and
presenting problem. Ability to conduct culturally based physician assessments. Conducting these
assessments in a culturally sensitive manner.
Cultural Desire - Answer: Motivation of the healthcare provider to "want" to engage in the process of
cultural competence, characteristics of compassion, authenticity, humility, openness, availability, and
flexibility, commi tment and passion to caring, regardless of conflict.
,ethnicity - Answer: as "the aggregate of cultural practices, social influences, religious pursuits, and racial
characteristics shaping the distinctive identity of community"
Cultural competence in nursing consists of four principles. - Answer: Care is designed for the specific
client.
Care is based on the uniqueness of the person's culture and includes cultural norms and values.
Care includes self-employment strategies to facilitate client decision making to improve health
behaviors.
Care is provided with sensitivity and is based on the cultural uniqueness of clients.
The APN may also use the Kleinman Explanatory Model of Illness (1978). Below are the questions that
can be utilized. - Answer: What do you call your problem?
What do you think caused your problem?
Why do you think it started when it did?
What does your sickness do to you?
What do you fear most about your sickness?
What are the chief problems your sickness has caused you?
What kind of treatment do you think you should receive?
What is the most important result you hope to receive from the treatment?
According to Giger and Davidhizer (2000), although cultures differ, they all have the same basic
organizing factors that must be assessed in order to provide care for culturally diverse patients. These
factors include - Answer: communication (verbal and nonverbal);
personal space;
social organization;
time perception;
environmental control; and
biological variations.
The National Center for Cultural Competence (NCCC) provides national leadership and contributes to the
body of knowledge on cultural and linguistic competency within systems and organizations. Major
emphasis is placed on translating evidence into policy and practice for programs and personnel
, concerned with health and mental healthcare delivery, administration, education, and advocacy. -
Answer:
The NCCC uses four major approaches to fulfill its mission, including - Answer: Web-based technical
assistance, (2) knowledge development and dissemination, (3) supporting a community of learners, and
(4) collaboration and partnerships with diverse groups.
These approaches entail the provision of training, technical assistance, and consultation and are
intended to facilitate networking, linkages, and information exchange. The NCCC has particular expertise
in developing instruments and conducting organizational self-assessment processes to advance cultural
and linguistic competency. - Answer:
Epidemiological Triad: - Answer: host, agent, environment
Genetics is considered an agent in the epidemiological triad - Answer:
Genetics - Answer: The study of individual genes and their impact on relatively rare single gene disorders
Genomics - Answer: The study of all genes in the human genome as well as their interaction with other
genes, the individual's environment, and the influence of cultural and psychosocial factors
Genetic epidemiology - Answer: the link of epidemiology and genetics
Absolute risk - Answer: is the probability of an event, such as illness, injury, or death
Absolute risk - Answer: gives no indication of how its magnitude compares with others.
The odds ratio - Answer: closely approximates the relative risk if the disease is rare.
Odds ratio and the relative risk are used - Answer: to assess the strength of association between risk
factor and outcome.
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