NU 650 EXAM 1 WITH COMPLETE SOLUTION
three dimensions of cultural humility
1) Self-awareness. Learn about your own biases...we all have them.
2) Respectful communication. Work to eliminate assumptions about what is "normal" Learn directly from your pt's-they are the experts on their culture and...
NU 650 EXAM 1 WITH COMPLETE SOLUTION
three dimensions of cultural humility
1) Self-awareness. Learn about your own biases...we all have them.
2) Respectful communication. Work to eliminate assumptions about what is "normal" Learn directly
from your pt's-they are the experts on their culture and illness.
3) Collaborate partnerships. Build your pt. relationship on respect and mutually acceptable plans.
types of cognitive errors
anchoring bias: locking in on feature in pts presentation too early
availability heuristic: overlooking differentials
confirmation bias:
diagnostic momentum: using previous diagnoses to explain sx (MI vx acid reflux)
framing effect:
representation error: failure to take prevalence into account when estimating probability of diagnosis
visceral bias: feeling towards pt that can lead to poor diagnostic decisions
acute pain
normal response to stimulus that lasts less than 3-6 months, associated with acute illness/injury
chronic pain
lasts more than 6 months or one month beyond typical course
process of clinical reasoning and what happens at each step
gather info (health hx and exam), organize and interpret info (problem presentation), generating
hypothesis (differential diangoses), testing hypothesis, planning diagnostic and tx strategy
key social determinants of health
economic stability, education, social and community, health/healthcare, neighborhood and built
environment
core values of medical ethics
nonmaleficence, beneficence, respect for autonomy, decisional capacity, confidentiality, informed
consent, truth telling, justice
seven attributes of a symptom
1. Location
2. Quality
3. Quantity or severity
4. Timing (including onset, duration, and frequency)
5. The setting in which it occurs
6. factors that have aggravated or relieved the symptom
7. associated manifestations
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