Which strategy should you use to communicate effectively with culturally diverse patients Quizlet

Q: Which factor would the nurse base culturally congruent practice on when caring for a patient quizlet?

Assessing and listening to each patients customs and beliefs is the most important way to provide culturally congruent and patient-centered care.

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Social Psychology

10th EditionElliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson

525 solutions

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ANS 1, 3, 4, 5, 6

A large body of research shows that health care systems and health care providers contribute significantly to the problem of health disparities. Inadequate resources (lack of social workers), poor patient-provider communication (discharge instructions), a lack of culturally competent care, system fragmentation (not ensuring that the patient has a primary care provider or a follow-up appointment), and inadequate language access (use of interpreters) are critical factors that contribute to inequities in patient outcomes. RESPECT is the mnemonic for Rapport, Empathy, Support, Partnership, Explorations, Cultural competence, Trust.

1. welcome patient and introduce yourself
-ensure privacy
-sit arm's length away
-make appropriate eye contact

2. ask patient what he/she knows and thinks about issue (ask-tell-ask)

3. use clear, plain language
-keep sentences short and to the point
-use 2nd person "you"
-limit use of words with three or more syllables
-avoid excessive use of medical terminology (sub common terms for clinical terms)
-use a calm, reassuring tone, appropriate volume, and pace

4. observe nonverbal cues from patient

5. be aware of your nonverbal behaviors

6. adapt the message according to beliefs and concerns of patient
-identify patient's perceptions of his/her health and behaviors prior to providing instruction

7. full inform patient

8. be specific

9. recommend smaller changes in behavior instead of larger ones

10. add new behaviors instead of eliminating old ones

11. link new behaviors to the old ones

12. encourage making a commitment

13. fully interact with the patient

14. employ the technique of demonstration and practice

15. use a combination of instructional techniques

16. ask patient if they have any questions or concerns

17. respect the patient's choice

- Offer to physically guide a person who is blind or visually impaired by asking if he or should would like assistance. Be aware that the person may not need or want hided help; in some instances, it can be disorienting and disruptive. Respect the wishes of the person you are with
- If your help is accepted, offer the person your arm. To do so, tap the back of your hand against the palm of his or her hand. The person will them grasp your arm directly above the elbow. Never grab the person's arm or try to direct him or her by pushing or pulling.
- Relax and walk at a comfortable normal pace. Stay one step ahead of the person you are guiding, except at the top and bottom of stairs. At these places, pause and stand alongside the person. Then resume travel, walking one step ahead. Always pause when you change directions, step up or step down.
- It is helpful, but not necessary, to tell the person you are guiding about stairs, narrow spaces, elevators and escalators.
- The standard form of sighted guide techniques may have to be modified because of other disabilities or for someone who is exceptionally tall or short. Be sure to ask the person you are guiding what, if any, modifications he or she would like you to use.
- When acting as a guide, never leave the person in "free space." When walking, always be sure that the person has a firm grasp on your arm. If you have to be separated briefly, be sure the person is in contact with a wall, railing, or some other stable object until you return.
- To guide a person to a seat, place the hand of your guiding arm on the seat. the person you are guiding will find the seat by following along your arm.

Which communication technique should you use when speaking with elderly patients?

Talk slowly and clearly in a normal tone. Shouting or speaking in a raised voice actually distorts language sounds and can give the impression of anger. Avoid using a high-pitched voice; it is hard to hear. Face the person directly, at eye level, so that he or she can lip-read or pick up visual clues.

Which of the following can improve your cultural competence?

Arranging a research project, practicum experience or internship where you work with people from a culture that's unfamiliar to you is a great way to enhance your cultural competence.