Reflection Journal: Roles of Leadership

Analyze strategies that nurse leaders can implement to mitigate risk in the healthcare setting. What demonstrable behaviors should be role-modeled by the healthcare administrator?

Reflect on two strategies that you use, or could use, as a professional nurse to be proactive in protecting your license and delivering quality patient care.

Journal assignments require you to use a minimum of two references from evidence-based sources that are relevant and current to the topic (i.e., published within five years). You are also required to use correct APA format for reference citations and in-text citations.

Question 1 An older patient recalls family members using garlic for medicine. What purpose does garlic serve as a health care practice?

Select all that apply.

1. Forces other people to stay away
2. Belief that garlic keeps the evil spirits away
3. Cures a sore throat
4. Helps indigestion

Question 2 A group of nurses is talking about different ethnocultural practices regarding health that are followed within each of the nurses’ families. What purpose will this discussion serve?

Select all that apply.

1. Reawaken the types of HEALTH practices within each nurse’s family
2. Make known the similarities and differences across ethnic and religious groups
3. Help to realize that all people practice a certain amount of traditional medicine
4. Understand that nurses often delay in seeking professional healthcare

Question 3 A patient of the Austrian-American Jewish tradition tells the nurse how to treat boils. What will this patient most likely explain to the nurse?

1. Apply a fried chopped onion compress to the area.

2. Press cold tea bags to the area.

3. Apply a flaxseed poultice to the area.

4. Place hot Epsom salts on the area.

Question 4 Which dietary practice is followed by individuals of Swedish-American Protestant heritage to treat feeling run-down and tired?

eating a whole head of lettuce

Question 5 A patient recalls being told about various childhood illnesses by his mother. Why is heritage exploration often done through women?

1. Women are the guardians of the family’s health/HEALTH and nurturance.
2. Women live longer than men and can remember events better.
3. Women have a better recall of events within a family context.
4. Women are the authority figures within families.

Question 6 Which health restoration practice for a cold would the nurse assess in a patient of English Catholic heritage?

1. Rubbing the chest with Vicks

2. Drinking honey and vinegar

3. Gargling with water and vinegar

4. Drinking warm milk

Question 7 Which heritage group boils a beef bone, breaks up toast in the broth, and drinks as a HEALTH restoration practice for a headache?

1. German-Americans
2. Polish-Americans
3. Irish-Americans
4. Canadians

Question 8 Which actions are considered to be health restoration practices for individuals of Eastern European Jewish heritage?

Select all that apply.

1. Chicken soup

2. Glass of wine

3. Alcohol massage

4. All of the above

Question 9 Which action would a patient from Italian-American Catholic heritage perform to protect health?

1. Never washing hair before going outdoors
2. Keeping a kitchen warm
3. Drinking water with meals
4. Taking regular vitamin tonics

Question 10 Through a health history, the nurse learns that a patient’s parents were of Austrian Jewish heritage. Which health practices would the nurse most likely assess in this patient?

Select all that apply.

1. Baking bread
2. Eating homegrown fruits and vegetables
3. Wearing camphor around the neck
4. Gargling with salt water

Question 11 Which health protection activity would a patient of Iranian-American Moslem heritage practice?

Keep feet from getting wet inthe rain

Question 12 Which action is a birth belief among Shintos?

1. Saving the umbilical cord as a lasting bond between mother and child
2. Never setting up a crib for an infant until after the birth
3. Wearing white and blue bead charms on the wrist as a protection from evil
4. Hoping that a newborn is not a female baby because it will decrease the mother’s looks

Question 13 A patient who is of Greek Orthodox heritage is a new widow. What will the patient do after the death of her spouse?

1. Wear black and remain in mourning for the remainder of her life.
2. Hire a professional mourner to cry for the deceased.
3. Wash the body and prepare it for the wake.
4. Pray the Rosary aloud as part of the burial ritual.

Question 14 How would a patient of French-Canadian Catholic heritage use a HEALTH restoration practice to treat a rash?

Take an oatmeal bath

Question 15 An older patient talks about being given preparations as a child that were considered patent medications. The nurse recalls that these medications included which items?

Select all that apply.

1. Alcohol
2. Opium
3. Cocaine
4. Aspirin

Question 16 A patient tells the nurse about using cod liver oil every day. Which heritages utilize cod liver oil as a health maintenance practice?

Select all that apply.

1. English
2. French
3. Norwegian
4. Polish

Question 17 Why is it important to examine individual familial health/HEALTH practices?

1. Helps a person become knowledgeable about the role that ethnocultural and religious heritage has played within a family
2. Identifies what HEALING practices need to be used when one is ill
3. Rejects those health/HEALTH traditions if they differ from those of the same ethnocultural group
4. Generalizes to all members of the same ethnocultural group the various health/HEALTH practices that are implemented.

Question 18 For which heritage is applying a red scarf around the chest performed for a cold or a sore throat?

1. English tradition
2. Norwegian tradition
3. Polish tradition
4. Eastern European tradition

Question 19 The nurse asks a patient of Italian-American Catholic heritage to describe health protection activities. What will this patient most likely reply to the nurse?

Select all that apply.

1. Keeping feet warm
2. Keeping warm in cold weather
3. Never washing hair at night
4. Staying out of drafts

Question 20 What would a patient of Irish Catholic heritage use to treat menstrual cramps?

Select all that apply.

1. Hot milk sprinkled with ginger

2. Shot of whiskey

3. Glass of warm wine

4. All of the above.

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following new patients:

· 76-year-old Black/African-American male with disabilities living in an urban setting

· Adolescent Hispanic/Latino boy living in a middle-class suburb

· 55-year-old Asian female living in a high-density poverty housing complex

· Pre-school aged white female living in a rural community

· 16-year-old white pregnant teenager living in an inner-city neighborhood

To prepare:

With the information presented in Chapter 1 in mind, consider the following:

· How would your communication and interview techniques for building a health history differ with each patient?

· How might you target your questions for building a health history based on the patient’s age, gender, ethnicity, or environment?

· What risk assessment instruments would be appropriate to use with each patient?

· What questions would you ask each patient to assess his or her health risks?

· Select one patient from the list above on which to focus for this Discussion.

· Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

· Select one of the risk assessment instruments presented in Chapter 1 or Chapter 26 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

· Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

Post a description of the interview and communication techniques you would use with your selected patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

i need help to begin to formulate ethical questions and make ethical considerations related to lab and diagnostic testing by identifying the components of these tests and identify reasons why each test might be ordered:

• Complete Blood Count (CBC) with differential
• Comprehensive Metabolic Panel (CMP)
• Arterial Blood Gases (ABGs)
• Urinalysis
• Lipid Profile
• Coagulation Studies
• Cardiac Bio-marker

2. Create a table identifying at least two main reasons why each group of tests could be ordered. (Use the template below)

3-   Discuss your views on ethical issues in lab and diagnostic testing (refer to this weeks reading assignment articles), Your discussion may be based on the articles or you may introduce a different ethical dilemma.

Leadership Clinical Practice Experience: Shadow Healthcare Leader

This week you will complete your Leadership Clinical Practice Experience assignment by submitting the following deliverables:

• Clinical Hour Assestation: is attached below —-> Leader followed was assistant director of nursing
• Executive summary
• Student reflection on the experience

For your Executive Summary:

• Should be 2 pages, single spaced – like a standard executive summary format.
• You should NOT use typically scholarly paper format (except reference page)- you NEED to use an EXECUTIVE SUMMARY FORMAT – examples are privided by clicking this link —- https://hbswk.hbs.edu/archive/crafting-a-powerful-executive-summary
• You DO need to use citations as appropriate. Follow APA format for your separate reference page
• Address ALL of the prompts for the paper
  • Describe the organizational structure and communication patterns
  • Discuss evidence-based recommendations for improvement based on the concerns identified during the interview.

PLEASE FOLLOW all instructions in the Leadership Clinical Practice Experience Guidelines and Rubric attached.