5- Cultural Humility

Question 1

The beliefs, practices, norms, likes, dislikes, customs and rituals that we have learned from our families.

Answer 1

CULTURE

Question 2

Families transmit beliefs & values via

Answer 2

Socialization

Question 3

Involves identifying with one’s traditional culture while at the same time learning about the mainstream or dominant culture to survive

Answer 3

Acculturation

Question 4

Factors determining ethnic identity:

Answer 4

Raised in another country
Marriage to same background
Reside in ethnic community

Question 5

Mainstream NA Values emphasize personal control, individualism, direct communication and independence whereas many traditional culture emphasize,,

Answer 5

Fate & Destiny
Group well-being>individual well being
Indirect communication

Question 6

This involves having an attitude and developing behaviour that permits effective work in cross-cultural nursing situations.

Answer 6

Cultural Competence

Question 7

Cultural competence @ end of life will…

Answer 7

Increase trust & foster good death

Question 8

In assessing culture?

Answer 8

Born? Lived? From?
Ethnic identity?
What can we discuss openly & what not?

Question 9

Use _____ to assess spiritual beliefs & religious practices!

Answer 9

FICA

Question 10

FICA =

Answer 10

Faith
Influence (spiritual belief about dying)
Community
Address

Question 11

The nurse acts as an (3) in order to provide culturally safe and sensitive care.

Answer 11

Intermediary
Advocate
Negotiator

Question 12

The nurse also must observe and respect…(2)

Answer 12

Use of personal space

Eye contact

Question 13

How can the nurse successfully work cross-culturally? (3 - WUD)

Answer 13

Work collaboratively with traditional healers
Use lay language/diagrams in explaining biomedical
Develop a plan that includes traditional & biomedical approaches

Question 14

T/F The nurse is responsible for searching for a mutual understanding and building common values.

Answer 14

TRUE - through relationships of respect and caring for people c different beliefs

Question 15

In bridging cultural differences the nurse should view every patient as a…

Answer 15

Teacher

Question 16

If a patient is dying and can’t teach about cultural beliefs, we may look to:

Answer 16

Family & Supporters as resource

Question 17

Issues complicating cross-cultural care include: (3-PLF)

Answer 17

Poverty
Lack of trust
Fear of racism

Question 18

In working with pt who find it difficult to trust: (3) UFS

Answer 18

Use Mr & Mrs
Follow through on promises
Shake hands if culturally appropriate

Question 19

T/F Pain experience and expression are often determined by cultural beliefs and values.

Answer 19

TRUE!!!!

Question 20

Pain may be perceived 4 ways (PBBS)

Answer 20

Punishment
Build character
Body is fighting
Spiritual necessity

Question 21

While some groups may value high emotional expression, others may value…

Answer 21

Quiet Endurance

Question 22

T/F For some eradicating pain is eradicating an experience that is essential and considered culturally necessary.

Answer 22

TRUE

Question 23

Some groups may fear the effects of…

Answer 23

Drugs

Question 24

NA society values what in medical dx and px?

Answer 24

Truth Telling

Question 25

Some cultures believe that talking about death will…

Answer 25

Bring it closer/invite it in

Question 26

________ is critical at end of life.

Answer 26

Consent

-Some want doctor, healer or family memner to make all decisions

Question 27

In some cultures autonomy is not considered liberating. It is considered…

Answer 27

Burdensome & causes loss of hope