8. Achieving Cultural Competence in Community Health Nursing

Question 1

What does a lack of cultural competence do?

Answer 1

• increases barriers to care
• inhibits communication
• creates obstacles
• increases gap in disparities

Question 2

set of common beliefs, values, and assumptions about life

Answer 2

culture

Question 3

biologic variation within a population

Answer 3

race

Question 4

T/F: people of the same race may be on different cultures

Answer 4

True

Question 5

shared feeling of peoplehood that relates to cultural factors

Answer 5

ethnicity

Question 6

degrees of variation represented among populations based on race, ethnicity, lifestyle, across place, and place of origin across time

Answer 6

cultural diversity

Question 7

types of cultural variations among selected groups

Answer 7

• biological
• personal space
• perception of time
• environmental control
• social organization
• communication
• nutrition
• religion

Question 8

8 steps to working with immigrant populations

Answer 8

• recognize your own values, beliefs, and practices
• identify client’s preferred language
• learn their health-seeking behaviors
• get to know community
• learn some traditional practices/remedies used by community
• learn how cultural subgroups explain common illnesses or events
• consider/accommodate client viewpoint
• conduct cultural assessment

Question 9

social issues affecting culturally component nursing care

Answer 9

• social determinants of health
• socioeconomic status
• health literacy
• marginalization
• health disparities
• social justice
• health equity

Question 10

exclusion from the mainstream in social, economic, cultural, or political life

Answer 10

marginalization

Question 11

5 interrelated constructions for cultural competence

Answer 11

• cultural awareness
• cultural knowledge
• cultural skill
• cultural encounter
• cultural desire

Question 12

learning about the community or client’s culture and understanding how their own beliefs could affect others

Answer 12

cultural awareness

Question 13

having education and knowledge about the culture

Answer 13

cultural knowledge

Question 14

ability to integrate cultural awareness and knowledge when doing a cultural assessment

Answer 14

cultural skill

Question 15

opportunity for a nurse to engage with the culture

Answer 15

cultural encounter

Question 16

willingness to learn about, respect, and work with clients of different backgrounds

Answer 16

cultural desire

Question 17

barriers to developing cultural competence

Answer 17

• stereotype
• prejudice
• racism
• ethnocentrism
• cultural imposition
• cultural conflict
• culture shock

Question 18

overgeneralization about a member of a particular group of people

Answer 18

stereotype

Question 19

emotional manifestation of deeply held beliefs (stereotypes) about a group

Answer 19

prejudice

Question 20

outward manifestation of thoughts, beliefs, and attitudes put into practices and policies

Answer 20

discrimination

Question 21

the act of imposing culturally unacceptable and disapproving behaviors and practices on individuals and groups despite their objections

Answer 21

cultural imposition

Question 22

perceived threat that may arise form a misunderstanding of expectations when nurses are unable to respond appropriately to another culture’s practices because of unfamiliarity or disagreement with the practice

Answer 22

cultural conflict

Question 23

feeling of helplessness, discomfort, and disorientation experienced by nurses who attempt to understand or effectively adapt to a cultural group

Answer 23

culture shock

Question 24

the nurse supports and facilitates the use of scientifically supported cultural practices from a person’s culture along with the biomedical health care system

Answer 24

cultural preservation

Question 25

the nurse assists, supports, facilitates, or enables clients in their use of cultural practices to achieve satisfying health care outcomes when such practices are not harmful to clients

Answer 25

cultural accommodation

Question 26

the nurse works with clients to help them reorder, change, or modify their cultural practices with the practices are harmful to them

Answer 26

cultural repatterning

Question 27

advocating, mediating, negotiating, and interviewing between the client’s culture and the biomedical health care culture on behalf of the client

Answer 27

cultural brokering