Ch. 6- Lecture Slides

Question 1

Transcultural Nursing

Answer 1

Understanding and integrating cultural knowledge into all aspects of nursing care

Question 2

Culture

Answer 2

Set of learned values, beliefs, customs, and practices that are shared by a group and passed from one generation to another

Question 3

Subculture

Answer 3

• Share characteristics with primary culture
• Has characteristic patterns of behavior and ideals that distinguish it from the rest of cultural group
• Differences in subcultures may cause communication difficulties when providing patient care

Question 4

Cultural Competence

Answer 4

Nurses need to deliver culturally competent care to provide the best of care and avoid stereotyping and accept each individual in order to provide holistic care

Question 5

Stereotype

Answer 5

Generalization about a form of behavior, an individual, or a group

Question 6

Ethnic Stereotype

Answer 6

Fixed concept of how all members of an ethnic group act or think

Question 7

Race

Answer 7

Group of people who share biologic physical characteristics and hereditary factors

Question 8

Ethnicity

Answer 8

• Group of people who share a common social and cultural heritage based on shared traditions, national origin, and physical and biologic characteristics
• Ethnocentrism: When members of a group believe that their beliefs and practices are the best

Question 9

Matriarchal Culture

Answer 9

Cultures in which women make decisions about health care and provide the care and discipline to the children. African American cultures often demonstrate this.

Question 10

Biomedical Therapy

Answer 10

The basic philosophy in the United States that is relevant to healthcare. Biomedical health belief system - life processes can be manipulated by humans by mechanical interventions

Question 11

“Third-world” or “folk health” belief system-medical staff often unfamiliar with these beliefs.

Answer 11

Folk health is a belief system that includes a belief of a supernatural force exerting influence to cause health or illness. Sometimes involves herbs, magic, and/or witchcraft.

Question 12

Holistic Belief Systems

Answer 12

Focuses on restoring balance with physical, social, and metaphysical worlds.

Question 13

Mexican Americans

Answer 13

They prefer family members to take care of the male in the family is the decision- maker. During birth, only female family members are present. No fathers are present during the birth. The patient, especially geriatric ones may not be culturally sensitive to caregivers. Older adults are less tolerant of other cultures .Cultural background plays an important role in determining the resident’s status. Home remedies are valuable to the client even if harmful.

Question 14

African Americans

Answer 14

Matriarchal Culture

Question 15

Chinese Americans

Answer 15

They do not maintain eye-contact since they think it is disrespectful. Do not sit and talk to them face to face. They prefer side-to-side communication or at a right angle.

Question 16

Muslim Americans

Answer 16

Ramadan is when they practice fasting. They do not eat pork. Their religious leader is a “Imam”. Use same-sex nurse to provide care when possible. Muslim women normally do not make decisions. They let the head of the household or family members make decisions. They normally keep their heads covered and their extremities. Allow privacy for prayer.

Question 17

American Indians

Answer 17

Don’t touch items of deceased. After death their name is not spoken. Ask family how you can help with the death ceremony. After the birth of a baby, they take the umbilical cord form the newborn and dry it then bury it near an object or place the parents want for the child’s future.

Question 18

Orthodox Jewish

Answer 18

Father names the new baby using the Holy Torah and if the baby is a boy a mohel will circumcise the baby, not the doctor. Following birth, the father avoids physical contact with the spouse who just gave birth. Dietary concerns: use separate cooking utensils for meat and milk products. During Passover, before the patients eats the meal on the tray, the nurse should provide the patient with time for prayer.

Question 19

Roman Catholic- Birth control

Answer 19

= Abstinence

Question 20

Latter-Day Saints

Answer 20

No caffeine or alcohol. Undergarments are sacred so do not remove except in emergencies

Question 21

A nurse is working in a long-term care facility and admits an 85 year old resident of Hispanic descent diagnosed with Alzheimer’s disease. What should this nurse take into consideration when caring for the resident? Select all that apply.

a. Cultural background has an important role in determining the resident’s status.
b. The resident will be culturally sensitive to caregivers.
c. Home remedies may have value even if harmful
d. The resident will have a strong sense of trust for health care workers
e. Communication should involve gesturing whenever possible