Ch. 7- Cultural Pharmacogenetic Considerations Flashcards
What are alternative health practices?
The health practices that a dominant group adopts from a non-dominant group.
What is complementary health practice?
Health practices that combine traditional beliefs and mainstream health practices.
What special pharmacological consideration should nurses who lives in Mexico border towns within the United States keep in mind?
Mexico does not require a prescription for many of the drugs that can be obtained only by prescription in the United States.
What are the six cultural phenomena, according to Giger and Davidhizar’s Transcultural Assessment Model?
- Communication
- Space
- Social organization
- Time
- Environmental control
- Biologic variations
Why should a nurse not confuse politeness with meaningful conversation when addressing someone with a different culture than her own?
Many clients will nod in agreement to statements made by the nurse even if the statements are not well understood due to language differences.
How do greetings of Americans of European descent compare to greetings of descendants of non-European cultures?
Americans of European descent may be more informal when greeting and addressing others than descendants of non-European cultures. Nurses must keep in mind the client-nurse interactions in healthcare settings are considered formal and informal styles of communication should be used only after careful consideration.
What is the “silent” comfort level of people of Asian versus Latin American and European descent?
Asian-Americans may be comfortable with silence, while persons of Latin American and European descent may be uneasy during periods of silence. Being cognizant of these preferences will help the nurse to provide a comfortable environment for the client.
How do space considerations of Americans compare with those in other cultures?
Americans often desire a great deal of personal space. In some other cultures, population density may dictate limited personal space. Clients who are you students living quarters may feel insecure in a hospital room.
Which groups have particularly sensitive issues with the use of touch and maintenance of modesty?
Muslim, Orthodox Jewish, and Roma communities
How do present-time oriented versus future-time oriented clients tend to adhere to medical regimens?
- Clients with future-oriented perception of time are more likely to be concerned with long-term health outcomes. This can lead to greater adherence to mainstream prescriptive therapies, such as taking medications at the scheduled times.
- Clients with present-oriented perception of time are more likely to discontinue mainstream therapies when they perceive that they are well.
How does a cultural concept of environmental control contribute to a client’s health care choices?
Illness may be attributed to cosmic forces and believed to be cured or ameliorated by persons who possess special abilities, such as ministers, curanderos, and healers.
Describe the communication style of peoples of European descent.
- Prefer direct eye contact.
- Use moderate to loud vocal volume.
- Use many words to describe symptoms.
- Uncomfortable with periods of silence.
Describe the special preferences of peoples of European descent.
- Prefer a large amount of personal space.
- Value privacy.
- Exhibit a low to moderate amount of touching among group members.
Describe the social organization of peoples of European descent.
- Small, nuclear families.
- Extended family members often live a far distance away.
- High degree of individualism.
Describe the perception of time of peoples of European descent.
- Primarily future-oriented.
- Secondarily present-oriented.
