Ch 9

Question 0

An in-depth self-examination of one’s own background, recognizing biases, prejudices, and assumptions about other people

Answer 0

Cultural awareness

Question 1

Components of cultural competence

Answer 1

1 cultural awareness
2 cultural knowledge
3 cultural skills
4 cultural encounters
5 cultural desire

Question 2

Cultural knowledge

Answer 2

Obtaining suffice ine comparative knowledge of diverse groups, including their indigenous values, health beliefs, care practices, worldview, and bicultural ecology

Question 3

Being able to assess social, cultural, and biophysical factors influencing treatment and care of patients

Answer 3

Cultural skills

Question 4

Cultural encounters

Answer 4

Engaging in cross-cultural interactions that provide learning of other cultures and opportunities for effective inter cultural communication development

Question 5

Cultural desire

Answer 5

The motivation and commitment that moves an individual to learn from others, accept the role as learner, be open and accepting of cultural differences, and build on cultural similarities

Question 6

Name 5 culture and life transitions

Answer 6

Pregnancy
Childbirth
Newborn
Postpartum period
Grief and loss

Question 7

What is the goal of cultural assessment?

Answer 7

To gather significant information from the patient that enables the nurse to implement culturally congruent and safe patient care

Question 8

What is cultural assessment?

Answer 8

A systematic and comprehensive examination of cultural care values, beliefs, and practices of individuals, families, and communities

Question 9

What protects the right of the individual to know and make decisions ensuring continuity of their rights, even when the individual is incapacitated?

Answer 9

Informed consent and advance directives

Question 10

Advance directives, informed consent, and consent for hospice sometimes violate what?

Answer 10

The patients’ values

Question 11

Nurses achieve culturally congruent care through cultural _________ and application of _____ ______, _______, and _______.

Answer 11

Assessment
Cultural preservation
Accommodation
Repatterning

Question 12

Cultural care preservation (or maintenance)

Answer 12

Retaining and/or preserving relevant care values so patients maintain their well-being, recover from illness, or face handicaps and/or death

Question 13

Cultural care accommodation (or negotiation)

Answer 13

Adapt it negotiate with others for a beneficial or satisfying health outcome

Question 14

Cultural care repattern (or restructuring)

Answer 14

Reorder, change, or greatly modify patients’ lifestyles for a new, different, and beneficial health care pattern

Question 15

Culturally congruent care is _____, ______, and ________ because it fits valued life patterns of patients.

Answer 15

Meaningful
Supportive
Facilitative

Question 16

Impression management facilitates culturally ______ communication and _______ relationships.

Answer 16

Congruent

Intercultural

Question 17

Acculturation

(

Answer 17

Process of adapting to and adopting a new culture (or secondary culture)

Question 18

Assimilation

Answer 18

To become absorbed into another culture and adopt it’s characters

Question 19

Biculturalism (multiculturalism)

Answer 19

When an individual identifies equally with two or more cultures

Question 20

Bilineal

Answer 20

Kinship extends to both the mother’s and father’s side of the family

Question 21

Fictive

Answer 21

Nonblood kin

Question 22

Patrilineal

Answer 22

Kinship limited to the father’s side

Question 23

Matrilineal

Answer 23

Kinship limited to the mother’s side

Question 24

Culture

Answer 24

Integrated patterns of human behavior that include language, thoughts, communications, actions, beliefs, values, and institutions or racial, ethnic, religious, and social groups

Question 25

Cultural competence

Answer 25

Process in which the health care professional continually strives to achieve the ability and availability to work effectively with individuals, families, and communities

Question 26

Cultural imposition

Answer 26

Using one's own values and customs as an absolute guide in interpreting behaviors

Question 27

Cultural pain

Answer 27

Feeling that a patient has after a health care worker disregards the patient's valued way of life

Question 28

Culturally congruent care

Answer 28

Care that fits people's valued life patterns and sets meanings generated from the people themselves. Sometimes the differs from the professional's perspective on care

Question 29

Culturally ignorant or blind

Answer 29

Uneducated about other cultures

Question 30

Cultural care theory

Answer 30

Leininger's theory that emphasizes coulter ally congruent care

Question 31

Culture-bound syndromes

Answer 31

Illnesses restricted to particular culture or group because of it's psychosocial characteristics

Question 32

Emic worldview

Answer 32

Insider or native perspective

Question 33

Ethnicity

Answer 33

Shared identity related to social and cultural heritage such as values, language, geographical space, and racial characteristics

Question 34

Ethnohistory

Answer 34

Significant historical experiences of a particular group

Question 35

Ethnocentrism

Answer 35

Tendency to hold one's own way of life as superior to that of others

Question 36

Etic worldview

Answer 36

Outsider's perspective

Question 37

Socialization into one's primary culture as a child is known as ______

Answer 37

Enculturation

Question 38

Naturalistic practitioners attribute illness to....

Answer 38

Natural, impersonal, and biological forces that cause alteration in the equilibrium of the human body

Question 39

Personalistic practitioners believe that....

Answer 39

And external agent (human or nonhuman) causes health and illness (Ghosts, evil, or deity)

Question 40

Rites of passage

Answer 40

Significant social markers of changes in a person' slide

Question 41

Subcultures

Answer 41

Various ethnic, religious, and other groups with distinct characteristics from the dominant culture

Question 42

Transcultural nursing

Answer 42

Distinct discipline developed by Leininger that focuses on the comparative study of cultures to understand similarities and differences among groups of people

Question 43

Ways to achieve a cultural assessment

Answer 43

``` Census data Asking questions Establishing relationships Selective components to include: Family structure Ethnic heritage & Ethnohistory Bicultural effects on health Social organization Religious/spiritual beliefs Food with cultural significance Communication patterns ```

Question 44

Components of cultural assessment that provide insight to the type of info that is useful during planning and delivering nursing care

Answer 44

``` Family structure Ethnic heritage & Ethnohistory Bicultural effects on health Social organization Religious/spiritual beliefs Food with cultural significance Communication patterns ```

Question 45

Who requires that informed consent be in the language of the patient whenever possible and that an interpreter be available whenever discussing informed consent with a patient?

Answer 45

The Joint Commision

Question 46

Office of Minority Health and Health Disparities requires...(three things)

Answer 46

- provide language assistance services free of charge to patients with limited English at all points of contact - notify patients, verbally and in writing, of their rights to receive language-assistance services - us of interpreters for patients with limited English proficiency (unless patient requests that family or friends interpret for them)