Chapter 1 introduction to multicultural health

Question 1

Multicultural health

Answer 1

Need to provide health care services in a sensitive, knowledgeable and non-judgemental matter with respect for people’s health beliefs and practices when they are different from your own.

Question 2

Stereotypes

Answer 2

the mistaken assumption that everyone in a given culture is alike.

Question 3

cultural competence

Answer 3

process of knowledge, awareness, and respect for other cultures

Question 4

cultures

Answer 4

everything around us that makes us who we are. (the several different groups we can belong to regardless of ethnicity or race.)
culture is learned and changes overtime.

Question 5

race

Answer 5

refers to one’s PHYSICAL characteristics and/or genetic or biological makeup.
remain relevant because of discrimination and violence.

Question 6

ethnicity

Answer 6

pertains to characteristics such as geographic origins, family patterns, language, values, symbols, cultural norms, religion, and literature, dietary patterns, gender roles.

Question 7

generalizations

Answer 7

awareness of general cultural norms within a certain group

Question 8

racism

Answer 8

the belief that certain races are superior to others.

Question 9

ethnocentricity

Answer 9

the belief that one’s own culture is superior to another.

Question 10

cultural relativism

Answer 10

posits that all cultures are of equal value , attempts to take a neutral perspective on different cultures, incorporates relativism with each culture’s varying moral codes.

Question 11

cultural adaptation

Answer 11

the degree to which a person has adapted to the dominant culture while retaining tradition practices.

Question 12

health disparities

Answer 12

differences in health outcomes and their determinants within segments of the population as defined by: social, demographic, environmental, and geographic attributes.

Question 13

Health disparity factors:

Answer 13

1) GENDER 2) AGE 3) ETHNICITY 4) SOCIOECONOMIC STATUS 5) GEOGRAPHY**/where you live determines what you can access both good and bad. 6) SEXUAL ORIENTATION 7) DISABILITY

Question 14

TITLE VI (6) OF THE CIVIL RIGHTS ACT

Answer 14

PROHIBITS: federally funded programs or activities from discriminating on the basis of race, color, or national origin.

Question 15

CLAS (Culturally and Linguistic Appropriate Services )

Answer 15

intended to advance health equity, improve quality, and health eliminate health care disparities by providing a blueprint for healthcare officials and agencies, and health organizations to implement culturally and linguistically appropriate services.

Question 16

Ethics

Answer 16

standard or codes of behavior expected by the group to which the the individual belongs can change between professional standards or cultural standards.

Question 17

Morality

Answer 17

Personal character and what the individual believes is right or wrong.

Question 18

Hill-Burton Act

Answer 18

A person residing in the Hill-Burton facility’s service area has the right
to medical treatment at the facility without regard to race, color,
national origin, or creed.
A Hill-Burton facility must post notices informing the public of its
community service obligations in English and Spanish. If 10% or
more of the households in the service area usually speak a language
other than English or Spanish, the facility must translate the notice
into that language and post it as well.
A Hill-Burton facility may not deny emergency services to any person
residing in the facility’s service area on the grounds that the person is
unable to pay for those services.
A Hill-Burton facility may not adopt patient admission policies that
have the effect of excluding persons on grounds of race, color,
national origin, creed, or any other ground unrelated to the patient’s
need for the service or the availability of the needed service.

Question 19

How does culture affect health care?

Answer 19

it affects beliefs on why illnesses occur, and health BEHAVIORS**, how concerns are addressed, how treatment is pursued and followed.

Question 20

Goals of Multicultural health

Answer 20

challenge one’s own assumptions and ask the right questions,
integrate different approaches to care,
recognize the culture of the recipient while providing care in accordance with the legal and ethical norms / medically sound practices of the practitioner’s medical system.

Question 21

Healthy Cultural Adaptation Styles

Answer 21

• Assimilated Individuals*: Move away from culture of origin and immerse into the dominant society.
• Integrated*: Immerse into both ethnic and dominant society

Question 22

Un-healthy Cultural Adaptation Styles:

Answer 22

Marginal: They are not accepted by either group

Separated individuals: withdraw from dominant society and reject the dominant culture. (amish)

Question 23

More specific causes of health disparities:

Answer 23

environmental waste and exposure to pollutants and toxins,
Low income/minority neighborhoods because they have food deserts (no healthy food options),
genetics,
life style,
SOCIAL CIRCUMSTANCES (poverty, stress, racism, education, crowding, fear)

Question 24

Civil Rights Act of 1964

Answer 24

It established a national priority against discrimination in the use of federal funds. Enforced the law by withholding funds or any other means authorized by law.

Question 25

Ethical principles

Answer 25

Autonomy, Non-maleficence, Beneficence, Justice

Question 26

Autonomy

Answer 26

the ability to make decisions for oneself

Question 27

Non-maleficence

Answer 27

means doing no harm

Question 28

Beneficence

Answer 28

is the act of being kind

Question 29

Justice

Answer 29

speaks to equity and fairness in treatment.