Chapter 18 Culturally Responsive Nursing Care Flashcards
What is a care that is centered on the clients cultural perspectives and integrates the clients values and beliefs into the plan of care?
Culturally Responsive Care
What are the thoughts communications, actions, and customs beliefs, values, and institutions of racial, ethnic, religious, or group?
Culture
What is usually composed of people who have a distinct identity and yet are related to a larger cultural group? Also give three examples
Subculture: occupational groups, ethnic groups, and societal groups.
What is used to describe a person who has dual patterns of identification and crosses two cultures, lifestyles, and sets of values?
Bicultural
What is diversity?
Refers to the fact of being different
What factors account for diversity?
Sex, age, culture, ethnicity, socioeconomic status, educational attainment, religious affiliation and so on.
What is a preconceived notion or judgment that is not based on sufficient knowledge; it may be favorable or unfavorable?
Prejudice
What can unfavorable prejudice lead to?
Stereotyping and discriminatory behavior toward groups of people.
What refers to the differential and negative treatment of individuals on the basis of their race, ethnicity, gender, or other group membership?
Discrimination
Making the assumption that an individual reflects all characteristics associated with being a member of a group is?
Stereotyping
Health Disparities
The differences in care experienced by one population compared with another population.
According to the US Department of Health Services, the two major factors contributing to health disparities are?
Inadequate access to care, and substandard quality of care.
What occurs when people incorporate traits from another culture?
Acculturation
What is the process by which an individual develops a new cultural identity?
Assimilation
What are the five competencies that should be used to guide nursing practice?
- Apply knowledge of social and cultural factors that affect nursing and health care across multiple contexts.
- Use relevant data sources and best evidence in providing culturally competent care.
- Promote achievement of safe and quality outcomes of care for diverse populations.
- Advocate for social justice, including commitment to the health of vulnerable populations and the elimination of health disparities.
- Participate in continuous cultural competency development.
What is a lifelong process in which the nurse continuously strives to achieve the ability and availability to work effectively within the cultural context of a client?
Cultural Competence
What are the 5 constructs of cultural competence?
- Cultural desire
- Cultural awareness
- Cultural knowledge
- Cultural skills
- Cultural encounters
The motivation to “want to” engage in the process of becoming culturally aware, culturally knowledgeable, culturally skillful, and seeking cultural encounters?
Cultural Desire
Self-Examination of one’s own prejudices and biases toward other cultures, and an in-depth exploration of one’s own cultural/ethnic background?
Cultural awareness
Obtaining a sound educational foundation concerning the various worldviews of different cultures?
Cultural Knowledge
The ability to collect culturally relevant data regarding the clients health in a culturally sensitive manner?
Cultural Skills
Engaging in face-to-face cultural interactions with persons from diverse backgrounds, and learning to modify one’s existing beliefs and prevent possible stereotyping?
Cultural Encounters
What term refers to those customs, beliefs, or practices that have existed for many generations without changing?
Traditional
Traditional methods of maintaining health:
Physical, mental, and spiritual-may include following a proper diet and wearing proper clothing, concentrating and using the mind, and practicing one’s religion
Traditional Methods of Protecting Health:
Physical, mental, and spiritual-may include wearing protective objects, such as amulets, avoiding people who may cause trouble, and placing religious objects in the home
Traditional methods of restoring health:
Physical, mental, and spiritual-may include the use of herbal remedies, exorcism, and healing rituals
Three views of health beliefs include?
Magico-religious, scientific, and holistic
Magico-religious belief?
Health and illness are controlled by supernatural forces. The client may believe that illness is a result of “being bad” or opposing the creators will.
Scientific or biomedical health belief?
Based on the belief that life is controlled by physical and biochemical processes that can be manipulated by humans. Client with this view will believe that illness is caused by germs, viruses, bacteria, or breakdown of the body. Will expect pill, treatment, or surgery to cure.
Holistic health belief?
Holds that the forces of nature must be maintained in balance or harmony. Human life is one aspect of nature that must be in harmony with the rest of nature.
Who converts written material from one language to another?
A Translator
Who is able to transform the message expressed in a source language into its equivalent in a target language, so the interpreted message has the potential of eliciting the same response in the listener as the original message?
An Interpreter
What also must the interpreter serve as to engage both provider and client effectively and efficiently in accessing the nuances and hidden sociocultural assumptions embedded in each others language?
Cultural Broker
Nonverbal communication
To communicate effectively with culturally diverse clients.
What two aspects of nonverbal communication behaviors does a nurse need to be aware of?
They need to be aware of what nonverbal behaviors mean to the client and what specific nonverbal behaviors mean in the clients culture
What factor can nonverbal communication include?
Use of silence, touch, eye movement, facial expressions, ad body posture.
Lack of eye contact may be interpreted as?
Secretiveness, shyness, guilt, lack of interest, or even a sign of mental illness.
Spatial distances may be defined as?
The intimate zones
Time orientation refers to an individuals?
focus on the past, the present, and future
The culture of nursing and health care values punctuality and is future oriented, what are some examples?
Appointments are scheduled, and treatments are prescribed with time parameters. Medication orders include how often the medicine is to be taken and when.
When caring for clients who are “present oriented” it is important to?
Avoid fixed schedules
How and when questions are asked requires?
Sensitivity and clinical judgment.
The major factor contributing to the increased emphasis on the need for proficiency in cultural nursing practice in the US is which of the following?
Demographic Changes
Which behavior is an initial step in culturally responsive nursing practice?
Discuss the meaning of the medical regimen with the client
In initiating care for a client from a different culture than the nurse, which of the following would be an appropriate statement?
“Please let me know if I do anything that is not acceptable in your culture.”
Which behavior is most representative of a culturally competent nurse?
Interprets and validates beliefs of a client with African American heritage.
An outcome of achieving national cultural heath goals would be which of the following?
All US residents have access to the same quality of health care.
Which nursing action primarily supports restoring HEALTH using traditional methods?
Herbal teas
A client with strong preferences or folk healing methods would prefer which of the following to treat sinus infection
Steam Humidifier
Which of the following factors are most likely to be influenced by culture as opposed to personal characteristics?
Value of older people in society, gender roles, nonverbal gestures, and diet.
What is the most productive method of gathering assessment data regarding heritage?
Traditional beliefs and practices checklist
A client who speaks limited English requires instructions for a test. No one at your agency speaks the person’s language. What is the nurse’s best approach?
Locate a professional interpreter.
Beliefs and practices related to illness prevention and healing that derive from cultural traditions rather than modern medicine, and is thought to be more humanistic than biomedical health care.
Folk Medicine
