Chapter 2: Transcultural Nursing

Question 1

Transcultural nursing

Answer 1

defined or conceptualized as a strategy of caring which takes into account with sensitivity and consideration the individual’s culture, specific values, beliefs and practices.

Question 2

Cultural assessment

Answer 2

systematic appraisal of an individuals beliefs, values, practices conducted for the purpose of providing culturally competent care

Question 3

Cultural assessment model (ACCESS)

Answer 3

A(Assessment) C(Communication) C(Cultural negotiation/compromise) E(Establishing respect and rapport) S(Sensitivity) S(Safety)

Question 4

ACCESS: Assessment

Answer 4

focus on cultural aspects, lifestyle, health beliefs and health practices. Ask questions about health beliefs. (What do you think caused your diabetes)

Question 5

ACCESS: Communication

Answer 5

includes language, gestures, listening styles and eye contact - great variance among different cultures.

Question 6

ACCESS: Cultural negotiation/compromise

Answer 6

nurses make efforts to become more aware of aspects of other cultures. Nursing interventions should be aimed at patient values.

Question 7

ACCESS: Establishing respect and rapport

Answer 7

nurses should portray a genuine respect for the patient as a unique individual with needs that are influenced by cultural beliefs and values. Good nurse/patient rapport will foster an atmosphere of trust and respect for each other’s culture.

Question 8

ACCESS: Sensitivity

Answer 8

understand and deliver diverse culturally sensitive care to diverse cultural groups. Nurses should show sensitivity to all aspects of patients needs.

Question 9

ACCESS: Safety

Answer 9

promote actions which recognize, respect and nurture the unique cultural identity of individuals and safely meet their expectations and rights.

Question 10

Goal #1: Culturally competent nursing care

Answer 10

assessing and familiarizing yourself with various aspects of culture

Question 11

Goal #2: Avoid Ethnocentrism

Answer 11

ethnocentrism is the tendency to view your own way of life as the most desirable or superior lifestyle

Question 12

Goal #3: Avoid Cultural Imposition

Answer 12

imposing your beliefs, values and patterns of behavior on another culture.

Question 13

Culture

Answer 13

Four basic characteristics:

1. adapts to specific conditions related to environmental and technical factors and to the availability of natural resources
2. is dynamic and ever changing
3. is learned from birth through the process of language acquisition and socialization
4. it is not most clearly reflected in one’s language and behavior.

Question 14

subculture

Answer 14

Within cultures, groups of people share different beliefs, values, and attitudes. Differences occur because of ethnicity, religion, education, occupation, age, and gender. When such groups function within a large culture, they are referred to as subcultural groups.

Question 15

heritage consistent

Answer 15

lives a lifestyle that reflects his or her traditional heritage, not the norms and customs of the new country.

Question 16

Assimilation

Answer 16

is the process by which a person develops a new cultural identity and becomes like members of the dominant culture

Question 17

acculturation

Answer 17

is the process of adapting to and acquiring another culture.