Chapter 5 Culture Implications

Question 1

acculturation

Answer 1

learning the beliefs, values, and practices of new culture. may take generations. immigrants

Question 2

assimilation

Answer 2

the process of adaptation to new culture

so that that it becomes more natural than the old one.

Question 3

cultural competency

Answer 3

PROCESS of demonstrating culturally congruent practices. p. 86 87

respect

cultural specific

communication

stages of acculturation

Question 4

Cultural concepts of distress

Answer 4

combination of psychological and somatic symptoms considered to be recognizable diseases within a culture.
Takes into account they way groups experience, understand, and communicate problematic behaviors, troubling emotions and thoughts.

Question 5

cultural encounters

Answer 5

happen when we directly engage in interactions with patients from culturally diverse backgrounds.

Question 6

cultural explanations or perceived causes

Answer 6

explanations for symptoms, illness, or distress understood within the context.

demonic possession for OCD

Question 7

cultural idioms of distress

Answer 7

Specific ways of expressing distress that people of the same culture understand.

“I am a nervous wreck.”

Question 8

Cultural competence

5 constructs

Answer 8

cultural awareness - acknowledge yourself as a cultural being. The culture of the nurse, the patient, and the setting.

cultural knowledge -understand worldviews, beliefs, values, nonverbal, family roles, patterns.

cultural encounters - directly engage with patients from diverse backgrounds.

cultural skill - ability to perform a cultural assessment in a sensitive way.

cultural desire - genuine interest in patient’s unique perspective

Question 9

culturally congruent practice (care)

Answer 9

applying EB nursing care that corresponds with the patient’s values, beliefs, practices and worldview.

Question 10

cultural norms

Answer 10

attitudes and behaviors that are culturally defined and are considered normal, typical or average within a given group. This helps to develop concepts of mental health and illness.

Question 11

Cultural Skill

Answer 11

ability to perform a cultural assessment in a sensitive way.

meaningful conversation

Question 12

cultural syndromes

Answer 12

clusters of symptoms in specific groups and recognized as a known pattern of experience
Hwa-byung (korean) and neurasthemia (chinese). (depression)
Ataque de nervios (latin american)
ghost sickness (Navajo)
Susto - (latin american) PSTD
Jim possession (Somalian)
talking to jesus (praying)
wind illness treatment - (Chinese, vietnamese) rubbing coin on back

Question 13

culture

Answer 13

shared beliefs, values, and practices that guide a groups” members in patterned ways of thinking and acting.

Culture includes:
religious
geographic
socioeconomic
occupational
ability or disability
sexual orientation
beliefs and behaviors.

Question 14

eastern tradition

Answer 14

family basis of identity
family interdependence and group decisions
time is circular and reoccuring reincarnation.
one is born into unchangeable fate.
deep personal connection to natural world and tribe.
chinese and indian
confucianism taoism buddhism, hinduism native american, african, new zealand, australia aborigines.

Question 15

enculturation

Answer 15

Transmitting a culture’s worldview, beliefs, values, and practices to its members.
Parents to children. What is right and wrong within the culture.

Question 16

ethnicity

Answer 16

common heritage and history.
share a worldview
share beliefs, values, and practices that guide members in how they think and act

Question 17

ethnocentrism

Answer 17

universal tendency of humans to think that their way of thinking and behaving is the only correct and natural way.

Question 18

indigenous culture

Answer 18

Culture of people who have inhabited a country or geographical region at the time when people of different cultures or ethnic origins arrived.

Question 19

minority

Answer 19

groups characterized by their own culture, ethnic, religious, or religious identity which differs from that of the majority population.
ie number of women equal to men but social inequalities make them a minorty.

Question 20

multiple heritage

Answer 20

biracial, multiracial, biethnic, mutliethnic

Question 21

pharmacogenetics

Answer 21

field focuses on how genes affect individual responses to medicines
so right med can be prescribed
drug metabolism may differer
CYP 2(0 cytochrom P-450) enzyme metabolizes drugs

Question 22

race

Answer 22

social definitions based on biology, anthropology, and genetics.
can br multiracial

Question 23

refugee

Answer 23

Special kind of immigrant

move to a new location, value the new culture, and hope to benefit by a change in life circumstances. Not an active choice to enter into the new culture. May not feel welcome. forced to flee, may have prefered to remain.

Question 24

somatization

Answer 24

psychological distress is experienced as a physical problem

Question 25

stereotyping

Answer 25

tendency to believe that every member of a group is like all other members.

Question 26

stigma

Answer 26

negative attitudes towards mental illness and its treatment - across cultures globally

Question 27

western tradition

Answer 27

identity is found in individuality - values of autonomy, independence and self-reliance. Mind and body are separate. disease has a specific, measurable and observable cause Providers focus on treatment, eliminating cause time in linear success is preparing for the future.

Question 28

worldview

Answer 28

system of thinking about how the world works and how people should act, esp. in relation to one another.