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Exam 3 Prep > Cultural Competence > Flashcards

Cultural Competence Flashcards

1
Q

Thoughts, communications, actions, customs, beliefs and institution of racial, ethnic, religious or social groups =

A

Culture

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2
Q

Represent various ethnic, religious, and other groups with distinct characteristics from the dominant culture =

A

Subculture

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3
Q

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

A

Ethnicity

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4
Q

Results in varying degrees of affiliation with the dominant culture =

A

Assimilation

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5
Q

Also known as multiculturalism, occurs when an individual identifies equally with two or more cultures =

A

Biculturalism

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6
Q

The practice or quality of including or involving people from a range of different social and ethnic backgrounds and of different genders, sexual orientations, etc. =

A

Diversity =

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7
Q

People, ethnicity, ethnic group, and nation are terms for a large body of persons who may be thought of as a unit because of common characteristics =

A

Race =

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8
Q

The attitude that one’s own group, ethnicity, or nationality is superior to others =

A

Ethnocentrism

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9
Q

An unfair feeling of dislike between two or more groups =

A

Prejudice

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10
Q

The unjust or prejudicial treatment of different categories of people, especially on the grounds of ethnicity, age, sex, or disability =

A

Discrimination

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11
Q

A generalized belief about a group of people and the traits that those people supposedly share =

A

Stereotyping

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12
Q

The process of changing so that you become more like people from a different culture =

A

Acculturation

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13
Q

The process of becoming similar to others by taking in and using their customs and culture =

A

Assimilation

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14
Q

Having or combining the cultural attitudes and customs of two nations, peoples, or ethnic groups =

A

Bicultural

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15
Q

What are the characteristics of culture?

A

Learned (not innate or born)
Shared
Transmitted (generation to generation)
Adaptive (Can change as they pass from generation to generation)

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16
Q

By 2050, white people will compromise what percentage of the population?

How much will be Hispanic?

A

White = 50%

Hispanic = 24%

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17
Q

Fastest growing population?

A

Hispanic

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18
Q

Disparities =

A

Prevent access to healthcare services. (Barriers such as income, education, language)

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19
Q

HP 2020 is a National agency that aims to-

A

Achieve health equity, eliminate disparities, and improve the health of all groups

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20
Q

The Health Resources & Services Administration (HRSA) aims to-

A

Improve the number of underrepresented racial and ethnic groups entering into nursing by awarding grants + scholarships by the Nursing Workforce Diversity and the Nursing Education, Practice, and Retention Programs.

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21
Q

Campinha-Bacote’s model of cultural competency includes-

A

Cultural Desire, Cultural Awareness, Cultural Knowledge, Cultural Skill, Cultural Encounter

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22
Q

A female Muslim patient needs what for culturally competent care?

A

Assigned a female nurse
Assured that no male will see her body

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23
Q

Yin =

A

Cold

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24
Q

Yang =

A

Hot

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25
Q

Health Risks (African American)

A

Sickle cell anemia, hypertension, heart disease, cancer, obesity/ diabetes.

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26
Q

Health Risks (White Americans)

A

Cancer / heart disease / hypertension, obesity / diabetes, injury

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27
Q

Health Risks (Native American)

A

Alcoholism, obesity / diabetes, tuberculosis, heart disease, arthritis, lactose intolerance, gallbladder disease.

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28
Q

Matriarchal =

A

Female decision makers

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29
Q

Patriarchal =

A

Male decision leaders

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30
Q

Passover =

A

Only unleavened bread is eaten

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31
Q

Yom Kippur =

A

24 hour fasting

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32
Q

Kosher =

A

Meats + products inspected by a rabbi; animals ritually slaughtered.
Prohibit eating meat & dairy together products in the same meal.

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33
Q

What group has strict dietary Kosher laws?

A

Orthodox Jews

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34
Q

Jehovah Witnesses dietary restrictions =

A

Any food to which blood is added is prohibited. Can eat animal flesh if it’s been drained.

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35
Q

Muslim/ Islam dietary restrictions =

A

No pork/ pork products, fast during Ramadan

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36
Q

Buddhists and Hindu dietary restrictions =

A

Some are strict vegetarians

37
Q

Hindu dietary restrictions =

A

Beef + veal prohibited (cow is sacred)

38
Q

Roman Catholics dietary restrictions =

A

Avoid meat on holy days such as Good Friday; Lent

39
Q

Protestants (Like 7th Day Adventist & Mormons) dietary restrictions =

A

Prohibit meat, tea, coffee, alcohol

40
Q

In Asian American culture
Silence =
Eye Contact =
Head Nodding =
Criticism =

A

Silence =Valued
Eye Contact = may be disrespectful
Head Nodding = May not mean agreement
Criticism = Not usually expressed

41
Q

Hispanic/ Latino culture isn’t very verbally expressive, and criticism is usually expressed.

True or false?

A

False

42
Q

In Native American Culture:
Silence =
A low tone of voice is a sign of =
Eye contact =
Body language is =

A

In Native American Culture:
Silence = valued
A low tone of voice is a sign of = respect
Eye contact = disrespectful
Body language is = important

43
Q

White Americans:
Silence =
Eye Contact =
Body language is =

A

Silence = can be respectful or disrespectful
Eye Contact = a sign of trust
Body language is = important

44
Q

What culture has 4 zones of space and comfort level?

A

Western Culture

45
Q

What culture has a comfort level that varies within 4 zones. You also have to be aware of response to touch.

A

Other non-western cultures

46
Q

What questions should you ask yourself when doing a cultural assessment on yourself?

A

What does this tell me about my traditions? My customs? How are these important to me during illness?

47
Q

End of life care:
Jewish faith =

A

Generally opposes prolonging life after irreversible brain damage.

48
Q

End of life care:
Eastern Orthodox religions, Muslims, Orthodox Jews =

A

May prohibit, oppose, or discourage autopsy

49
Q

End of life care:
Muslim =

A

Permit organ transplantation to save human life

50
Q

End of life care:
Amish =

A

Permit organ donation except heart transplants

51
Q

End of life care:
Buddhists in America =

A

Encourage organ donation as an act of mercy

52
Q

End of life care:
Some Mormon, Eastern Orthodox, Islamic, and Jewish faiths =

A

Discourage, oppose, or prohibit cremation

53
Q

Simply put, culture is-

A

What people in a group have in common, but it can change over time

54
Q

White people made up how much of the population in 2019?

A

76.3 %

55
Q

Hispanic/ Latino people made up how much of the population in 2019?

A

18.5%

56
Q

Machismo =

A

Male superiority

57
Q

The mother/ grandmother making decisions in a family is strong in what culture?

A

African American

58
Q

Family Patterns & Cultural Family Values:

African American=

A

Large extended family; older adults respected.

Women have a strong role; many single-parent women.

59
Q

Black Church =

A

Social, political network for African Americans

60
Q

Family Patterns & Cultural Family Values:

Asian American =

A

Family is very structured and hierarchal; Male authority.

Honor is valued; Elders respected.

61
Q

Family Patterns & Cultural Family Values:

Hispanic/ Latino =

A

Large, extended network; Older generation = Machismo.

Family over individual; Social groups in community are strong.

62
Q

Family Patterns & Cultural Family Values:

Native Americans =

A

Extended family with people from many households.

Elders honored; Grandparents = family leaders.

Children = Taught to respect + learn traditions.

63
Q

Family Patterns & Cultural Family Values:

White Americans =

A

Nuclear family is basic unit; Gender roles vary.

Community social groups are important.

64
Q

In what culture might this occur?

May not be able to obtain hospice care if family members do not permit the client to be informed of the diagnosis/ prognosis

A

Hispanic / Latino

65
Q

Asian American primary languages?

A

Chinese, Japanese, Korean, Filipino, English

66
Q

Hispanic/ Latino primary languages?

A

English + Spanish

67
Q

Native Americans primary languages?

A

Diverse, depends on tribe

68
Q

White American primary languages?

A

English (If Euro-Immigrant status then Italian, Polish)

69
Q

Nonverbal Communication:

Asian American =

A

Silence is valued, eye contact may be disrespectful.
Head nodding may not mean agreement, criticism not usually expressed.

70
Q

Nonverbal Communication:

Hispanic/ Latino =

A

Verbally expressive, many gestures and facial expressions

71
Q

Nonverbal Communication:

Native American =

A

Silence/ low tone of voice = respect, eye contact = disrespect, body language is important.

72
Q

White American =

A

Silence = respect or disrespect, eye contact = okay (indicates trust).

73
Q

Past Orientation =

A

Acknowledge ancestor wisdom & traditions in decisions

74
Q

Present-Day Orientation =

A

Relationships & events take priority over appointment times

75
Q

Future Orientation =

A

Focus is being on time; calendars, schedules, appointments

76
Q

Who works the longest hours?

A

Americans

77
Q

Time Orientation:

Asian American =

A

Past oriented (respect for past ancestors); also focused on present and future success

78
Q

Time Orientation:

Hispanic/ Latino =

A

Present oriented

79
Q

Time Orientation:

Native Americans =

A

Past Oriented: (respect for ancestors)

Present-Day Oriented:
Navajo mother not upset when baby doesn’t walk at developmental milestone (“It will walk when it’s ready).
Navajo language = no word for late, or a future-tense verb.
Navajo events don’t start at a specific time but when the group gathers.

80
Q

Time Orientation:

White Americans =

A

Future Oriented: Time is highly valued; impatient with those not on time.

81
Q

End of Life Care:

Hinduism =

A

Prefer cremation with ashes cast into a holy river

82
Q

End of Life Care:

African Americans =

A

Family central to care.
Open displays of emotion are common + expected.
Prefer to die at home.

83
Q

End of Life Care:

Asian American =

A

Family may make decisions about care and often don’t tell client the diagnosis/ prognosis.
Dying at home is bad luck.
Organ donation not allowed in some ethnic groups.

84
Q

End of Life Care:

Hispanic American =

A

Family makes decisions and may provide end-of-life care.
Refuse organ donation and autopsy.
Vocal expressions of grief acceptable and expected.
Dying at home can be considered bad luck.

85
Q

End of Life Care:

Native American =

A

Family crucial to end-of-life care received and end-of-life decisions.
Some groups avoid contact with the dying.

86
Q

Space Orientation:

Asian American =

A

Non-family members = prefer formal space; Don’t usually touch.

Head = sacred; impolite to touch head.

87
Q

Space Orientation:

Hispanic/ Latino =

A

Comfortable with closeness; tactile; okay with physical closeness

88
Q

Space Orientation:

Native American =

A

Light touch of hand for handshake, might prohibit touching of dead body.

89
Q

Space Orientation:

White American =

A

Firm handshake for formal greetings

Exam 3 Prep (11 decks)

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