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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
Health Risks (African American)
Sickle cell anemia, hypertension, heart disease, cancer, obesity/ diabetes.
26
Health Risks (White Americans)
Cancer / heart disease / hypertension, obesity / diabetes, injury
27
Health Risks (Native American)
Alcoholism, obesity / diabetes, tuberculosis, heart disease, arthritis, lactose intolerance, gallbladder disease.
28
Matriarchal =
Female decision makers
29
Patriarchal =
Male decision leaders
30
Passover =
Only unleavened bread is eaten
31
Yom Kippur =
24 hour fasting
32
Kosher =
Meats + products inspected by a rabbi; animals ritually slaughtered. Prohibit eating meat & dairy together products in the same meal.
33
What group has strict dietary Kosher laws?
Orthodox Jews
34
Jehovah Witnesses dietary restrictions =
Any food to which blood is added is prohibited. Can eat animal flesh if it’s been drained.
35
Muslim/ Islam dietary restrictions =
No pork/ pork products, fast during Ramadan
36
Buddhists and Hindu dietary restrictions =
Some are strict vegetarians
37
Hindu dietary restrictions =
Beef + veal prohibited (cow is sacred)
38
Roman Catholics dietary restrictions =
Avoid meat on holy days such as Good Friday; Lent
39
Protestants (Like 7th Day Adventist & Mormons) dietary restrictions =
Prohibit meat, tea, coffee, alcohol
40
In Asian American culture Silence = Eye Contact = Head Nodding = Criticism =
Silence =Valued Eye Contact = may be disrespectful Head Nodding = May not mean agreement Criticism = Not usually expressed
41
Hispanic/ Latino culture isn’t very verbally expressive, and criticism is usually expressed. True or false?
False
42
In Native American Culture: Silence = A low tone of voice is a sign of = Eye contact = Body language is =
In Native American Culture: Silence = valued A low tone of voice is a sign of = respect Eye contact = disrespectful Body language is = important
43
White Americans: Silence = Eye Contact = Body language is =
Silence = can be respectful or disrespectful Eye Contact = a sign of trust Body language is = important
44
What culture has 4 zones of space and comfort level?
Western Culture
45
What culture has a comfort level that varies within 4 zones. You also have to be aware of response to touch.
Other non-western cultures
46
What questions should you ask yourself when doing a cultural assessment on yourself?
What does this tell me about my traditions? My customs? How are these important to me during illness?
47
End of life care: Jewish faith =
Generally opposes prolonging life after irreversible brain damage.
48
End of life care: Eastern Orthodox religions, Muslims, Orthodox Jews =
May prohibit, oppose, or discourage autopsy
49
End of life care: Muslim =
Permit organ transplantation to save human life
50
End of life care: Amish =
Permit organ donation except heart transplants
51
End of life care: Buddhists in America =
Encourage organ donation as an act of mercy
52
End of life care: Some Mormon, Eastern Orthodox, Islamic, and Jewish faiths =
Discourage, oppose, or prohibit cremation
53
Simply put, culture is-
What people in a group have in common, but it can change over time
54
White people made up how much of the population in 2019?
76.3 %
55
Hispanic/ Latino people made up how much of the population in 2019?
18.5%
56
Machismo =
Male superiority
57
The mother/ grandmother making decisions in a family is strong in what culture?
African American
58
Family Patterns & Cultural Family Values: African American=
Large extended family; older adults respected. Women have a strong role; many single-parent women.
59
Black Church =
Social, political network for African Americans
60
Family Patterns & Cultural Family Values: Asian American =
Family is very structured and hierarchal; Male authority. Honor is valued; Elders respected.
61
Family Patterns & Cultural Family Values: Hispanic/ Latino =
Large, extended network; Older generation = Machismo. Family over individual; Social groups in community are strong.
62
Family Patterns & Cultural Family Values: Native Americans =
Extended family with people from many households. Elders honored; Grandparents = family leaders. Children = Taught to respect + learn traditions.
63
Family Patterns & Cultural Family Values: White Americans =
Nuclear family is basic unit; Gender roles vary. Community social groups are important.
64
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
Hispanic / Latino
65
Asian American primary languages?
Chinese, Japanese, Korean, Filipino, English
66
Hispanic/ Latino primary languages?
English + Spanish
67
Native Americans primary languages?
Diverse, depends on tribe
68
White American primary languages?
English (If Euro-Immigrant status then Italian, Polish)
69
Nonverbal Communication: Asian American =
Silence is valued, eye contact may be disrespectful. Head nodding may not mean agreement, criticism not usually expressed.
70
Nonverbal Communication: Hispanic/ Latino =
Verbally expressive, many gestures and facial expressions
71
Nonverbal Communication: Native American =
Silence/ low tone of voice = respect, eye contact = disrespect, body language is important.
72
White American =
Silence = respect or disrespect, eye contact = okay (indicates trust).
73
Past Orientation =
Acknowledge ancestor wisdom & traditions in decisions
74
Present-Day Orientation =
Relationships & events take priority over appointment times
75
Future Orientation =
Focus is being on time; calendars, schedules, appointments
76
Who works the longest hours?
Americans
77
Time Orientation: Asian American =
Past oriented (respect for past ancestors); also focused on present and future success
78
Time Orientation: Hispanic/ Latino =
Present oriented
79
Time Orientation: Native Americans =
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
Time Orientation: White Americans =
Future Oriented: Time is highly valued; impatient with those not on time.
81
End of Life Care: Hinduism =
Prefer cremation with ashes cast into a holy river
82
End of Life Care: African Americans =
Family central to care. Open displays of emotion are common + expected. Prefer to die at home.
83
End of Life Care: Asian American =
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
End of Life Care: Hispanic American =
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
End of Life Care: Native American =
Family crucial to end-of-life care received and end-of-life decisions. Some groups avoid contact with the dying.
86
Space Orientation: Asian American =
Non-family members = prefer formal space; Don’t usually touch. Head = sacred; impolite to touch head.
87
Space Orientation: Hispanic/ Latino =
Comfortable with closeness; tactile; okay with physical closeness
88
Space Orientation: Native American =
Light touch of hand for handshake, might prohibit touching of dead body.
89
Space Orientation: White American =
Firm handshake for formal greetings

Exam 3 Prep (11 decks)

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