Cultural Considerations

Question 1

Combination of knowledge, beliefs, and behaviors that often are specific to racial , ethnic, geographic, social or religious groups (NIH, 2013)

Answer 1

Culture

Question 2

“The totality of socially transmitted behavioral patterns, arts, beliefs, values, customs, life ways, and all other products of human work and thought characteristic of a population or people that guide their worldview and decision making.”

Answer 2

Purnell and Paulanka

Question 3

Composed of all _______ and _______ that transmit meaning.

Answer 3

verbal / behavioral systems

Question 4

Culture serves as an _________ for interpreting information and understanding how the world works.

Answer 4

ever-changing frame

Question 5

The culture defines (1) _______ (learned beliefs about what is held to be good or bad) and (2) _______ (learned behaviors that are perceived

Answer 5

(1) values
(2) norms

Question 6

It is transmitted from one generation to the next through socialization. It is learned through life experiences within one’s own cultural group and as one experiences contact with other cultural groups.

Answer 6

CULTURE IS LEARNED

Question 7

Norms for behavior, values and beliefs are _______ by the cultural group to a great extent because of this sharing and interaction it forms the cultural group.

Answer 7

CULTURE IS SHARED

Question 8

As environmental circumstances change, the group changes to improve its ability to survive or to make maximal use of the environment in which it lives. Culture is, therefore, ever changing.

Answer 8

CULTURE IS ASSOCIATED WITH ADAPTATION TO THE ENVIRONMENT

Question 9

Cultures may vary but humans cannot exist without culture.

Answer 9

CULTURE IS UNIVERSAL

Question 10

Dress, art, utensils, and tools and the way they are used.

Answer 10

MATERIAL CULTURE

Question 11

Verbal and nonverbal language, beliefs, customs, and social structures.

Answer 11

NONMATERIAL CULTURE

Question 12

National, racial, or ethnic groups.

Answer 12

MACROCULTURE

Question 13

Age, gender, or religious affiliation.

Answer 13

MICROCULTURE

Question 14

Exist within larger cultural groups. Composed of individuals who have a distinct identity based on occupation, membership in a social group, or heritage, and generational.

Answer 14

SUBCULTURES

Question 15

The process of adaptation and change that occurs when members of different cultures are exposed to one another (Berry, 2003).

Answer 15

ACCULTURATION

Question 16

It describes the process of social, cultural, and political integration of a spatial concentration as defined by geography or residential patterns. (Lumen 2018).

Answer 16

ACCULTURATION

Question 17

Adopting cultural practices of another culture while keeping their original cultural identity.

Answer 17

ACCULTURATION

Question 18

The adoption and incorporation of characteristics, customs, and values of the dominant culture by those new to that culture (Smokowski et.al., 2009).

Answer 18

ASSIMILATION

Question 19

Adopting new cultural practices while losing their original cultural identity.

Answer 19

ASSIMILATION

Question 20

● Perceived to be separate illnesses within certain cultures.
● Typically have both behavioral and physical characteristics.

Answer 20

CULTURE BASED SYNDROMES

Question 21

(blocked intestines) may be caused by a hot-cold food imbalance, causing a lump of food to stick to the intestinal wall.

Answer 21

Empacho

Question 22

● Illnesses defined as such by a specific cultural group but interpreted differently or not perceived illnesses by other groups.

Answer 22

CULTURE BOUND SYNDROMES

Question 23

(soul loss or magical fright) is believed to be caused by shock or fright causing the spirit to leave the body.

Answer 23

Susto

Question 24

The capacity of nurses or health service delivery systems to effectively understand and plan for the needs of a culturally diverse patient group.

Answer 24

CULTURAL COMPETENCE

Question 25

Spector (2013) views __________ as a complex combination of knowledge, attitudes, and skills used by healthcare providers to deliver services that attend to the total context of the patient’s situation across cultural boundaries.

Answer 25

cultural competence

Question 26

★ It is the ability to understand, communicate with and effectively interact with people across cultures.
★ Being aware of one’s own world view. developing positive attitudes towards cultural differences

Answer 26

CULTURAL COMPETENCE

Question 27

Communication is challenged if the patient doesn’t speak the same language as a nurse or uses the language of the dominant culture.

Answer 27

Communicating with Language Differences

Question 28

Refers to an individual or group’s orientation in terms of past, present, and future as well as time orientation.

Answer 28

Temporal Relationships

Question 29

Refers to the roles and relationships that exist within the family.

Answer 29

Family Patterns

Question 30

The types and the amount of foods that individuals include in the diet is culturally determined.

Answer 30

Dietary Patterns

Question 31

Health and illness are believed to be controlled supernaturally or are seen as “God’s will.”

Answer 31

Magico-Religious

Question 32

Consider illness to be caused by germs, viruses, or a breakdown in body processes and functions, and they believe that physiologic human processes can be affected by human intervention.

Answer 32

Biomedical

Question 33

One holds that human life must be in harmony with nature and that illness results from disharmony between the two.

Answer 33

Holistic

Question 34

The verbal and nonverbal methods which individuals and groups transmit information.

Answer 34

Communication

Question 35

Includes spoken and written language.

Answer 35

Verbal

Question 36

Incorporates gestures, facial expressions, and mannerisms that inform others of emotions, feelings, and responses that occur in interactions with others.

Answer 36

Nonverbal

Question 37

The process in which the nurse continuously strives to achieve the ability and availability to effectively work within the cultural context of a client individual, family or community (Capinha-Bacote, 1998).

Answer 37

CAMPINHA-BACOTE’S CULTURALLY COMPETENT MODEL OF CARE

Question 38

The motivation to want to engage in intercultural encounters and to acquire cultural competence.

Answer 38

CULTURAL DESIRE

Question 39

The starting point of cultural competence.

The nurse must sincerely desire to acquire the cultural knowledge and skill necessary for effectively
assessing the client.

Answer 39

CULTURAL DESIRE

Question 40

The deliberate, cognitive process in which the healthcare provider becomes appreciative and sensitive to the values, beliefs, life ways, practices and problem-solving strategies of a client’s culture.

Answer 40

CULTURAL AWARENESS

Question 41

STAGES OF CULTURAL AWARENESS

● __________
● __________
● __________
● __________

Answer 41

● Unconscious Incompetence
● Conscious Incompetence
● Conscious Competence
● Unconscious Competence

Question 42

Not aware that one lacks cultural knowledge; not aware that cultural differences exist.

Answer 42

Unconscious Incompetence

Question 43

Aware that one lacks knowledge about another culture; aware that cultural differences exist but not knowing what they are or how to communicate effectively with clients from different cultures

Answer 43

Conscious Incompetence

Question 44

Consciously learning about the client’s culture and providing culturally relevant interventions; aware of differences; able to have effective transcultural interactions.

Answer 44

Conscious Competence

Question 45

Able to automatically provide culturally congruent care to clients from a different culture, having much experience with a variety of cultural groups and having an intuitive grasp of how to communicate effectively in transcultural encounters

Answer 45

Unconscious Competence

Question 46

The process of seeking and obtaining a sound educational foundation concerning the various worldviews of different cultures.

Answer 46

CULTURAL KNOWLEDGE

Question 47

The client’s worldview is the basis for his behaviours and interpretation of the world.

Answer 47

CULTURAL KNOWLEDGE

Question 48

The ability to collect relevant cultural data regarding the client’s health history and presenting problems as well as accurately performing physical assessment.

Answer 48

CULTURAL SKILL

Question 49

The process that allows the healthcare provider to engage directly in face-to-face interactions with clients from culturally diverse backgrounds.

Answer 49

CULTURAL ENCOUNTERS