Cultural Diversity Flashcards
1
Q
Culture
A
shared system of beliefs, values, and behavioral expectations that provides social structure for daily living
2
Q
Subculture
A
a large group of people who are members of the larger cultural group but who have certain ethnic, occupational, or physical characteristics that are not common to the larger culture
3
Q
Cultural Diversity
what can cultural diversity incude?
A
the coexistence of different ethnic, sex assigned at birth, racial, and socioeconomic groups within one social unit.
- include:
-> people of varying religion
-> language
-> physical size
-> sexual orientation
-> age
-> disability
-> occupational status
-> geographic location
4
Q
Cultural Respect
A
enables nurses to deliver services that are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patients
5
Q
Ethnicity
A
sense of identification with a collective cultural group; based on common heritage.
6
Q
Race
A
typically based on specific physical characteristics such as skin pigmentation, body stature, facial features, and hair texture
7
Q
What are the Federal Standards for Race Classification? What races are includes in this?
A
- provide opportunity for people to identify themselves in multiple categories.
- Include:
-> American Indian, Native American or Alaskan Native
-> Asian
-> Black or African American
-> White
-> Native Hawaiian or Other Pacific Islander
8
Q
Stereotyping
A
when one assumes that all members of a culture, ethnic group, or race act alike
9
Q
Cultural Imposition
A
A situation where one culture forces their values and beliefs onto another culture or subculture
10
Q
Cultural Blindness
A
occurs when one ignores differences and proceeds as though they do not exist
11
Q
Cultural Conflict
A
occurs when people become aware of cultural differences, feel threatened, and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about their own values
12
Q
Implicit Bias
A
when we hold attitudes toward people or associate stereotypes with them without our conscious knowledge
13
Q
Dominant Groups
A
has the most ability to control the values and sanctions of the society. It usually is (but does not have to be) the largest group in the society.
14
Q
Minority Groups
A
have some physical or cultural characteristic (such as race, religious beliefs, or occupation) different from those of the dominant group.
15
Q
Cultural Assimilation/Acculturation
A
when a minority group lives within a dominant group, and many members may lose the cultural characteristics that once made them different, and they may take on the values of the dominant culture
16
Q
Cultural Shock
A
what a person may experience when placed in a different culture they perceive as strange
17
Q
Personal space
A
the area around a person regarded as part of the person
18
Q
Ethnocentrism
A
the belief that the ideas, beliefs, and practices of one’s own culture are far superior to those of others culture
19
Q
Cultural Humility
A
involves recognizing diversity and power imbalances, being open and self-aware, and focusing on learning from others
20
Q
Poverty
A
A person of family whose income falls below an established threshold
21
Q
What are the common health problems for the following population?
Native American & Alaska Native
A
- Heart Disease
- Cirrhosis of the liver
- Diabetes mellitus
- Fetal alcohol syndrome
22
Q
What are the common health problems for the following population?
African American
A
- HTN
- Stroke
- Sickle cell anemia
- Lactose intolerance
- Keloids
23
Q
What are the common health problems for the following population?
Asian
A
- HTN
- Cancer of the liver
- Lactose intolerance
- Thalassemia
24
Q
What are the common health problems for the following population?
Hispanic
A
- Hypertension
- Diabetes mellitus
- Lactose intolerance
25
What are the common health problems for the following population?
**White**
- Breast cancer
- Skin Cancer
- Heart disease
- Hypertension
- Diabetes mellitus
- Obesity
26
What are the common health problems for the following population?
**Eastern European Jewish**
- Cystic fibrosis
- Gaucher disease
- Spinal muscular atrophy
- Tay-Sachs Disease
27
Pain is a ________ from the body that something is wrong.
warning
28
How do cultures differ when it comes to the expression of pain?
Some cultures encourage open expression of pain where other cultures encourage suppression of pain/emotions
29
How does the following ethnic group respond to mental health situations?
**Hispanics**
deal with problems within family; consider it inappropriate when discussing problems with strangers
30
How does the following ethnic group respond to mental health situations?
**Chinese**
consider mental illness a stigma and seeking psychiatric help as a disgrace to the family
31
How does the following ethnic group respond to mental health situations?
**Puerto Ricans**
in high times of stress/anxiety, may demonstrate hyperkinetic seizures (ataques)
32
Compare male dominant cultures v. female dominant cultures
Male dominant cultures; women are passive
- Males make decisions for all family members
Female dominant cultures; males are passive
- Females make decisions for all family members
33
How do language barriers affect health care?
language barriers prevent adequate transferring of information, which inhibits healthcare.
34
a patient is having difficulty communicating because english is not their native language. The nurse wants to discuss medical information that is not critical. What should the nurse do?
Have the nurse utilize a qualified interpreter, family member or bilingual coworker
35
Why is it not a good idea to have family members or friends translate critical medical information for the nurse?
Family members and/or friends can be protective and not the most reliable in transferring information
36
What instances would a nurse need to use a qualified interpreter?
- Signing consent
- Explaining disease process
37
T/F: When a non-native english speaking patient is having a difficult time understanding the nurse, the nurse should raise their voice to better get their point across.
False: Language differences are a communication problem, not a hearing problem -______-
38
One of the most culturally **variable** forms of nonverbal communication is _____ _______.
eye contact
39
How do the following populations utilize/dont utilize eye contact?
**Asians, Native Americans, Indochinese, Middle Eastern adn North African (MENA), & Appalachian People**
Will avert their eyes while speaking
- consider direct eye contact as impolite or aggressive
40
How does the following populations utilize/dont utilize eye contact?
**Hispanic**
Look down in respect to:
- age
- assigned sex
- social position
- economic status
- authority
41
How does the following populations utilize/dont utilize eye contact?
**Muslim Women**
indicate modesty by averting eye contact with men
42
How does the following populations utilize/dont utilize eye contact?
**Hasidic Jewish Men**
may avoid eye contact with women
43
How does the following populations utilize personal space?
**Middle Eastern & African Cultures**
sit/stand close to one another when talking
44
How does the following populations utilize personal space?
**Asian & European Cultures**
more comfortable with more distance between themselves
45
How does the following populations utilize promptness & punctuality?
**US individuals**
value promptness & punctuality
46
How does the following populations utilize promptness & punctuality?
**South Asian**
being late is considered a sign of respect
47
Food preferences & preparation methods ____ from culture to culture
differ
48
How does the ethnic lack of food choice affect patients? What would the nurse suggest to combat this?
Lack of food choices in long-term care settings or hospital → inadequate nutrition
- Encourage family to bring food from home to meet patient preferences
49
T/F: All cultures are always willing to share private information about family members with those outside of the family
False: Certain cultures are unwilling to share private information about family members with those outside of the family (even healthcare workers)
50
Some cultural groups have ____ respect for their eldes and would ____ consider institutional care for them
great; never
51
What can poverty lead to?
| (Hint: 4 Things)
**HILL**
- homelessness
- inadequate care for infants & children
- lack of health insurance
- lack of access to basic health care services
52
What are the contributing factors for an increase in female-headed homes?
| (Hint: 4 Things)
- Divorce
- Abdandonment
- Unmarried motherhood
- Changes in abortion laws
53
Why is there an increase in povety among older people?
- on a fixed income that does not keep up with inflation
- Laborers (migrants) with no Social Security or Medicare benefits
54
Compare **Natural** v. **Unnatural** classification of illness.
**Natural**
- Caused by dangerous agents, cold/impure air, water, or food
**Unnatural**
- punishment for failing to follow God's rule causing evil forces/witchcraft to cause them physcal/mental health problems
55
How does the following factor inhibit sensitivity to diversity? Define it. Provide an example
**Stereotyping**
when one assumes that all members of a culture, ethnic group, or race act alike
- men dont cry
- all mexicans are loud and lazy
55
What are examples of tradiitonal healing practices? Describe each one
| (HInt: 5)
**N**o **CAAT**
**Natural remedies**
- made from herbs and other plant sources
**Cutaneous Stimulation**
- massage, vibration, heat, cold or nerve stimulation
**Acupuncture**
- inserting needles into specific body location to prevent, diagnose and treat pain
**Acupressure**
- deep-pressure massage of appropriate points of the body
**Therapeutic touch**
- intentional act that involves transfer from one healer to the pt to stimulate pt healing potential
56
How does the following factor inhibit sensitivity to diversity? Define it. Provide an example
**Implicit Bias**
when we hold attitudes toward people or associate stereotypes with them without our conscious knowledge
- Gender biases
- Age biases
- Race biases
57
How does the following factor inhibit sensitivity to diversity? Define it. Provide an example
**Cultural Imposition**
A situation where one culture forces their values and beliefs onto another culture or subculture
- A medical professional insisting on treatments that disregard a patient's cultural or religious beliefs
58
How does the following factor inhibit sensitivity to diversity? Define it. Provide an example
**Cultural Blindness**
occurs when one ignores differences and proceeds as though they do not exist
- A doctor who doesn't consider a patient's cultural beliefs or practices when providing medical care
59
How does the following factor inhibit sensitivity to diversity? Define it. Provide an example
**Cultural Conflict**
occurs when people become aware of cultural differences, feel threatened, and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about their own values
- Abortion debate among religious groups and activist groups.
60
Culture is learned through both ____ and ____ experiences.
formal; informal
61
Culture ________ over time by the foundation ____ the same.
evolves; remains
62
Culture ________ the way people behave and ____ acceptable behavior.
influences; outlines
63
Describe how the following vulnerable population face challenges in heathcare.
**Poor People**
- Lack of healthcare
- Inadequate access to basic healthcare status
- crowded housing
64
Describe how the following vulnerable population face challenges in heathcare.
**Homeless**
- Poverty & lack of stable housing
-> Lack of basic necessities
-> Often seen as “lesser”
- Lice, Infestations, feet conditions
65
Describe how the following vulnerable population face challenges in heathcare.
**Prisoners**
- Limited access to healthcare
- Chronic conditions
- Mental Health conditions
66
Describe how the following vulnerable population face challenges in heathcare.
**Immigrants**
- Linguistic barriers
- Assimilation
- Culture shock
67
Describe how the following vulnerable population face challenges in heathcare.
**Military/Veterans**
- Mental health issues
-> PTSD
- Physical issues
68
Describe how the following vulnerable population face challenges in heathcare.
**Persons with disabilities**
- Physical barriers
- Communication barriers
- may face discrimination
69
What are ways that people can be different and/or similar?
## Footnote
lowk too many to remeber but try your best.
* Age
* Gender/Sexual orientation
* Educational Level
* Language
* Occupation
* Residence (rural, urban, suburban)
* Socioeconomic status
* Religion
* Racial
* Family structure
* Rituals
* Nationality
* Disability
70
________ is the primary means of transmitting culture
Language
71
A nurse working on a busy medical-surgical unit constantly encourages all patients to practice Western medicine and disregards their use of traditional healing practices. **Which concept does this behavior exemplify?**
A. Cultural Blindness
B. Cultural Imposition
C. Implicit Bias
D. Stereotyping
B
72
A nurse is caring for a patient from a different ethnic background and unconsciously assumes the patient will be noncompliant with the treatment plan based on past experiences with patients from the same background. **This is an example of:**
A. Cultural Conflict
B. Stereotyping
C. Implicit Bias
D. Cultural Blindness
C
73
A nurse overhears a colleague making jokes about a patient’s traditional healing practices and dismissing them as superstitious. **The nurse recognizes this behavior as:**
A. Cultural Imposition
B. Cultural Blindness
C. Culture Conflict
D. Stereotyping
C
74
During a cultural assessment, a nurse states, "I treat all my patients the same, regardless of their cultural background." The nurse's statement reflects:
A. Stereotyping
B. Cultural Blindness
C. Implicit Bias
D. Cultural Imposition
B
75
A nurse assumes that all Hispanic patients prefer to have their families involved in medical decision-making without assessing individual preferences. This behavior reflects:
A. Implicit Bias
B. Cultural Imposition
C. Stereotyping
D. Cultural Blindness
C
76
A nurse is telling a new mother from Africa that she shouldn't carry her baby in a sling created from a large rectangular cloth. The African woman tells the nurse that everyone in Mozambique carries babies this way. The nurse believes that bassinets are safer for infants. **This nurse is displaying what cultural bias?**
A. Cultural Imposition
B. Cultural Blindness
C. Culture Conflict
D. Implicit Bias
A
77
A nurse working in a multicultural community clinic feels uneasy when patients discuss alternative healing practices that differ from Western medicine. The nurse does not voice these feelings but unconsciously gives less attention to patients who use such practices. **What concept does this behavior demonstrate?**
A. Stereotyping
B. Cultural Blindness
C. Implicit Bias
D. Culture Conflict
C
78
A nurse educator is teaching new nurses about the importance of cultural competence. **Which of the following statements by a new nurse indicates a need for further teaching?**
A. "I will treat all my patients the same regardless of their cultural background."
B. "I will assess each patient’s cultural beliefs and incorporate them into the care plan when possible."
C. "I will be aware of my own cultural biases and actively work to reduce them."
D. "I will be open to learning from my patients about their cultural practices."
A
79
A nurse in a community health setting often dismisses patients' requests for herbal remedies and insists they follow prescribed medications strictly. **This practice best demonstrates:**
A. Cultural Conflict
B. Cultural Blindness
C. Cultural Imposition
D. Stereotyping
C
80
A nurse working with a diverse patient population makes an effort to learn about various cultural practices and traditions. The nurse also reflects on personal biases and strives to overcome them.** Which of the following best describes the nurse’s approach?**
A. Cultural Blindness
B. Cultural Competence
C. Implicit Bias
D. Stereotyping
B
81
A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." **What is this nurse demonstrating?**
A. Cultural Imposition
B. Cultural Blindness
C. Culture Conflict
D. Implicit Bias
C
