Cultural Diversity and Values

Question 1

T or F, there is NO WAY anyone can know and understand all cultures

Answer 1

True - its an ongoing learning process, cultures change/grow

Question 2

terms r/t cultural diversity

Answer 2

cultural safety
cultural humility
cultural respect
cultural competency

Question 3

which cultural diversity term is not as popular

Answer 3

cultural competency - impossible to be competent in all cultures

Question 4

what is cultural safety

Answer 4

culturally approp. health svcs. to disadvantaged groups; stressing dignity; avoiding institutional racism, assimilation and repressive practices

Question 5

what is cultural humility

Answer 5

Acknowledging everyone’s views are culturally influenced
Our views are not better than our clients
Our clients can teach us

Question 6

what is cultural respect

Answer 6

recognition, protection and continued advancement of Inherent rights, cultures and traditions of a particular culture

Question 7

what is cultural competence

Answer 7

An openness to different cultural values/traditions
An analysis of relations affecting health disparities
Consider cultural aspects of health/illness/trt for each client/community along each stage of nursing process

Question 8

what is culture

Answer 8

knowledge, values, practices, customs and beliefs of a group

Question 9

T or F, culture is static, private and inherited

Answer 9

False - culture is dynamic (not static), shared (not private) and learned (not inherited)

Question 10

what is marginalization

Answer 10

treat (a person, group, or concept) as insignificant

homeless

Question 11

what is assimilation

Answer 11

Forcing people to adopt a dominant culture
A person who acquires/adopts the social characteristics of a group
“Waves of immigrants have been assimilated into the American culture.”

Question 12

what is repression

Answer 12

action/process of suppressing a thought/desire in oneself so that it remains unconscious

Question 13

what is institutional cultural competence

Answer 13

Agency (Jefferson) with a defined set of values, principles, behaviors, attitudes, policies and structures that enable them to effectively care for others cross culturally

Question 14

elements of institutional cultural competency

Answer 14

Value diversity
Conduct self-assessment (what is our own culture)
Manage the dynamics of difference
Acquire and institutionalize cultural knowledge (learn about the culture, educate)
Adapt to diversity and cultural contexts of communities served

Question 15

is cultural competence automatic in nursing

Answer 15

no, its something you have to learn continuously

Question 16

what does community health nursing require

Answer 16

familiarization with cultures in the communities served

Question 17

what is ethnocentrism

Answer 17

Belief that dominant culture is superior to others

Assuming other people behave like we do, believe everybody should think the way we do

Question 18

what is a subculture

Answer 18

groups that commonly share practices, language within a larger society that doesn’t share those characteristics
(army, sororities, punk rockers)

Question 19

examples of why medicine and nursing is a culture on its own

Answer 19

language (vitals, AM care) - assume pt. understands

Question 20

is western bio-medicine considered cultured?

Answer 20

yes

Question 21

what are some aspects of culture directly affecting health/care

Answer 21

Attribution of illness
Diet
Verbal communication
Non verbal communication (eye contact, personal space, style of communication)

Question 22

how does verbal/non-verbal communication affect health/care and interaction with patients

Answer 22

facial expressions - body language

culturally offensive practices (eye contact)

Question 23

what is cross-cultural/trans-cultural nursing

Answer 23

a nursing encounter where the client and nurse are from different cultures

Question 24

what does LBGTQIA stand for

Answer 24

lesbian, bi, gay, trans, questioning, intersex, asexual

Question 25

what does asexual mean

Answer 25

not sexually attracted to anything

Question 26

what is intersex

Answer 26

ambiguous genitalia - choosing a gender

Question 27

what are some health issues related to LGBTQIA

Answer 27

Disparity due to lack of self identification (we don’t ask pt)
Failure to disclose/assess (not asking the right questions)
Lack of research for this population
Until recently considered pathological behavior (therefore information is not volunteered)

Question 28

statistics r/t LBGTQIA

Answer 28

8.8% admit same-sex behavior
11% same sex attraction
3.5% identify gay/lesbian
.3% transgender
9 million people in total (of those we know about)

Question 29

why is there a lack of access to healthcare in the LBGTQIA community

Answer 29

Providers don’t know how to address the health needs of this population
Insurance not provided to “partners”
Lack of support for minors - understudied

Question 30

what are some health disparities r/t the LBGTQIA community

Answer 30

Lack of access
Suicide ideation
Substance abuse 
HIV (MSM)
Fear doctor will treat them differently

Question 31

what does MSM stand for

Answer 31

Men having Sex with Men

Question 32

MSM accounts for

Answer 32

half of HIV infections
2% account for 63% of untreated syphilis cases
1/3 more antibiotic resistant gonorrhea

Question 33

what can we do to encourage gender identity disclosure in healthcare

Answer 33

be respectful, treat patient as a person

Question 34

what does FGM stand for

Answer 34

female genital mutilation

Question 35

what is Type V FGM

Answer 35

labial stretching of the minora
supposed to improve sex activity
cultural acceptance (don’t judge)

Question 36

how to avoid stereotyping

Answer 36

continually reassess our selves and the communities we serve