cultural implications Flashcards

1
Q

stigma

A

negative attidutes towards groups of people within cultures

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2
Q

minority status

A
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3
Q

minority status

A

Subset of people who think of themselves, and are thought of by others, as a differentiated group

  • power dynamics within certain groups
  • discriminated against
  • stay together and dont mix some times
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4
Q

race

A

Can be defined biologically, anthropologically, or genetically

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5
Q

ethnicity

A

Common heritage and history

Share worldview for thinking

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6
Q

demographic shifts in the US

A
  • In 2043, the U.S. population is projected for the first time to become a majority–minority nation.
  • No one group will make up the majority or make-up 51% of the population.
  • However, non-Hispanic whites will continue to remain the largest single group.
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7
Q

western tradition

A
  • Identity found in individuality

Values

  • Autonomy
  • Independence
  • Self-reliance
  • Mind and body separate entities
  • Disease has a cause, and treatment is aimed at the cause
  • Time is linear
  • Success is obtained in preparing for the future (we drive what our future looks like)
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8
Q

eastern tradition (asia)

A
  • Family basis for identity (traditions)
  • Body-mind-spirit one entity (treated as one no difference between them)
  • Time is circular and recurring (reincarnation)
  • Born into a fate; duty to comply (your fate)
  • Disease caused by fluctuations in opposing forces (ying and yang)
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9
Q

indigeious culture (new zealand, native america, hawians)

A
  • Places significance on place of humans in the natural world
  • Basis of identity is the tribe (decisions together)
  • Person is an entity only in relation to others
  • Disease—lack of harmony between individual and environment
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10
Q

impact of culture on mental health

A
  • Enculturation: beliefs and values are transmitted to people
  • Deviance from cultural expectations can be defined as illness by other members of the group
  • Ethnocentrism: belied what you believe in is the right way
  • Cultural imposition 1 culture forces values or beliefs on another culture or subculture
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11
Q

cultural barriers to quality mental health services

A
  • Communication barriers: interpreter available?
  • Stigma of mental illness: mental illness is an illness, family being judged
  • Misdiagnosis: black, Hispanics, misdiagnosed for schitsophrenia
  • Cultural concepts of distress
  • Genetic variations in pharmacodynamics
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12
Q

cultural concepts of distress

A
  • Cultural, or culture-bound, syndromes: culture belive certain ill is
  • Cultural idioms of distress: how a group understands certain problems
  • Cultural explanations: ways of expressing stress “my nerves really bothering me”
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13
Q

Populations at Risk of Mental Illness and Inadequate Care

A
  • Immigrants: coming into a new culture; learn to assimilate, adjust to whole new living, can cause stress anxiety
  • Refugees: not leaving home by choice, depression, ptsd, anxiety, stress, adjust to new environment
  • Cultural “minorities”: no accepted, “why don’t you speak English”, poverty: main reason someone deals with mental illness
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14
Q

Cultural Competence for Psychiatric Mental Health Nurses: five constructs

A
Cultural awareness
Cultural knowledge
Cultural encounters
Cultural skill
Cultural desire
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15
Q

cultural awarness

A
  • Examine beliefs, values, and practices of own culture
  • Recognize that during a cultural encounter, three cultures are intersecting
    + Culture of the patient, nurse, and setting
  • try not to push own beliefs on pt.
  • advocate for pt. (allowing them to bring own food)
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16
Q

cultural knowledge

A
  • Learn by attending cultural events and programs
  • Forge friendships with diverse cultural groups
  • Learn by studying
  • understand peoples behaviors
  • develop repour

Learning cultural differences helps nurse

  • Establish rapport
  • Ask culturally relevant questions
  • Identify cultural variables to be considered
17
Q

cultural encounters

A
  • Deter nurses from stereotyping
  • Help nurses gain confidence in cross-cultural interactions
  • Help nurses avoid or reduce cultural pain
18
Q

cultural skill

goal

A
  • Ability to perform a cultural assessment in a sensitive way “what do you call this illness”
    + Use professional medical interpreter to ensure meaningful communication
    + Use culturally sensitive assessment tools

Goal
- A mutually agreeable therapeutic plan (follow the plan)
+ Culturally acceptable
+ Capable of producing positive outcomes

19
Q

cultural desire

A
  • Genuine concern for patient’s welfare
  • Willingness to listen until patient’s viewpoint is understood
  • Patience, consideration, and empathy
  • willing to learn from our pt.