culturally appropriate assessments

Question 1

culture

Answer 1

is the accepted patterns of knowledge, beliefs ,attitudes and behaviours by which a group of people live. It is the shared history. Traditions , values, attitudes, goals and practices that characterise a group

Question 2

how does culture influence people?

Answer 2

• A person’s cultural background shapes and guides every aspect of their life, the way they understand health and ill health and how they view and relate to other people

Question 3

society

Answer 3

a large group of people who are connected by way of proximity, politics, the economy, social status, social networks or some other shared interest

Question 4

subculture

Answer 4

the smaller discrete groups of people located within larger cultural groups- where they share common attitudes and values

Question 5

impact of culture & subcultures on HPs

Answer 5

1. The culture the HP is from will form part of the way they view their work- it is important to recognise the influences and how they will affect their work
2. Cultural influences will shape the way other people relate to the health professional
3. Culture/sub will affect the way people understand mental health and illness- acceptance of diagnosis, recommended interventions, family support, how they recover

Question 6

how does culture influence mh?

Answer 6

• The different ways in which cultural groups understand or perceive mental illness
• Different perceptions can lead to stigmatisation and distress to people with a mental illness
• Mental illness was viewed as ‘madness’ and ‘insanity’ which lead to exclusion and disempowerment
• Views of mental illness is not fixed or universal, rather it changes on the location and time period

Question 7

migrants

Answer 7

choose to leave their country of origin
May settle easily but feel homesick
Difference in language, culture, beliefs

Question 8

refugees

Answer 8

Forced to leave their home due to fear of persecution for their race, religion, membership of a particular social group or political opinion
Some settle easily some struggle
Difference in language, culture, beliefs
Trauma can lead to depression, anxiety & PTSD

Question 9

the society that prioritises the self and independence is known as?

a) collectivism
b) individualism

Answer 9

b

Question 10

collectivism has which of the following characteristics?

a. uniqueness is encouraged
b. collaboration

c. a persons attributes forms their identity
d. doing what is best for everyone

Answer 10

b & d

Question 11

cultural proficiency

Answer 11

When a health professional becomes an advanced practitioner as well as a life-long learner in the area of culturally appropriate healthcare

Question 12

cultural competence

Answer 12

when awareness, knowledge and sensitivity are integrated into practice

Question 13

approaches to ensuring proper mh treatment with different cultures

Answer 13

• Involving an interpreter, when required
• Providing appropriate info & education to the individual, their family and sometimes their community
• Focus on personal interactions & the therapeutic relationship

Question 14

Question text
A client who identifies as indigenous presents to an emergency department following an attempted suicide. The nurse’s priority is:
a. send the client home to his mob.
b.
refer for ongoing care to an Indigenous health professional.
c. place the client in a high security section.
d. undertake a thorough assessment of the client’s health status.

Answer 14

d

Question 15

A lack of knowledge and understanding can generate feelings of:

a. insensitivity.
b.
boredom.
c. empowerment.
d. anxiety and fear.

Answer 15

d

Question 16

The key to improving the social and emotional wellbeing of indigenous peoples is:

a. funding social and emotional programs.
b. diagnosis and treatment of diseases.
c. building their own communities.
d. upholding human rights.

Answer 16

d

Question 17

A client from Bosnia has been brought to the acute mental health unit for assessment following erratic behaviour at a local tavern. The health professional is having difficulty in communicating with the client who speaks fluently in his own language, not English. The health professional should:

a. get a written brochure for the client to read.
b. seek the services of an interpreter.
c. recommend he be sent back to Bosnia.
d. get a family member to interpret the questions.

Answer 17

b

Question 18

A health professional that realises that people from different cultural backgrounds have different cultural expectations of the way health care should be delivered, has an understanding of?
Select one:
a. Transcultural approach. 
b. Burden of disease. 
c. Whole-of-life view. 
d. Cultural discourse.

Answer 18

a

Question 19

Many refugees who have witnessed or experienced torture or other significant trauma may develop as a result of the trauma which of the following except:

a. post-traumatic stress disorder.
b. depression.
c. schizophrenia.
d. anxiety.

Answer 19

c

Question 20

It is suggested that there are five broad discourses that frame the mental health and wellbeing of Indigenous peoples. These include all of the following except:
a. 
strong extended family. 
b. fear, shame and stigma. 
c. cultural and spiritual. 
d. 
financial barriers.

Answer 20

d

Question 21

Empowering communities to plan for themselves, according to their own needs and cultural interests enables:
Select one:
a. autonomy on decisions. 
b. cultural enlightenment. 
c. self-determination. 
d. 
cost shifts.

Answer 21

c

Question 22

Rural and remote people are less likely to seek out mental health care because of all of the following except:
Select one:
a. the invisible nature of mental health issues.
b. lack of anonymity in small communities.
c. the stigma associated with mental health.
d. less availability and access to services.

Answer 22

a

Question 23

cultural formulation interview

Answer 23

• Semi-structured, 16 Qs
• Helpful when
o Significant difference between clinician and client (in culture, religion, SES)
o Uncertainty between symptoms and diagnostic criteria
o Difficulty in judging symptom severity or impairment
o Disagreement on care plan
o Issues with treatment engagement or adherence

Question 24

how do indigenous people’s view of health differ from that of non-indigenous?

Answer 24

emphasis on Social and Emotional Wellbeing
o State of wellbeing achieved through the balancing of mind, body, emotions, spirit, culture and the environment

the idea of self is holistic and includes family and community

Question 25

issues when supporting indigenous australians

Answer 25

• Under-representation of Indigenous health professionals
• Indigenous people know how to respectfully work with other Indigenous people
• Need to be empowered
• Lack of understanding of roles
• Indigenous clients shouldn’t simply be “referred on” to Indigenous health workers; mainstream health professionals need to work together
• A mobile population
• Affects continuity of care
• Affects connection to mob or community

Question 26

how to help indigenous Australians

Answer 26

• Always be curious, and make sure to do your research on Indigenous Australians, our shared history, and their history prior to colonisation
• Ask clients if they identify as Indigenous
• Respect their rights
• Let them tell their story, don’t assume to know what is ‘wrong’
• Indigenous clients may prefer to have a family member or community member present. Include them and respect their input