Culturally Responsive Care 2.0

Question 1

perceived to be measurable (Western cultures) or fluid and flowing (Eastern cultures)

Answer 1

Time

Question 2

expect people talking to each other to maintain a fairly high level of eye contact. Those looking away and not giving “good eye contact” are thought to be rude or inatten- tive.

Answer 2

Americans

Question 3

tend to look down to show respect to the person talking.

Answer 3

Eastern countries and Native Americans

Question 4

look away when being talked to, but give a very high level of eye contact when speaking.

Answer 4

African American

Question 5

there is a pause after each person speaks before the other does. The pause is thought to show respect and to allow for consideration of what has been said.

Answer 5

Eastern culture

Question 6

interrupt this silence, leaving no pause between speakers

Answer 6

Westerners

Question 7

it is common for speakers to interrupt one another in conversation, causing overlap in speech. Within the culture, this indicates that the people are deeply engaged in the conversation, but it is perceived to be rude by other cultures.

Answer 7

Latin cultures

Question 8

Chinese medical practitioners, herbalists

Answer 8

Asian traditions

Question 9

Magico herbalist, Hoodoo (also known as conjurers), or other traditional healers known as “Old Lady,” “granny,” or lay midwife.

Answer 9

African Traditions

Question 10

Medicine men or shamans

Answer 10

Native American

Question 11

Folk healers (curandero/a, bruja/o [witch], yerbero/a, partera [mid- wife])

Answer 11

Hispanic

Question 12

Homeopathic physicians, physicians and other health professionals

Answer 12

Western European Traditions

Question 13

Results from stressful event and build up of anger over time. Shouting, crying, trembling, verbal or physical aggression, sense of heat in chest rising to head.

Answer 13

Ataque de nervios

Question 14

Especially in young children, soft foods believed to adhere to stomach wall. Abdominal fullness, stomach ache, diarrhea with pain, vomiting. Confirmed by rolling egg over stomach and egg appears to stick to an area.

Answer 14

Empacho

Question 15

Children, infants at greatest risk; women more at risk than men. Cause often thought to be stranger’s touch or attention. Sudden onset of fitful sleep, crying without apparent cause, diarrhea, vomiting, and fever.

Answer 15

Mal de ojo (Evil eye)

Question 16

See rootwork entry under Africa and African Origin in Americas in this table.

Answer 16

Mal puesto or brujeria

Question 17

Spanish word for “fright,” caused by natural (cultural stressors) or supernatural (sorcery or witness- ing supernatural phenomenon) means. Nervousness, anorexia, insomnia, listlessness, fatigue, muscle tics, diarrhea.

Answer 17

Susto

Question 18

Mexican term for fallen fontanel. Thought to be caused by midwife failing to press on the palate after delivery; falling on the head; removing the nipple from the baby’s mouth inappropriately; failing to put a cap on the newborn’s head. Crying, fever, vomiting, diarrhea are thought to be indications of this condition (note the similarity to dehydration).

Answer 18

Caida de la mollera

Question 19

Sudden collapse preceded by dizziness, spinning sensation. Eyes may remain open but unable to see. May hear and understand what is happening around them but unable to interact.

Answer 19

Falling out or blacking out

Question 20

Belief that illnesses are supernatural in origin (witchcraft, voodoo, evil spirits, or evil person). Anxi- ety, gastrointestinal complaints, fear of being poisoned or killed.

Answer 20

Rootwork

Question 21

Communicates with dead relatives or spirits, often with distinct personality changes (not considered pathologic in culture of origin).

Answer 21

Spell

Question 22

Slang term for high blood pressure, but also for thick or excessive blood that rises in the body. Often believed to be caused by overly rich foods.

Answer 22

High blood

Question 23

Not enough or weak blood caused by diet.

Answer 23

Low blood

Question 24

Blood contaminated, often refers to sexually transmitted infections.

Answer 24

Bad blood

Question 25

A panic disorder with sudden agitated outbursts, aggressive behavior, confusion, excitement. May have hallucinations or paranoia.

Answer 25

Boufee deliriante (Haiti)

Question 26

Feelings of danger, confusion, futility, suffocation, bad dreams, fainting, dizziness, hallucinations, loss of consciousness. Possible preoccupation with death or someone who died.

Answer 26

Ghost sickness (Navajo)

Question 27

Unwanted separation from a loved one. Insomnia, depression, loss of appetite, and sometimes suicide.

Answer 27

Hi-Wa itck (Mohave)

Question 28

An abrupt onset, extreme excitement of up to 30 minutes often followed by convulsive seizures and coma lasting up to 12 hours, with amnesia of the event. Withdrawn or mildly irritable for hours or days before attack. During the attack, may tear off clothing, break furniture, shout obscenities, eat feces, run out into snow, do other irrational or dangerous acts.

Answer 28

Pibloktoq or Arctic hysteria (Greenland Eskimos)

Question 29

Often reaction to disappointment or interpersonal problems. Anger, withdrawal, mutism, immobil- ity, often leads to attempted suicide.

Answer 29

Wacinko (Oglala Sioux)

Question 30

Experience of spirit possession. Laughing, shouting, weeping, singing, hitting head against wall. May be apathetic, withdrawn, refuse food, unable to carry out daily tasks. May develop long-term relationship with possessing spirit (not considered pathologic in the culture).

Answer 30

Zar

Question 31

Occurs among males (20–45 years old) after perceived slight or insult. Aggressive outbursts, violent or homicidal, aimed at people or objects, often with ideas of persecution. Amnesia, exhaustion, finally, return to previous state.

Answer 31

Amok (Malaysia)

Question 32

Similar to conditions in China, Thailand, and other areas. Fear that genitalia will retract into the body, possibly leading to death. Causes vary, including inappropriate sex, mass cases from belief that eating swine flu–vaccinated pork is a cause.

Answer 32

Koro (Malaysia, Southeast Asia)

Question 33

Occurs after traumatic episode or surprise. Exaggerated startle response (usually in women). Scream- ing, cursing, dancing, hysterical laughter, may imitate people, hypersuggestibility.

Answer 33

Latah (Malaysia)

Question 34

Similar conditions that result from the belief that semen (or “vital essence”) is being lost. Anxiety, panic, sexual complaints, fatigue, weakness, loss of appetite, guilt, sexual dysfunction with no physical findings.

Answer 34

Shen kui (China) Dhat (India)

Question 35

Dread of offending or hurting others by behavior or physical condition such as body odor. Social phobia.

Answer 35

Taijin kyofusho (Japan)

Question 36

Fear of wind, cold exposure causing loss of yang energy.

Answer 36

Wind illness (Asia)

Question 37

Associated with intense fear of obesity. Severely restricted food and calorie intake.

Answer 37

Anorexia nervosa

Question 38

Associated with intense fear of obesity. Binge eating and self-induced vomiting, laxative, or diuretic use.

Answer 38

Bulimia nervosa

Question 39

Use of blood products and blood transfusions is accepted by most religions except for

Answer 39

Jehovahs witnesses

Question 40

Organ donation and autopsy are not accepted by certain cultural groups, includ- ing

Answer 40

Christian Scientists, Orthodox Jews, Greeks, and some Spanish-speaking groups.

Question 41

This category refers to the client’s physical, biologic, and physiologic variations such as variations in drug metabolism, disease, and health conditions.

Answer 41

biocultural ecology