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Review > Culture and Health Beliefs > Flashcards

Culture and Health Beliefs Flashcards

1
Q

Leininger’s Theory of Cultural Care Diversity and Universality

A
  • founder of transcultural nursing
  • defines culture as the specific pattern of behavior that distinguishes any society from others and gives meaning to human expressions of care
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2
Q

Leininger’s Sunrise model

A
  • recognizes that care is influenced by many cultural features (tech, religion, spirituality, kinship, social structures, values and practices, legal and political systems, economics, education)
  • all shapes one’s worldview
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3
Q

AA most common religion

A

Christian

-prayer, gospel music, Bible reading, engagement with faith community

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4
Q

Head of household of AA

A

female

matriarchal

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5
Q

Latino head of household

A

female

matriarchal

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6
Q

Latino cultures may consult with who

A

folk healers

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7
Q

Susto

A

Latino cultural illness

-fright

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8
Q

Mal ojo or mal de ojo

A

“evil eye”

  • Latino folk illness usually of baby/child
  • when adult who stares with envy at the child
  • hex broken when person staring touches the child
  • or to pass an egg over the child with prayers and place the egg under the bed overnight
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9
Q

Evil eye is similar to which other beliefs

A

Muslin and Mediterranean cultures

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10
Q

Who primarily does the healing in Native American groups

A

shaman using prayers, dance, fasting, smudging, and sometimes ingesting hallucinogenic plants

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11
Q

What is smudging

A

-ritualistic burning of an herb to help clenase a person or place

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12
Q

What do Native Americans die at a higher rate from

A

-chronic liver disease
-cirrhosis
-diabetes
-accidents
-assault/homicide
-self harm/suicide
chronic lower respiratory disease

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13
Q

Group with highest rates of rape and assault

A

Native American women

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14
Q

Who is in charge of delivery of health care to Native American population

A

Indian Health Service

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15
Q

What is considered a sign of respect by Asian people

A

listening quietly without questioning

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16
Q

Ancestor veneration

A

the custom of venerating deceased ancestors who are considered still a part of the family and whose spirits are believed to have the power to intervene in the affairs of the living

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17
Q

Vietnamese people may stop taking medication because..

A

they think they are cured once symptoms resolve or only one visit is needed for cure

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18
Q

Who may think blood loss worsens illness

A

-Vietnamese

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19
Q

Belief of Buddha and physical health

A
  • believe physical suffering is an inevitable part of life and believe in karma and cycle of rebirth
  • some may experience anxiety about being reborn into a lower form or less desirable life
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20
Q

Diet of Buddhists

A

many vegetarian

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21
Q

Buddhists may refuse narcotics T/F

A

True

-value clarity of mine and refuse medication that may alter consciousness

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22
Q

Yin is what gender

A

Female

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23
Q

Yang is what gender

A

Male

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24
Q

Traditional Chinese Medicine believes acupuncture and cupping can correct what

A

energy imbalance

25
Q

What is coining

A

rubbing a coin vigorously on skin to make welts

26
Q

What practice can be misinterpreted as signs of abuse

A

cupping and coining

27
Q

Sikhs code of conduct

A
  • one wears five symbols of Sikhs identity
  • uncut hair
  • sword
  • shorts
  • hair comb
  • iron wrist ring
28
Q

What will Sikhs not consume

A
  • meat
  • alcohol
  • stimulants
29
Q

What is the usual color of Sikh turbans

A

white

30
Q

Can Sikh items be removed

A

no, unless negotiated with patient.

31
Q

Hindus typical practice

A
  • remove shoes indoors
  • sprinkle water around plate of food to symbolize purification
  • regular bathing
  • cleaning mouth and teeth prior to eating
  • foods selected to enhance inner purity (no meat)
  • wear talisman that should not be cut or removed
32
Q

Hijab covers what

A
  • head scarf

- hides hair, ears, neck

33
Q

Burqa or abaya covers what

A

full veil/robe that covers body

34
Q

Muslims: left hand is reserved for what

A

bodily functions
unclean
use right hand to shake

35
Q

Muslims prefer clinicians of same gender T/F

A

true

36
Q

Muslim women need permission from male figure to see a clinician

A
  • yes
  • unmarried women needs her fathers permission
  • married women needs husbands permission
37
Q

Muslim women and men

A
  • women are not allowed to be alone or visit with men who are not family members
  • if seen by a male HCP, husband or other male family member must be present in the room
38
Q

What does the Qur’an forbid

A
  • drinking alcohol
  • eating pork
  • eating meat not slaughtered in the “halal” manner
39
Q

What is Ramadan

A

-holy month of 30 days of fasting
-forbidden to eat or drunk fluids/water during daytime
but can eat or drink from sunset to before sunrise

40
Q

Ramadan and medication

A

-if possible, schedule oral medications after sunset

41
Q

People exempt from Ramadan

A
  • those who are sick
  • pregnant
  • physically or mentally ill people
  • children are not expected to fast until puberty
42
Q

Orthodox Jews prefer clinicians of the same gender T/F

A

true

43
Q

Male Hasidic Jews may refuse to shake a female practitioners hand T/F

A

true

44
Q

Shabbat (Sabbath)

A

observed from sundown Friday to sundown Saturday as a holy day that forbids any form of work

  • some believe electricity is a form of work and may stop using it during Shabbat
  • some may not drive or use cell phone during this time
45
Q

The physician may have to turn off the lights for which group of people

A

Jews during Sabbath

46
Q

Kosher dietary laws

A
  • kashrut
  • not mixing meat and dairy products within specified time frame
  • eating only meaty foods certified as kosher
  • may have 2 separate kitchens at home: kosher and nonkosher
47
Q

Jehovah’s witness may refuse to do what

A
  • refuse to donate blood
  • store blood
  • accept own blood (autologes transfusion)
  • but accept nonblood plasma expanders and blood components without RBCs
48
Q

Jehovah’s witness and child that requires blood transfusion

A
  • parents may still refuse

- may require a court order

49
Q

Jehovah’s witness and major civil holidays

A

They do not celebrate these

50
Q

Jehovah’s witness and advanced directives

A
  • recommend to carry one around
  • such as a card from church
  • in urban locations, hospital liaison from church may be available
51
Q

Seventh day adventists lifestyle

A
  • vegetarian
  • abstain from tobacco
  • no alcohol
  • no caffeine
52
Q

With Jews, who also participates in Sabbath

A

-Seventh-Day Adventists

53
Q

How to Amish/Mennonites pay for health care

A

community pays

-does not participate in Medicare or Social Security

54
Q

Amish/Mennonites health practices

A
  • folk practitioners and folk/alternative medicine

- if surgery or expensive test needed, need permission from church elders

55
Q

Amish/Mennonites have higher rates of what

A
  • genetic disease
  • maple syrup urine disease
  • Cirgler-Najjar syndrome (type of dwarfism)
  • cystic fibrosis
  • metabolic disorders
56
Q

Difference between Amish and Mennonites

A

Mennonites not prohibited from using technology

57
Q

Church of Latter-Day Saints (Mormons)

A
  • may wear temple garments under hospital gown or clothing

- treat it with respect

58
Q

Individualistic society

A

value individual over family, organization, or group

59
Q

Collectivistic society

A

value rights, needs, and wishes of the family or group over those of the individual

Review (24 decks)

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