Culture in Healthcare

Question 1

Culture

Answer 1

Knowledge, values, practices, customs and beliefs of a group.

Question 2

Culture:

Properties of culture include:

Answer 2

Dynamic, not static

Shared, not private

Learned, not inherited

Question 3

T/F: Culture is static, private, and inherited.

Answer 3

False

Rationale: Culture is dynamic, shared, and learned.

Question 4

Cultural diversity- also known as?

Answer 4

Cultural diversity, also called cultural plurality,

Question 5

Cultural diversity:

Answer 5

Cultural diversity, also called cultural plurality, means that a variety of cultural patterns coexist within a designated geographic area.

Question 6

Cultural diversity: Where does it occur?

Answer 6

Cultural diversity occurs not only between countries or continents but also within many countries, including the United States (Spector, 2013).

Question 7

Cross-cultural Nursing is also known as?

Answer 7

Cross-cultural or transcultural nursing

Question 8

Cross-cultural Nursing and Cultural Competence- What is it?

Answer 8

Cross-cultural or transcultural nursing—any nursing encounter in which the client and nurse are from different cultures

Question 9

Cross-cultural Nursing and Cultural Competence:

What is the first imperative of cultural competence?

Answer 9

The first imperative of cultural competence is to be competent in one’s own cultural heritage.

Question 10

T/F: Advocates for groups that have been sociopolitically marginalized promote “cultural safety,” the ideal of considering cultural aspects of groups while working against assimilationism and repression.

Answer 10

True

Rationale: Advocates for groups that have been sociopolitically marginalized promote “cultural safety,” the ideal of considering cultural aspects of groups while working against assimilationism and repression.

Question 11

Transcultural Nursing Principles:

What should be developed?

Answer 11

Develop cultural self-awareness.

Question 12

Transcultural Nursing Principles:

What should be cultivated?

Answer 12

Cultivate cultural sensitivity.

Question 13

Transcultural Nursing Principles:

What should be assessed?

Answer 13

Assess the client group’s culture.

Question 14

Transcultural Nursing Principles:

How should you be when learning about other cultures?

Answer 14

Show respect and patience while learning about other cultures.

Question 15

Transcultural Nursing Principles:

What should be examined?

Answer 15

Examine culturally derived health practices.

Question 16

Institutional Cultural Competence

For community and public health agencies to be culturally competent, they must:

Answer 16

Have a defined set of values and principles and demonstrate behaviors, attitudes, policies, and structures that enable them to work effectively cross-culturally

Question 17

Institutional Cultural Competence

For community and public health agencies to be culturally competent, they must:

Have the capacity to:

Answer 17

Value diversity

Conduct self-assessment

Manage the dynamics of difference

Acquire and institutionalize cultural knowledge

Adapt to diversity and the cultural contexts of the communities they serve

Question 18

Cultural Humility

Answer 18

Cultural humility is an acknowledgment that everyone’s views are culturally influenced, that our own are not inherently better than those of our clients, and that our clients can teach us.

Question 19

Cultural Humility:

What kind of questions should you ask?

Answer 19

Ask open-ended questions about beliefs and practices of the client and family.

Ask about traditions. What does the client think may have caused an illness, and how has the client already tried to address it?

Question 20

Cultural Safety

Answer 20

Culturally appropriate health services to disadvantaged groups while stressing dignity and avoiding institutional racism, assimilationism, and repressive practices

Question 21

Ethnocentrism

Answer 21

Ethnocentrism can be defined as an assumption that everyone shares your cultural values, or an opinion that your culture is superior to others.

Question 22

Subculture

Answer 22

Group sharing some practices, language, or other characteristics in common, within a larger society that does not share those characteristics

Question 23

Race and Ethnicity

What can race be thought of as?

Answer 23

Race can be thought of as a subculture

Race is a social construct, not a biologic entity

Question 24

Race and Ethnicity

Genetic variation within a race?

Answer 24

More genetic variation within a “race” than between races

Question 25

Race and Ethnicity

Race: What is it?

Answer 25

Race can be seen as biologically designated groups of people whose distinguishing features, such as skin color, are inherited.

Question 26

Race and Ethnicity

Ethnicity:

Answer 26

Ethnic group: collection of people who have common origins and a shared culture and identity; they may share a common geographic origin, race, language, religion, traditions, values, and food preferences

Question 27

Aspects of Culture Directly Affecting Health and Health Care

Answer 27

Western medicine seen as “cultured”

Attribution of illness

Diet

Verbal communication

Nonverbal communication

Style of communication

World community

Time orientation

Roles

Religion

Folk medicine

Complementary therapies and self-care practices

Question 27

Cultural Health Assessment

Role of the Nurse:

Answer 27

Preparation

Assessment

Teaching

Question 27

Aspects of Culture Directly Affecting Health and Health Care

Nonverbal communication:

Answer 27

Eye contact

Personal space

Question 28

Aspects of Culture Directly Affecting Health and Health Care

World community:

Answer 28

Biomedical view

Magicoreligious view

Holistic view

Folk medicine and home remedies

Herbalism

Prescription and over-the-counter drugs

Question 28

Aspects of Culture Directly Affecting Health and Health Care

Complementary therapies and self-care practices include:

Answer 28

Diet therapies

Gastrointestinal treatments

Balance and exercise activities

Sensory exposure

Therapeutic manipulation

Question 29

Cultural Health Assessment

Role of the Nurse: Preparation

Answer 29

Cultural awareness

Sensitivity

Question 30

Components of Cultural Assessment

Answer 30

Ethnic/racial background

Language and communication patterns

Cultural values and norms

Biocultural factors

Religious beliefs and practices

Health beliefs and practices