DEI

Question 1

CULTURE

Answer 1

“The learned and shared beliefs, values,norms, and traditions of a particular group, which guide our thinking, decisions, & actions.

Question 2

WORLDVIEW

Answer 2

A set of assumptions that begins to develop during childhood and guides how one sees, thinks about, experiences, and interprets the world

Question 3

ASSUMPTIONS

Answer 3

1. Nursing care is culturally congruent when the nurse knows the clients.
2. If clients receive nursing care that is not at least reasonably culturally congruent, then the client will demonstrate signs of stress, noncompliance, cultural conflicts, and/or ethical or moral concerns

Question 4

Cultural Care Preservation (Maintenance)

Answer 4

Nursing care activities that help individuals retain and use core cultural care values related to healthcare concerns or conditions

Question 5

Cultural Care Accommodation (Negotiation)

Answer 5

Nursing actions that help individuals adapt or negotiate with others in the healthcare community to attain the shared goal of an optimal health outcome

Question 6

Cultural Care Re-Patterning (Restructuring)

Answer 6

Actions that help a patient modify personal health behaviors towards beneficial outcomes while respecting the patient’s cultural values. This is suggested when certain cultural practices may cause harm to the patient/others in surrounding environment

Question 7

IMPLICIT BIAS

Answer 7

Biases we are unaware of and that happens outside of our control, which is influenced by our personal background, cultural environment, and personal experiences.

Question 8

health disparity

Question 9

social determinants of health

Question 10

marginalized groups

Question 11

linguistic competence

patient history skill development

Answer 11

the ability to communicate effectively & convey information in a manner understood by diverse audiences

Question 12

health literacy

patient history skill development

Answer 12

degree to which individuals obtain, process, and understand basic health information

Question 13

what should you allow

patient history skill development

Answer 13

extra time to convey ideas and explain new info

Question 14

education

skill development

Answer 14

Teach-back using plain language
* Avoid asking, “Do you understand?” or “Do you have any questions?

Question 15

CLAS Standards

Answer 15

• Ensure that qualified translators (written word) and interpreters (spoken word) are provided to every patient with limited English proficiency.
• Providers must notify patients of their right to these services
• Do not use family members to translate or interpret medical information

Question 16

More Information About CLAS Standards

Answer 16

https://thinkculturalhealth.hhs.gov/assets/pdfs/EnhancedNationalCLASStandards.pdf

Question 17

Effective Cross-Cultural Communication Skills:

Answer 17

https://thinkculturalhealth.hhs.gov/assets/pdfs/resource-library/effective-cross-cultural-communication-skills.pdf

Question 18

Cultural Competency vs Cultural Humility:

Answer 18

https://thinkculturalhealth.hhs.gov/assets/pdfs/resource-library/clas-clc-ch.pdf

Question 19

providing CLAS

Answer 19

https://thinkculturalhealth.hhs.gov/assets/pdfs/resource-library/providing-clas.pdf

Question 20

COMMUNICATION STYLES

Answer 20

https://thinkculturalhealth.hhs.gov/assets/pdfs/resource-library/communication-styles.pdf

Question 21

Takeaway

Answer 21

1. Nurses must address their own implicit biases, be respectful and responsive to individual patient preferences, needs, and values.
2. Cultural competence is an ongoing process of learning and growth. It is the appreciation that everyone is different and deserving of equitable care.