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Primary > Evidence Based Cultural Considerations > Flashcards

Evidence Based Cultural Considerations Flashcards

1
Q

____ _____ may discontinue medications once symptoms subside, often doubting the need for further therapy.

A

African-Americans

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2
Q

______ ______

Touch is viewed as an essential part of healthcare; personal space may be minimal.

A

African- Americans

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3
Q

African American:

Heavily rely on religious rituals and a ______ advice

A

minister’s

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4
Q

African American:
4. Health viewed as a gift from ___.
a. Illness and suffering may be God’s will or evil
influences.
b. Folk healers and folk medicine may be common.
• i) Cod liver oil to prevent colds
• ii) Copper or silver bracelets to protect from harm
c. Allopathic healthcare often not a priority for prevention
d. May believe in voodoo (especially Haitians and
Africans)

A

God

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5
Q

African American:
b. Folk healers and folk medicine may be common.
• i) Cod liver oil to prevent ____

A

colds

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6
Q

African American:

• ii) ____ or silver bracelets to protect from harm

A

Copper

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7
Q

African American:
c. Allopathic healthcare often ____ a priority for
prevention

A

not

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8
Q

African American:
d. May believe in ____ (especially Haitians and
Africans)

A

voodoo

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9
Q

________
Often believe it is unnecessary to continue pharmacotherapy once symptoms abate
a. Especially problematic for diabetics in which ongoing
medication is required

A

Hispanic

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10
Q

Hispanic

Esteem the _____ or grandmother, especially from the husband, as the primary decisionmaker of health related issues

A

mother

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11
Q

Hispanic
Balance of “hot and cold” is essential.
a. “___/____” illnesses and medications

A

Hot/cold

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12
Q

Hispanic
Balance of “hot and cold” is essential.
b. “___/____” concepts

A

Wet/dry

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13
Q

Hispanic
Balance of “hot and cold” is essential.
c. Illness is treated with the opposite type medicine:
Hot for cold, and cold for hot •
i) May not take penicillin (PCN) for a “____” illness
because PCN is viewed as a “‘_____” medicine

A

hot

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14
Q

Hispanic
Illness may be caused by ____ ___ ___ (evil eye)
a. Healthcare workers can inadvertently give this look.

A

Mal de Ojo

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15
Q

Hispanic
Strong religious association
a. Health is a gift from God and reward for good
______.

A

behavior

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16
Q

Hispanic
Illness prevention strategies: Eating proper foods,
working the proper amount of time, wearing religious
medals and sleeping with ______

A

relics

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17
Q

Hispanic
Use of ________ (holistic healer) may be common.
a. Treat with a variety of herbs, teas, visits to shrines,
medals, candles, and promises to God to change
behavior

A

curanderas

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18
Q

Hispanic

Often concerned about the potential for _______ when taking medication for prolonged periods of time

A

addiction

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19
Q

Hispanic
May expect _______ as a necessary component of
effective treatment for disease
a. Taking oral medications may be viewed as a less
effective treatment.

A

injections

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20
Q

Asians

Vast array of ______ remedies are used: Potential for drug-drug interactions

A

herbal

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21
Q

______

Eye contact may be a sign of disrespect

A

Asians

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22
Q

Asians

Using the word “_____” is common; it usually means “I’m being polite” (and maybe, understanding what is being said)

A

yes

23
Q

Asians

Esteem _____’ views, wishes, and “authority” among other members of the family

A

elders

24
Q

Asians

______ is relatively less common in Asians.

A

Diabetes

25
Q

Asians

Dietary requirements may be difficult to follow given dietary ______.

A

traditions

26
Q

Asians
Well insured in comparison to other races
a. 18% of U.S. Asians uninsured, ____ of all minority
groups

A

lowest

27
Q

Asians

Approximately only _____ of Asians over the age of 65 make as many visits to healthcare providers as Caucasians.

A

one-half

28
Q

Asians

_____ life expectancies and lower death rates from all causes than the general population

A

Longer

29
Q

Asians
Many influenced by _____, a religious orientation
a. Evil is caused by outside spirits (pleasing good
spirits is important to health).

A

Shinto

30
Q

Asians
Japanese:
a. Japanese (and other Asian) females may be open to
talking with a female healthcare provider, but not a
_____.

A

male

31
Q

Asians
b. Japanese esteem drug safety more than
effectiveness
• i) May explain the usual belief and practice of
using ______ doses of medication and resultant
fewer reported side effects

A

lower

32
Q

Asians
Chinese:
a. Health is a result of forces that rule the world: ____ (cold) and _____ (hot).

A

Yin (C)

yang (H)

33
Q

Asians
i) Cold illnesses (diarrhea) are treated with ____ herbs
and food.

A

hot

34
Q

Asians
ii) Hot illnesses (hypertension) are treated with
______ herbs and foods.

A

cold

35
Q

Asians
iii) Illness may be diagnosed by pulses and color
and/or texture of the ______.

A

tongue

36
Q

Asians
b. Traditional Chinese medicine may pose that one can remove not only the cause of symptoms for an underlying disorder, but ______ remove the disease state, as Well.

A

permanently

37
Q

Asians
______:
a. Subscribe to yin and yang.

A

Filipinos

38
Q

Asians
b. God’s will and ______ forces determine illness as
a punishment for violations.

A

supernatural

39
Q

Asians

c. Amulets and religious medals may be worn as a shield from ______ or as a good-luck charm.

A

witchcraft

40
Q

Asians
• i) Often use American medicine for acute illnesses
and surgery and fall back to ____ medicinal
practices to treat long-term conditions.

A

Chinese

41
Q

Native Americans
1. The term “_____” in the Native American community denotes a position of leadership, based on experience, spirituality, and community service, rather than on chronological age.

A

elder

42
Q

Native Americans

a. Many tribes consider ___ years of age and older as qualifying as an “elder.”

A

50

43
Q

Native Americans
In some tribes and/or nations, causes of illness may be considered an “______” between the spiritual, mental, physical, and social interactions of the individual and his family or clan.

A

imbalance

44
Q

Native Americans
Must consider the spiritual aspect of an _______, since healing is considered sacred work in many Native American traditions

A

individual

45
Q

Native Americans
Many contemporary Native Americans use “____ ____ ____” to treat “caucasian man’s diseases” such as diabetes, cancer, and cholelithiasis.

A

caucasian man’s medicine

46
Q

Use “____ _____ medicine” to treat what are considered “Native American problems” such as:
a. Pain
b. Disturbed family relationships resulting in physical symptoms:
• i) Mental illness
• ii) Alcoholism

A

Native American

47
Q

Caucasians

Generally viewed as ______ to pain while other cultures accept pain as a part of life

A

intolerant

48
Q

Caucasians

Perceive eye contact as communicating interest and ______

A

honesty

49
Q

Caucasians

Most hold high _______ that disease will be cured and/or managed through powerful medications.

A

expectations

50
Q

Caucasians
Strong family ties: Historically; ____ are viewed as the dominant force and/or decisionmaker.
Strong religious ties

A

males

51
Q

Increasing number of Caucasians using:

a. Alternative sources of ______
b. Herbal therapies

A

healthcare

52
Q

Caucasians
Most believe and expect that a ________ is a necessary component when seeking care in the doctor’s or practitioner’s office.

A

prescription

53
Q

Caucasians

a. Religious ______ and rituals are often used to prevent illness and heal.

A

medals

Primary (44 decks)

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