exam i: ch5 - cultural implications Flashcards
groups characterized by their own cultural, ethnic, religion, or religious ID which differs from the majority of the population
minority
can be defined biologically, anthropologically, or genetically
race
common heritage and hx + shared worldview for thinking
ethnicity
the shared beliefs, practices, and values that guides group members in a patterned way of thinking and acting that distinguishes it from another group
culture
dev over a long period of time, on a continuum, allows the nurse to tailor the patient’s health care needs to their cultural preferences
cultural competence
what are the 4 constructs of cultural competence (campinha-bacote model)
- cultural awareness
- cultural knowledge
- cultural skill
- cultural desire
when a nurse recognizes enormous impact that culture has on patient’s health values and practices
cultural awareness
helps us understand behaviors that might be misinterpreted, helps to establish rapport and ask the right questions
cultural knowledge
the ability to perform a cultural assessment in a sensitive way
cultural skill
by what year will the US become majority-minority nation?
2045
explain the following about western tradition
- identity through:
- values:
- mind vs body
- disease:
- time:
- what does success mean?
- identity through: individuality
- values: autonomy, independence, self-reliance
- mind vs body: separate
- disease: has a cause, so treat the cause
- time: linear
- what does success mean: prepping for the future
explain the following about eastern tradition
- identity through:
- values:
- mind vs body
- disease:
- time:
- what does success mean?
- identity through: family basis + group decision
- values: duty to comply into fate born into
- mind vs body: one entity
- disease: fluctuations in opposing forces
- time: circular
- what does success mean: wisdom and family
explain the following about indigenous tradition
- identity through:
- values:
- mind vs body
- disease:
- time:
- what does success mean?
- identity through: community
- values: deep relationships with nature
- mind vs body: united with spirit
- disease: lack of harmony with nature
- time: focused on present
- what does success mean: harmony and balance with nature
beliefs and values, embracing that culture
enculturation
belief that YOUR culture is superior
ethnocentrism
what factors can hold respect/disrespect within different cultures?
eye contact, personal space, touch, expressions, gestures
prejudice and judgment that leads to poor quality of care, unfair bias, different perspective of mental illness
stigma
when psychological distress is experienced as physical problems, can lead to misdiagnosis
somatization
list the 7 populations most at risk for stigma/decreased access to mental healthcare
- immigrants
- refugees
- poverty
- LGBTQ community
- elderly population
- homeless population
- incarcerated individuals
the act of learning beliefs/practices of new cultural settings
acculturation
the act of adapting to the lifestyle of the new setting
assimilation
those who leave homeland or forced to flee d/t negative conditions
refugees
which 2 communities are the most at risk for poverty
african americans and latino communities
feelings of unease about maleness/femaleness, uncomfortable with gender assigned to at birth
gender dysphoria
sense of maleness or femaleness (established at least 3yrs old)
gender identity
