HIN 269 5 Flashcards
The 1965 amendment of the _____ and _____ act changed the quota system that discriminated against people from southern and Eastern Europe
Immigration and nationality act
There are __ categories of foreign born people
4
First category is legal immigrants aka ___ ___ residents
Lawful permanent residents
Legal immigrants are not ___ but they are allowed to live and work here
Citizens
The second category of foreign born people is the group that comes here under special circumstances to avoid persecution
Refugees
Refugees may receive ___ immediately
Benefits like food stamps
Another category of foreign born people are __ ___ who are here for a limited time and for a specific purpose
Non immigrants
Like students
Another category is ___ ____ who are only legible for emergency service, immunization, treatment of communicable disease, and school lunch
Unauthorized immigrants
Immigrants contribute ____ in taxes then they use in services
More
The Children’s Health Program ____ Act of 2009 eliminates the 5 year waiting period for kids and pregnant women to get coverage
Reauthorization
Set of beliefs, values, and assumptions about life that is widely held among a group of people and is transmitted across generation s
Culture
Primarily a social classification that relies on physical markers such as skin color to identify groups
Race
Shared feeling of people hood among a group
Ethnicity
Orlandi’s 3 stages in development of cultural competence
Culturally incompetent
Culturally sensitive
Culturally competent
Each of those 3 stages has three dimensions
Cognitive
Affective
Psychomotor
Burcham’s six attributes
Cultural awareness Knowledge Understanding Sensitivity Interaction Skill
The self examination and in depth exploration of ones own beliefs as they influence behavior
Cultural awareness
Information about organizational elements of diverse cultures and ethnic groups
Cultural knowledge
The effective integration of cultural awareness and cultural knowledge to obtain relevant cultural data and meet the needs of culturally diverse clients
Cultural skill
Process that permits nurses to seek opportunities to have cross cultural interactions
Cultural encounter
The nurses intrinsic motivation to provide culturally competent care
Cultural desire
Leininger has three modes of action that can guide nurses in providing culturally competent care
Cultural preservation
Cultural accommodation
Cultural repatterning
Means that the nurse supports and facilitates the use of scientifically supported cultural practices from a persons culture along with those from the biomedical health care system
Cultural preservation
Examples are accupuncture
Means the nurse supports the clients use of cultural practices when such cultural practices are not harmful to clients
Cultural accommodation
Means the nurse works with clients to change their cultural patterns when harmful to them
Cultural repatterning
Advocating and negotiating between the clients culture and the biomedical healthcare world
Cultural brokering
Attributing certain beliefs and behaviors about a group to a individual without giving adequate attention to individual differences
Stereotyping
Having a deeply held reaction, often negative, about another group or person
Prejudice
A form of prejudice that refers to the belief that people who are born into a certain group are inferior
Racism
A type of cultural prejudice at the population level, which is the belief that ones own group determines the standards for all groups
Ethnocentrism
A tendency to ignore all differences among cultures
Cultural blindness
The process of imposing ones own values on others
Cultural imposition
A perceived threat that can come from a misunderstanding when cultures don’t understand each other
Cultural conflict
A systematic way to identify beliefs, behaviors of people while considering their history and environment
Cultural nursing assessment
Although not all cultures are the same, all cultures have the same ____ ___
Organizing factors
Primary prevention example related to cultural differences
Provide health teaching about a balanced diets and exercise
Secondary prevention example related to cultural differences
Teach clients to monitor blood pressure.
Tertiary prevention example related to cultural differences
If blood pressure can’t be controlled by diet change, refer to a doctor for medication
Refers to the way in which a cultural group structures itself around the family to carry out role functions
Social organization
Regrets to the relationship between humans and environment
Environmental control
Physical difference between races
Biological variations
Review: the four modes of action for culturally competent care
Cultural preservation
Cultural accommodation
Cultural repatterning
Cultural brokering
