Mod 4 Flashcards

1
Q

American Values (6)

A

1) personal control of environment
2) Individualism
3) independence
4) privacy
5) competition
6) free enterprise

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2
Q

Culture is ______(5)

A

learned
integrated
shared
tacit
dynamic

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3
Q

What does it mean to be culturally competent?

A

understand the cultures of communities you serve

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4
Q

How to overcome ethnocentrism

A

Recognize and challenge negativity.

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5
Q

Cultural Refusal

A

cultural destructiveness

project superiority (attitude, policy, practices destructive to other groups)

“if you want to work at my store, speak english”

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6
Q

Cultural Resistence

A

cultural incapacity

Lack of resources to meet needs of other cultures.

Use dominant population as standard for care.

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7
Q

Neutrality

A

Cultural blindness

treating all the same

disregarding norms

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8
Q

CulturalAdjustment

A

cultural pre-competence

aware of strengths/weakenesses

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9
Q

Cultural Incoporation

A

cultural competence/proficiency

seek/incorporate advice to understand culture as much as possible

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10
Q

Cultural safety

A

power differentials, decision making

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11
Q

How do you manage health problems in diverse populations? (4)

A

1) health promotion
2) deliver/finance health service
3) develop professionals from minority groups
4) promote research on minority health issues

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12
Q

Community focused strategies

A

community partners, participation, spaces, network

breast cancer screening education to native hawaiian women through local church

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13
Q

Culturally focused strategies

A

inclusion of target groups values, spirituality, activities

smudge ceremonies led by spiritual leaders prior to and following health clinic events

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14
Q

Language focused strategies

A

intervention in native language, simple words

using translators

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15
Q

SES vulnerability

A

below poverty level
unemployed
income
no diploma

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16
Q

household/disability vulnerability

A

65+
17 or younger
disability
single parent

17
Q

Minority status/;language vulnerability

A

minority
speaks english less than well

18
Q

housing/transportation vulnerability

A

multi-unit
mobile home
crowding
no vehicle
group quarters

19
Q

culture-bond syndromes

A

going against one’s culture (or striving for perfection within the culture)

20
Q

vulnerable population

A

lack of resources increase risk factors and reduces ability to avoid illness

21
Q

Societal resourse avaliability

A

personal income, jobs, education, housing, health insurance, social status, social connection

22
Q

environmental resource availability

A

health care access and quality

23
Q

health status

A

increased exposure to risk factors = higher morbidity and mortality

24
Q

Who is vulnerable?

A

those treated poorly by dominant culture also having the limited access to resources that create disparity

25
Q

Six principles of solution based nursing

A

1) The person,is your focus when providing care.
2) Strengths
3) Resilience
4) Move beyond an individual focus to examine unjust societal and cultural forces, and actively work toward to alter these.
5) help clients adapt/grow.
6) proactive, approach is needed.

26
Q

Rural population vulnerability

A

long travel to hospital
higher smoking, poverty rates
less physical activity
less likely to have health insurance/wear seatbelts

27
Q

Unintentional injury is __% higher in urban counties

A

50%

28
Q

How to help rural populations?

A

home health/telehealth services
encourage completion of HS
travel clinics/prevention services
hope and direction on healthy behaviors

29
Q

Immigrants and migrant worker risks

A

lower mortality rates

-higher rate of chemical/physical/biohazards

-language/cultural barriers

  • UTI

-animal bites

-mental health issues

30
Q

How to help immigrant/migrate workers

A

advocate for safer work environment
diversify health office
ensure privacy rights
AREA RESOURCES

31
Q

Homeless vulnerability

A

2-4x higher death rate ~ 51y/o

VETERANS at risk

Factors - poverty, affordable health care, low wages, domestic violence, mental illness, addictions, natural disasters

32
Q

How to locate homesless

A

period prevalence (number of individuals who did not have housing at any point over the past six months)

OVER

point-in-time counts (people homeless in any one given time)

33
Q

Helping homeless

A

housing IS HEALTHCARE
provide mental health/addiction service
reach out
EARLY CHILDHOOD DEVELOPMENT

34
Q

Inmate vulnerability

A

risk for mental illness, poverty, cruelty and neglect

35
Q

How to help inmates

A

rehabilitate vs incarcerate
advocate for services
treat with respect

36
Q

Income inequity vulnerability

A

poverty/isolation (homeless person/SANE victim) or (refugees/migrant workers)

nurses reach populations to promote health and help social mobility