Module 10 -Culture

Question 1

What sort of cultural trends are we seeing in the US?

Answer 1

Increase in bigger families, older families, more hispanic and asians in the population

Decrease in traditional families

Question 2

Cultural Diversity

Answer 2

Coexistence of different ethnic, biologic sex, and social economic groups in a social unit (Age, size, occupational status, etc)

Question 3

What is important to giving high quality healthcare?

Answer 3

Cultural Respect

Question 4

What are some aspects of cultural diversity?

Answer 4

Varying cultures

Racial and ethnic origin

Religion

Physical size, age, and gender

Sexual orientation

Disability

Socioeconomic and occupational status

Geographical location

Question 5

Culture

Answer 5

Shared systems of beliefs, values, and behavioral expectations that provide social structures of daily living

Question 6

What does culture define?

Answer 6

roles and interactions with others and in families and communities

Question 7

How is culture apparent?

Answer 7

In the attitudes and institutions unique to the culture

Question 8

Subculture

Answer 8

Large group of people who are members of a larger cultural group

Members have certain ethnic, occupational, or physical characteristics not common to the larger culture

ex: Educators and Learners at BU, Decker college is a subculture interest

Question 9

What groups make up society?

Answer 9

Dominant Group and Minority Group

Question 10

Dominant Group

Answer 10

(usually the largest group)

Has the most authority to control values and sanctions of society

ex: Parents

Question 11

Minority Group

Answer 11

(The smaller group)

A physical or cultural characteristic identifies the people as different from dominant group

Ex: Teenagers

Question 12

Cultural Assimilation (Acculturation)

Answer 12

Minorities living within a dominant group lose the characteristics that made them different

Values replaced by those of dominant culture

Question 13

Cultural Shock

Answer 13

The feelings a person experiences when placed in a different culture

May result in psychological discomfort or disturbances

Question 14

Ethnicity

Answer 14

Sense of Identification with a collective cultural group

largely based on groups common heritage

One can belong to an ethnic group through birth or adoption of characteristics of that group

Groups share unique cultural and social beliefs and behavior patterns

largely develops through day to day life withy family and friends within the community

Question 15

Race

Answer 15

Typically based on specific characteristics like ski pigmentation, body stature, facial features, hair texture

Question 16

5 Major Categories of Race

Answer 16

American indian or Alaska Native

Asian

Black or African American

Native hawaiin or other pacific islander

White (caucasian, anglo-american)

Question 17

Stereotyping

Answer 17

The assumption that all members of a culture or ethnic group acts alike

May be positive or negative

Question 18

What is included in negative stereotyping?

Answer 18

Racism

Ageism

Sexism

Question 19

Cultural imposition

Answer 19

Belief that everyone should conform to the majority belief system

Question 20

Cultural Blindness

Answer 20

Ignores differences and proceeds as if they did not exist

Question 21

Culture Conflict

Answer 21

people become aware of differences and feel threatened

response-ridiculing beliefs and traditions of others to make themselves feel more secure

Question 22

Etnocentrism

Answer 22

Stay Away From this!!!

Belief that ones ideas, beliefs, and practices are the best or superior or are most preferred to those of others

Question 23

Cultural influences on health care?

Answer 23

Physiologic variations

Reactions to pain

Mental health

Gender roles

Language and communication

Orientation to space and time

Food and nutrition

Family support

Socioeconomic factors

Question 24

What is important to consider regarding pain and culturally competent nursing care?

Answer 24

Recognize that each person hold various beliefs about pain and that pain is what the patient says it is

Respect the patient’s right to respond to pain in one’s own fashion

Never stereotype a patient’s response to pain based on the patient’s culture

Be sensitive to nonverbal signals of discomfort, such as holding or applying pressure to the painful area or avoiding activities that intensify the pain

Question 25

The Culture of Poverty

Answer 25

Major Healthcare barrier:

Feeling of despair, resignation, and fatalism

Day-to-day attitude toward life; no hope for future

Unemployment and need for financial or government aid

Unstable family structure; possible characterized by abusiveness and abandonment

Decline in self-respect and retreat from community involvement

Question 26

Elements of Cultural Competence

Answer 26

Developing self-awareness

Demonstrating knowledge and understanding of a patient’s culture
Accepting and respecting cultural differences

Not assuming that the health care provider’s beliefs and values are the same as the client’s

Resisting judgmental attitudes such as “different is not as good”

Being open to and comfortable with cultural encounters

Accepting responsibility for one’s own cultural competency

Question 27

Factors with big impact on culturally diverse interactions?

Answer 27

Cultural background of each participant

Expectations and beliefs of each person about health care

Cultural context of the encounter

Degree of agreement between the sets of beliefs and values of the two persons

Question 28

Guidelines for Providing Culturally Competent Nursing Care

Answer 28

Develop cultural self-awareness

Develop cultural knowledge

Accommodate cultural practices in health care

Respect culturally based family roles

Avoid mandating change

Seek cultural assistance

Question 29

Areas a nurse needs to understand when performing a cultural assessment

Answer 29

Beliefs, values, traditions and practices of a culture

Culturally defined, health-related needs of individuals, families, and communities

Culturally based belief systems of the etiology of illness and disease and those related to health and healing

Attitude toward seeking help from health care providers