T1: Implementing Culturally Sensitive, Appropriate Care (CH 3)

Question 1

Older adults are becoming increasingly diverse in terms of __ and __.

Answer 1

race & ethnicity

Question 2

Increasing numbers of __ & __ older adults in the US population.

Answer 2

Hispanic

Black

Question 3

Understanding of cultural and ethnic differences helps get rid of __ and __

Answer 3

stereotypes & biases

Question 4

_ __ can affect communication

Answer 4

Language barriers

Question 5

Nurses should know one’s own __ and __ toward various ethnic/racial groups

Answer 5

attitude and beliefs

Question 6

14% of US population is __

Answer 6

black

Question 7

__ __ adults represent 8.4% of the population

Answer 7

Older black

Question 8

__ life expectancies (due to lack os resources) until seventh decade, which then they were equal to whites.

Answer 8

Lower

Question 9

High commitment to family and aging relatives means:

Answer 9

you will find a lot of individuals in this race caring for their elderly

Question 10

Lower standard of living and less access to health care can result in:

Answer 10

Lower life expectancies until seventh decade, which is then equal to whites

Question 11

___ health problems accumulated over lifetime

Answer 11

More

Question 12

May hold unconventional beliefs related to __ and __.

Answer 12

health and illness

Question 13

Black Americans look to __ for decision making and care versus formal health service agencies

Answer 13

family

Question 14

Black Americans are ___ while interacting with health care providers and utilizing health services

Answer 14

cautious

Question 15

Some diverse subgroups possess unique __ and __

Answer 15

customs and beliefs

Question 16

Black skin color– differences in assessment:

Answer 16

• Examine nail beds, palms, soles, gums, and under tongue
• Absence of red tone or glow can indicate pallor
• Petechiae: check conjunctiva, abdomen, and buccal mucose

Question 17

Prevalent health problems for Black Americans:

Answer 17

Hypertension, heart disease, cancer, diabetes, and HIV/AIDS

Question 18

___ need for education and counseling in lifestyle for B.A’s.

Answer 18

Increased

Question 19

More than 10 million, 4% of the population of the United States

Answer 19

Asian Americans

Question 20

Chinese medicine based on “__ and __”

Answer 20

Yin and Yang

Question 21

Use of senses for assessing medical problems (touch, hear, and smell) – what race?

Answer 21

Chinese Americans

Question 22

Like Chinese, lower unemployment rate; higher percentage of professionals

Answer 22

Japanese

Question 23

Most live in California & Hawaii

Answer 23

Japanese

Question 24

Japanese expect __ will care for elders.

Answer 24

families

Question 25

__ Faith: strong sense of identity and shared beliefs.

Answer 25

Jewish

Question 26

Immigration from various nations: different customs and cultures

Answer 26

Jewish

Question 27

Scholarship important: 60% attend college

Answer 27

Jewish

Question 28

Religious traditions for Jewish: sundown Friday to sundown Saturday is ___

Answer 28

Sabbath

Question 29

Jewish; | What is a Kosher diet?

Answer 29

- exclusion of pork and shellfish | - prohibit milk and meat at same meal or from same dishes

Question 30

Population is steadily increasing: more than 500 tribes, nations, and villages

Answer 30

Native Americans

Question 31

Highest population: Arizona, Oklahoma, California, New Mexico, and Alaska

Answer 31

Native Americans

Question 32

Native American health beliefs: A person’s state of health may be linked to __ or __ forces or to punishment for their acts.

Answer 32

good or evil

Question 33

Cancer survival is the lowest for these individuals of any population in the United States

Answer 33

Native Americans

Question 34

Certain rituals may be practiced at death, such as members of the religious group washing the body and sitting with it until burial. Autopsy is usually opposed.

Answer 34

Jewish

Question 35

An understanding of cultural, ethnic, and sexual orientation differences can help to erase the __ and __ that can interfere with effective care

Answer 35

stereotypes and biases

Question 36

To essentially give culturally competent care, nurses need to understand: - ___ of persons with similar ethnic/racial background - Beliefs, values, traditions, and ___ of various ethnic and racial groups - Unique health-related ___, experiences, and risks - One’s own __ and beliefs toward various ethnic/racial groups - __ __ affecting communication

Answer 36

``` Experiences practices needs attitude Language barriers ```

Question 37

Hispanics believe that illness results when one has violated good practices of living or is being punished by __.

Answer 37

God

Question 38

__ ___ a diverse group comprised of individuals from countries such as China, Japan, the Philippines, Korea, Vietnam, and Cambodia.

Answer 38

Asian Americans

Question 39

Largest populations reside in San Francisco, New York, Los Angeles, Honolulu, and Chicago.

Answer 39

Chinese Americans

Question 40

What is yin? | What is yang?

Answer 40

- the female negative energy that protects the inner body | - the male positive energy that protects the body from external forces.

Question 41

___ people have used the senses for assessing medical problems (touching, listening to sounds, and detecting odors) rather than machinery or invasive procedures.

Answer 41

Chinese

Question 42

Herbs, acupuncture, acupressure, and other treatment modalities, which are just being recognized by the Western world, continue to be treatments of choice for many ___ individuals.

Answer 42

Chinese

Question 43

In Chinese culture, achieving old age is a blessing, and older adults are held in high __.

Answer 43

esteem

Question 44

Japanese Americans have preserved many of their ___.

Answer 44

traditions

Question 45

What are some other asian groups?

Answer 45

- filipino - korean - vietnam - cambodia

Question 46

What are some similarities between the other asian groups and Asian Americans?

Answer 46

Strong family networks and expect the family to care of older adults.

Question 47

The Indian Health Service, a division of the United States Public Health Service, provides free, universal access to health care to __ __ who reside on reservations.

Answer 47

American Indians

Question 48

Native American culture emphasizes a strong reverence for the Great __.

Answer 48

Creator

Question 49

Various __ __ tribes may have specific rituals that are performed at death, such as burying certain personal possessions with the individual.

Answer 49

Native American

Question 50

Their is a growing awareness and acceptance of _____ persons in society as a whole.

Answer 50

gay, lesbian, bisexual, and transgender (LGBT)

Question 51

Despite the growing awareness and acceptance of (LGBT) persons, there has been minimal consideration of the __ and __ of these individuals when they reach late life.

Answer 51

challenges and needs

Question 52

LGBT people are referred to as a largely __ population.

Answer 52

invisible

Question 53

LGBT are fearful of :

Answer 53

rejection and neglect by caregivers, not being accepted by other residents, forced to hide sexual orientation

Question 54

Nurses need to appreciate that the LGBT elder population represents unique individuals with different experiences, profiles, and __.

Answer 54

needs

Question 55

All cultures have unique histories, beliefs, and __.

Answer 55

practices

Question 56

Nurses need to have respect for __.

Answer 56

diversity

Question 57

Dietary preferences should be __, adaptations made for special __, and unique ways of managing __ understood.

Answer 57

accommodated practices illness

Question 58

Nurses need to ensure that cultural, religious, and sexual orientation differences of older adults are understood, appreciated, and ___.

Answer 58

respected

Question 59

Cultural ___ honors older adults’ history and preserves the familiar and what is important to them.

Answer 59

sensitivity

Question 60

Do not allow loss of ethnic or cultural __.

Answer 60

importance