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Fundamentals 2 Pt. 2 > T1: Implementing Culturally Sensitive, Appropriate Care (CH 3) > Flashcards

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

1
Q

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

A

race & ethnicity

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2
Q

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

A

Hispanic

Black

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3
Q

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

A

stereotypes & biases

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4
Q

_ __ can affect communication

A

Language barriers

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5
Q

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

A

attitude and beliefs

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6
Q

14% of US population is __

A

black

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7
Q

__ __ adults represent 8.4% of the population

A

Older black

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8
Q

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

A

Lower

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9
Q

High commitment to family and aging relatives means:

A

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

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10
Q

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

A

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

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11
Q

___ health problems accumulated over lifetime

A

More

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12
Q

May hold unconventional beliefs related to __ and __.

A

health and illness

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13
Q

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

A

family

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14
Q

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

A

cautious

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15
Q

Some diverse subgroups possess unique __ and __

A

customs and beliefs

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16
Q

Black skin color– differences in assessment:

A
  • 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
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17
Q

Prevalent health problems for Black Americans:

A

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

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18
Q

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

A

Increased

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19
Q

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

A

Asian Americans

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20
Q

Chinese medicine based on “__ and __”

A

Yin and Yang

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21
Q

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

A

Chinese Americans

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22
Q

Like Chinese, lower unemployment rate; higher percentage of professionals

A

Japanese

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23
Q

Most live in California & Hawaii

A

Japanese

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24
Q

Japanese expect __ will care for elders.

A

families

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25
Q

__ Faith: strong sense of identity and shared beliefs.

A

Jewish

26
Q

Immigration from various nations: different customs and cultures

A

Jewish

27
Q

Scholarship important: 60% attend college

A

Jewish

28
Q

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

A

Sabbath

29
Q

Jewish;

What is a Kosher diet?

A
  • exclusion of pork and shellfish

- prohibit milk and meat at same meal or from same dishes

30
Q

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

A

Native Americans

31
Q

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

A

Native Americans

32
Q

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

A

good or evil

33
Q

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

A

Native Americans

34
Q

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.

A

Jewish

35
Q

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

A

stereotypes and biases

36
Q

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
A 
Experiences
practices
needs
attitude
Language barriers
37
Q

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

A

God

38
Q

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

A

Asian Americans

39
Q

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

A

Chinese Americans

40
Q

What is yin?

What is yang?

A
  • the female negative energy that protects the inner body

- the male positive energy that protects the body from external forces.

41
Q

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

A

Chinese

42
Q

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.

A

Chinese

43
Q

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

A

esteem

44
Q

Japanese Americans have preserved many of their ___.

A

traditions

45
Q

What are some other asian groups?

A
  • filipino
  • korean
  • vietnam
  • cambodia
46
Q

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

A

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

47
Q

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.

A

American Indians

48
Q

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

A

Creator

49
Q

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

A

Native American

50
Q

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

A

gay, lesbian, bisexual, and transgender (LGBT)

51
Q

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.

A

challenges and needs

52
Q

LGBT people are referred to as a largely __ population.

A

invisible

53
Q

LGBT are fearful of :

A

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

54
Q

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

A

needs

55
Q

All cultures have unique histories, beliefs, and __.

A

practices

56
Q

Nurses need to have respect for __.

A

diversity

57
Q

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

A

accommodated
practices
illness

58
Q

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

A

respected

59
Q

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

A

sensitivity

60
Q

Do not allow loss of ethnic or cultural __.

A

importance

Fundamentals 2 Pt. 2 (26 decks)

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