Understanding Transcu

Question 1

It is influenced in part by his clutural background.

Answer 1

PATIENT’S BEHAVIOR

Question 2

Certain attributes and attitudes are associated with particular cultural,

Answer 2

NOT ALL PEOPLE FROM THE SAME CULTURAL BACKGROUND SHARE THE SAME BEHAVIORS AND VIEWS

Question 3

When caring for a patient from a culture from your own, you need to …

Answer 3

Be aware of and respect his cultural preferences and beliefs

Question 4

When caring for a patient from a culture from your own, you need to be aware of and respect his cultural preferences and beliefs ; otherwise,

Answer 4

he may consider you insensitive and indifferent, possibly even incompetent

Question 5

The best way to do this is to view each patient as an individual and to find out his cultural preferences:

Answer 5

A. Space and distance
B. Eye contact
C. Time and punctuality
D. Touch
E. Communication
F. Holidays
G. Diet
H. Biologic variations
I. Environmental variations

Question 6

It is also a culturally determined behavior. Although most nurses are taught to maintain eye contact when speaking with patients, people from some cultural backgrounds may prefer you don’t.

Answer 6

EYE CONTACT

Question 7

They may stare at the floor during conversations. That’s a cultural behavior conveying respect, and it shows that he’s paying close attention to you

Answer 7

AMERICAN INDIAN

Question 8

They may maintain downcast eyes in deference to someone’s age, sex, social position, economic status, or position of authority.

Answer 8

HISPANIC PATIENT

Question 9

Attitudes about time vary widely among cultures and can be a barrier to effective communication between nurses and patients. Concepts of time and punctuality are culturally determined, as is the concept of waiting.

Answer 9

TIME AND PUNCTUALITY

Question 10

They measure the passing and duration of time using clocks and watches. For most health care providers in our culture, time and promptness are extremely important.

Answer 10

U.S Culture

Question 11

The meaning people associate with touching is culturally determined to a great degree.

Answer 11

TOUCHINNG

Question 12

People tend to regard the space immediately around them as an extension of themselves. The amount of space they prefer between themselves and others to feel comfortable is a culturally determined phenomenon.

Answer 12

SPACE AND DISTANCE

Question 13

male health care providers may be prohibited from touching or examining certain parts of the female body; similarly, females may be prohibited from caring for males.

Answer 13

HISPANIC AND ARAB CULTURES

Question 13

The meaning people associate with touching is culturally determined to a great degree.

Answer 13

TOUCH

Question 14

Always consider a patient’s culturally defined sense of modesty when giving nursing care.

Answer 14

TOUCH

Question 15

Jewish and Islamic women believe that modesty requires covering their head, arms, and legs with clothing. Respect their tradition and help them remain covered while in your care.

Answer 15

TOUCH

Question 16

In some aspects of care, the perspectives of health care providers, patients, and families may be in conflict. One example is the issue of informed consent and full disclosure.

Answer 16

COMMUNICATION

Question 17

For example, you may feel that each patient has the right to full disclosure about his disease and prognosis and advocate that he be informed. But his family, coming from another culture may believe they’re responsible for protecting and sparing him from knowledge about a serious illness.

Answer 17

COMMUNICATION

Question 18

People from all cultures celebrate civil and religious holidays. Get familiar with major holidays for the cultural groups your facility serves. You can find out more about various celebrations from religious organizations, hospital chaplains, and patients themselves.

Answer 18

HOLIDAYS

Question 18

The cultural meanings associated with food vary widely.

Answer 18

DIET

Question 19

For example, sharing meals may be associated with solidifying social or business ties, celebrating life events, expressing appreciation, recognizing accomplishment, expressing wealth or social status, and validating social, cultural, or religious ceremonial functions.

Answer 19

DIET

Question 20

Culture determines which foods are served and when, the number and frequency of meals, who eats with whom, and who gets the choicest portions

Answer 20

DIET

Question 21

Culture also determines how foods are prepared and served, how they’re eaten (with chopsticks, fingers, or forks), and where people shop for their favorite food.

Answer 21

DIET

Question 22

Religious pratices may include

Answer 22

1. Fasting
2. Abstaining from selected foods at particular times
3. Avoid certain medications

Question 23

All meats, Animal shortenings

Answer 23

Hinduism

Question 24

Pork Alcoholic products and beverages Animal shortenings Gelatin made with pork, marshmallow, and other confections made with gelatin

Answer 24

Islam

Question 25

Pork Certain seafood, including shellfish

Answer 25

Seventh-Day Adventism

Question 26

Pork Shellfish and scavenger fish (shrimp, crab, lobster). Fish with fins and scales are permissible. Mixing milk and meat dishes at same meal Blood by ingestion (blood sausage, raw meat); blood by transfusion is acceptable.

Answer 26

Judaism

Question 27

Alcohol,Tobacco

Answer 27

Mormonism

Question 29

Along with psychosocial adaptations, you also need to consider culture’s physiologic impact on how patients respond to treatment, particularly medications. Data have been collected for many years regarding different effects some medications have on persons of diverse ethnic or cultural origins.

Answer 29

BIOLOGICAL VARIATIONS

Question 30

Culturally competent medication administration requires you to consider ethnicity and related factors—including values and beliefs about herbal supplements, dietary intake, and genetic factors that can affect how effective a treatment is and how well patients adhere to the treatment plan.

Answer 30

BIOLOGICAL VARIATIONS

Question 31

Various cultural groups have wide-ranging beliefs about man’s relationship with the environment. A patient’s attitude toward his treatment and prognosis is influenced by whether he generally believes that man has some control over events or whether he’s more fatalistic and believes that chance and luck determine what will happen.

Answer 31

ENVIRONMENTAL VARIATIONS

Question 32

They tend to be more fatalistic about nature, health, and death, feeling that they can’t control these things. Patients who believe that they can’t do much to improve their health through their actions may need more teaching and reinforcement about how diet and medications can affect their health.

Answer 32

ENVIRONMENTALVARIATIONS (HISPANIC PATIENTS)