Unit 2 Cultural Implications Chapter 5 Flashcards
Eye contact ( Cultural implications)
Eye contact
United States
Eye contact is associated with attentiveness, politeness, respect, honesty, and self-confidence.
Other World view
Eye contact may be avoided as a sign of rudeness, arrogance, challenge, or sexual interest.
Touch (Cultural implications
United Staes:
Moderate touch indicates personal warmth and conveys caring
Other word view:
Touch norms vary.
Low-touch cultures—Touch may be considered a
sexual gesture or taboo between men and women High-touch cultures—People touch one another
frequently and may link arms or hold hands
Personal Space (Cultural implications
United States:
Intimate space: 0–1.5 ft
Personal space: 1.5–4 ft
In a personal conversation, if a person enters into the
intimate space of the other, the person is perceived as aggressive, overbearing, and offensive. If a person stays more distant than expected, the person is perceived as aloof.
Other world view:
Personal space is closer or more distant than in US culture.
When closer is the norm, standing very close may indicates acceptance of the other.
Facial expressions and gestures (Cultural implication)
United States:
A nod means “yes.”
Smiling and nodding means “I agree.”
Thumbs up means “good job.”
Rolling one’s eyes while another is talking is an insult
Other World View:
Raising eyebrows or rolling the head from side to side means “yes.”
Smiling and nodding means “I respect you.” Thumbs up may be a negative gesture. Pointing one’s foot at another may be an insult.
Populations at Risk for mental illness
Immigrants
Language barriers
Role changes
Acculturation
Assimilation
Refugees
Immigrants – flee homeland
Entry into new culture – against will vs active
choice
Stress r/t adjusting to new environment
Trauma
Cultural Minorities
Frequent victims of bias, discrimination and
racism
Eastern Culture(FAMILY CENTERED)
Family is the starting point
for identity (group decision
making)
* Freedom may be more
restricted
* More conservative and
traditional
* Disease is caused by a lack of balance in energy forces (e.g., yin-yang, hot-cold); imbalance between daily routine, diet, and constitutional type
* Time is circular –
reincarnation
* May express emotions in a
more subtle way(not as expressive of sadness or loneliness , or pain)
Western Culture(SELF CENTERED-SCIENCE)
- [ ] Self is starting point for identity (Individuality)
- [ ] *Disease has a cause (pathogen) and creates and effect (disease)
- [ ] *Ethics of rights – based on individuals rights
- [ ] *TIME is linear – stops for no one(FUTURE THINKING)
- [ ] *Express emotions openly and directly
-Disease has a cause (e.g., pathogen, toxin) that creates the effect; disease can be observed and measured
-Wisdom: preparation for the future
Indigenous Culture(COMMUNITY CENTERED -FAMILY)
- [ ] Community is the starting point for identity
- [ ] *Deep relationship with nature
- [ ] TIME IS FOCUSED ON PRESENT
- [ ] *Mind-Body-Spirit (united
-Disease is caused by a lack of personal, interpersonal, environmental, or spiritual harmony; thoughts and words can shape reality; evil spirits exist
-Wisdom: knowledge of nature
Time-PRESENT
“may want to use natural medication that processed medication”
Your patient has recently suffered a gunshot wound. The patient is eager to be discharged due to his responsibility of running his multimillion dollar company. Which part of the cultures is the man exhibiting?
A.Eastern
B. Western
C. Indigenous
D.South American
B. Western
Time is linear – stops for no one
Your patient is newly diagnosed with sickle cell anemia . The patient try’s her best to explain the etiology of this condition from a western perspective . Which of the following responses are associated with the culture of the western world view?
A.”i this disease because my shakras aren’t balanced”
B. I have this disease because I am not operating as one in my mind and body
C. I have this disease because my cells are crescent shaped, I am at risk for stroke.
D. I have this disease because In my next life I will be reincarnated as this disease
Answer: C. I have this disease because my cells are crescent shaped, I am at risk for stroke.
Western:Science (Culture
Disease has a cause (pathogen) and creates and effect (disease)
Which of the following cultures at the highest risk for mental illness?
A. White American single mother
B. African American family raised in a traditional family
C. Irish adolescent who is autistic
D. Immigrant family who left her 2 year old child in her home country for a better life.
D. Immigrant family who left her 2 year old child in her home country for a better life.
Immigrants (especially refugees) and minority groups, who may suffer from the effects of low socioeconomic status, including poverty and discrimination, are at particular risk for mental illness.
Factors of Cultural Competence
Cultural competence consists of five constructs:
*cultural awareness,
*cultural knowledge,
*cultural encounters,
*cultural skill, and
*cultural desire.
- Which statement indicates the beliefs and values that tend to be representative of a member of an Indigenous cul- ture? Select all that apply.
a. “I’ve reinforced the importance of taking medications
at the time they are prescribed.”
b. “The patient believes that illness is a result of being out
of harmony with nature.”
c. “Spending money on medicine for his diabetes is not a
comfortable concept for my patient.”
d. “The patient refuses treatment.”
e. “We discussed the patient’s needs regarding warding off
evil spirits before her surgery.”
A,
B, C, E
- When one is considering culturally competent care for a
Muslim patient diagnosed with cardiac problems, which intervention is particularly important initially when a low-fat diet is prescribed?
a. Requesting a dietary consult
b. Identifying dietary considerations(food considerations)
c. Explaining the importance of a low-fat diet
d. Including the family in conversation about food prepa-
ration
b. Identifying dietary considerations
Ling has a nursing diagnosis of risk for violence. Ling’s
Eastern culture family is having difficulty coping with the illness because of their beliefs. A favorable therapeutic modality for this patient might include
a. outpatient therapy.
b. family therapy.
c. long-term inpatient care. d. assimilation therapy.
b. family therapy.
