Week 5 Global & Cultural Awareness

Question 1

Public Health System

Answer 1

Seeks to ensure that the health of the community is protected, promoted, and ensured

Question 2

Public Health System is mandated

Answer 2

Is mandated through laws that are developed at the national, state, or local level

Question 3

Public Health System is organized

Answer 3

Is organized into multiple levels comprising the federal, state, and local systems

Question 4

Example of Federal level

Answer 4

US Department of Health and Human Services

Question 5

Example of State level

Answer 5

State board of nursing & State health departments

Question 6

Example of local

Answer 6

Local health departments - Dallas County Health Department

Question 7

Health for all in the 21st century

Answer 7

Foundation for Healthy People (currently, now) 2030

Question 8

Factors to consider when providing health care for immigrants

Answer 8

When working with immigrant populations, consider how your own background, beliefs, and knowledge may be significantly different from those of the people receiving care.

Question 9

Culture

Answer 9

• How health care information is processed, received, and distributed
• How rights and protections are exercised
• What is considered to be a health problem
• How symptoms and concerns of the problem are expressed
• Who provides treatment for the problem
• What type of treatment should be given

Question 10

Race

Answer 10

• Biologic variation within a population
• Genetic physical markers (e.g., skin color, physical features, blood groupings)
• Race differences
• Growth and development, skin color, enzymatic differences, susceptibility to disease, and laboratory test findings
• Same race may be of different cultures

Question 11

Cultural Diversity

Answer 11

Refers to the degree of variation that is represented among populations based on lifestyle, ethnicity, race, interest, across the place, and place of origin across time
Also includes the awareness of the presence of differences among the members of a social group or unit

Question 12

Cultural Groups Differences

Answer 12

Communication (verbal and nonverbal)
Space
Social organization
Time perception
Environmental control
Biological variations
Culture and nutrition

Question 13

Cultural Competence

Answer 13

A combination of culturally congruent behaviors, practice attitudes, and polices that allow nurses to work effectively in cross-cultural situations

Question 14

Key reasons Nurses must be culturally competent

Answer 14

The nurse’s culture often differs from that of the client, leading to different understandings of communication, behaviors, and plans for care.
Non-culturally competent care may increase the cost of health care and decrease the opportunity for positive client outcomes.

Question 15

Cultural Awareness

Answer 15

The self-examination and in-depth exploration of one’s own beliefs and values as they influence behavior

Question 16

Cultural Desire

Answer 16

Intrinsic motivation to engage to provide culturally competent care

Question 17

Cultural shock

Answer 17

The feeling of helplessness, discomfort, and disorientation experienced by an individual attempting to understand or effectively adapt to a radically different culture

Question 18

Stereotyping

Answer 18

Ascribing certain beliefs and behaviors about a given racial and ethnic group to an individual without assessing for individual differences

Question 19

Cultural Conflict

Answer 19

nurses are unable to respond appropriately to another individual’s cultural practice because of unfamiliarity with the practice

Question 20

Brokering

Answer 20

advocating, mediating, negotiating and intervening between the client’s culture and medical care on the client’s behalf (e.g. giving blood to a JW client)

Question 21

Repatterning

Answer 21

nurse works with client to help them reorder, change, or modify their cultural practices when they are harmful to them (e.g. certain foods that may be high fat in certain cultural cuisines)

Question 22

Accommodation

Answer 22

nurse supports client’s use of cultural practices in health regimens when they aren’t harmful to them (e.g. use of abdominal binding after childbirth)

Question 23

Preservation

Answer 23

nurse supports & facilitates the use of scientifically supported cultural practices from a person’s culture along with medical interventions (e.g. use of acupuncture for pain)

Question 24

During initial contact with client, nurse asks about the following issues:

Answer 24

Religious preference
Family patterns/structures
Cultural values/traditional remedies
Language & literacy
Food patterns
Health practices/behaviors