WG Ch. 7 / 21 Flashcards

1
Q

Alcohol intake

A

o Ability to acquire and prepare food
o Social interactions
o General functional assessment

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2
Q

Because abuse or violence have
become more common, all patients
should be asked
these questions:

A

Have you been physically injured by
someone in your home over the
last year?
o Are you fearful of anyone you have
had a relationship with?
o Do you feel safe?

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3
Q

In the past 2 months has your drinking cause any problems?

A

o Risk of harm.
o Relationship trouble.
o Role failure.
o Run-ins with the law.

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4
Q

Commonly abused drugs include

A

o Marijuana.
o Cocaine.
o Opiates.
o Barbiturates.
o Amphetamines.
o Hallucinogenic agents.

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5
Q

Screening Questions

A

o Have you been physically injured
(hit, kicked, punched) by someone
in your home in the last year? If
so, describe.
o Many women are victims of
domestic violence. Do you feel safe
in your current relationship with
your husband or
significant other?
o Are you afraid of an individual with
whom you have previously had a
relationship?

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6
Q

Passive mistreatment:

A

 Food.
 Medications.
 Medical treatment.
 Personal care.

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7
Q

Active mistreatment:

A

o Held deliberately for malicious reasons.
o Considered abuse.

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8
Q

Cultural patterns

A

Socially transmitted customs, beliefs, values, etc.

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9
Q

Acculturation

A

How immigrants learn and choose to adapt to the behavior and norms of a new culture.

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10
Q

Assimilation

A

Gradual process of adopting behaviors, customs, and values of a mainstream culture.

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11
Q

Cultural diversity

A

Social variations between cultural groups.

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12
Q

Cultural Variation

A

Each cultural group develops shared stories, values, and beliefs, and practices which are shaped by their history and geography.

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13
Q

immigrants acquire a cultural identity through

A

Two-step interpersonal process; person transitions from adhering to traditional cultural beliefs and values in a country of origin toward full adoption of the values and beliefs of culture.

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14
Q

Culture related terms

A

Worldview and health disparities.

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15
Q

Cultural determinants of health

A
  • Poverty, racism and mistrust.
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16
Q

Ethnicity and Related concepts

A

Ethnicity
Ethnocentrism
Cultural relativism
Intercultural communication
Language
High-context versus low-context communication style

17
Q

Health Disparities

A

Healthy People 2020 defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities are a major health issue globally, and nationally.

18
Q

Cultural Competence

A

set of cultural behaviors and attitudes integrated into the practice methods of a system, agency, or professionals that enables them to work effectively in cross cultural situations

19
Q

Cultural Competence points

A

Cultural humility
Cultural sensitivity
Need for cultural competence
Patient safety
Health disparities

20
Q

Cultural humility

A

defined process of openness, self awareness, being egoless, and incorporating self reflection and critique after willingly interacting diverse individuals.

21
Q

Working with language barriers

A

Validation
Use of interpreters
Time orientation
Communication principles

22
Q

The LEARN acronym helps patient teaching and coaching

A

Listen carefully
Explain
Acknowlegde cultural differences
Recommend
Negotiate to agree

23
Q

Purnell’s Model

A

Macro-level view
Domains used as a framework for understanding individual differences allows for a comprehensive cultural assessment leading to a culturally congruent, individualized, patient-centered approach to patient care

24
Q

Szalay’s Process Model of Intercultural Communication

A

Interactive process
Factors that influence meaning and interpretation
Bridging intercultural communication differences

25
Q

Madeleine Leigninger’s Theory of Culture Care

A

Care as the essence of nursing
Care as basic to wellbeing, health, and facing death
Culture care
Culture care reconstructing