Chapter 4

Question 1

Define cultural competence

Answer 1

refers to the capacity of nurses or health service delivery systems to effectively understand and plan for the needs of a culturally diverse client or group

Question 2

Spector views cultural competence as

Answer 2

a complex combination of knowledge, attitudes, and skills used by the healthcare provider to deliver services that attend to the total context of the clients situation across cultural boundaries.

Question 3

What is a goal of healthy people initiatives is

Answer 3

to eliminate health disparities

Question 4

What is CLAS

Answer 4

culturally and linguistically appropriate standards

Question 5

LEP means

Answer 5

limited English proficiency

Question 6

Define Culture

Answer 6

the nonphysical traits such as values, beliefs, attitudes and customs that are shared by a group of people and passed from one generation to the next

Question 7

Culture is ____ generally within the ___ group, is shared by the majority within the ___ , and changes in response to interactions with events in the external environment

Answer 7

learned within the family group….shared by the majority within the culture

Question 8

What is material culture

Answer 8

objects such as dress, art, utensils, and tools and the ways they are used

Question 9

What is nonmaterial culture

Answer 9

is composed of the verbal and nonverbal language, beliefs, customs, and social structures.

Question 10

Macrocultures are

Answer 10

national, racial, or ethnic groups

Question 11

Microculture is

Answer 11

within macrocultures and are age, gender, or religious affiliation

Question 12

Where does subcultures exsist

Answer 12

within larger cultural groups

Question 13

What are subcultures made of

Answer 13

individuals who have distinct identity based on occupation, membership in a social group or a specific ethnic heritage.

Question 14

4 terms related to culture

Answer 14

race, ethnicity, diversity and assimilation

Question 15

define race

Answer 15

the identification of an individual or group by shared genetic heritage and biologic or physical characteristics

Question 16

define ethnicity

Answer 16

awareness of belonging to a group in which certain characteristics or aspects such as culture and biology differentiate the members of one group from another

Question 17

Shared interest, ethnic heritage, religion, food, politics, or geography and nationality is

Answer 17

ethnicity

Question 18

_____ _____ means that one considers oneself a member of an ethnic group.

Answer 18

internal identification

Question 19

____ ____ means that those outside of the group perceive the person as a group member

Answer 19

external identification

Question 20

Define Ethnocentrism

Answer 20

the tendency to believe that one’s own belief’s, way of life, values, and customs are superior to those of others

Question 21

____ creates that belief that one’s own customs and values are the standard for judging the values, customs, and practices of others

Answer 21

ethnocentrism

Question 22

Define diversity

Answer 22

as the state of being different

Question 23

Characteristics of diversity include:

Answer 23

nationality, race, color, gender, age and religion

Question 24

Define assimilation

Answer 24

refers to the adoption and incorporation of characteristics, customs, and values of the dominant culture by those new to that culture

Question 25

Some factors that affect assimilation

Answer 25

beliefs, language, age, an geography

Question 26

What are some of the ultural phenomena that impact health care

Answer 26

communication, temporal relationships, family patterns, dietary patterns, health beliefs and health practices

Question 27

what is important to note in cultural groups

Answer 27

differences in language, beliefs, values and customs exsit

Question 28

Define verbal communication

Answer 28

spoken and written language

Question 29

Define nonverbal communication

Answer 29

gestures, facial, expressions, and mannerisms that inform others of emotions, feelings, and responses that occur in interactions with others.

Question 30

Examples of nonverbal communication

Answer 30

silence, touch, eye contact, lack of eye contact

Question 31

temporal relationships refer to

Answer 31

an individual or group’s orientation in terms of past, present, or future as well as time orientation.

Question 32

Are there cultural variation in temporal orientation

Answer 32

Yes

Question 33

What are family patterns

Answer 33

the roles and relationships that exist within families

Question 34

What are family patterns

Answer 34

patterns for responsibilities, values, inclusion, and decision making.

Question 35

Roles and responsibilities are often culturally specific in regards to ___ and ___

Answer 35

age and gender

Question 36

What are the topics for cultural assessment?

Answer 36

1. ethnicity 2. communication 3. space 4. social organization 5. time 6. environmental control 7. biologic variations