Chapter 2 Flashcards
Exam 1
What is the first social institution a person knows, which influences your values, norms, and expected behaviors?
family
Example of family structures
*Nuclear with extended family
*Single parent family
*Blended family
*Cohabitational families
*Foster or adoptive families
*Same gender families
a husband, wife, and children PLUS extended family- grandparents, aunts, uncles, or cousins living together
Nuclear with extended family structure
one adult who is divorced, separated, or widowed living with a child or children
Single parent family structure
which one or more parents bring into the union children from a previous relationship
Blended family structure
couples living without the legal bonds of marriage with or without children
Cohabitational family structure
those who take responsibility for children who were not born to them; this may include children from another country or of another cultural, ethnic, or racial group
Foster or Adoptive family structure
include two adults of the same sex living together, some with children; new family formations are emerging, including those who identify as LGBTQ+ orientation
Same gender family structure
High Risk family face what issues?
*living below the poverty level
*living with chronic food insecurities
*single adolescent parent
*unanticipated stressors: ill child, child with special needs
*lifestyle problems: alcoholism, substance abuse, family violence, mental health problems
What is the nurse’s responsibility when carting for a high risk families?
to refer these situations to Social Services; mandatory reporter (elderly, children and special needs adults)
A nurse should take the opportunity to learn about the uniqueness of each person they care for and what else?
about their culture beliefs (especially practices surrounding childbirth)
Ask questions that respect patient’s what?
cultural differences and traditional health practices
In childbearing, “Culture” may include what types of patients?
patients who have been sexually abused, patient who lives in poverty, have low literacy level, identify as LGBTQ+, and have a disability
Since a nurse does not know what they will encounter when they walk into the patient’s room, a nurse should be what?
be flexible, respectful, and have an openness to their communication
the ability to recognize one’s limitations in knowledge and cultural perspective and be open to new perspectives
unbiased care/ competent cultural care
What shapes someone’s worldview about health, illness, and healthcare?
a person’s culture and life experiences
Culturally competent care is what kind of process?
dynamic, lifelong learning process
Examples of barriers to culturally competent care
*linguistic and sociocultural differences *socioeconomic barriers, including lack of health insurance (medical terminology), lack of health knowledge
*reluctance to question health care providers
*ethnic barriers: touch, eye contact, modesty, decision-making, men vs women roles
*spiritual/ religious barriers
*foods
*western vs eastern medicine
What influences the “meaning of giving birth”?
culture
What influences pain-related behaviors and desire for pain management during labor?
culture
This influences women’s behaviors during labor…
culture
Cultural awareness matters in…
pregnancy
ACOG told physicians that their approach to patient’s behavior and beliefs can affect patient communication how?
negatively
C of CULTURE
Consider your own cultural biases and how these affect your nursing care
