Chapter 2: culture ppt

Question 1

culture

Answer 1

the characteristics, knowledge, behavior, and beliefs of a particular group of people, encompassing language, religion, social habits, values, and other factors that are acquired through deep rooted socialization.

Question 2

cultural competence

Answer 2

able to function effectively within the cultural context of beliefs, behaviors, and needs of the person or community being served.

Question 3

cultural awareness

Answer 3

the skills of developing sensitivity to and awareness of the beliefs, values, and behaviors of members of a group different from your own

Question 4

cultural sensitivity

Answer 4

displaying culturally appropriate behaviors

Question 5

race

Answer 5

genetic physical characteristics that are similar among members of a group

Question 6

ethnicity

Answer 6

one’s membership in one or more ethnic groups, including commitment to that group’s cultural customs and rituals

Question 7

stereotyping

Answer 7

making assumptions about an individual based on the group you think he or she belongs to

Question 8

beyond race and ethnicity

Answer 8

Gay, lesbian, bisexual, and transgender pts with unique health concerns and healthcare needs
- visual, hearing, or mobility impaired patients with unique needs and concerns

Question 9

diversity

Answer 9

how humans vary according to several factors such as race, age, gender, veteran status, disability, religion, ethnicity, socioeconomic status, education, sexual orientation, nationality, and physical characteristics
- exists among those seeking care and those providing care

Question 10

quality care includes communicating…

Answer 10

in a respectful and culturally sensitive manner with patients and their families by seeking and giving feedback, and by listening and observing

Question 11

health literacy

Answer 11

the degree to which individuals have the capacity to obtain, process, and understand basic health information and services

Question 12

trained medical interpreter

Answer 12

used when communicating with a patient who does not speak the nurse’s language

Question 13

quality can be measured by

Answer 13

• effectiveness of care
• timeliness of care
• patient safety
• patient centeredness
• care coordination
• access to care

Question 14

healthcare disparities

Answer 14

the difference in access or availability of healthcare facilities and services, and the variation in rates of disease and disabilities that occur among different groups within a population

Question 15

disparities are associated with the following

Answer 15

• limited English proficiency
• race and ethnicity
• lack of health insurance

Question 16

social determinates of health

Answer 16

• community resources
• social support
• exposure to crime or violence
• public safety
• residential segregation
• concentrated poverty
• mass media
• technology exposure

Question 17

physical conditions

Answer 17

• natural and built environment
• exposure to toxic substances
• other hazards

Question 18

worldview

Answer 18

one’s philosophy or conception of the world

Question 19

understanding another’s worldview helps to develop the following

Answer 19

• effective listening and communication skills
• openness and appreciation of differences
• awareness of biases that hinder the process of care

Question 20

factors affecting worldview

Answer 20

social, environmental, economic, political, migrational

Question 21

social worldview

Answer 21

family’s cultural beliefs, traditions, practices, and rituals

Question 22

environmental worldview

Answer 22

food and water, air quality, residential utilities, noise, toxic waste, endemic diseases, living conditions, safety, recreation

Question 23

economic worldview

Answer 23

financial resources, health insurance, health care availability and access, actions when health care is not available

Question 24

political worldview

Answer 24

policies, availability, payment, ease of healthcare system navigation, levels of healthcare coverage, community programs

Question 25

migrational worldview

Answer 25

conditions of migration, pre existing health status compared to present time, age at the time of migration, living conditions upon arrival, exposure to diseases or hazardous materials, illnesses, treatment during illness

Question 26

culturally appropriate assessment requires the following

Answer 26

• excellent communication skills
• establish therapeutic relationship
• mutual respect and trust

Question 27

culturally appropriate assessment

Answer 27

considers the social, economic, physical, environmental, and political factors that might be relevant to the care of the patient

Question 28

influencers of behavioral responses

Answer 28

• illness
• patient and family system stress
• cultural approach to illness, prevention, and curative approaches

Question 29

National Standards for Culturally and Linguistically Appropriate Services in Health Care (CLAS)

Answer 29

• 15 national standards put by the US Dept of Health and Human Services Office of Minority Health in 2018
• created to advance health equity by providing structure and a framework to best serve culturally diverse communities
• address culturally competent care, language access services, and organizational supports for cultural competence
• the use of a qualified medical interpreter with consideration of gender preference is essential to meeting the CLAS standards

Question 30

considerations for culturally appropriate assessment

Answer 30

• biocultural variations: such as physical characteristics
• illness and disease trajectories
• responses to interventions, treatments, and medications
• socio environmental context
• do not stereotype a patient based upon your beliefs about his or her culture

Question 31

therapeutic communication: working with a trained medical interpreter

Answer 31

• consider your pts gender preference
• can be in person, via telephone, or video chat
• provide the interpreter an overview of the planned discussion
• speak directly to the pt
• watch pts response
• use short sentences
• anticipate the interpreter to ask the nurse to slow down or repeat words
• encourage the medical interpreter to ask questions to clarify before interpreting to the pt

Question 32

therapeutic communication: evidence based practice

Answer 32

• avoids harm and ensures patient safety
• many healthcare facilities and libraries provide internet access that can be used o research organizations with the best evidence and practices for healthcare professionals