Cultural Competency

Question 1

nursing theory

Answer 1

Set of concepts, definitions, relationships, and assumptions or propositions derived from nursing models or from other disciplines
Projects a purposive systematic view of phenomena by designing specific interrelationships among concepts
Developed for the purposes of describing, explaining, predicting, and/or prescribing

Question 2

Bridging nursing theory and practice

Answer 2

o Theory must be developed collaboratively with nurses in practice
o Theory should be seeking to improve nursing practice
o Theory needs to be developed to facilitate standardising nursing practice to achieve quality care

Question 3

Culture

Answer 3

combination of a body of knowledge, a body of belief and a body of behaviour

Question 4

what culture involves

Answer 4

personal identification
language
thoughts 
communications 
actions
customs
beliefs 
values
institutions
all are often specific to ethnic, racial, religious, geographic or social groups
elements influence beliefs and belief systems surrounding health, healing, wellness, illness, disease, and delivery of health services

Question 5

cultural competence

Answer 5

application of knowledge, skills, attitudes or personal attributes required by nurses to maximize respectful relationships with diverse populations of clients and co-workers

Question 6

cultural competence needs to be

Answer 6

an entry-to-practice level competence for registered nurses

Question 7

underlying values of cultural competence

Answer 7

inclusivity 
respect
valuing differences
equity
commitment

Question 8

cultural competence is a component of

Answer 8

quality practice environments that leads to improved health outcomes for clients, nurses and systems and are conducive to safety and quality reflecting cultural diversity

Question 9

cultural safety takes us beyond

Answer 9

awareness and the acknowledgement of difference

Question 10

cultural safety surpasses

Answer 10

cultural sensitivity which recognizes the importance of respecting differences

Question 11

cultural safety helps us to understand

Answer 11

the limitations of cultural competence which focuses on the skills, knowledge, and attitudes of practitioners

Question 12

cultural safety is predicated on

Answer 12

understanding power differentials inherent in health service delivery and redressing those inequities through educational processes

Question 13

care

Answer 13

is to assist others with real or anticipated needs in an effort to improve human condition of concern or to face death

Question 14

caring

Answer 14

is an action or activity directed towards providing care

Question 15

culture

Answer 15

refers to learned, shared and transmitted values, beliefs, norms, and lifeways of a specific individual or group that guide their thinking, decisions, actions, and patterned ways of living

Question 16

cultural care

Answer 16

refers to multiple aspects of culture that influence and enable a person or group to improve their human condition or to deal with illness or death

Question 17

cultural care diversity

Answer 17

refers to the differences in meanings, values, or acceptable modes of care within or between different groups of people

Question 18

cultural care universality

Answer 18

refers to common care or similar meanings that are evident among many cultures

Question 19

nursing

Answer 19

is a learned profession with a disciplined focus on care phenomena

Question 20

worldview

Answer 20

refers to the way people tend to look at the world or universe in creating a personal view of what life is about

Question 21

cultural and social structure dimensions

Answer 21

include factors related to religion, social structure, political/legal concerns, economics, educational patterns, the use of technologies, cultural values, and ethnohistory that influence cultural responses of human beings within a cultural context

Question 22

health

Answer 22

refers to a state of well-being that is culturally defined and valued by a designated culture

Question 23

cultural care preservation or maintenance

Answer 23

refers to nursing care activities that help people of particular cultures to retain and use core cultural care values related to healthcare concerns or conditions

Question 24

cultural care accommodation or negotiation

Answer 24

refers to creative nursing actions that help people of a particular culture adapt to or negotiate with others in the healthcare community in an effort to attain the shared goal of an optimal health outcome for clients of a designated culture

Question 25

cultural care repatterning or restructuring

Answer 25

refers to therapeutic actions taken by culturally competent nurses or family. These actions enable or assist a client to modify personal health behaviours towards beneficial outcomes while respecting the client’s cultural values

Question 26

campinha-bacote model of cultural competence

Answer 26

``` cultural desire cultural awareness cultural knowledge cultural skill cultural encounters ```

Question 27

cultural desire

Answer 27

the motivation of the nurse to want to engage in becoming culturally aware, knowledgeable, and skilled for cultural encounters. Real authentic caring to be flexible and open, to be accepting of differences, to build on similarities, and to learn from others as “cultural informants”

Question 28

cultural awareness

Answer 28

to gain understanding of personal cultural and professional experiences through self-examination and in-depth exploration, to recognize own biases, prejudices and assumptions about other who are different

Question 29

cultural knowledge

Answer 29

to seek and attain appropriate and credible educational learning about diverse cultural and ethnic groups, to gain understanding of different worldviews and perspectives of health and wellness

Question 30

cultural skill

Answer 30

the ability to gather relevant cultural data and to perform accurate cultural physical assessments

Question 31

cultural encounters

Answer 31

to interact and learn from interactions with culturally diverse individuals

Question 32

nurses need to see themselves as becoming culturally competent

Answer 32

rather than being culturally competent

Question 33

cultural competence is not an end result

Answer 33

it is a continuous process of lifelong learning

Question 34

nurses strive to achieve

Answer 34

the ability and availability to work effectively withing the cultural context of the patient

Question 35

cultural competence involves integration of

Answer 35

``` cultural desire cultural awareness cultural knowledge cultural skill cultural encounters ```

Question 36

giger and dividhizar transcultural assessment model

Answer 36

``` developed for nursing students as a framework to assess and provide appropriate care for culturally diverse patients includes 6 factors: communication time space social organization environmental control biological variations ```

Question 37

communication

Answer 37

verbal nonverbal transmission of culture

Question 38

time

Answer 38

past present future orientation

Question 39

space

Answer 39

norms of personal distance

Question 40

social organization

Answer 40

family

Question 41

environmental control

Answer 41

beliefs about internal and external control

Question 42

biological variations

Answer 42

variations in sensitivity to medications

Question 43

developing cultural competence: cultural awareness

Answer 43

self awareness, ethnocentricity, cultural identity, ethnohistory, stereotyping

Question 44

developing cultural competence: cultural knowledge

Answer 44

health beliefs and behaviours, anthropological, socio-political, psychological and biological understanding, similarities and differences, health inequalities

Question 45

developing cultural competence: cultural sensitivity

Answer 45

empathy, trust, interpersonal, communication, skills, acceptance, appropriateness, respect, barriers to cultural sensitivity

Question 46

developing cultural competence: cultural competence

Answer 46

assessment skills, diagnostic skills, clinical skills, changing and addressing prejudice, discrimination and inequalities

Question 47

cultural competency continuum

Answer 47

``` cultural destructiveness cultural incapacity cultural blindness cultural pre-competence cultural competence cultural proficiency ```

Question 48

cultural destructiveness

Answer 48

acknowledges only one way of being and purposefully denies or outlaws any other cultural approaches

Question 49

cultural incapacity

Answer 49

supports the concept of separate but equal; marked by an inability to deal personally with multiple approaches but a willingness to accept their existence elsewhere

Question 50

cultural blindness

Answer 50

fosters an assumption that people are basically alike, so what works with members of one culture should work within all other cultures

Question 51

cultural pre-competence

Answer 51

encourages learning and understanding of new ideas and solutions to improve performance or services

Question 52

cultural competence

Answer 52

involves actively seeking advice and consultation and commitment to incorporating new knowledge and experiences into a wider range of practice

Question 53

cultural proficiency

Answer 53

involves holding cultural differences and diversity in the highest esteem, pro-activity regarding cultural differences, and promotion of improved cultural relations among diverse groups

Question 54

potential causes of cultural conflict

Answer 54

``` ethnocentrism bias and prejudice discrimination stereotyping cultural imposition cultural ignorance lack of understanding of the process and pattern of communication in the group ```