Cultural Diversity and Nursing Flashcards

Question

List of questions used to learn about patient’s explanatory model of illness are?

Answer 1

What are the most important results you hope to achieve from the treatment? - What do you fear most about the sickness? treatment? - Who else should be consulted or involved in your care?

Answer 2

guide nurses in their assessment of how culture has influenced their patient’s health beliefs & behaviors

Answer 3

- communication - space - time orientation - social organization - environmental control - biological variations

Answer 4

- Efforts to change subject - Absence of questions - Inappropriate laughter - Non-verbal cues (Nodding head to everything even if they do not understand) - Reply “yes” to everything - Remaining Silent Always Ask! Necessary to 1st determine level of fluency in English (may need interpreter)

Answer 5

``` WORKING WITH INTERPETERS USE GESTURES, PANTOMIMES, POINT TO SELF DO NOT ASK QUESTIONS THAT CAN BE ANSWERED WITH “YES” OR “NO” SPEAK IN LOW MODERATE TONE AVOID MEDICAL JARGON, USE SIMPLE WORDS USE WORDS IN PATIENTS’ LANGUAGE VALIDATE UNDERSTANDING, SUMMARIZE OFTEN BE ORGANIZED, SLOW DOWN, USE PICTURES USE TRANSLATION MATERIALS ASSESS CLIENT’S ABILITY TO READ IN OWN LANGUAGE BEFORE GIVING ENGLISH/FRENCH MATERIALS ```

Answer 6

Try for best choice of interpreter re: barriers of gender, class, region, or tribe ■ Realize interpreter may ‘modify’ what you’ve said to correspond to cultural norms or taboos. ■ Talk directly to individual (not interpreter) ■ Check 1st with interpreter on delicate subjects ■ Check back with interpreter about how much was really understood ■ Even a telephone call to a friend or family member can be useful when trying to ensure that basic information is clearly passed on

Answer 7

Refers to the family unit (nuclear, single-parent, extended. And the social group organizations (religious or ethnic) with which patients & their families may identify with. Countless barriers-unemployment, homelessness, poverty can prevent people from entering the health care system.

Answer 8

understand individual’s family or community context (who’s involved in health care matters, importance of individual vs. collective) How are decisions made? Who needs to be involved in specific discussions (i.e. around diet or treatment plan)? How family as whole affected by person’s illness (i.e. in some cultures can be normal for family to take all responsibility off shoulders of ill person) What broader community structures play part in individual’s daily life? (church, neighborhood organization, club)

Answer 9

patient’s traditional health & illness belief, the practice of folk medicine, & the use of traditional healers

Answer 10

Differences in metabolisms can lead to different therapeutic levels of medication, dietary requirements (lactose intolerance) ■ Differential susceptibility to disease (or morbidity rates) within certain groups - i.e. Sickle cell anemia, PKU, Tay-Sachs, CF, Hypertension, Diabetes

Answer 11

■ Develop awareness of one’s own cultural heritage ■ Become aware of patient’s culture as described by the patient (be genuine & honest about knowledge you lack here) ■ Plan care with patient in way that incorporates patient’s cultural values

Answer 12

“Do you have any cultural practices that may be affected by this hospitalization?” ■“Are there any religious beliefs or customs that we can help you with while you’re in the hospital?”

Answer 13

cultures have different ways of defining pain cultures use home remedies for treatment. always assess patients cultural therapies

Answer 14

■ BLOOD TRANSFUSIONS- Forbidden in Jehovah’s Witness. Ordinarily not used by members of Christian Science ■ ORGAN DONATIONS- Must be discussed with family first in Islam. Forbidden in Jehovah’s Witness. Seek Rabbi consultation in some Judaism sectors. ■ ABORTION- Forbidden in Baha’i, Roman Catholic, Christian Science, Church of Jesus Christ of Latter-day Saints, Islam, Jehovah’s Witness. Therapeutic might be permitted with Rabbinical consultation in Judaism

Cultural Diversity and Nursing Flashcards

(38 cards)