culturally appropriate assessments Flashcards
(26 cards)
culture
is the accepted patterns of knowledge, beliefs ,attitudes and behaviours by which a group of people live. It is the shared history. Traditions , values, attitudes, goals and practices that characterise a group
how does culture influence people?
- A person’s cultural background shapes and guides every aspect of their life, the way they understand health and ill health and how they view and relate to other people
society
a large group of people who are connected by way of proximity, politics, the economy, social status, social networks or some other shared interest
subculture
the smaller discrete groups of people located within larger cultural groups- where they share common attitudes and values
impact of culture & subcultures on HPs
- The culture the HP is from will form part of the way they view their work- it is important to recognise the influences and how they will affect their work
- Cultural influences will shape the way other people relate to the health professional
- Culture/sub will affect the way people understand mental health and illness- acceptance of diagnosis, recommended interventions, family support, how they recover
how does culture influence mh?
- The different ways in which cultural groups understand or perceive mental illness
- Different perceptions can lead to stigmatisation and distress to people with a mental illness
- Mental illness was viewed as ‘madness’ and ‘insanity’ which lead to exclusion and disempowerment
- Views of mental illness is not fixed or universal, rather it changes on the location and time period
migrants
choose to leave their country of origin
May settle easily but feel homesick
Difference in language, culture, beliefs
refugees
Forced to leave their home due to fear of persecution for their race, religion, membership of a particular social group or political opinion
Some settle easily some struggle
Difference in language, culture, beliefs
Trauma can lead to depression, anxiety & PTSD
the society that prioritises the self and independence is known as?
a) collectivism
b) individualism
b
collectivism has which of the following characteristics?
a. uniqueness is encouraged
b. collaboration
c. a persons attributes forms their identity
d. doing what is best for everyone
b & d
cultural proficiency
When a health professional becomes an advanced practitioner as well as a life-long learner in the area of culturally appropriate healthcare
cultural competence
when awareness, knowledge and sensitivity are integrated into practice
approaches to ensuring proper mh treatment with different cultures
- Involving an interpreter, when required
- Providing appropriate info & education to the individual, their family and sometimes their community
- Focus on personal interactions & the therapeutic relationship
Question text
A client who identifies as indigenous presents to an emergency department following an attempted suicide. The nurse’s priority is:
a. send the client home to his mob.
b.
refer for ongoing care to an Indigenous health professional.
c. place the client in a high security section.
d. undertake a thorough assessment of the client’s health status.
d
A lack of knowledge and understanding can generate feelings of:
a. insensitivity.
b.
boredom.
c. empowerment.
d. anxiety and fear.
d
The key to improving the social and emotional wellbeing of indigenous peoples is:
a. funding social and emotional programs.
b. diagnosis and treatment of diseases.
c. building their own communities.
d. upholding human rights.
d
A client from Bosnia has been brought to the acute mental health unit for assessment following erratic behaviour at a local tavern. The health professional is having difficulty in communicating with the client who speaks fluently in his own language, not English. The health professional should:
a. get a written brochure for the client to read.
b. seek the services of an interpreter.
c. recommend he be sent back to Bosnia.
d. get a family member to interpret the questions.
b
A health professional that realises that people from different cultural backgrounds have different cultural expectations of the way health care should be delivered, has an understanding of? Select one: a. Transcultural approach. b. Burden of disease. c. Whole-of-life view. d. Cultural discourse.
a
Many refugees who have witnessed or experienced torture or other significant trauma may develop as a result of the trauma which of the following except:
a. post-traumatic stress disorder.
b. depression.
c. schizophrenia.
d. anxiety.
c
It is suggested that there are five broad discourses that frame the mental health and wellbeing of Indigenous peoples. These include all of the following except: a. strong extended family. b. fear, shame and stigma. c. cultural and spiritual. d. financial barriers.
d
Empowering communities to plan for themselves, according to their own needs and cultural interests enables: Select one: a. autonomy on decisions. b. cultural enlightenment. c. self-determination. d. cost shifts.
c
Rural and remote people are less likely to seek out mental health care because of all of the following except:
Select one:
a. the invisible nature of mental health issues.
b. lack of anonymity in small communities.
c. the stigma associated with mental health.
d. less availability and access to services.
a
cultural formulation interview
• Semi-structured, 16 Qs
• Helpful when
o Significant difference between clinician and client (in culture, religion, SES)
o Uncertainty between symptoms and diagnostic criteria
o Difficulty in judging symptom severity or impairment
o Disagreement on care plan
o Issues with treatment engagement or adherence
how do indigenous people’s view of health differ from that of non-indigenous?
emphasis on Social and Emotional Wellbeing
o State of wellbeing achieved through the balancing of mind, body, emotions, spirit, culture and the environment
the idea of self is holistic and includes family and community
