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NCLEX-RN (1) Fundamentals > Culture & Religion > Flashcards

Flashcards in Culture & Religion Deck (27)
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1
Q

Define:

Culture

A

It is shared values, beliefs and attitudes.

2
Q

Define:

Acculturation

A

A process in which an individual adopts, acquires, and adjusts to a new cultural environment.

3
Q

What is a basic way to assess for cultural or religious differences in a client?

A

Ask the client if there are any practices or food preferences to be aware of.

These preferences can alter a client’s health outcomes and should be incorporated whenever possible.

4
Q

If a cultural practice seems strange, how should the nurse respond?

A

Allow the client to continue the practice as long as it doesn’t cause harm.

5
Q

What is cupping therapy?

A

An ancient form of alternative medicine in which a therapist puts special cups on the skin for a few minutes to create suction.

Clients get it for many purposes, including to help with pain, inflammation, blood flow, relaxation and well-being, and as a type of deep-tissue massage.

6
Q

When a client nods yes, does it always mean yes?

A

Nodding yes may NOT always mean yes.

7
Q

What is typical appropriate eye contact and physical closeness when speaking with clients?

A

Most clients don’t like constant eye contact or getting too close to them during conversations.

Be sure to look away at times and stand at least a few feet away from client.

8
Q

Regardless of ethnic background, what non-infectious diseases are clients most at risk for when living in North America?

A
  • hypertension
  • heart disease (myocardial infarction)
  • CVA (cerebral vascular accident)
  • cancer
  • diabetes mellitus
  • obesity
  • Alzheimer’s
  • kidney failure

The SAD (standard American diet) diet is high in saturated fat and a sedentary lifestyle is more common in North America that can contribute to some of these diseases.

9
Q

Regardless of ethnic background, what infectious diseases are clients most at risk for when living in North America?

A
  • STIs
  • influenza
  • herpes
  • pneumonia
  • hepatitis C
  • COVID-19
10
Q

What substances are frequently prohibited in many religions?

A

Alcohol and Smoking.

11
Q

What should be done if a client does not speak the same language as the HCP or nurse?

A

With language barriers:

  • get an interpreter
  • provide written instructions in the client’s language
12
Q

What is done if the client refuses to be cared for by someone of the opposite sex?

A

Try to accommodate the client and get a same sex caretaker.

13
Q

Is it OK to use humor when communicating with clients, especially those of a different background?

A

Avoid using humor since it can be misunderstood as disrespectful.

14
Q

What is the “evil eye”?

A

A cultural belief that staring at a client can cause a curse or sickness.

15
Q

What are some religious considerations for Jehovah’s Witness?

A
  • may refuse blood transfusions or blood products
  • donated organs must be washed with a non-blood substance before being used
15
Q

What are some religious considerations for Islam?

A
  • many are Arab American
  • Allah is the name of God
  • may face Mecca to pray (west or southwest)
  • fast during Ramadan (fast during the day, but will break fast with dates and eat after sundown)
    • kids and menstruating or breastfeeding women don’t fast
16
Q

What are the religious considerations for Jewish or Judaism?

A
  • Rabbi is the religious leader for the Synagogue and may need approval before organ donation
  • is a religion and ethnic group
  • food is Kosher (fit to eat)
  • can’t eat meat and milk together
  • no pork or shellfish
  • fish is OK to eat
  • don’t touch their food, plate or utensils
  • embalming and cremation is forbidden
17
Q

What are some religious considerations for Hinduism?

A
  • many people from India are Hindus
  • many are vegetarians
  • never eat beef
  • use cremation
18
Q

What are some religious considerations for Buddhism?

A
  • many people from Asia are Buddhist
  • Buddha is the spiritual leader
  • may request a monk
19
Q

What is a transgender person?

A

Someone whose gender identity is different from the gender they were thought to be at birth.

Use the pronoun that the transgender person identifies with: he, she or they.

20
Q

Define:

Palliative care

A

Relief of symptoms throughout the entire course of an illness; and is appropriate for any age and any diagnosis.

21
Q

What are some examples of conditions that would use palliative care?

A
  • skin comfort for chronic eczema
  • diet changes for cardiomyopathy
22
Q

Define:

Hospice care

A

Managing a client’s pain and discomfort for those that have less than 6 months to live.

23
Q

What are some examples of conditions that would use hospice care?

A
  • stage IV colon cancer with metastatis
  • end stage heart failure no longer able to be managed with meds
  • end stage renal failure no longer on dialysis
24
Q

What is a healthcare disparity?

A

When there is a difference in access to healthcare due to being associated with a certain group. This difference causes the client to receive inadequate services.

25
Q

Which groups have higher levels of healthcare disparities?

A
  • minorities
  • uninsured
  • living in poverty
  • homeless
  • disabilities
  • immigrants
  • refugees
  • limited English
  • incarcerated
  • LGBTQIA (lesbian, gay, bisexual, transgender, queer, intersexual, asexual)

Provide a welcoming, nonjudgmental enviroment in order to provide adequate health care services.

26
Q

Which socioeconomic group is more likely to engage in risky health behaviors?

A

Low socioeconimic status is more likely to engage in risky health behaviors such as unprotected sex and smoking.

When working in a low income area, assess for these types of behaviors in order to provide support and teaching.