Diversity

Question 1

Four basic elements of culture
How is culture symbolic?

Interventions for language barrier

Answer 1

Learned- It is socially transmitted
Integrated- If one part changes, other parts will change
Symbolic-signs, sounds, clothing, tools, customs, beliefs, rituals, language
Shared- People who grow up in a particular culture often have shared values, beliefs, ideals, and expectations.

Always verify understanding.

Question 2

What is enculturation
When does enculturation begin?
How does it occur

Answer 2

process of learning culture
Begins at birth
consciously and unconsciously

Question 3

Social determinants of health (SDOH) are the conditions in the environments where people are ________ that affect a wide range of______ and risks.

Answer 3

born, live, learn, work, play, worship, and age
health, functioning, and quality-of-life outcomes

Question 4

Generalizations are
Nurses should consider that

Answer 4

conclusions from many factors.
differences are invariably present among individuals within cultures

Question 5

Stereotype

Answer 5

generalization about all members of a group
Leads to an unwillingness obtain information about an individual.

Eg. All single parent families are of low income

Question 6

Prejudice
Prejudice results from ethnocentrism which assumes that

Answer 6

• Negative attitude toward an entire category of people, often an ethnic or racial minority
• One’s own culture and way of life represent the norm or are superior to all others

Question 7

Discrimination

Answer 7

treating someone unequally based on a perceived difference

Question 8

Health disparity

Answer 8

higher burden of illness, injury, or mortality

Question 9

Health care disparity

Answer 9

Differences in
* Environment
* Access to, utilization of, and quality of care
* Health status
* Health outcomes.

Question 10

________socially constructed concept that tends to group people by common descent, heredity, or physical characteristics.

Answer 10

Race

Question 11

Racism

Answer 11

race determines a person’s character or ability
One race is superior than another

black patients were less likely than whites to receive analgesia for acu

Question 12

Ethnicity

Answer 12

person’s identification with or membership in a particular racial, national, or cultural group

Question 13

Acculturation
Example of language aculturation

Answer 13

Accepts some aspects of a new culture without loosingng your own.
Eg. Pidgin English

language, technology, food, clothing, music,

Question 14

Assimilation

Answer 14

one cultural group merge with or blend into a second group.

Question 15

________ is the tendency to view one’s own culture as superior and to use one’s own standards and values in judging outsiders

Answer 15

Ethnocentrism

Question 16

Socialization
What are the levels of socialization

Answer 16

the process of learning to behave in a way that is acceptable to society:

Family, school, church, community

Question 17

Describe family
Describe community

Answer 17

basic unit of society in all cultures
Common interest and identity

Question 18

Rituals

Answer 18

formal, stylized, and repetitive actions performed in special places at special times.

Be aware of their beliefs and feelings

support for patients

Question 19

Transcultural nursing

What should nurses do?

Answer 19

Based on the differences and similarities between beliefs and values.

Respect
Incorporate into treatment plans

Be culturally open

Question 20

Cultural competence
Cultural sensitivity

Answer 20

Understand,embrace and operate within the differences.
Recognition and respect differences

Question 21

How does culturally congruent care promote the health and well-being of individual people or groups

Answer 21

It uses uses culturally based knowledge to create sensitive, creative, safe, and meaningful health care experiences.

Question 22

Multidimensional Cultural Competencies

Answer 22

Knowledge, awareness, sensitivity
competence.

Question 23

Balancing multiple cultures

Answer 23

Patient’s
Nurse
Health care delivery system culture

Question 25

Giger and Davidhizar Transcultural Assessment Model

Answer 25

**Communication**- how feelings, ideas, decision-making, and strategies are expressed Environmental Social orientation Space Time Biologic

Question 26

In some Asian cultures, it is considered disrespectful to ________ with individuals of authority because doing so implies equality

Answer 26

Make eye contact

Question 27

Assessments:**Biologic** Skin color

Answer 27

Skin color varies in conditions such as jaundice, pallor, and some rashes In dark people examine buccal mucosa, lips, tongue, nail beds, and palms of the hands

Question 28

Gender in societies

Answer 28

Decision making may be left to men.

Question 29

Time orientation

Answer 29

Past Present Future

Question 30

Past | Examples of groups

Answer 30

traditional approaches to health and healing

Question 31

Present | Examples

Answer 31

Here and now. Dont embrace preventive may not see They dont see the benefit of adhering to medical regimens when they are not symptomatic | African Americans and Hispanics

Question 32

Future | Middle class Americans

Answer 32

Delay immediate gratification if it affects future plans | speak of events in relationship to the future and stick to a schedule of

Question 33

Nutritional needs Islamic or Orthodox Jewish background

Answer 33

role of food in a culture, food rituals, common foods and spices, dietary limitations, and nutritional deficiencies Islam and Jewish- Dont eat pork

Question 34

Galanti: 4 Cs of a Culture

Answer 34

Call Cause Cope Concern

Question 35

Kosher diet

Answer 35

Orthodox and Jewish

Question 36

Jehovah's witness

Answer 36

Blood transfussion

Question 37

Seventh-Day Adventists

Answer 37

Meat Caffeine Alcohol Tobacco

Question 38

What is culture? What is the diference between culture and ethnicity?

Answer 38

customary beliefs, customs, practices and behaviour. Shared genetics, historical and geographic traits.

Question 39

Providing culturally congruent care means providing care that

Answer 39

Fits the patient’s valued life patterns and set of meanings.

Question 40

Lactose intolerance is frequently observed among native North American Indians African Americans

Answer 40

Asians, Africans, and Hispanics TB- living in reservations individuals Hypertension

Question 41

Jewish clients who follow a Kosher diet will avoid Ensure presence of ______Buddhists

Answer 41

meat from carnivores, pork products, and fish without scales or fins Vegetables.

Question 42

collectivistic cultures that value group reliance and interdependence

Answer 42

Asians, Hispanics, and Africans caring behaviors require actively providing physical and psychosocial support for family or community members.

Question 43

LEARN MNEMONIC during cultural assessment.

Answer 43

L Listen to the patient's perspective E Explain and share one's own perspective A Acknowledge differences and similarities between these two perspectives R Recommend a treatment plan N Negotiate a mutually agreed-on treatment plan