intro to culture and health ch. 2 and 3

Question 1

Move away from culture of origin immersing into dominant society

Answer 1

assimilated *healthy

Question 2

immerse in both ethnic and dominant society

Answer 2

integrated *healthy

Question 3

not accepted by culture of origin or dominant society

Answer 3

marginal *difficult/not healthy

Question 4

withdraw from dominant society and are immersed in ethnic society

Answer 4

separated individuals *not most healthy

Question 5

Environmental exposure
minority neighborhoods
genetics
lifestyle
social circumstances
medical care

Answer 5

Causes of Health Disparities in the US

Question 6

Access to health-enhancing resources
Access to health care
Ability to live in healthier neighborhoods
Ability to afford healthier food

Answer 6

higher Socio-economic status (SES) affects

Question 7

Civil Rights Act of 1964
The Hill-Burton Act amendment, Community Service Assurance under Title IV of the U.S.
Public Health Service Act

Answer 7

Legal protection for minorities
prohibits federally funded programs to discriminate

Question 8

Culturally and Linguistically Appropriate
Services

Intended to advance health equity, improve quality, and help eliminate health care
disparities by providing a blueprint for individuals and health and health care organizations
to implement culturally and linguistically appropriate services.

Answer 8

CLAS

Question 9

OMH

Answer 9

Office of Minority Health

Question 10

Standards or codes of behavior expected by the group to which the individual belongs

Answer 10

Ethics

Question 11

Personal character and what the individual believes is right and wrong conduct

Answer 11

Morality

Question 12

blood, phlegm. black bile, yellow bile

Answer 12

Humoral pathology - 4 important fluids

Question 13

Illness believed to be caused by the intentional intervention of supernatural beings (witch, ancestor), causing the sick person’s illness as a result of karma, bad behavior

Answer 13

Personalistic theory

Question 14

disturbed natural equilibrium.
when the body is balanced w/ natural environment = state of good health
body is off balance with environment = illness

Answer 14

Naturalistic (Latin America and Asia)

Question 15

illness identified and cured using scientific evidence

cause is physiological in nature

Answer 15

biomedical

Question 16

the theory of curing an illness involves discovering the complexion imbalance and rectifying.
ex: hot injury or illness must be treated with a cold remedy and vice versa.

Answer 16

Humoral Pathology

Question 17

the humoral theory is now the _______

Answer 17

germ theory
new concepts, rules and classifications

Question 18

illness caused by energy imbalance

Answer 18

Ayurvedic
used in India

Question 19

five elements : earth, air, water, fire and space

Answer 19

principles of Ayurveda (doshas)

Question 20

breathing exercises, rubbing skin w/ herbal oil, meditation, yoga, mantras, massage and herbs
- energetic ways to balance the chakras

Answer 20

Healing using Ayurveda system

Question 21

the concept that an imbalance in vital energies cause disease

Answer 21

Vitalistic - vitalistic system
China south asia and southeast Asia

Question 22

vital forces within the body flow in harmony = good health

flow of energy is disrupted and therapeutic measures (ex: acupuncture) are aimed to restore energy flow = bad health

Answer 22

Vitalistic belief system

Question 23

based on the mechanical / machine view of the body.
When machine breaks, illness occurs
scientific approach

Answer 23

Biomedical medicine / allopathic medicine
(Western medicine)

Question 24

purposed that microorganisms are the cause of many diseases

Answer 24

germ theory

Question 25

doctors of medicine, doctors of osteopathic medicine (and other health professionals)

Answer 25

Allopathic physicians

Question 26

an approach to maintaining and resuming health that tames the body, mind and spiritual being into consideration (reiki, prayer, herbal remedies, massage)

Answer 26

Holistic medicine

Question 27

occurs when an individual or organization has the ability to function effectively within the cultural context of beliefs, behaviors and needs of the patients or community is serves - respectful and sensitive to cultural differences working with multiple cultured clients

Answer 27

cultural competence

Question 28

the process of conducting a self examination of ones own biases towards other cultures and an in-depth exploration of ones cultural and professional background

Answer 28

cultural awareness

Question 29

the process in which the health care professional seeks and obtains a sound info base regarding the worldviews of different cultural and ethnic groups as wells as biological variations, diseases and health conditions and variations in drug metabolism found among ethnic groups

Answer 29

cultural knowledge

Question 30

the ability to conduct a cultural assessment to collect relevant cultural data regarding the client's presenting problem as well as accurately conducting a culturally based physical assessment

Answer 30

cultural skill

Question 31

the process that encourages the health care professional to directly engage in face-to-face cultural interactions and other types of encounters w/ clients from diverse backgrounds to modify existing beliefs about a group to prevent possible stereotyping

Answer 31

cultural encounter

Question 32

the motivation of the health care professional to "want to" rather than "have to" engage in the process of becoming culturally aware, knowledgeable, skillful and seek encounters

Answer 32

cultural desire

Question 33

cultural desire cultural awareness cultural encounter cultural skill cultural knowledge

Answer 33

josepha campinha-bacote model for cultural competence

Question 34

Purnell Model for Cultural Competence

Answer 34

Four rings: global society community family person

Question 35

developed by Madeleine Leininger represents a culture care theory knowing and understanding different cultures, providing meaningful and efficacious nursing care services

Answer 35

sunrise model

Question 36

the _______ model is useful with making cultural evaluations of patients providing a systemic approach to identifying values, beliefs behaviors and community customers

Answer 36

sunrise model