Mod 4

Question 1

American Values (6)

Answer 1

1) personal control of environment
2) Individualism
3) independence
4) privacy
5) competition
6) free enterprise

Question 2

Culture is ______(5)

Answer 2

learned
integrated
shared
tacit
dynamic

Question 3

What does it mean to be culturally competent?

Answer 3

understand the cultures of communities you serve

Question 4

How to overcome ethnocentrism

Answer 4

Recognize and challenge negativity.

Question 5

Cultural Refusal

Answer 5

cultural destructiveness

project superiority (attitude, policy, practices destructive to other groups)

“if you want to work at my store, speak english”

Question 6

Cultural Resistence

Answer 6

cultural incapacity

Lack of resources to meet needs of other cultures.

Use dominant population as standard for care.

Question 7

Neutrality

Answer 7

Cultural blindness

treating all the same

disregarding norms

Question 8

CulturalAdjustment

Answer 8

cultural pre-competence

aware of strengths/weakenesses

Question 9

Cultural Incoporation

Answer 9

cultural competence/proficiency

seek/incorporate advice to understand culture as much as possible

Question 10

Cultural safety

Answer 10

power differentials, decision making

Question 11

How do you manage health problems in diverse populations? (4)

Answer 11

1) health promotion
2) deliver/finance health service
3) develop professionals from minority groups
4) promote research on minority health issues

Question 12

Community focused strategies

Answer 12

community partners, participation, spaces, network

breast cancer screening education to native hawaiian women through local church

Question 13

Culturally focused strategies

Answer 13

inclusion of target groups values, spirituality, activities

smudge ceremonies led by spiritual leaders prior to and following health clinic events

Question 14

Language focused strategies

Answer 14

intervention in native language, simple words

using translators

Question 15

SES vulnerability

Answer 15

below poverty level
unemployed
income
no diploma

Question 16

household/disability vulnerability

Answer 16

65+
17 or younger
disability
single parent

Question 17

Minority status/;language vulnerability

Answer 17

minority
speaks english less than well

Question 18

housing/transportation vulnerability

Answer 18

multi-unit
mobile home
crowding
no vehicle
group quarters

Question 19

culture-bond syndromes

Answer 19

going against one’s culture (or striving for perfection within the culture)

Question 20

vulnerable population

Answer 20

lack of resources increase risk factors and reduces ability to avoid illness

Question 21

Societal resourse avaliability

Answer 21

personal income, jobs, education, housing, health insurance, social status, social connection

Question 22

environmental resource availability

Answer 22

health care access and quality

Question 23

health status

Answer 23

increased exposure to risk factors = higher morbidity and mortality

Question 24

Who is vulnerable?

Answer 24

those treated poorly by dominant culture also having the limited access to resources that create disparity

Question 25

Six principles of solution based nursing

Answer 25

1) The person,is your focus when providing care. 2) Strengths 3) Resilience 4) Move beyond an individual focus to examine unjust societal and cultural forces, and actively work toward to alter these. 5) help clients adapt/grow. 6) proactive, approach is needed.

Question 26

Rural population vulnerability

Answer 26

long travel to hospital higher smoking, poverty rates less physical activity less likely to have health insurance/wear seatbelts

Question 27

Unintentional injury is __% higher in urban counties

Answer 27

50%

Question 28

How to help rural populations?

Answer 28

home health/telehealth services encourage completion of HS travel clinics/prevention services hope and direction on healthy behaviors

Question 29

Immigrants and migrant worker risks

Answer 29

lower mortality rates -higher rate of chemical/physical/biohazards -language/cultural barriers - UTI -animal bites -mental health issues

Question 30

How to help immigrant/migrate workers

Answer 30

advocate for safer work environment diversify health office ensure privacy rights AREA RESOURCES

Question 31

Homeless vulnerability

Answer 31

2-4x higher death rate ~ 51y/o VETERANS at risk Factors - poverty, affordable health care, low wages, domestic violence, mental illness, addictions, natural disasters

Question 32

How to locate homesless

Answer 32

period prevalence (number of individuals who did not have housing at any point over the past six months) OVER point-in-time counts (people homeless in any one given time)

Question 33

Helping homeless

Answer 33

housing IS HEALTHCARE provide mental health/addiction service reach out EARLY CHILDHOOD DEVELOPMENT

Question 34

Inmate vulnerability

Answer 34

risk for mental illness, poverty, cruelty and neglect

Question 35

How to help inmates

Answer 35

rehabilitate vs incarcerate advocate for services treat with respect

Question 36

Income inequity vulnerability

Answer 36

poverty/isolation (homeless person/SANE victim) or (refugees/migrant workers) nurses reach populations to promote health and help social mobility