Unit 11 Flashcards

1
Q

Assigning certain beliefs and behaviors to groups without recognizing individuality

A

stereotyping

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2
Q

Every nurse should practice and every person should receive culturally _____ care.

A

competent

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3
Q

Affiliation resulting from a shared linguistic, racial, or cultural background

A

ethnicity

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4
Q

Being grounded in one’s own culture, but having the skills to be able to work in a multicultural environment

A

transcultural

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5
Q

Believing that one’s own ethnic group, culture, or nation is best

A

Ethnocentric

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6
Q

Incorporates a lifelong commitment to self-evaluation and self-critique, to redressing the power of imbalances in the patient-clinician dynamic, and to developing mutually beneficial and advocacy partnerships with communities on behalf of individuals and defined populations

A

Cultural Humility

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7
Q

Experienced when neutral language, both verbal and nonverbal, is used in a way that reflects sensitivity and appreciation for the diversity of another

A

Cultural Sensitivity

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8
Q

Preconceived, deeply held, usually negative, judgement formed about other groups

A

Prejudice

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9
Q

Profound unequal health issues exist in various populations; these differences are recognized as health _____.

A

disparities

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10
Q

Shared values, beliefs, and practices of a particular group of people that are transmitted from one generation to the next and are identified as patterns that guide thinking and action.

A

Culture

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11
Q

What are some of the population trends in the 21st century?

A

Becoming more racially and ethnically diverse
*Minority Population will become majority in 2044
Growth in the number of older adults
* Long Lifespans
*Double population of Americans 65 Y/O and older expected to double in 2060 52 mil»95 mil

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12
Q

What are the negative affects of people living longer?

A

*Increases development of Chronic illness
*Social Isolation and depression resulting from family and friends passing

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13
Q

Life expectancy is longer for African Americans
TRUE OR FALSE

A

False
Shorter

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14
Q

Marginalized Population-

A

A subgroup of the population that tends to be hidden, overlooked, or on the outer edge.

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15
Q

Examples of a Marginalized populations

A

Lesbian
Gay
Bisexual
Transgender
Older adults
Recent immigrants

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16
Q

Who makes up the largest segment of the work force in healthcare delivery?

A

Nurses

17
Q

Women nurses receive a higher pay than male nurses
TRUE OR FALSE

A

False- Male nurses receive a higher pay

18
Q

The United States has a history of providing the highest quality health care to those with the highest socioeconomic status and the worst health care to those with low socioeconomic status.
TRUE OR FALSE

A

TRUE

19
Q

What are some consequences of economic and social changes in the US?

A

Joblessness
Homelessness
Poverty
Limited access to healthcare insurance and healthcare

20
Q

What are the economic and social change consequences in the US associated with?

A

Stress-related symptoms
Substance abuse
Violence
Crime

21
Q

Who has the highest national rate of poverty?

A

American Indians and Alaska Natives

22
Q

What is the greatest cause of violence and injury in woman 15-24 y/o?

A

Intimate Partner Violence (IPV)

23
Q

What are the ranges of attitude?

A

Hate
Contempt
Tolerance
Respect
Celebration

24
Q

What is the most positive and negative attitude towards culturally diverse groups?

A

Positive- Celebration
Negative- Hate

25
Q

Barriers to mainstream health care include lack of transportation and disrespectful treatment for a group of economically deprived, underserved Russian immigrants living in a remote area accessible only by water transportation. A mobile clinic provides blood pressure screening, minor first aid, and blood glucose checks. This group of individuals is best described as:
A. Marginalized
B. Stereotyped
C. Enculturated
D. Assimilated

A

A is correct because groups of marginalized individuals have limited access to health care or services that are considered essential by society. This group may be bitter or may lack the capacity to help themselves. In some countries, the caste system supports marginalization.
B is incorrect because stereotyping refers to preconceived ideas or the assignment of certain beliefs and behaviors to ethnic or religious groups without recognition of individuality.
C is incorrect because enculturated describes the adaptation of an individual, often from a minority group, to the prevailing cultural patterns in society.
D is incorrect because assimilation is the cultural absorption of a minority group into the main cultural body.

26
Q

What are The AACN five competencies to serve as a framework for integrating cultural content into existing curricular?

A
  1. Apply knowledge of social and cultural factors that affect nursing and healthcare across multiple contexts
  2. Use relevant data sources and best evidence
  3. Promote achievement of safe and quality outcomes of care for diverse populations
  4. Advocate for social justice
  5. Participate in continuous cultural competence development
27
Q

What are the AACN 3 statements in “Diversity, Inclusion, and Equity”?

A
  1. Improve the quality of education
  2. Address pervasive inequities in health care
  3. Enhance the civic readiness and engagement potential of nursing students
28
Q

What is Matched Mentoring

A

Successful strategy for recruiting and retaining minorities. Involves matching same-culture mentors in the same institution

29
Q

What are some responsibilities by Health Care Facilities for cultural care?

A
  1. Provide resources for education and practice
  2. Employ transcultural clinical specialists
  3. Offer continuing education programs about cultural issues
30
Q

What is the culturally and linguistically appropriate health care services (CLAS)? and what are some standards?

A

Health care organizations that receive federal funds
1. Recruit, promote culturally competent staff and allow clients access to this bilingual staff
2. ongoing cultural education
3. Inform of rights to interpreter service and ensure its the appropriate one
4. Ensure that the primary language and race are incorporated in the information system
5. Ongoing self assessment of cultural competence.
Develop procedures with cross-cultural ethical and legal conflicts
6. Annual progress report related to CLAS

31
Q

How did African Americans become nurses?

A

In WW2, the government (Cadet Nurse Corps) set a mechanism into motion to promote additional nurses by financing basic nursing education where 2 black nurses recruited 82 African American nurses. The NACGN took the recruitment of African Americans.

32
Q

What was the first foundation that helped minorities enter nursing school?

A

The Sealantic Fund

33
Q

What organization first published a statement that showed diversity and inclusion were central issues for organizations and institutions?

A

AACN

34
Q

What has happened to make it more essential to deliver culturally competent care?

A

Worldwide shortage of nurses
Global immigration

35
Q

It is essential for nurses to take responsibility to:

A

*Be sensitive and show respect for the differences in beliefs and values of others
*Take responsibility to inquire, learn about, and integrate beliefs of others in professional settings
* Take responsibility to try to change negative and prejudicial behaviors

36
Q

What can be the greatest obstacle in multicultural care?

A

Language barrier

37
Q

What is a cultural self-assessment?

A

First step to becoming culturally sensitive
To identify individual culturally-based attitudes about clients who are from a different culture
Requires self honesty and sincerity

38
Q

What is a cultural client assessment?

A

When you culturally assess the patient it can help to find culturally relevant diagnosis’s.
A major reason for cultural client assessment is because it helps to identify patterns that may assist or interfere with nursing intervention or treatment.

39
Q

What is a cultural client nutrition assessment?

A

For clients who are minorities
Frequency and number of meals, amount and types of food eaten, regularity of food consumption are important factors to consider
Makes it possible to develop therapeutic interventions that do not conflict with there cultural food practices.