unit 1c

Question 1

involves assessment of the
individual as a whole.

Answer 1

Health assessment

Question 2

The individual is part of a cultural context, a family context, a spiritual context and a community context, all of which affect the client’s health status.

Answer 2

context and health

Question 3

The totality of socially transmissible behavioral patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristic of a population or people that guide their worldview and decision making (Purnell & Paulanka, 2003).

Answer 3

culture

Question 4

composed of people who have a distinct
identity and yet are related to a larger cultural group.

Answer 4

subculture

Question 5

the classification of people according to shared biologic characteristics, genetic markers or features.

Answer 5

race

Question 6

the process where people adapt to or borrow traits from another culture.

Answer 6

acculturation

Question 7

the tendency to impose your beliefs, values, and patterns of behavior on individuals from another culture

Answer 7

Cultural imposition

Question 8

a disorder that occurs in response to transition from one cultural setting to another

Answer 8

culture shock

Question 9

assuming all members of a culture or ethnic group are alike.

Answer 9

stereotyping

Question 10

the tendency to view your own way of culture as the most desirable, acceptable, or best, and to act in a superior manner toward other cultures.

Answer 10

ethnocentrism

Question 11

Characteristics of culture

Answer 11

learned, shared, adapted, universal

Question 12

transmitted from generation to generation; learned through life experiences within one’s culture group.

Answer 12

learned

Question 13

by all members of the group.

Answer 13

shared

Question 14

as environmental circumstances change, the group changes to improve its ability to survive.

Answer 14

adapted

Question 15

all humans have culture

Answer 15

universal

Question 16

are culturally-defined conditions which may have no equivalent from a biomedical/scientific perspective.
examples: panuhot among the Cebuanos, empacho among the Hispanic Americans

Answer 16

CULTURE BOUND SYNDROMES

Question 17

eye contact may be considered disrespectful.

Answer 17

chinese

Question 18

hesitant to ask questions; nodding may not mean
agreement.

Answer 18

chinese

Question 19

the word “no” may be interpreted as disrespect for
others.

Answer 19

chinese

Question 20

touching unacceptable with members of opposite
sex.

Answer 20

chinese

Question 21

respect elders & authority figures.

Answer 21

chinese

Question 22

female clients usually prefer a female care provider.

Answer 22

chinese

Question 23

family involvement in care is preferred.

Answer 23

chinese

Question 24

family involvement in care is preferred.

Answer 24

chinese

Question 25

health beliefs: illness is an imbalance between yin and yang.

Answer 25

chinese

Question 26

cold food

Answer 26

yin

Question 27

hot food

Answer 27

yang

Question 28

tend to be verbally expressive, yet values confidentiality (sensitive to open discussions regarding sex).

Answer 28

HISPANIC AMERICAN

Question 29

believes illness to be caused either by the supernatural, as a punishment from God or as an imbalance between the caliente & frio forces

Answer 29

HISPANIC AMERICAN

Question 30

when ill, first seeks advice from older women in family, then goes to either an “jerbero

Answer 30

HISPANIC AMERICAN

Question 31

specializes in the use of herbs

Answer 31

jerbero

Question 32

holistic healer

Answer 32

curandero/curandera

Question 33

evil eye

Answer 33

mal ojo

Question 34

ball of food

Answer 34

empacho

Question 35

soul loss

Answer 35

susto

Question 36

depressed frontanelle

Answer 36

caida dela mollera

Question 37

menstruation is believed to rid the body of dirty and excess blood.

Answer 37

african american

Question 38

have rich tradition of herbal remedies.

Answer 38

african american

Question 39

(sudden collapse, fainting or blacking out; normal reaction)

Answer 39

falling out

Question 40

similar cultural characteristics with the Chinese.

Answer 40

korean

Question 41

touching someone’s head is considered disrespectful.

Answer 41

korean

Question 42

a mental illness common in married, middle-aged women; triggered by life crises

Answer 42

hwa byung

Question 43

men & women do not shake hands, touch each other or go together in public, unless they are married or belong to same immediate family.

Answer 43

middle eastern

Question 44

physically robust person considered healthy.

Answer 44

MIDDLE EASTERN

Question 45

culture is male-dominated.

Answer 45

MIDDLE EASTERN

Question 46

HC provider should only be of the same sex.

Answer 46

MIDDLE EASTERN

Question 47

culture is highly influenced by Islamic religion

Answer 47

MIDDLE EASTERN

Question 48

apathy & withdrawal believed to be caused by spirit possession

Answer 48

zar

Question 49

need to engage in “small talk” before discussing more serious matters

Answer 49

filipino

Question 50

respect the elderly & people older than you.

Answer 50

filipino

Question 51

sex & socioeconomic status too personal to discuss.

Answer 51

filipino

Question 52

expressing pain or crying is a sign of weakness (esp. among males)

Answer 52

filipino

Question 53

believes that illness may be caused by evil spirits; may see folk/faith healers

Answer 53

filipino

Question 54

culture bound syndromes: ‘panuhot‘, ‘nabuyagan’, ‘pasmo’, ‘kabuhi’, ‘barang’.

Answer 54

filipino

Question 55

Refers to an ability to interact effectively with people of different cultures.

Answer 55

cultural competence

Question 56

a search for meaning & purpose in life, w/c seeks to understand life’s questions in relation to the sacred.

Answer 56

spirituality

Question 57

will help the nurse address client’s spiritual needs to maintain well-being

Answer 57

spiritual assessment

Question 58

informal, non-organized, self-reflection & experienced.

Answer 58

spirituality

Question 59

formal, organized, ritualistic & group-oriented.

Answer 59

religion

Question 60

has different views on health & illness.

Answer 60

religion

Question 61

refers to rituals, practices & experiences involving a search for the sacred (God, Allah) that are shared within a group.

Answer 61

religion

Question 62

prayer & meditation are used for cleansing & healing.

Answer 62

Buddhism

Question 63

death is associated with rebirth into another form (reincarnation).

Answer 63

buddhism

Question 64

many are strict vegetarians.

Answer 64

buddhism

Question 65

illness is a result of past & current life actions (karma).

Answer 65

hinduism

Question 66

the RIGHT hand is seen as holy; thus, eating & interventions needs to be with the RIGHT hand to promote clean healing

Answer 66

hinduism

Question 67

many but not all are vegetarians; NO BEEF.

Answer 67

hinduism

Question 68

Jesus Christ is the savior & miracles can happen through prayers.

Answer 68

Christianity

Question 69

extreme unction for the dying.

Answer 69

Christianity

Question 70

emergency baptism for dying/dead newborns

Answer 70

Christianity

Question 71

PROHIBITS consumption, storage & transfusion of blood

Answer 71

JEHOVAH’S WITNESSES

Question 72

prayer occurs 5 times per day: at dawn/sunrise, noon, afternoon, sunset, & evening.

Answer 72

islam

Question 73

prayers are done facing the EAST on a rug; it is preceded by washing hands & feet.

Answer 73

islam

Question 74

ladies are not to view men other than their husbands, naked

Answer 74

islam

Question 75

all outcomes in life are seen as predetermined by Allah.

Answer 75

islam

Question 76

it is important for dying clients to face EAST & die facing EAST.

Answer 76

islam

Question 77

consumption of pork & alcohol is prohibited.

Answer 77

islam

Question 78

month of fasting; refraining from eating, drinking, having sex & indulging in anything in excess or ill-natured from dawn until sunset

Answer 78

Ramadan

Question 79

restrictions related to work on holy days are removed to save a life.

Answer 79

Judaism

Question 80

Psalms & last prayer of confession

Answer 80

vidui

Question 81

Psalms & last prayer of confession (vidui) are held at bedside

Answer 81

judaism

Question 82

at death, arms are NOT crossed & any clothing or bandages should be buried with the person.

Answer 82

judaism

Question 83

DIET: NO mixing of meat & dairy; Kosher laws include special slaughter & food handling; unleavened bread only during Passover week

Answer 83

judaism

Question 84

religious person in judaism

Answer 84

Rabbi

Question 85

PROHIBITS alcohol, coffee, tea and tobacco/smoking.

Answer 85

CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS (Mormon) and SEVENTH DAY ADVENTIST

Question 86

strictly observed from Friday evening (6PM) to Saturday evening (6PM).

Answer 86

Sabbath

Question 87

strictly observed from Friday evening (6PM) to Saturday evening (6PM).

Answer 87

CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS (Mormon) and SEVENTH DAY ADVENTIST

Question 88

consists of individuals YOU consider to be your significant others.

Answer 88

family

Question 89

geopolitical communities determined by natural boundaries.

Answer 89

community

Question 90

organized based on the relationship between people.

Answer 90

community

Question 91

nursing which recognizes the biopsychosocial & spiritual dimensions of persons; recognizing that individuals are unitary wholes whose lives are intertwined with family, culture & environment.

Answer 91

holistic nursing