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94 terms

Family Final Exam

STUDY
PLAY
Culture
A set of values, behaviors, attitudes and practices
within a system, organization, program or among
individual that enables people to work effectively
across cultures. It refers to the ability to honor and
respect beliefs, language interpersonal styles and
behaviors of individuals and families receiving
services, as well as staff who are providing such
services. Cultural Competence is a DYNAMIC,
ONGOING, DEVELOPMENTAL PROCESS the
requires long-term commitment."
Cultural diversity
Cultural variability or differences in care meanings,
patterns, values, symbols and life ways among and
between cultures (ex. race, ethnicity, sex, age, socioeconomic status, abilities, family structure)
race
Categorization of people based on
physical properties and biological
heredity
•Concerns:
•Arbitrary
•Social Construct
ethnicity
A group's sense of "peoplehood" based on a
combination of race, religion, ancestral history
and nationality. Involves a multilayered sense
of shared values and understandings witching
groups that fulfill a deep psychological need for
identity and historical continuity.
stereotype
•Fail to recognize individual differences
•Labeling
•Everyone from a particular culture is viewed as
the same and perceived as "fixed"
•Can lead to :
•Discrimination
•Non-acceptance
•Exclusion
•Perception of performance
acculturation
Exposure of persons from one
culture group to another.
ethnocentrism
•Views your culture's way of doing
things as the only right way.
•Views other ways as inferior,
unnatural or even barbaric.
culture shock
The physical and emotional
discomfort one suffers when coming
to live in another country or a place
different from the place of origin."
culture relativism
The perspective that cultures are
neither inferior or superior to
one another and that there is
no single scale measuring the
value of culture.
cultural competency
A set of values, behaviors, attitudes and practices
within a system, organization, program or among
individual that enables people to work effectively
across cultures. It refers to the ability to honor and
respect beliefs, language interpersonal styles and
behaviors of individuals and families receiving
services, as well as staff who are providing such
services. It is a DYNAMIC,
ONGOING, DEVELOPMENTAL PROCESS the
requires long-term commitment."
cultural sensitivity
Awareness of other's culture and understand
that others may view health beliefs, values,
knowledge and behaviors differently.
cultural awareness
Self exploration of personal cultural beliefs,
values, knowledge and behaviors
culture
"The learned and shared beliefs , values and lifeways
of a designated or particular group which are
generally transmitted intergenerationally and
influence one's thinking and actions."
cultural values
"The learned and shared beliefs , values and lifeways
of a designated or particular group which are
generally transmitted intergenerationally and
influence one's thinking and actions."
values orientation
"The learned and shared beliefs , values and lifeways
of a designated or particular group which are
generally transmitted intergenerationally and
influence one's thinking and actions."
The physical and emotional
discomfort one suffers when coming
to live in another country or a place
different from the place of origin."
What are the five stages of culture shock?
lung cancer, liver cancer, cervical cancer, TB, hepatitis, CAD, parasite infections, mental health, HIV, abuse
Health risks of Asian Americans (12)
region-regardless of race, creed, or color,
whose origins are Mexican, Puerto Rican,
Cuban, Central or South American, or of some other Hispanic origin.
What does Hispanic refer to?
1. Heart disease
2.Cancer
3.Unintentional injuries
4.Diabetes
5.Chronic liver disease and
6. Chronic lower respiratory disease
7.Stroke
8.Suicide
9.Nephritis, Nephrotic syndrome, and Nephrosiscirrhosis
10.Influenza and pneumonia
Leading causes of death in Native Americans
Health Beliefs systems
Define and categorize health and illness
•Offer explanatory models for illness
•Based upon theories of the relationship between
cause and the nature of illness and treatments
•Defines the specific "scope" of practice for
healers
make it better, take control, sooner than later, therapeutic aggressiveness, future orientation (plan) standardization
culture over western medicine
Others"
• Accept With Grace
• Balance/Harmony with Nature
• Wait and See
• Cautious Deliberation
• Gentle Approach
• Take Life As It Comes - "Time
Honored"
• Individualize - Recognize
Differences
other cultures & medicine
Arab Americans
Who's barriers?
• Accept With Grace
• Balance/Harmony with Nature
• Wait and See
• Cautious Deliberation
• Gentle Approach
• Take Life As It Comes - "Time
Honored"
• Individualize - Recognize
Differences
christianity, judaism, islam
3 major religions of Arab Americans
coronary artery disease, diabetes mellitis
2 major diseases of Arab Americans
Higher cancer deaths
HIV
Hypertension
Obesity
Mental health concerns
Health concerns of Black Americans 5
poverty, lack of health insurance, unsafe enviroment
3 barriers to care of african americans
homeless
person with no fixed nighttime
residence or who has a nighttime residence at a
temporary shelter
Episodic homelessness
Stage 1 of homelessness (usually on drugs, jump around from homelessness, shelters, jails, and residences, and rehab centers) typically a younger generation
temporary homelessness
Stage 2 of homelessness (transitional-- usually from crisis)
chronic homelessness
stage 3 of homelessness (1 year or more) usually disabled
access, affordability, transportation, poverty
Barriers to care for homeless poplulation
Basic survival issues
Respiratory and infectious diseases
Dental and vision problems
Mental health concerns (substance/drug abuse)
Health concerns for homeless population
fatalistic orientation
perception that the person has no control over his or her life -- Leads to lower participation in screening programs-- typical belief of patient with AIDS
1 million people in US
How many people in US are infected with AIDS
prevention (most important), rapid diagnosis, symptom mangement
HIV strategies (3)
LDL
Bad cholesterol is called...
metabolic syndrome
excessive abdominal fat (35inches in women &40 inches in men) elevated BP (130/80) Low HDL (lower than 40) elevated triglyceride (>150)
food pyramid
Fruits - eat 2 cups everyday
• Vegetables - eat 2.5 cups everyday
• Grains - eat 6 oz everyday
• Milk - get 3 cups everyday
• Meats and Beans -eat 5.5 oz everyday
calcium and dairy products and vitamin d
What should you give someone with osteoporosis?
foods from plant sources
What should you give a cancer patient?
breastfeed
What should you have a HIV patient avoid to do?
use folic acid
What should you advise pregnant women to take during pregnancy?
Dietary Approaches to Stop Hypertension
What does DASH stand for?
DASH eating plan
- Is low in saturated fat, cholesterol, and total fat
- Focuses on fruits, vegetables, and fat-free or low-fat
milk and milk products
- Is rich in whole grains, fish, poultry, beans, seeds, and
nuts
- Contains fewer sweets, added sugars and sugary
beverages, and red meats than the typical American
diet
(kg)/(m2) or [lb/(inches2)] x's 703
Formulas for BMI
18.5
Underweight BMI
25
Overweight BMI
30
Class 1 Obese BMI
35
Class 2 Obese BMI
40
Class 3 Obese BMI
calorie count
involves documentation of all foods and beverage either by client of by meal/snacks in room
L: Listen with sympathy and understanding to
the person's perceptions of the problem.
• E: Explain personal perceptions of the
problem
• A: Acknowledge and discuss differences and
similarities
• R: Recommend treatment
• N: Negotiate an agreement.
What does LEARN stand for concerning a clinically obese patient?
Mad Cow disease
prions attacks nervous system
E coli
bacteria related cause diarrhea, while others cause urinary tract infections, respiratory illness and pneumonia, and other illnesses.
salmonellosis
an infectious disease of the intestines that is transmitted by food contaminated with feces
role
scripted sets of behaviors, normally defined
role expectations
based on social norms, vary accordingly across cultures, evolve with society
blocker
a group member who routinely rejects others views and stubbornly disagrees with emerging group decisions
placator
(noun) someone who tries to make others feel less angry about something; tries to make others calm and happier
Family resiliency model
Resiliency and ability to recover from adverse
events leads to growth and strengthening of
the family.
stressor
A life event - additions
or deletion of role(s)
and/or resources - that
affects the family unit
and can produce a
change in the family's
social system.
family strain
when a family
successfully manages the
tension of the stressor
family stress
when family cannot
mange the tension; a perceived
imbalance
when family cannot
mange the tension; a perceived
imbalance
family amount of stress
healthy coping
Active, effective, adaptive efforts
and use of resources that are
combined as families attempt to
manage the stressor
Action to reduce the demands
Action to obtain additional resources
Managing tensions and relieving stress
Reappraising the situation using
reframing strategies
4 strategies for healthy coping
family and family member health
Phase 1 participation in health promoting
behaviors
participation in risk reduction
behaviors
family vulnerability and symptom experience
Phase 2Awareness of symptoms indicating possible
illness.
Application of folk medicine or self medicine.
Turning to family members for advice/help.
sick role and family appraisal
phase 3acceptance of the sick role by
family and ill family member
adjustment or adaptation of the
family to the sick role
Medical contact--diagnosis
Phase 4 Establish relationship with health
professionals.
Gather information about diagnosis.
Acceptance of diagnosis.
Illness Career/Family adaptation
Phase 5 accept treatment plan, reallocation of tasks, maintain positive relationships between health care providers
recovery/rehabilitation
Phase6 relinquish sick role, obtain new normal enter phase 1 again
Chronic adjustment/adaptation
Phase 7 Establish new definitions of normal as illness
requires
Adjustment/Adaptation to altered social
relationships and stigma of disability
Maintains relationship with health team
Completion of grieving process relative to
losses incurred or anticipated from disability
Death
Phase 8-Working through individual and
family grief.
Reorganization of family to fill
vacant roles left by the deceased.
denial, anger, bargaining, depression, acceptance
Stages of grief by Kuber Ross (5 stages)
alternative therapies
A popular system of health beliefs and practices
Folk remedies
Anything outside of the Allopathic Biomedical Model
homeopathy
like treats like
HIV
What is the fourth leading cause of death for Puerto Ricans?
Spanish-American War
What lead to The United States gaining Puerto Rico?
Rumspringa
Children will leave the Amish home to experience modern society before choosing to be baptized. This is known as:
Holmes County Ohio
Where is the largest population of Amish located in the United States?
true
Black/African Americans are at least 1.5 times more likely to develop hypertension than Caucasian Americans
Grandmother is taken in by the younger generation in the family to be cared for

Grandmother is taken in by the younger generation in the family to be cared for
Taking into consideration African American cultural values concerning elders, which is the situation most likely seen within the family?
Shows affection in public
Lives in a family which includes their grandparents
Speaks another language other than English at home
Sees the male as the head of the household
Which of the following is NOT a quality found in a typical Cuban American?
catholicism
What is the main religion practiced among Cuban-Americans?
do not shake hands
What is an appropriate way to greet an Iranian of the opposite gender?
False
As a nurse when you first meet an elderly German patient you would want to avoid eye contact and call them by their first name.
a) three to four generations live together
b)related to each other through out kinship ties
c) share common income and property
d)provide security and support for each other
Which of the following are true about India Joint Family System?
truth
The Sanatana Dharma is the search for the...
nature all things are connected
What are most Native American Indian religions focused on?
side by side conversation
What kind of arrangement do Native American Indians like when having a conversation with another Native American Indian?
Separation of religion and government
In terms of Turkey being "secular", what does this mean?
Islam
What is the dominant religion of Turkey?