1.3 In class quiz Culture: Vulnerable Populations (homeless, geriatric, pediatric, and mental health patients)
Terms in this set (10)
While talking with a 60-year-old client, the nurse learns that the client emigrated 15 years ago from China and likes to live independently away from the client's grown children. The client eats only Chinese foods at home. What should the nurse infer from these findings?
The client has undergone biculturalism.
When different cultures encounter other cultures, they tend to adapt the cultural beliefs and psychology of each other's culture. The people of Chinese culture feel that their children are responsible for caring for them in old age. Therefore when Chinese people adapt some characteristics of American culture but prefer to eat only Chinese foods, it indicates that the client has undergone biculturalism. Assimilation is a cultural process by which a person can give up their original identity and develop a new cultural identity. In the process of acculturation, both the host culture and the original culture are changed as a result of reciprocal influences. In the process of enculturation, the person learns norms, values, and behaviors of their own culture, similar to socialization.
The nurse starts a new job and recognizes that the client population is very diverse. What action will help the nurse to provide culturally competent care?
Read about all of the cultural groups in the local population.
Treat all of the clients the same, regardless of their cultural background.
Increase self-awareness of cultural identity, cultural knowledge, and potential biases.
Attempt to remain culturally neutral while treating clients of a different culture.
Providing culturally competent care is an essential skill for any nurse as the U.S. population becomes more diverse. It is helpful for nurses to be self-aware of their own cultural identities and assess their cultural knowledge because doing so may help them recognize and overcome any cultural biases that affect client care. It may be impossible for the nurse to read about every cultural group, and it is unnecessary for the nurse to remain culturally neutral when treating clients. These actions may lead to unnatural interactions between the nurse and the client, which will not improve nursing care. Similarly, it may not be effective to simply treat every client the same regardless of culture because the nurse may be overlooking important cultural factors that affect the type of care a client wants or needs.
A pregnant immigrant notices cultural differences in the way that pregnant women are cared for where she now lives. Which component of cultural competence is being demonstrated when the nurse motivates the immigrant to accept these differences?
The nurse is using cultural desire as a part of cultural competence. This component is related to motivation and commitment towards the care of an individual. Through this, an immigrant may become open to cultural differences and accept them. Cultural awareness is an in-depth self-examination of backgrounds and recognizing biases and prejudices. Cultural knowledge is a comparative study about the beliefs and care practices of other cultures. Cultural encounter is about transcultural interactions for effective communication and development.
An African man presents to the emergency department to obtain pain medication. The nurse behaves judgmentally and labels the client a drug abuser. What is the nurse demonstrating?
Ethnocentrism is the tendency of a person to hold his or her own beliefs superior to those of other people. It causes biases and prejudices in regard to people from other groups. This practice is transmitted by cultural groups from one generation to another. In multiculturalism, two cultures coexist and are accepted by the individual. In a cultural encounter, part of cultural competence, a nurse engages in cross-cultural interactions for effective communication. Cultural imposition occurs when a nurse or health care provider ignores the differences between his or her own culture and others and imposes his or her beliefs on people of other cultures.
A school nurse works with adolescents who recently immigrated to the U.S. and are adjusting to life in the public schools. What characteristics help the nurse differentiate students who are assimilating from students who are acculturating?
Students who acculturate shun all aspects of their new culture.
Students who assimilate are generally unhappy in their new culture.
Students who acculturate tend to be more social in their new culture.
Students who assimilate abandon all aspects of their original culture.
Assimilation is a cultural process by which a person gives up his or her original identity and develops a new cultural identity by becoming absorbed into the dominant cultural group. The nurse may recognize these students if they abandoned all aspects of their original culture. In the process of acculturation, on the other hand, students may pick and choose different parts of each culture to incorporate into their identity. Since every student is different, it would not be possible to assume all students who choose either method are happier or more social in their new culture.
A registered nurse educates a student nurse regarding the appropriate method of dealing with clients of different cultural backgrounds. Which statements by the student nurse indicate an understanding of various cultures? Select all that apply.
"I should focus on understanding the traditions, beliefs, and values of the client's culture."
"I should provide care strictly on the basis of the traditions, beliefs, and values of the client's community."
"It is acceptable to provide generalized education and information to clients belonging to a different community."
"I should understand that the cultural background of the client has no impact on his or her health, wellness, and illness."
"I should be aware of my own cultural background and beliefs when attending to clients who belong to different cultures."
A nurse should refrain from assuming that every client follows the cultural practices and traditions of his or her community stringently. When educating a client about any illness or procedure, the nurse should understand that the client may have unique cultural perceptions regarding the cause of the illness and treatment and may need specific education and information. The nurse should understand that cultural background has an impact on a client's health care beliefs and that it affects his or her health, wellness, and illness. To provide individualized care to the client, the nurse should focus on his or her traditions, beliefs, and values. The nurse should be aware of his or her own cultural background and beliefs to ensure that stereotypes and prejudices do not get in the way of client care.
What points should a nurse keep in mind when caring for a client who belongs to a different culture? Select all that apply.The nurse should be aware of his or her own cultural values and behavior patterns.
The nurse should focus on understanding the client's traditions, values, and beliefs.
The nurse should understand that unique cultural perceptions exist regarding health practices.
The nurse should know that every client strictly adheres to his or her cultural beliefs and traditions.
The nurse should know that a client's cultural background does not influence the nurse-client relationship.
Nurses should be aware of their own cultural values and behavior patterns. This awareness enables them to understand a client's values and beliefs. Nurses should focus on understanding the client's traditions, values, and beliefs and the manner in which these aspects influence his or her health, wellness, and illness. When educating clients about their health issues and treatment plans, nurses should understand that unique perceptions exist about the cause of an illness and its treatment. A nurse should never stereotype clients on the basis of their cultural background and assume that they strictly adhere to cultural traditions and practices. A nurse should understand that the cultural background of a client also influences the nurse-client relationship.
How should nurses provide effective nursing care to clients from different cultural backgrounds?
By advising clients that some cultural practices may be harmful to health
By providing care that fits the clients' cultural beliefs
By strictly adhering to organization policies regarding nursing care
By ignoring the cultural aspect and focusing on the medical aspect of care
When providing care to clients from different cultural backgrounds, nurses should be careful to provide care that fits the client's cultural beliefs. It helps provide effective nursing care to the satisfaction of the client. Advising clients against their cultural practices may offend them and should be avoided. Organization policies should be made flexible to incorporate cultural aspects of care. Ignoring the cultural aspect of client care may result in ineffective nursing care.
What statements about culturally congruent care by the student nurse are correct? Select all that apply.
"It is the main goal of transcultural nursing."
"It is provided through cultural competence."
"It is provided in accordance with set criteria."
"It is bound to the professional health care system."
"It depends on the patterns and needs of an individual."
Culturally congruent care is tailored to the needs of people themselves, not delivered in accordance with predetermined criteria. This care may be different from the values and meanings of the professional health care system. The main goal of transcultural nursing is to provide culturally congruent care. Cultural competence is applied to ensure the delivery of this care. Culturally congruent care is provided in accordance with people's life patterns, values, and beliefs.
A community healthcare nurse is conducting a survey about homeless children in the community. Which finding helps the nurse distinguish absolute homelessness from relative homelessness?
The children are under-immunized and at a risk for childhood illnesses.
The children are more likely to drop out of school and become unemployable.
The children have access to healthcare only through the emergency department.
The children do not have a physical shelter and may sleep outdoors or in vehicles.
Public health organizations use the term absolute homelessness to describe people who have no physical shelter. These children sleep outdoors, in vehicles, abandoned buildings, or other places not intended for human habitation. Relative homelessness describes those who have a physical shelter but one that does not meet the standards of health and safety. Children from both sections of the community tend to be under-immunized and are at risk for childhood illnesses. Both types of homeless children are unable to meet residency requirements for public schools and are more likely to drop out of school and be rendered unemployable. A lack of finances leads both types of homeless children to seek healthcare only in emergency conditions.
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