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Cultural Care - Health Assessment from Missy
Terms in this set (46)
All persons who were granted lawful permanent residence
The conferring, by any means, of citizenship upon a person after birth
An alien who seeks temporary entry to the US for a specific purpose
-An alien, appearing to be inadmissible to the inspecting officer
-Allowed into the US for urgent humanitarian reasons or when that alien's entry is determined to be for significant public benefit
Permanent Resident Alien
An alien admitted to the US as a lawful permanent resident
Any person who is outside his or her country of nationality who is unable or willing to return to that country because of persecution or a well-founded fear of persecution
results in positive outcomes and satisfaction for the patient
Takes into consideration the values, preferences, and expressed needs of the patient
Cultural & Linguistic Competence
A set of congruent behaviors, attitudes, and policies that come together in a system among professionals that enables work in cross-cultural situations
What are the 3 cultural competencies?
What does it mean to be "culturally sensitive"?
Possessing basic knowledge of and constructive attitudes toward diverse cultural populations
What does it mean to be "culturally appropriate"?
Applying underlying background knowledge necessary to provide the best possible health care.
What does it mean to be "culturally competent"?
Understanding and attending to total context of patient's situation, including immigration status, stress factors, social factors, and cultural similarities and differences.
Degree to which a person's lifestyle reflects his or her traditional heritage
Heritage consistency - traditional
Living within the norms of the traditional culture
Heritage consistency - modern
Acculturated to the norms of the dominant society
-Thoughts, communications (verbal & nonverbal), actions, beliefs, values, and institutions of racial, ethnic, religious or social groups.
-Complex whole in which each part is related to every other part
-It is learned
What are the 4 basic characteristics of culture
Pertains to a social group within the social system that claims to possess variable traits (common geographic origin, migratory status, religion, race, language, shared values, traditions, or symbols and food preference)
-Belief in a divine or superhuman power or powers to be obeyed and worshiped as the creator(s) and ruler(s) of the universe.
-A system of beliefs, practices, and ethical values
-Shared experience of spirituality
The process of being raised within a culture and acquiring the characteristics of that group.
Process of adapting to and acquiring another culture
Process by which a person develops a new cultural identity and becomes like the members of the dominant culture
Culture affects the choices parents make for children regarding?
-Presumed cause of an illness
-First treatment tried
-Acceptability of treatments offered by clinicians
For older patients, culture is likely to?
-Define their family responsibilities
-Affect their knowledge of the systems used by the dominant culture
What are the 3 ways disease causation may be viewed?
-Biomedical or Scientific
-Naturalistic or Holistic
Disease causation-biomedical or scientific
-Assumes all events in life have a cause and effect
-Human body functions as a machine
-Life can be divided into parts (body, mind, spirit)
-Germ Theory (microscopic organisms are responsible for specific disease conditions)
Disease causation-naturalistic or holistic
-Forces of nature must be kept in balance
-Embraces the idea of opposing categories of force (yin/yang; hot/cold)
-Supernatural powers predominate in the area of health & illness
-Examples include voodoo, witchcraft, and faith healing
-Traditional healer from a particular background
-Speak native language
-Make house calls
-Understands cultural health beliefs
What is the guide for cultural care?
What does the acronym RESPECT mean?
-R: realize that you must know & understand your heritage and that of the patient
-E: examine the patient within the context of his/her cultural Health and Illness practices
-S: select questions that are not complex, and do not ask questions rapidly
-P: pace questions throughout the physical examination
-E: encourage the patient to discuss the meanings of health and illness with you
-C: check for the patients understanding and acceptance of the recommendations
-T: touch the patient within the cultural boundaries of his/her heritage
What are the terms at the end of the heritage consistency continuum?
Traditional & Modern
In the current health care environment, what is the most important influence on the success of an interaction?
Nurses awareness of the patient's heritage
Religion is "best" described as:
Belief in a divine or superhuman spirit to be obeyed and worshiped
What is the "major" factor contributing to the need for cultural care nursing?
"Culturally competent" implies that the nurse:
Understands the cultural context of the patient's situation
Illness may be described as n imbalance of hot/cold among people of what heritage
An amulet maybe used to protect a person from?
The evil eye
The term "empacho," which is used in the Hispanic culture, can be explained as?
An example of a culture-bound syndrome that has no equivalent from a biomedical/scientific perspective
What the "first" step to cultural competency by a nurse?
Understand your own heritage and its basis in cultural values
While evaluating the health history, the nurse determines that the patient subscribes to the hot/cold theory of health. How else could the patient view wellness?
Humors must be balanced.
Before determining whether cultural practices are helpful, harmful, or neutral, nurses must first understand?
The logic of the traditional belief systems
On the basis of median age which population tends to be younger?
Which theory has been expanded in an attempt to study the degree to which a person's lifestyle reflects his/her traditional heritage?
When considering cultural competences, there are discrete areas that the nurse must develop knowledge of to understand the health care needs of others. These discrete areas include understanding of:
-His/her own heritage
-Heritage of the nursing profession
-Heritage of the patient
-Heritage of the health care system
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