ATI Chapter 35: Cultural and Spiritual Nursing Care – Flashcards
Unlock all answers in this set
Unlock answersquestion
1 in 3 Americans are...
answer
Minorities
question
Bioculturalism
answer
Two distinct cultural groups of unequal status and power w/i a society united by one economic and political structure
question
Cultural Sensitivity
answer
Understanding and awareness of cultural differences within a population
question
Cultural Imposition
answer
Everyone should conform to the dominant culture
question
Cultural Blindenss
answer
Ignoring cultural differences/lack of acknowledge
question
Cultural Conflict
answer
Awareness of cultural differences
question
An example of a physiologic way cultural affects healthcare...
answer
Tay-Sachs
question
An example of how psychological/mental health affects healthcare
answer
View of depression as a spiritual problem rather than a chemical imbalance in the brain
question
Reactions to pain
answer
Silence versus extremes vocalization
question
Orientation to space and time
answer
Personnel space differs within different cultural groups
question
Gender roles and decision making =
answer
the patient might not be the decision maker
question
Does understanding a language translate into reading/writing that language?
answer
No.
question
Patient may not eat in a hospital due to...
answer
Dietary differences NOT lack of appetite.
question
Title IV of 1964, entitles ....
answer
everyone to have access to healthcare regardless of their ability to speak, read, or understand English.
question
Culturally competent nursing...
answer
a. provide respectful care based on your patient's values b. maintain cultural/linguistic competence in healthcare facilities at all times c. develop a self awareness of your cultural beliefs d. develop an understanding of the patient's culture e. develop an understanding of patient's expression of pain f. accommodate for cultural practices within the healthcare setting g. respect different roles within the family structure h. support your patient to choose the best healthcare option based on his/her cultural beliefs i. seek knowledge from experts within a culture if you need further clarification
question
Cultural assessment (elements included)
answer
religious and spiritual beliefs, nutritional practice, family support, meaning of health/wellness v. disease/illness, cultural practices related treatment, sick role, quality of life
question
Culture defines...
answer
social roles & interactions
question
Culture is ...
answer
shared beliefs, values, and behaviors that shape how we live within a society
question
Culture shapes how
answer
view themselves within a population.
question
Culture is learned from
answer
both the family and the environment through many generations
question
Within most cultures are...
answer
subcultures
question
Subculture -
answer
is a large group of people who are members of an even larger cultural group, but who have certain ethnic, occupational or physical characteristics that are not common to the larger culture
question
Cultural Sensitivity:
answer
Understanding and awareness of cultural differences within a population
question
Goals of culturally competent nursing ...
answer
eliminate disparities in health and healthcare preserve human rights provide for social justice provide quality care provide safe & holistic care
question
Spiritual Assessment pertains to
answer
the human soul
question
Spiritual assessment an integral part of one's
answer
religion or self-directed path modeled after several different religions
question
Spiritual care within the health care context must be ...
answer
congruent with the patient's spiritual beliefs
question
Church & religion play important roles in ...
answer
sustaining people's development, national identity, and survival and must be treated as such.
question
Models of Health:
answer
1. Biomedical Ethics 2. CAM - complimentary and alternative medicine model 3. Roy's adaptation model 4. Gordon's functional health model 5. Eudaimonistic model of health
question
Cultural Assimilation
answer
When minority groups/cultures within a population take on characteristics of the dominant
question
How does culture affect healthcare?
answer
Physiologic, Psycholigcal/mental health, reaction to pain, orientation to space & time.
question
Cultural Assessment
answer
Religious and spiritual beliefs Nutrition practices Family support Meaning of health/wellness v. disease Cultural practices related to treatment Sick role QOL
question
Models of Health
answer
Biomedical Model CAM - complimentary & alternative medicine model Roy's adaptation model Gordon functional health model Eudaimonistic model of health
question
CAM
answer
treating the whole person (body, mind, soul) acupuncture, massage
question
Roy's adaptation model
answer
brings patient back to before they were ill -- complete function
question
Gordon function health model
answer
bring patient back to total independence, pt. of society
question
Eudaimonistic Model of Health
answer
Not just physical health, but spiritual
question
Culture includes in
answer
habits & rituals specific to social groups
question
Culture shapes
answer
how groups view themselves w/i a population
question
Culture can include both
answer
dominant & minority groups
question
Cultural affects on physiologic health
answer
tay-sachs, sickle cell, etc.
question
Psychological/Mental Health
answer
Reactions to depression
question
Reactions to Pain
answer
Silence v. extreme vocalization
question
Orientation to space & time
answer
late v. on time
question
Cultural Competence includes ...
answer
provide respectful care, develop self-awareness, develop an understanding of your patient's culture, develop an understanding of your patient's expression of PAIN
question
Cultural Competency is ...
answer
patient centered
question
A nurse is using an interpreter to communicate with a client. Which of the following are appropriate when communicating with a client and his family? (Select all that apply.) A. Talk to the interpreter about the family while the family is in the room. B. Ask the family one question at a time. C. Look at the interpreter when asking the family questions. D. Use lay terms if possible. E. Do not interrupt the interpreter and the family as they talk.
answer
B, D, E
question
A nurse is caring for a client who shares the same religious background. The nurse should recognize that A. members of the same religion share similar feelings about their religion. B. a shared religious background generates mutual regard for one another. C. the same religious beliefs may influence individuals differently. D. they should discuss the differences and commonalities in their beliefs.
answer
C
question
A nurse is caring for a client who is crying while reading from his devotional book. Which of the following interventions is appropriate for the nurse to take? A. Contact the hospital's spiritual services. B. Ask him what is making him cry. C. Provide quiet times for these moments. D. Turn on the television for a distraction.
answer
C
question
A nurse is planning care for a client who is a devout Muslim and is 3 days postoperative following a hip arthroplasty. The client is scheduled for two physical therapy sessions today. Which of the following statements by the nurse indicates culturally appropriate care to the Muslim client? A. "I will make sure the menu includes kosher options." B. "I will discuss the daily schedule with the client to make sure the client will have time for prayer." C. "I will make sure to use direct eye contact when speaking with this client." D. "I will make sure daily communion is available for this client."
answer
B
question
A nurse is caring for a client who is a Jehovah's Witness and is scheduled for surgery as a result of a motor vehicle crash. The surgeon tells the client that a blood transfusion is essential. The client tells the nurse that based on his religious values and mandates, he cannot receive a blood transfusion. Which of the following responses by the nurse is appropriate? A. "I believe in this case you should really make an exception and accept the blood transfusion." B. "I know your family would approve of your decision to have a blood transfusion." C. "Why does your religion mandate that you cannot receive any blood transfusions?" D. "Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution."
answer
D
