question

Cultural Self-Assessment

answer

a valuable exercise that enables nurses to gain insights into their own unconscious cultural attitudes (biases, cultural stereotypes, prejudice, and tendencies to discriminate against people that are different from themselves).

question

Vulnerable Populations

answer

groups that are poorly integrated into the health care system because of ethnic, cultural, economic, geographic location or health characteristics (disabilites, multiple chronic conditions.

question

immigrants

answer

people who move from one country or region to another for economic, political, religious, social, and personal reasons.

question

emigrants

answer

leave one country or region to settle in another

question

immigrate

answer

enter another country or region for the purpose of living there ex. I will emigrant the U.S. and immigrate France.

question

US has 41 million foreign born (13%) person living here.

answer

reason: national borders have become porous and fluid, enabling people to move freely from one country or region to another (This is most country not just the US)

question

Health tourism

answer

patients travel to other countries for medical and surgical health care needs like more affordable services or receive specialized care not available in own country.

question

Refugees

answer

people who flee their country of origin for fear of persecution based on ethnicity, race, religion, political opinion, etc. Also can be that the people casualty of civil unrest or war in politically unstable part of the world.

question

Who developed a set of guidelines for implementing culturally competent nursing care to serve as a resource for clinical practice, education, administration and research?

answer

American Academy of Nurses (AAN) panel that worked on Global Nursing and Health Transcultural Nursing Society (TCNS)

question

Cultural Competence

answer

1. No universally accepted definition 2. general concept divided by individual and organizational culture competence 3. meaning comes from various perspectives, interests, need that are apply to state, federal legislation and programs, private organizations, and schools.

question

Knowledge of Culture

answer

gain an understanding of the perspectives, traditions, values, practices, and family systems of culturally diverse individuals, families, communities, and populations they care for

question

Education and Training in Culture Competence Care

answer

--prepared to provide culturally congruent health care --have knowledge and skills to insure congruence -- be included in global health care agendas --mandate formal education and clinical training

question

Critical Reflection

answer

look at their own values, beliefs, and cultural heritage in order to have an awareness of how these qualities and issues can impact ongoing, continuing education for all practicing nurses.

question

Cross-Cultural Communication

answer

use verbal and nonverbal communication skills to ID clients value, beliefs, practices, perceptions, and special health care needs

question

Culturally Competent Practice

answer

utilize cross-cultural knowledge and culturally sensitive skills in implementing culturally congruent nursing care.

question

Cultural Competence in Health Care Systems and Organizations

answer

(HCO) provide the structure and resources necessary to evaluate and meet the cultural and language needs of their diverse clients

question

Patient Advocacy and Empowerment

answer

recognize the effect of health care policies, delivery systems, and resources on their patient populations -- shall empower and advocate for their patients --advocate for the inclusion of their patient's cultural beliefs and practices in all dimensions of their health care.

question

Multiicultural Workforce

answer

try to ensure a multicultural workforce in health care settings. -- strengthen recruitment and retention efforts in hospitals, clinics and schools.

question

Cross-Cultural Leadership

answer

-- have the ability to influence individuals, groups, and systems to achieve outcomes of culturally competent care for diverse populations. -- have the knowledge and skills to work with public and private organizations, professional organizations and associations -- establish polices and guidelines for comprehensive implementation and evaluation

question

Evidence-Based Practice and Research

answer

use intervention that's systemically tested and shows most effectiveness for culturally diverse populations they serve -- no evidence = investigate and test interventions that may be most effective to reduce disparities in health outcomes.

question

Individual cultural competence

answer

refers to the care provided for an individual client by one or more nurses, physicians, social workers, and/or other health care, education or social services professional

question

Organization cultural competence

answer

focuses on the collective competencies of the member of an organization and their effectiveness in meeting the diverse needs of the clients, patients, staff, and community

question

Cultural Baggage

answer

refers to the tendency for a person's own cultural to be foremost in his/her assumption, thoughts, words, and behaviors.

question

Cultural Self-Assessment

answer

needs to critically reflect on their own culturally based attitudes, values, beliefs and practices and gain insight into and awareness of the ways in which their background and lived experiences have shaped and informed the person the nurse has become today.

question

Bias

answer

refers to the tendency, outlook, or inclination, that results in unreasonable judgement, positive or negative, about a person, place, or object

question

Ethnocentrism

answer

refers to the human tendency to view one's own group as the center of and superior to all other groups (effect cross-cultural communication)

question

Racism

answer

the believe that one's own race is superior and has the right to dominate others, has a profound impact on the body's stress management system (CVS disease when too much exposure)

question

Cultural imposition

answer

the tendency of a person or group to impose their values, beliefs, and practices onto others (effects cross-cultural communication)

question

Cultural stereotype

answer

refers to a preconceived, fixed preconception or impression of someone of a particular cultural group without meeting the person. Doesn't recognize individual, group changes and personal preferences (effect cross-cultural communication)

question

Prejudice

answer

inaccurate perceptions of others or preconceived judgments about people based on ethnicity, race, national origin, gender, sexual orientation, social class, size, disability, religion, language, political opinion, or related personal characteristics

question

Discrimination

answer

act or behavior of setting one individual or group apart from another, thereby treating one person or group differently from other people or groups.

question

Unlawful discrimination

answer

unfair an unequal treatment of an individual or group based on age, disability, ethnicity, gender, marital status, national origin, race religion, and sexual orientation

question

Cultural Assessment

answer

refers to the collections of data about the client's health state

question

Subjective Data

answer

what clients say about themselves during the admission or intake interview

question

Objective Data

answer

what health professionals observe about clients during the physical examination thru observation, percussion (tapping body part w/ fingers, hands or small instruments), palpation (use hands to examine body), and auscultation (listen for sound of heart, lungs)

question

emic

answer

ability to see the situation from the clients's viewpoint (insider's perspective)

question

etic

answer

look at the situation from an outsiders perspective

question

Cross-cultural communication

answer

ability to successfully form, foster, and sustain relationships with members of a differ culture from one's own; therefore have knowledge of the client's values, perceptions, attitudes, manners, social structure, decision-making practices, and an understanding of how members of groups communicate (verbal, nonverbal)

question

Social determinants of Health (SDH)

answer

The conditions in which people are born, grow, live, work, and age. shaped by the distribution of money, power, resources at global, national, and local levels

question

experience of discrimination

answer

- Key factor in producing a health disparities and poor health outcomes - produces stressors that lead to health problems - limit versus right opportunities and resources - 50 to 68 % in healthcare

question

Racial impact

answer

- Have negative effects on individuals, families, and communities access to healthcare - 20 to 30% do not receive any follow-up or referrals appointments or community services after discharge (black patients)

question

Sympathetic adrenal Medulla (SAM) and Hypothalamus-pituitary adrenal cortex (HYPAC)

answer

where racism has impact on body's ability to handle stress. SAM-HYPAC becomes overwhelmed, leading to release of catecholamines (epinephrine); BP and HR are significantly raised causing strain on myocardium and left ventricular hypertrophy Kidneys responds to hypertension thru renin-angiotensin to homeostasis no longer maintain

question

Self - location

answer

Knowledge of your own cultural, gender, class, and other social self identities

question

Familism

answer

Emphasizes interdependence over independence, affiliation over confrontation, incorporation overcome competition; knowing that family is involved in patients care decisions not just the individual

question

Diversity

answer

refers to the clients's uniqueness in the dimensions of race; ethnicity; national origin; socioeconomic background; age; gender; sexual orientation; philosophical and religious ideology; lifestyle; level of education; literacy; marital status; physical, emotional, and psychological ability; political ideology; size; and other characteristics used to compare or categorize people.

question

Cultural diversity

answer

where white panethnic group is frequently viewed as the norm against which the differences in everyone else (ethnocentrism) are measured or compared.

question

cultural self- assessment

answer

self-reflection on biases, cultural stereotypes, prejudice, discrimination self-location on cultural, gender, class, and other self-identities psychomotor skills

question

Client Cultural Assessment

answer

Health History (subjective data) physical examination (objective data)

question

Folk Healers

answer

Learn healing practices through an apprenticeship with someone experience in folk healing -- use herbal remedies, foods, and animated objects in a therapeutic manner

question

Traditional or indigenous healers

answer

Divinely chosen and/or learn the art of healing by applying knowledge, skills, and practices based on experiences indigenous to their culture goal is to establish and restore balance and harmony in the body - mind - spirits through use of spiritual healing interventions

question

National Center for cultural competence

answer

----Define a set of values and principles and demonstrations of behaviors, attitudes, policies, and structures that enable them to work effectively cross-cultural -- value diversity, conduct self assessments, manage the dynamics of differences, acquire and institutionalize cultural knowledge, adapt to diversity in the cultural competence of the community -- incorporate items by making policy, administrated practice, and service delivery and systematic involvement of consumers

question

Health Resources and Services Administration

answer

Defines health disparities and population significant difference in the presence of disease, health outcomes, or access to healthcare

question

Disabling hearing loss

answer

Loss of greater than 40 decibels in the better ear and adults in a loss of greater than 30 decibels the better ear in children -- very little or no hearing -- in children impedes speech and language development that requires special education -- in adults causes embarrassment, loneliness, social isolation, stigmatization, etc.

question

Hard of hearing

answer

Communicate through spoken language and can benefit from hearing aids, captioning's, and assisted listening devices

question

Etic perspective

answer

Embrace concepts about dead people's bodies that emphasizes their differences from the bodies of people in the hearing society, thereby placing unwanted, unwarranted, and unnecessary limitations on death people lives and capabilities

question

Eugenics

answer

A science that tries to improve the human race by controlling which people become parents

question

ASL

answer

American sign language has 500,000 people communicate in this matter.

question

Language access services (las)

answer

Helps people who speaks another language other than English in the home (20%) and a 9% that is not proficient in English and

question

Cause of deafness

answer

1. Measles, rubella, mumps, and meningitis (immunize your children) 2. Immunization of adolescents from rubella 3. Screening for syphilis 4. Improve prenatal and antenatal care 5. Avoid ototoxic drugs 6. Family history 7. Low birth weight, jaundice, asphyxia or meningitis 8. Loud noises

Chapter 2 Culturally Competence Nursing Care – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards