question

Prior to the Food, Drug, & Cosmetic Act of 1938, adults and children received 3 popular medicines:

answer

1) Alcohol 2) Opium 3) Cocaine

question

whether a nurse or patient desires to become more informed of his/her family heritage, several variables can guide the individuals search.

answer

1.family sir name 2.Traditional first names 3. family stories 4. history of family characters 5. notorious family members

question

Understanding one's ethnocultural and religious heritage can result in insight if one explores what variable?

answer

knowing methods of socialization.

question

Women tend to be gatekeeper regarding family illness because they are the guardians of _______.

answer

family health and nurturance.

question

Examination of familial health, HEALTH practices sensitizes the individual to two variables.

answer

ethocultural ; religious heritage

question

4 health practices of people from the Austrian Jewish heritage

answer

1.bake your own bread 2.eat home grown fruits ; vegetables 3.wearing camphor around neck 4.gargling with salt water

question

how would a patient from Austrian-American Jewish heritage treat boils.

answer

friend chopped onions

question

name a health protection action used by a patient from the Black-American Baptist.

answer

drink black strop molasses

question

a canadian catholic patient many use HEALTH protection practice between November ; May

answer

use Father John's medicine (shot of whisky)

question

An Eastern European (u.s.) Jewish patient may use three heath restoration practices.

answer

1. chicken soup made by mom and grandma 2. glass of wine 3. an alcohol message

question

Patients from the English Episcopal, French Catholic, Norwegian Luteran, and Polish Catholic used cod-liver oil for health in ________. English, Baptist, and German Catholic patients use cod-liver oil for health _________. French Canadian, Catholic use cod-liver oil for health _________.

answer

1. maintenance 2. restoration 3. protection.

question

an english catholic heritage patient may use which health restoration practice for a cold.

answer

vicks and hot towels on the chest

question

a patient from which heritage uses a red scarf around the chest for a cold or a sore throat?

answer

English Episcopalian tradition

question

a french Canadian catholic patient uses which health restoration practice for a rash?

answer

oatmeal bath

question

a patient from which heritage boils a beef bone, breaks up toast in the broth for a headach?

answer

German American catholic

question

an example of health protection activity for Iranian-American Moselm heritage patient.

answer

keep feet from getting wet in the rain

question

an example of health restoration practices for an Irish Catholic patient.

answer

drinking Senna tea (@ every vacation) has a laxative effects, which is important among Irish-American Catholics as a HEALTH protection tradition.

question

4 examples for treating menstrual cramps for an Irish Catholic patient.

answer

1. hot milk sprinkled with ginger 2. shot of whiskey 3. glass of warm wine 4. hot water bottle on the stomach

question

4 health protection activities for the Italian-American Catholic patient.

answer

1.keep feet warm 2.keepig warm in cold weather 3.never washing the hair at night 4.staying out of drafts

question

1 health protection activity for the Italian-American Catholic patient

answer

not washing hair before going out

question

a Swedish-American protestant patient recommends what health maintenance activity.

answer

walking on regular bases

question

how might a Swedish-American Protestant patient treat a black eye?

answer

put leeches on the black eye to decrease bruising and swelling.

question

how might a Swedish-American protestant treat feeling run-down and tired with a dietary practice?

answer

eating a whole head of lettuce

question

A recent widow from the Greek orthodox heritage loses her spouse by death. How does she behave? What would a husband do?

answer

She wears black for the rest of her life. She is in mourning.

question

name a birth belief for Shintos

answer

save the umbilical cord

question

nursing students experience cognitive dissonance in 2 specific ways in relation to health protection practices.

answer

1. conflict in attitudes in old ways 2. adopt the more stubborn methods contributes

question

garlic serves what purpose when worn around the neck, name 2 purposes for this practice

answer

1. forces cause others to stay away 2.garlic keeps evil spirit away

question

sharing family health practices has what value?

answer

encourage /awaken feelings of nostalgia for the good old days

question

What purpose would a discussion of different ethnocultural practices have for patient or nurse families? name for purposes.

answer

1) Reawakens types of health practices w/each nurse's family 2) Make known similarities and differences across ethnic ; religious groups 3) Reminds us that all people practice a certain amount of traditional medicine 4) Understanding that nurses often delay seeking professional health care

question

Describe the relationship between socialization and professional providers in the health care field.

answer

socialization into a culture's traditions, language and practices is common thread for all cultures

question

"unique symbols" are a part of the nursing profession. "each professional discipline has its own language and objects, rituals, garments, and myths." list four examples of each.

answer

1. pen light. 2. stethoscope 3. white uniform 4. white lab coat

question

patients have a common complaint regarding contemporary U.S. health care providers

answer

Rigidity of the system. (With ethnocentrism, allopathic medicine is superior)

question

In the contemporary U.S. health care model, our culture socializes it's citizens to seek treatment from health care providers who have fulfilled three specific requirements

answer

education, license, certification

question

what are the 3 examples from a health care provider's culture?

answer

1. charting 2. learning jargon 3. thought problem solving method

question

Per capita income (i.e. income per person) is the mean income of the people in an economic unit (e.g. country, city). What is expected to happen with health care expenditures?

answer

Will increase by percentage in gross domestic product.

question

According to table 8-3, the cost of prescription medications have increased from ______ in 1960 to ___________ in 2008. What is reason for the increase in prescription medications

answer

$2.7 billion $234.1 billion increase related to the development of new drugs

question

in 2006, what 3 specific health problems in the table 8-4 cost the most to effectively treat?

answer

1. respiratory 2. coronary angioplasty 3. cardiac placement

question

Responsibility for health care costs has moved from personal responsibility (private sector) in 1960 to the public sector and back to the private sector. what are four issues surrounding the shifting of health care coverage?

answer

1) Technology explosion 2) Soaring health care costs 3) Costs of services that are blindly covered 4) Families often left bankrupt

question

what four changes have occurred in health care because of the affordable health care act?

answer

1. small business tax credit 2. free preventative care 3. improvement of health care quality and efficiency 4. insurance for pre-existing conditions

question

how do health care expenditures differ between U.S. and other nations?

answer

our expenditure exceeds by more than doubling the amount in some countries (ex. Denmark)

question

Regarding infant mortality rates (IMR), how many nations have lower IMR's in comparison to the U.S.?

answer

our rate is 6.7 deaths in 2006. 26 other countries have lower mortality rates.

question

at the outset or turn of the 20th century, the key health problems in the U.S. were____?

answer

1. treatment of infectious disease 2.treatment of chronic disease 3. maternal and child health b/c of large # of new immigrants (modern chances).

question

What was the impact of infrastructure and the hill-burton act of 1946?

answer

1. providing infrastructure for construction for hospitals 2. movie all of the pt. out of home into hospitals Development for today's cost and treatments. Building of hospitals, development of vaccines, and the development of resources that enabled costly tests and treatments to be carried out.

question

during the latter part of the 20th century, a major issue in healthcare was ______?

answer

exploding health care costs, reform and control

question

the major goal of health care reform in the 1990's by the Clinton Administration was____?

answer

affordable, comprehensive available

question

is racism a reason why a patient may not receive adequate care and pain control?

answer

There may be subtle racism towards a patient with sickle cell disease.

question

Suchman discusses pathways to Health Services. whom does the patient interact with at the 2nd and 3rd level?

answer

2nd-specialists (obstetrician gyneocologists,sergions, neurologist) 3rd-patiet care services, inpatient care services

question

name 4 barriers to health care

answer

1. lack of money 2. no insurance 3. problems with language 4. no primary physician 5. problem with transportation

question

how is language a healthcare barrier?

answer

miscommunication (use interpreter services)

question

how is transportation a healthcare barrier?

answer

no pubic transportation

question

how is technology a health care barrier?

answer

Can't afford diagnostic tests & therapies even though you have insurance.

question

name four areas of patient care that overlap medicine and law

answer

1) Sanitation 2) Immunization 3) Abortion 4) Euthanasia

question

spector illustrates the role of medicine being an institution of social control because medicine places attention on health issues that are _______.

answer

preventable diseases of the rich (rich people contribute to foundation that have diseases that family members have) -less famous diseases do not get funding as a result.

question

holistic care is predicated on ________.

answer

cultural health traditions & needs.

question

In Table 8-7, CulturalCare defines health as:

answer

balancing one's inner ; outer world.

question

In Table 8-7, on topic of medicalization, what is the modern medical care perspective?

answer

using medical model for all problems not thought of as medical in nature

question

In Table 8-7, if a patient describes Cultural Care Health restoration activities, he/she talks about_____ while a nurse is collecting health history data.

answer

1. herbal remedies 2. visiting a shrine

question

In Table 8-7, if a nurse is working with a pregnant patient who is approaching her pregnancy from Cultural Care perspective, the patient is considering______?

answer

becoming a midwife

question

For the Navajo, the cause and treatment of an illness can be diagnosed with ______.

answer

a sand painting

question

The 2010 Census data revealed a major finding regarding the AI/AN population who have larger families and poverty level nearly twice that of the rest of the U.S. population

answer

They have less health insurance which is double compared to the rest of the U.S.

question

in 1860 census and 1890 census counted the American Indian population differently. How so?

answer

the 1890 census was the first to cut American Indians throughout the country. prior to this census, the counting was limited to those American Indians living in the general population of various states

question

if an AI patient mentions his/her family has lived in the 2 u.s. locations, what might explain the relocation?

answer

1. treaties of peace and land cession 2. European land takeover 3. forceable relocation

question

If you are a healthcare provider of the AI, what part of the U.S. are you most likely working?

answer

Western part of U.S.

question

If a AI patient mentions total harmony with nature, having the ability to survive under exceedingly difficult circumstances, treating the human body with respect, and treating the earth with respect — what concept is being explained to the health care provider?

answer

HEALTH. treat body with respect just as earth would be treated with respect

question

The positive energy pole, negative energy pole, and purpose and identity describe what concept?

answer

The body's spiritual energy

question

how does AI prevent disease?

answer

wear certain objects or charms as a preventative measure

question

If an AI patient says (1) something that happened in the past (2) something that will happen in the future (3) and something that must be — what is being referenced?

answer

cause of illness or the reason of every illness or pain

question

For the Hopi AI, what is the cause of illness?

answer

Evil spirits

question

If a Navajo AI patient says: (1) displeasing holy people, (2) annoying the elements and (3) disturbing plant life and animal life — what is being described?

answer

their view of illness

question

if an AI patient mentions: (1)interrelationships between people, the earth, and the universe, (2)understands the ways of plants and animals, and (3) preforms special ceremonies

answer

these are the qualifications for a becoming a medicine men and women

question

how does the medicine man determine the cause of an illness versus the modern physician?

answer

by focusing on the spiritual problem

question

Herbs and spices are used by the AI as____.

answer

spiritual helpers for caring for the illness.

question

For the Hopi AI, meditation and hers create a trance for_____.

answer

so one can have the vision of the evil that causes the illness

question

what does it mean to the Navajo AI patient go if the diagnostic references (1) motion in the hand, (2) stargazing, and (3) listening?

answer

illness is minor and the patient will recover

question

to diagnose the cause of disease, which Navajo AI divination method will be used by the women to diagnose the cause of illness?

answer

motion of the hand

question

For the Navajo AI, the main effect of the singer and the singing is _____?

answer

Psychological and helping the patient to feel deeply cared for in a personal way

question

to maintain harmony with nature and to cleanse the body and spirit, the AI practices what act?

answer

Act of purification

question

why would an Oneida AI use witch hazel, comfrey, skunk oil, and dried raspberry leaves

answer

Medication remedies

question

while observing an AI healing ceremony, what is the common characteristic which interferes with the negative work of the spirits and disease?

answer

Sounds

question

if an AI patient reports having (1) heart disease, (2)cirrhosis of the liver, and/or (3) diabetes millitus--the health care provider recognizes these problems as ____.

answer

Leading causes of death

question

abject poverty is associated with which disease?

answer

Tuberculosis & malnutrition

question

an AI female patient mentions (1) domestic violence, (2) sexual abuse, and (3) battering of women. what disease will the health care provider ask questions about the interview?

answer

Cirrhosis of the liver. Alcohol Abuse

question

does the Indian Health Services (IHS) provide services throughout the U.S.?

answer

Services are available to the AI living on reservations in the West

question

the goal of IHS is ___?

answer

Comprehensive, culturally acceptable personal care to all AI

question

what is the concern for the AI patient with the physician's diagnosis at a non-IHS facility?

answer

Conflict of perception of illness

question

Health care provider should take into consideration____ when communicating with an AI patient.

answer

Nonverbal communication

question

why would a health care provider remember what was being said to be recorded at a later date while interviewing an AI patient?

answer

Note-taking is taboo

question

a hispanic patient living in the U.S. is from which country?

answer

Mexico

question

Hispanic patients are most likely to reside in which regions of the U.S.?

answer

West ; South

question

a patient from Mexico would most likely be described by which socio-demographic and demographic category based on the 2010 census? ____ is the process by which U.S citizens is granted to a foreign citizen or national after he or she fulfills the requirements established by Congress in the Immigration and the National Act (INA).

answer

Naturalized US citizenship

question

Percentage of Hispanic population graduate from high school and college?

answer

62.9% ; 13.9%

question

The 2010 census data found (1) most Hispanics seek employment in urban areas (2) few Hispanics have high-paying jobs (3) a small number of Hispanics are employed in clerical and profession areas and (4) a large number of Hispanics are unemployed. Which subcategory of Hispanic do these data describe?

answer

2010 Census Socioeconomic Data

question

a patient from Mexico is most likely to reside in the _____ are of the U.S.

answer

Urban areas

question

Four health beliefs of patients with a Mexican heritage:

answer

1.Good luck 2.Reward for good behavior 3.Gift from God 4.Protection via wearing religious medals

question

Hispanic patients counteract illness caused by an imbalance by_____.

answer

Eat foods that are opposite of the imbalance

question

For a hispanic patient, an imbalance is caused by _____.

answer

an illness (related to wrongdoing)

question

Blood, yellow bile, phlegm, and black bile are body humors or fluids that relate to)_____.

answer

imbalance of a body humor/fluids

question

Why might a patient refuse to eat meals in the hospital? It is important to understand which concept.

answer

Understanding which foods the patient considers hot and cold

question

What has caused a patient from the Mexican culture to have a mal ojo or "bad eye" illness?

answer

Excessive admiration from someone else

question

the following symptoms describe which disease: (1) restlessness when sleeping, (2) listlessness, (3) anorexia, and (4) lack of personal hygiene?

answer

Manifestations of susto

question

Milagros articles are placed in a church as the patient is discharged from a hospital. why?

answer

Evidence of thanks for answered prayers

question

the following characteristic relate to which concept for a Mexican heritage patient: (1)considering to be a religious figure, (2)was born as a healer, (3) taught the ways of healing through the herbs, and (4) received a calling through the dream.

answer

Characteristics of a curandero healer

question

in the Mexican health care system, care provided to pregnant women in confined to _______.

answer

Practice of the partera

question

herbs, penance, laying on of hands, and massage are used by whom for what?

answer

Items used by a Mexican healer

question

upon the completion of a medication history with a patient from a Mexican culture, the nurse will research and access the use of which teas?

answer

Camomile, Spearmint, Orange leaves, ; Sweet basil

question

according to the 2010 census, most people of Puerto Rican descent reside______.

answer

New York City

question

Puerto Rican descents seek assistance from Santeria because of _______. What is Santeria? Where is Santeria practiced?

answer

Mental Illness

question

a nurse realizes he/she most research and consult with a _____ because the medical history revealed the puerto Rican heritage patient purchases herbs, patents, Florida water, ointments and incense.

answer

Botanica

question

"In spite of the fact that Spanish speaking people constitute one of the largest minority groups in this country, very few health care deliverers speak spanish" what is the significant of this statement?

answer

Impedes appropriate delivery of care

question

Why does Spector use the words: "Percentage of live births to women receiving third-trimester prenatal care or no prenatal care?" What conclusion is supported by the Hispanic data when compared to data for the general U.S. population?

answer

Hispanic women have better self-care prenatal practices than the general population; Higher percentage of live births

question

when comparing "percentage of the live births to teenage childbearing women under 18," the data reveal_____ when comparing the Hispanic population to the general U.S. population?

answer

Higher incidence of births to women under age 18

question

When comparing hispanic women with the general US population on the incidence of lung cancer, you arrive at what conclusion

answer

Hispanic women are less likely to Smoke

question

on "unintentional injuries, how do the Hispanic Americans compare to All persons?

answer

Unintentional injury ranks as the third highest cause of death for Hispanics in the United States compared to the general population

question

Hispanic employment patterns and income levels result in ______.

answer

More likely to live in poverty than non- Hispanic whites

question

TB, malnutrition and lead poisoning are common diseases of the ______.

answer

Hispanic patients

question

Hispanic patients experience what barrier to receiving health care from Western health care professionals?

answer

Time is relative for Hispanics; therefore, conflicts occur regarding promptness for appointments

question

Which action would address demographic disparity in health care for the hispanic population?

answer

Increase the number of Hispanics entering the health care professions

question

an example of health protection activity for Iranian-American Moselm heritage patient.

answer

keep feet from getting wet in the rain

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