Jarvis Chapter 2: Cultural Competence: Cultural Care – Flashcards
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Cultural and Linguistic Competence
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A set of congruent behaviors, attitudes, and policies that come together in a system among professionals that enables work in cross-cultural situations
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Cultural Care Nursing
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Professional health care that is culturally sensitive, appropriate, and competent
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Culture
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The nonphysical attributes of a person - the thoughts, communications, actions, beliefs, values, and institutions of racial, ethnic, religious, or social groups
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Culture-bound Syndrome
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A condition that is culturally defined (empacho, ghost, hysteria, etc.)
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Ethnicity
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A social group within the social system that claims to possess variable traits such as a common geographic origin, migratory status, and religion
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Ethnocentrism
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Tendency to view your own way of life as the most desirable, acceptable, or best and to act superior to another culture's lifeways
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Folk Healer
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Lay healer in the person's culture apart from the biomedical/scientific health care system
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Health
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The balance of the person, both within one's being (physical, mental, and/or spiritual) and in the outside world (natural, communal, and/or metaphysical)
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Illness
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The imbalance of the person, both within one's being (physical, mental, and/or spiritual) and in the outside world (natural, communal, and/or metaphysical)
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Heritage Consistency
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The degree to which a person's lifestyle reflects his or her traditional heritage, whether it is American Indian, European, Asian, African, or Hispanic
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Religion
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The belief in a divine or superhuman power or powers to be obeyed and worshiped as the creator (s) and ruler (s) of the universe; and a system of beliefs, practices, and ethical values
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Socialization
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The process of being raised within a culture and acquiring the characteristics of that group
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Title VI of the Civil Rights Act of 1964
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A federal law that mandates that when people with limited English proficiency seek health care in health care settings such as hospitals, nursing homes, clinics, daycare centers, and mental health centers, services cannot be denied to them
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Values
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A desirable or undesirable state of affairs and a universal feature of all cultures
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Acculturation
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The process of adapting to and acquiring another culture
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Assimilation
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The process by which a person develops a new cultural identity and becomes like the members of the dominant culture
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Biculturalism
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Dual pattern of identification and often of divided loyalty
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Traditional Causes of Illness
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1) Biomedical or Scientific theory: Based on the assumption that all events in life have a cause and effect, that the human body functions more or less mechanically 2) Naturalistic theory: Found most frequently among American Indians, Asians, and others who believe that human life is only one aspect of nature and a part of the general order of the cosmos 3) Magicoreligious theory: The basic premise is that the world is seen as an arena in which supernatural forces dominate.
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Cultural Shock
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State of disorientation or inability to respond to the behavior of a different cultural group because of its sudden strangeness, unfamiliarity, and incompatibility to the newcomer's perceptions and expectations
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Traditional Heritage
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Living within the norms of the traditional culture
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Modern Heritage
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Acculturated to the norms of the dominant society
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Religion is best described as: a. an organized system of beliefs concerning the cause, nature, and purpose of the universe b. belief in a divine or superhuman spirit to be obeyed and worshiped. c. affiliation with one of the 1200 recognized religions in the United States. d. the following of established rituals, especially in conjunction with health-seeking behaviors.
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b. belief in a divine or superhuman spirit to be obeyed and worshiped.
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the major factor contributing to the need for cultural care nursing is: a. an increasing birth rate b. limited access to health care services. c. demographic change d. a decreasing rate of immigration
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c. demographic change
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"culturally competent" implies that the nurse: a. is prepared in nursing b. possesses knowledge of the traditions of diverse peoples. c. applies underlying knowledge to providing nursing care. d. understands the cultural context of the patient's situation.
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d. understands the cultural context of the patient's situation.
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many of the traditional definitions of HEALTH tend to focus on: a. beliefs of body and mind b. equilibrium with others. c. physical, mental, and spiritual harmony d. ability to perform activities of daily living.
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c. physical, mental, and spiritual harmony
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ILLNESSES may be described as an imbalance of hot and cold among people of: a. Asian-American heritage b. African-American heritage c. Hispanic-American heritage d. American Indian heritage
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c. Hispanic-American heritage
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an amulet may be used to protect a person from: a. the evil eye b. being kidnapped c. exposure to bacterial infections. d. an unexpected fall.
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a. the evil eye
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the term "empacho" which is used in the Hispanic culture, can be explained as: a. a folk healer who specializes in the use of herbs and tonics b. an example os a culture-bound syndrome that has no equivalent from a biomedical scientific prospective c. a self-care complementary intervention. d. a reward for good behavior.
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b. an example os a culture-bound syndrome that has no equivalent from a biomedical scientific prospective
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the first step to cultural competency by a nurse is to: a. identify the meaning of health to the patient b. understand how a health care delivery system works c. develop a frame of reference as to traditional health care practices d. understand your own heritage and its basis in cultural values.
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d. understand your own heritage and its basis in cultural values.
