Ch 5 - Culture

The nurse asses the wellness beliefs and values of a client from another culture best when asking which question? A. "What do you think is making you ill?" B. "When did you first feel ill?" C. "How can i help you get better?" D. "Did you do something to cause the illness?"

A

Neurasthenic

Korean. Characterized by epigastric pain, anorexia, palpitations, dyspnea, and muscle aches and pains. Thought to be caused by a lack of harmony in the body or in interpersonal relationships. Treated by reestablishing harmony. Some researchers feel that it is closely related to depression.

Susto

Latin American. Characterized by a broad range of somatic and psychological symptoms similar to post traumatic stress disorder. Precipitated by a traumatic incident or fright that caused the patient's soul to leave the body. Treated by a spiritual healer.

Ataque de nervios

Latin American. Sudden attack of trembling, palpitations, dyspnea, dizziness and loss of consciousness. Thought to be caused by an evil spirit r/t intolerable stress. Treated by a spiritual healer.

Which assessment question would produce data that would help a nurse understand healing options acceptable to a client of a different culture? A. "Is there someone in your community who usually cures your illness?" B. "What usually helps people who have the same type of illness you have?" C. "What questions would you like to ask about your condition?" D. "What sorts of stress are you presently experiencing?"

B

Ethnocentrism

Belief in the superiority of one's nation or ethnic group. There way is the only way.

What question asked by the nurse demonstrates the effective implementation of cultural desire when caring for a client from a different culture? A. "Where can i find information on the concept of Yin-Yang?" B. "How do I go about arranging for a Chinese translator?" C. "What can j do to provide ethnic foods that are still low in fat?" D. "How can i explain why we can't provide for his request for acupuncture?"

C

Wind illness

Chinese, Vietnamese. Characterized by a fear of cold, wind, or drafts. Derived from the belief that yin-yang and hot-cold elements must be in balance in the body or illness occurs. Treated by keeping very warm and avoiding foods, drinks, and herbs that are cold or considered to have a cold quality, as well as "cold" colors, emotions, and activities. Also treated by a variety of means designed to pull the "cold wind" out of the patient, such as by coining (vigorously rubbing a coin over the body) or cupping (applying a heated cup to the skin, creating a vacuum).

neurasthenia

Chinese. Characterized by somatic symptoms of depression (e.g., anorexia, weight loss, fatigue, weakness, trouble concentrating, insomnia), although feelings of sadness or depression are denied. Thought to be related to a lack of yin-yang balance.

When assessing and planning a treatment for a client who has recently arrived in the United States from China, the nurse should be alert to the possibility that the clients explanatory model for his illness reflects which cultural concept? A. Supernatural causes B. Negative forces C. Inheritance D. Yin-Yang

D. Yin-Yang

ghost sickness

Navajo. Characterized by "being out of one's mind," dyspnea, weakness, and bad dreams. Thought to be caused by an evil spirit. Treated by overcoming the evil spirit with a stronger spiritual force the healer, a "singer," calls forth through a powerful healing ritual.

Jin possession

Somalian. Characterized by psychological distress and anxiety caused by the belief that one is possessed by a 'Jin' (a being that is able to see humans even though humans cannot see it, and that is capable of possessing a human's body when it is angry with the human). Intermittent, involuntary, abnormal body movements occur along with the psychological distress. Treated by exorcising the 'Jin' with the assistance of a religious leader, such as an Imam, who will ask the 'Jin' what the person has done to anger it so that the person can apologize and make amends.

Which idea held by the nurse would best promote the provision of culturally competent care? A. Western biomedicine is one of several established healing systems. B. Some individuals will profit from use of both Western and folk healing practices. C. Use of cultural translators will provide valuable information into health-seeking behaviors. D. Need for spiritual healing is a concept that crosses cultural boundaries.

Western biomedicine is one of several established healing systems.

Enculturation

The transmission of culture across generations.

cultural imposition

When one person imposes his or her beliefs, values, and practices on another because he or she believe his or her ideals are superior

5 constructs of cultural competence

awareness, knowledge, encounters, skill, desire

Somatization

the expression of psychological distress through physical symptoms