Ch: 8 Cultural Competence

What is Acculturation?

The process of ADOPTNG the cultural traits or social patterns of another.

What is assimilation?

The process of adapting or ADJUSTING TO the culture of a group or nation.

What is a culture bound syndrome?

A collection of symptoms, behavioral and experiential that present generally in people of a certain cultural group. Culturally derived remedies exist to treat the syndrome. Healing rituals have been developed.

What is socialization?

A continuous process whereby an individual acquires a personal identity and learns the norms, values, behaviors and social skills appropriate to his/her position in society.

What is cultural competence?

A set of congruent behaviors, attitudes, and policies that enable a system or professional to work effectively in cross-cultural situations.

What is a cultural idiom of distress?

A way of expressing features of distress or a way of talking about suffering common among a cultural group.

What is ethnocentrism?

Seeing things only from your cultural perspective.

What is an example of a cultural idiom?

"Kufungisisa" - Thinking too much. Anxiety, HA, and dizziness. Among the Shona of Zimbabwe.

What is an example of a cultural explanation?

"Susto" - Fright Results after a frightening experience that causes the soul to leave the body resulting in "sickness, unhappiness, and trouble with role functioning." Somatic symptoms and symptoms associated with MDD can result. Common among US Latino's and people in Mexico, Central and South America.

What are 3 CLAS standards that the NP must follow?

1. Must offer and provide language assistance. 2. Must provide in preferred language, both verbal and written notices informing them of their rights to receive language assistive services. 3. Assure the competence of language assistance provided to limited English proficient patients by interpreters and bilingual staff.

What does the term "amok" mean and in what cultures?

Amok is a dissociative episode with brooding, violence, or homicidal behavior. Only happens in men, precipitated by a perceived slight. Found in men in the following cultures: Laos, Phillipines, Polynesia, Papua New Guinea, Puerto Rico, and Navajo.

What is CLAS?

Culturally and Linguistically Appropriate Services (CLAS).

What is the goal in being culturally competent?

Increase cultural sensitivity and decrease racial/ethnic disparities.

What is "nervios" in the Latin culture?

Word to express "distress" or vulnerability to stressful events in Latin culture.

What is Xenophobia?

Fear of other cultures.

What are 2 important things that the PMHNP must do in cross-cultural situations?

1. Be aware of own biases and assumptions. 2. Acknowledge cultural background and biases of the patient.

What are the 6 relevant cultural phenomena?

1. Communication 2. Space 3. Social organization or family 4. Time 5. Environmental control 6. Biological variations - metabolic pathways of P450 system.

What is a cultural explanation or perceived cause?

Label or explanatory model used to provide an etiology or cause for symptoms, disease, or distress.

What is the most common Cytochrome P450 enzyme poorly metabolized by various other cultures?

P450 2C19 - American-Europeans, African-Americans, Asian, Hispanic.