Chapter 2 Cultural Competence

rationale and components of cultural care nursing (SAC)

sensitive, appropriate, and competent

What does the patient Believe that amulet is protective A. The evil eye B. Being kidnapped C. Exposure to a bacterial infection D.An unexpected fault

A. The evil eye

Which statement best describes religion A.An organized System of beliefs concerning the cause, natural and the purpose of the universe B. Believe in a divine are super human spirit to obey and worship C. Affiliation with one of the 1200 recognize religions in the US D.The following of established rituals,Especially in conjunction with health seeking behaviors

A.And organized system of beliefs concerning the cause, natural and purpose of universe

Which factor is identified as priority influence on a patient's health status A. Poverty B. Lifestyle factors C. Legislation action D.Occupational status

A.Poverty

Factors related to socialization

Acculturation-Learning a new culture Assimilation-changing cultures Biculturalism- More than one culture

Just describe five methods of complementary interventions

Acupuncture Acupressure Massage Therapeutic touch Therapeutic use of music

Which health believe practice is associated with patients who are American Indian heritage A.Wearing bangle bracelets to ward off evil spirits wearing bangle bracelets to ward off evil spirits B.Eating compatible food and one diet C.Using swap route as a traditional home remedy D. Believing in a shaman as a traditional Healer

B.Eating Combatable foods in ones diet

Which statement is true in regard to pain A.Nurses attitudes toward their patients pain are unrelated to their own experiences with pain nurses attitudes toward their patients pain are unrelated to their own experiences with pain B.The cultural background of a patient is important and the nurse assessment of the patient's pain C. A Nurses area of clinical practice is the most likely to determine his or her assessment of a patient's pain D.A nurse is years of clinical experience and current position or a strong indicator of his or her response to patient pain

B.The cultural background of the patient is import and then the nurses assessment of that patient's pain

Theories about how people view the cause of illness

Biomedical- cause-and-effect Naturalistic-natural balance Magicoreligious- supernatural

The major factor contributing to the need of cultural care nursing is A.And increasing birth rate B. Limited access to healthcare services C. Demographic change D.A decreasing rate of immigration

C. Demographic change

Which culture would describe illness as hot and cold imbalance? A. Asian American heritage B. African-American heritage C. Hispanic American heritage D.American Indian heritage

C. Hispanic American heritage

You are the triage nurse in the emergency department and perform the initial intake assessment on a patient who does not speak English. Based on your understanding of linguistic competence, which action would present as a barrier to effective communication? A. Maintaining a professional respectful demeanor B. Allowing for additional time to complete the process C.Providing a patient with a paper and pencil so he or she can write down the answer to the question that you are going to ask D.See if there are any family members present who may assist with the interview process

C. Providing the patient with paper and pencil so he or she can write down the Answers to the questions that you are going to ask

which statement best describes ethnocentrism A. The governments description of various cultures B. Hey central believe that excepts all cultures as one's own C. The tendency to view your own way of life as the most desirable D. The Tennessee to impose your beliefs, values, and patterns of behaviors on an individual from another culture

C. The tendency to view your own way of life as the most desirable

Which statement best reflects the magicoreligious causation of illness A. Each being is but a part of a larger structure in the world of nature as it relates to health and illness B.causality relationship exists leading to expression of illness C. Belief in the struggle between good and evil is reflected in the regulation of health and illness D. Illness occurs as a result of disturbances between hot and cold reactions

C.belief in the struggle between good and evil is reflected in the regulation of health and illness

The first step to culture competency By a nurse is to A. Identify the meaning of health to patient B. Understand how healthcare delivery systems work C. Develop a frame of reference to traditional healthcare practices D. Understand your own heritage and it's basis in cultural values

D. Understand your own heritage and it's basis and cultural values

The term 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

D. Understands the cultural context of the patient's situation

Which category is appropriate and a cultural assessment A. Family history B. Chief complaint C. Past medical history D.Health related beliefs

D.Health related beliefs

Which statement is the most appropriate to use when initiating an assessment of culture believes with an older American Indian patient A. Are you of the Christian faith B. Do you want to see a medicine man C. How often do you see kelp from medical providers D.What culture our spiritual believes are important to you

D.What culture our spiritual believes are important to you

yin/yang theory

Health exists when all aspects of the person are in perfect balance. Yin goes to Hot illness and yang goes to cold illnesses

List at least five names for various folk healers and the culture they represent

Herbalist - Asian Root worker- African santrola, Central American Indian Medicine man- American Indian\Alaskan native Brauchers-European

Which statement best illustrates the difference between religion and spirituality A.Religion reflects an individual's reaction to life events whereas spirituality is based on whether the individual attend religious services B. Religion is characterized by identification of a higher being shape in one's destiny spirituality Reflex and individuals perception of one's life having worth C.Religion is the expression of spirituality Is based on belief in divine right D. Religion is The active interpretation spirituality

Religion is characterized by identification of a higher being shaping one's destiny while spirituality reflects an individual's perception of one's life having worth or meaning

The provision Title VI Civil Rights Act of 1964

a federal law that mandates that when people with limited English proficiency (LEP) 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

hot/cold theory

explanatory method in which the four body humors regulate basic body functions and are described in terms of temperature, dryness, and moisture; an imbalance between hot and cold causes diseases are treated with hot foods and vice versa

Characteristics of Culture

learned, shared, adapted, dynamic