Cultural Competence
Cultural ____________________ refers to protecting others from cultural imposition.
safety
Which culture-bound syndrome would the nurse suspect when a patient from Panama has aggressive behavior, uncontrollable crying, and trembling after the death of a spouse?
Ataque de nervios
_______________________ use of medical terminology makes teaching more understandable by patients, who usually are not familiar with medical terms.
Avoiding
__________________ health-related beliefs and practices include fasting for 24 hours on the first Sunday of the month.
Mormon
are defined by conditions in which people are born, grow, live, work, and age.
Social determinants of health
Avoid forming inappropriate _______________ or _________________ when assessing a patient's needs. Approach each person individually and ask questions to gain a better understanding of a patient's perspective and needs
biases or stereotypes
Effective ________________________ is a critical skill in culturally competent care and helps you engage a patient and family in a respectful, patient-centered dialogue.
communication
Transmitted over generations by the family and community.
ethnicity
Which cultural belief will guide health care decisions for a Muslim couple who are being treated for infertility and considering artificial insemination?
Artificial insemination is permissible only if from the husband to his wife
Which concept is illustrated when a nurse teaches that a patient's cultural food choices are unhealthy and insists that the patient avoid cultural foods?
Cultural imposition
include education, health behaviors, social and physical environment, socioeconomic status, genetics, and access to health care.
Determinants of health
describes the health of a person or community. Community health status measures include birth and death rates, life expectancy, and morbidity and mortality rates.
Health status
These two culture prohibit artificial inseminations:
Jehovah's Witnesses Amish
____________________differs from spirituality in that it is an organized, institution-related practice that is commonly associated with particular beliefs
Religion
Which factors would be included in the nurse's cultural assessment of a recent immigrant from Latin America
Religious affiliation Nutritional practices Educational background
Which term describes using prayer, meditation, or other outlets to make sense of life experiences?
Ritual
______________________ may help a patient during times of illness and may take the form of prayer, meditation, or other rituals that the patient may create.
Rituals
Which cultural characteristic will the nurse consider when planning patient teaching for a group of Native American patients who have newonset diabetes?
Spiritual guidancea
___________________ study is the comparative study of various cultures.
Transcultural
Cultural ________________________ is the in-depth self-examination of one's own background, recognizing biases, prejudices, and assumptions about other people.
awareness
Influences one's social relationships, expression of thoughts and emotions, morality, religious beliefs and rituals, and use of technology.
culture
The learned, shared, and transmitted knowledge of values, beliefs, and ways of life of a particular group that generally are transmitted from one generation to another and influence an individual's thinking, decisions, and actions in patterned or certain ways.
culture
Poor health, disease risk factors, poor health outcomes, and limited access to health care are types of preventable health care _____________________ often interrelated and influenced by the conditions and social context in which people live.
disparities
Which components are included in cultural competence?
skill awareness knowledge encounter
______________, _________________, ______________and __________________ cultures do not permit alcohol consumption.
Islam, Buddhism, Mormon, and Seventh Day Adventismprok
____________________ refers to a person's effort to find purpose and meaning in life and relates to the soul or spirit more than the body.
Spirituality
help communicate verbal words
interpreters
U.S. Federal Agencies have identified a minimum of five race categories:
Black White Asian American Indian Pacific Islander.
is critical to reducing health disparities and improving access to high-quality health care that is respectful and responsive to the needs of a diverse patient
Cultural respect
those factors that influence the health of individuals and help to explain the difference in health among persons.
Determinants of health
_____________________ in care are related to stereotyping, prejudice, discrimination, and bias that affect nursing and patient behaviors and decrease patient safety and well-being
Disparities
___________________________ refers to the belief that one's own culture and worldview are superior to those of others from different cultural, ethnic, or racial backgrounds.
Ethnocentrism
refers to the belief that one's own culture and worldview are superior to those of others from different cultural, ethnic, or racial backgrounds.
Ethnocentrism
_______________________ tend to be independent, individualistic, and competitive.
European Americans
____________ and ____________ are closely linked to a person's spiritual well-being, providing an inner strength for dealing with illness and disability
Faith and hope
_______________ is seen in cultures that view disease or problems fatalistically; that is, people see no reason to seek treatment because they believe it is unlikely to have any benefit.
Fatalism
differences in the incidence, prevalence, mortality, and burden of diseases that exist among specific population groups in the United States.
Health disparities
Ethnicity examples include:
Hispanic, Middle Eastern, etc.
Persons from the ____________________ culture tend to be interdependent.
Hispanic/Latino
_______________________ is found in Koreans and is characterized by resentment that is brought about by bitterness and discontent.
Hwa-byung
When preparing a dietary teaching plan for a patient who strictly follows Jewish religious practices, which dietary needs/restrictions would the nurse consider?
Include only kosher foods. Do not include pork and shellfish. Dairy dishes cannot be mixed with meat.
The culture-bound syndrome hwa-byung is seen in ______________ patients.
Korean
_________________________ is the segregation of patients on the basis of political systems, labor markets, and positions of power.
Marginalization
___________________________ is the concept of intersectionality that provides limited access or exclusion from different facets of the society such as a political system, labor market, or positions of power.
Marginalization
_____________________ refers to the privilege and support of powerful segments of society
Matrix of domination
__________________ people fast during daytime hours during the month of Ramadan.
Muslim
________________________ addresses groups that have been overlooked in research and the design of interventions.
Overinclusion
_________________ is an evidence-based coping resource for physical and psychological symptoms.
Prayer
Which concept of intersectionality involves unequal access to resources and services?
Social inequality
is an ongoing process of asking patients open-ended questions to gather feedback through explanation or demonstration until the health care provider feels confident in the patient's ability to understand and safely apply the new educational content.
Teach-back
Health ___________________ is attained when all people have access to health care and the opportunity to reach their full health potential.
equity
Ensuring all people have access to affordable basic health care is an important step toward eliminating _____________________________ , a Healthy People 2020 goal
health disparities
A socially constructed concept that groups people by common descent, heredity, or physical characteristics.
race
Cultural ____________________ are the ability to assess social, cultural, and biophysical factors that influence patient treatment and care.
skills
Nursing assessment of a patient's ________________ needs includes a review of the patient's faith, connectedness, life and self-responsibility, life satisfaction, and fellowship and community
spiritual
______________ is the lifelong process of incorporating cultural aspects of the contexts in which a person grows, lives, works, and ages.
Acculturation
______________________ refers to the lifelong process of incorporating cultural aspects in which a person grows, lives, works, and ages.
Acculturation
__________________________ involves incorporating cultural aspects of a new culture that an individual is living in, including the good and the bad.
Acculturation
Traditional ____________ culture examples include: Money, freedom, independence, privacy, health and fitness, physical appearance.
American
__________________________ have a value of collective concern and involvement.
American Pacific Islanders
Traditional ____________ culture examples include: Inclusion Social support Family
Amish
Family loyalty, use of folk healers, and enjoyment of cultural foods are characteristics of _______________________ culture.
Asian American
Which action will the nurse take when assessing a patient from Cambodia who is experiencing the culture-bound syndrome of koucharang ("thinking too much")?
Ask about physical and emotional exhaustion
_____________________ is the term describing brain "fatigue" caused by the challenges of school. It is a culture-bound syndrome found in African Americans.
Brain fag
In order to provide holistic nursing care, nurses need to become culturally competent. Use the pneumonic _____________________ to remember the steps in the process
CULTURE
What does the pneumonic CULTURE stand for?
Consider your own cultural biases and how these affect your nursing care. Understand the need to recognize cultural implications in planning and implementing nursing care. Learn how to use cultural assessment tools. Treat patients with dignity and respect. Use sensitivity in providing culturally competent care. Recognize opportunities to provide culturally based care. Evaluate your own previous encounters with patients from other cultures and backgrounds.
_______________________ in access to quality health care, preventive health care, and health education contribute to poor population health.
Disparities
Which term is used to describe a group of adult Jewish family members who want to participate in a religious ceremony at the bedside of a dying patient?
Minyan
___________________ allow artificial insemination only if it is from the husband to his wife.
Muslims
The culture-bound syndrome of ghost sickness is seen in ___________________ patients.
Native American
Harmony with nature is highly valued in the ______________________ and _______________________________ cultures.
Native American American Pacific Islander
______________________ is the concept of intersectionality that involves groups with unequal access to resources, services, and positions.
Social inequality
___________________________________ provide direct support in the form of actively addressing spiritual or religious needs of a patient and family and having discussions about family members' feelings and patient values
Spiritual care providers
______________________is a much broader and more unifying concept than religion, as it is an inherent human characteristic that gives individuals the energy needed to discover themselves, cope with difficult situations, and maintain health.
Spirituality
What is the goal of culturally congruent care?
To provide care to fit a patient's own values, beliefs, and traditions
What is the primary goal of patient-centered care?
To provide individualized care and restore an emphasis on personal relationships
__________________________ is part of a culture in which a way of life is passed along from one generation to the next
Tradition
______________________ nursing is a specialty that focuses on the comparative study and analysis of cultures and subcultures.
Transcultural
Cultural ___________________ helps to provide cultural safety
competence
Cultural _________________________ is the ability to understand, appreciate, and work with individuals from other cultures.
competence
Culturally _______________________ helps provide care that fits with patients' own values, beliefs, and traditions.
congruent care
A ______________________________________ should be done to determine the patient's health beliefs and health care practices and the patient's perspective of the meaning, cause, and preferred treatment of illness.
cultural assessment
Ongoing cultural competence and cultural skill are necessary for a nurse to complete a __________________________ and provide culturally appropriate nursing care for each patient, regardless of the patient's cultural background.
cultural assessment
Demonstrating knowledge and understanding of the patient's culture; accepting and respecting cultural differences; and adapting care to be congruent with the patient's culture.
cultural competence
Developing an awareness of one's own existence, sensations, thoughts, and environment without letting it have an undue influence on those from other backgrounds.
cultural competence
Gaining ___________________ and conducting a _____________ allows a health care provider to understand the cultural factors that shape a patient's life experiences, a patient's health care problems, a patient's behavior, and how a patient might perceive those problems while building a positive nurse-patient relationship.
cultural knowledge self-examination
Acknowledging and exploring a patient's particular dress, adornments, or behaviors is a component of ________________________ care.
culturally competent
In _________________ , there is a feeling of a ball that clings to the stomach or intestines, with symptoms of nausea, pain, and diarrhea
empacho
Cultural _____________________ are the cross-cultural interactions that provide opportunities to learn about other cultures and develop effective intercultural communication.
encounters
Many cultures have _________________________ , who are also known as traditional healers.
folk healers
The first step in providing culturally competent care is:
for you to assess your own cultural background, values, and beliefs related to health and health care.
Believed to be the result of interactions among genetic variations, environmental factors, and health behaviors.
health disparities
Improving _______________________ skills is an important first step in providing culturally competent care.
interpersonal
People who are ______________________ are more likely to have poor health outcomes and to die at an early age because of a complex interaction among individual behaviors, public and health policy, cultural factors, and access to and quality of health care.
marginalized
Core ____________________ help reduce mortality, complications, and inpatient readmissions.
measures
May also be based on skull shape (height, jaw joints, etc.) of which there are three types: -Asian -Caucasian -African
race
Cultural _________________ help assess social, cultural, and biophysical factors that influence patient treatment and care.
skills
What concept of intersectionality addresses the fact that some groups have limited access to certain facets of society such as the labor market?
marginalization
Use a medical _____________________ when you do not speak the patient's primary language.
interpreter
_______________________ patient value systems include respect for elders and authority.
Hispanic/Latino
____________ are things we hold as important.
Values
encompasses the knowledge, values, beliefs, art, morals, law, customs, and habits of the members of a society, including the systems of technology, education, social structures, and political practices.
Culture
__________________ refers to a belief that all members of a particular culture or group hold the same beliefs and values.
Stereotyping
refers to an overgeneralized viewpoint that members of a specific culture, race, or ethnic group are alike and share the same values and beliefs.
Stereotyping
Inequalities in disease morbidity and mortality in segments of the population.
health disparities
Populations with the worst health status are those with the ____________ poverty rates and the ____________education.
highest least
Daily meditation is an example of a ________________ that can be helpful in decreasing stress associated with illness.
ritual
Cultural _____________ refers to the practice of taking measures to avoid cultural imposition.
safety
The personal nature of ________________ requires open communication and the establishment of trust between you and a patient.
spirituality
an individualized journey characterized by experiential descriptors such as meaning, purpose, transcendence, connectedness and energy
spirituality
illnesses or afflictions recognized within a cultural group
Culture-bound syndromes
Which patient statement illustrates a fatalistic attitude about health and illness?
"There is nothing I can do to prevent another heart attack."
Which cultural group has the cultural characteristic of being independent, individualistic, and competitive?
European Americans
How many interrelated components are present in Campinha-Bacote's model of cultural competency?
5
Patients from which culture may experience brain fag?
African American
________________________ culture values interdependence within the cultural group.
African American
Stem cell use is prohibited in the ________________ culture.
Amish
Sacrament of the Sick may be requested by _________________ patients.
Catholic
Sacrament of the Sick is a religious practice carried out for ______________________ during illness.
Catholics
When obtaining an admission history and physical assessment for a non-English-speaking patient, which resource is best for the nurse to use?
Certified medical interpreter
____________________ is caused by extreme anger or rage; patients will display trembling, headache, screaming, stomach disturbances, and sometimes loss of consciousness.
Colera
________________________self-examines the dynamics of personal biases, stereotypes, values, and beliefs related to others different from one's own heritage, while cultural encounter is directly interacting with patients of a diverse population other than one's own.
Cultural awareness
______________________is the pivotal and key construct of cultural competence. It is your desire to engage with patients who have cultural differences that evokes the entire process of cultural competence.
Cultural desire
______________________________________ is the existence of a variety of cultural or ethnic groups within a society.
Cultural diversity
The attitude that other ways of doing things are different but equally valid.
Cultural relativism
____________ is a way of life for a group of people.
Culture
_________________________ syndromes are illnesses or afflictions that are recognized only within a cultural group.
Culture-bound
_____________________________ is the belief that one's own culture is superior to that of others.
Ethnocentrism
When a patient with end-stage liver disease tells the nurse, "I am sick because it is God's will, " which cultural value is the patient displaying?
Fatalism
_______________ beliefs include viewing signs and symptoms of an illness as "God's will."
Fatalistic
_______________________ believe transfusion of blood in any form or agents in which blood is an ingredient are not acceptable.
Jehovah's Witnesses
_______________ is a Catholic religious service.
Mass
Which action will the nurse anticipate taking when caring for a patient who practices the Hindu religion?
Order a vegetarian diet.
help communicate written words
Qualified translators
Which cultural value would likely be important to a Mexican American patient?
Respect for elders
is the initial nursing action in developing cultural competence.
Self-assessment of one's own personal cultural background, beliefs, and values related to health care
________________ is fright sickness, with symptoms of anxiety, insomnia, listlessness, and social withdrawal.
Susto
_____________________ is a culture-bound syndrome sometimes found in Hispanic/Latino people. It is also known as fright sickness or soul loss.
Susto
When a patient states, "I do not eat breakfast or lunch during Ramadan," how will the nurse interpret this information?
The patient is an observant Muslim.
Which social distance is typically comfortable for a European American patient?
The social distance maintained by European Americans is 4 to 12 feet.
Which statement is true regarding the goal of core measures?
They help reduce mortality, complications, and inpatient readmissions.
_________________________ involves the concept of overlooking a particular group.
Under inclusion
A person's ________________and ___________________ shape his or her world view about health, illness, and health care
culture life experiences
In Hispanic/Latino culture, _______________________ is a cultural syndrome which commonly develops after a death or divorce.
ataque de nervios
Symptoms include physical aggression, loud shouting, uncontrollable crying, and trembling.
ataque de nervios
Cultural ___________________ helps the nurse recognize prejudices and assumptions about other people.
awareness
Learning to practice_________________ and ________________ helps you discover a patient's life values and meaning.
caring and compassion
Recent _________________________ may be at risk for physical and mental health problems. This may be related to their country of origin or exposure to factors such as discrimination and bias in their new location.
immigrants
Cultural ___________________ occurs when one culture's beliefs are imposed on individuals from another culture.
imposition
Insisting that a person give up cultural foods because they are unhealthy is an example of __________________ of the nurse's own cultural beliefs on the patient.
imposition
Health care systems and providers contribute to the problem of health disparities as a result of:
inadequate resources, poor patient-provider communication, a lack of culturally competent care, system fragmentation, and inadequate access to language services.
Becomes the foundation for all actions and interpretations.
world view
One's basic assumptions about the nature of reality.
world view
Which cultural concept is displayed when a patient who was born and raised in the United States but then lived in Asia for many years uses an herbal therapist instead going to the hospital?
Acculturation
The culture-bound syndrome koucharang, or kit chroeun, is seen in ___________________ patients.
Cambodian
What are the 5 interrelated components of Campinha-Bacote's model of cultural competency?
Cultural awareness cultural skills cultural encounters cultural knowledge cultural desire
Which concept is demonstrated when the nurse asks a Chinese American patient about the significance of the patient's jade bracelet and whether it can be removed for a diagnostic procedure?
Cultural competence
the ability to understand and work effectively with patients, colleagues, and others whose beliefs, values, and histories differ from yours.
Cultural competence
___________________ is learned by each person within the family and social community.
Culture
______________________ is a way of life for a group of people that includes behaviors, beliefs, values, and traditions.
Culture
______________________ is when a person believes that his or her own culture and worldview are superior to those from different cultural, ethnic, or racial backgrounds.
Ethnocentrism
Equal rights for genders is valued in the ____________________________ culture
European American
____________________ about health and illness is a belief that treatment is unlikely to have any benefit, such as when a patient states that there is nothing that can be done to prevent another heart attack.
Fatalism
When planning care for a Mormon patient who is scheduled for surgery, which action will the clinic nurse take?
Let the surgeon know that the patient observes "Fast Sunday" once a month.
______________________ is the ability to communicate effectively and convey information in a manner that is easily understood by diverse audiences.
Linguistic competence
Which concept of intersectionality refers to limited access to certain facets of society?
Marginalization
_______________________ is a belief that differences among the various racial/ethnic groups determine cultural or individual achievement.
Racism
_______________________ is a more formal and organized system of beliefs, including belief in or worship of a higher power or higher being.
Religion
An intuitive, interpersonal, altruistic, and integrative expression that is contingent upon the nurse's awareness of the transcendent dimension of life but that reflects the patient's reality.
spiritual nursing care
Research shows that ___________________ positively affects and enhances physical and psychological health, quality of life, health promotion behaviors, and disease prevention activities.
spirituality
Which term is used to describe a person's effort to find purpose and meaning in life?
spirituality
When an Amish patient with leukemia is hospitalized, which intervention will the nurse anticipate may be refused based on religious beliefs?
stem cell transplant
The terms ethnicity and race are _________________ and based on self-report.
subjective
Also known as a cultural broker
mediator
___________________ is a high value for European Americans.
Selfreliance
is defined as a person's romantic, emotional, or sexual attraction to another person.
Sexuality
The culture-bound syndrome ___________ is caused by strong anger or rage
colera
A ____________________________ is a social exchange in which a person says or does something that can either intentionally or unintentionally belittle or alienate a person, especially someone of a different race or ethnic group.
microaggression
A ________________ is a large group of adult Jewish people who may gather to pray at the beside of a dying patient.
minyan
Knowledge about your patient directs your ________________________, and the health care provider must learn to anticipate physical findings based on the patient's cultural health practices and the physical characteristics of an ethnic or racial group.
physical assessment
Jews, Muslims, and Seventh Day Adventists prohibit _____________in the diet.
pork
Establishing _____________________ involves attentive listening, talking with patients and answering questions, conveying a sense of trust, and simply offering your time
presence
To assess a culture's values is to observe how it _________________ people
punishes
a set of institutionalized beliefs and rituals
religion
Prohibiting meat is a ________________ practice.
Hindu
Which term describes the process that occurs when an immigrant to the United States eats American fast food on a frequent basis?
Acculturation
A common ancestry that leads to shared values and beliefs.
ethnicity
_________________has a family and group component, but it is not transmitted biologically.
Culture
Cultural _____________________ is the sufficient comparative knowledge of diverse groups, including the values, health beliefs, care practices, world views, and bicultural ecologies commonly found within each group.
knowledge
May be a powerful determinant of one's identity, known as ethnic identity.
ethnicity