Culture and Diversity

The nurse is teaching a Black client about common health conditions. Which statement by the client most directly addresses a health problem with an increased incidence in this population group?

"It is important to monitor my blood pressure." Hypertension and stroke are common health conditions among the Black population.

What is subculture?

A group of people part of a larger, dominant culture group that have a certain ethnic, occupational, or physical characteristics not common to the larger culture. Example: age. Adolescent and older adult culture are different

Difficulties besides language can be a barrier to care for individuals from a different culture. These occur due to:

Smiling and eye contact may be viewed as disrespectful and Invasive to certain cultures

The African American culture relies on which of the following for maintaining and protecting the health of its family member:

African American woman

5 major federal categories for race:

American Indian/Alaska Native Asian Black/African American Native Hawaiian/Pacific Islander White

Ethnic/racial group more prone to lactose intolerence

Asian

When completing a transcultural assessment of communication, which assessment by the nurse is most appropriate?

Assessment of eye contact, personal space, and social taboos

Cultural imposition

Belief that everyone else should conform to your own belief system Eg: when a hospital nurse tells a nurse's aide that patients should not be given a choice whether or not to shower or bathe daily

Ethnic/racial group more prone to hypertension, stroke, and sickle cell anemia

Black/African American

The nurse is preparing the discharge plan for a new mother and her newborn son. Which new teaching should the nurse ensure is included after noting the family is Jewish?

Care following the scheduled circumcision Jewish denominations consider circumcision as a sacred ritual which is performed on the 8th day of the infant's life

Assimilation:

Cultural assimilation is the process in which a minority group or culture comes to resemble a society's majority group or assimilate the values, behaviors, and beliefs of another group whether fully or partially

The 2 groups of society:

Dominant group: usually the largest group. This group has the most authority to control values and sanctions of society Minority group: The smaller group. This group has physical or cultural differences that identifies the people as different from the dominant group

Ethnic/racial group more prone to cystic fibrosis (a genetic condition that affects a protein in the body), Tay-Sachs disease (the absence of an enzyme that helps break down fatty substances),

Eastern European Jews

When caring for individuals from a variety of cultures, the best approach by the nurse to provide care would be:

Having knowledge of the client's culture

Ethnic/racial group more prone to lactose intolerence and diabetes

Hispanics

Cultural Blindness

Ignoring differences and proceeds as if they do not exist. It is viewing all people the same, without considering that cultural differences are important and that health care providers need training in cultural competence. Eg: teachers assuming that the specific techniques used by the dominant culture are universally applicable among all individuals, irrespective of these individuals' cultural backgrounds

Which nursing intervention reflects practice according to Madeline Leininger's transcultural nursing theory?

Incorporating the client's request for complementary treatment therapy

Mexican Americans' health is reflected in which of the following?

Increase in alcoholism

Ethnic/racial group more prone to alcoholism, heart disease, diabetes, cirrhosis (severe scarring of the liver)

Native Americans

Cultural Conflict:

People are aware of cultural differences feel threatened and respond by ridiculing the beliefs and traditions of others. Not respecting "I have my beliefs and you have your beliefs: Very ethnocentric people will likely have a lot of culture conflict

Discrimination

Policies and practices that harm a group and its members

Enculturation

Process whereby a culture is passed from generation to generation

The nurse expresses concern about the behavior of her Chinese American patient. The nurse is aware that the patient may:

Rely on her husband and elders to make authoratative decisions

Ethnicity

Sense of identification with a collective cultural group based on a common heritage.

Stereotyping

The assumption that all members of a culture or ethnic group act alike (e.g racism, ageism, and sexism)

Culture Shock

The feelings a person experiences when placed in a different culture (positive or negative)

Acculturation:

The process in which a person or group from one culture comes in contact with another culture, adopting the values and practices of the other while still retaining their own distinct identity Example: Native Americans replacing or modifying certain societal or cultural elements such as dress, language, or religion upon contact with Europeans

Ethnic/racial group more prone to breast cancer and heart disease

Whites

A nurse caring for a patient of Native American decent knows the culture:

Will maintain responsibility for their family members

Cultural competence

being aware of your own cultural beliefs and values and how these may be different from other cultures—including being able to learn about and honor the different cultures of those you work with Opposite of cultural blindness

Ethnocentrism

is the belief that one's own culture is superior to that of another while using one's own cultural values as the criteria by which to judge other cultures