N209 Chapter 9

while measuring the vital signs of a muslim patient, the nurse observes that the patient is anxious. which statement by the nurse indicates a good understanding of transcultural nursing

" i know modesty is very important for. Is there any way i can you comfortable"

the nurse is performing a cultural assessment of a patient. Which question of the nurse reflects a focused question?

"who lives with you"

the most important factor in providing nursing care to patients in a specific ethnic group is 1.communication 2. time orientation 3. biological variation 4. environmental control

1. communication

list the 6 steps to implement equality-focused quality improvement

1. recognize disparities and commit to reducing them 2. implement a basic quality improvement structure and process 3. make equity an integral component of quality improvement efforts 4. design the intervention 5. implement, evaluate, and adjust the intervention 6. sustain the intervention

to be effective in meeting various ethnic needs, the nurse should 1. treat all patients alike 2. be aware of patients' cultural differences 3. act as if he or she is comfortable with the patients behavior 4. avoid askng questions about the patient's cultural back ground

2. be aware of patients' cultural differences

when providing care to patients with varied cultural backgrounds, it is imperative for the nurse to recognize that: 1. cultural considerations must be put aside if basic needs are in jeopardy 2. generalizations about the behavior of a particular group may by inaccurate 3. current health standards should determine the acceptability of cultural practices 4. similar reactions to stress will occur when individuals have the same cultural background

2. generalizations about the behaviour of a particular group may be inaccurate

cultural knowledge

Sufficient comparative knowledge of diverse groups

social determinants of health

The conditions in which people are born, grow, live, work, and age, shaped by the distribution of money, power, and resources at global, national, and local levels

cultural awareness

The self-examination and in-depth exploration of one's own beliefs and values as they influence behavior

oppression

a formal and informal system of advantages and disadvantages ties to a membership in social groups

Health disparity

a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage -an inequality or difference between the health status of a disadvantaged group such as people with low income and wealth and advantaged group such as people with high incomes and wealth

identify the culturally oriented question types to use in a comprehensive cultural assessment (10)

a. open-ended b. focused c. contrast d. ethnohisotry e. sexual orientation and gender identity f. social organization g. socioeconomic status h. bicultural ecology and health risks i. language and communication j. caring beliefs and practice

List some helpful hints when trying the teach-back method

a. plan your approach b. use handouts, pictures, and models c. clarify d. practice

state the requirements that all organizations are to follow for provision of language access services (4)

a. provide language services to all points of contact free of charge to all paitents who speak limited english b. notify patients both verbally and in writing to their right to receive language assistance services c. take steps to provide auxillary aids and services d. ensure that interpreters are competent in medical terminology and understand issues of confidentiality

cultural skills

ability to assess social, cultural, and biophysical factors that influences patient care

the nurse has to examine a patient and administer an intravenous medication that is not a life-saving drug. The patient is a devout Muslim. When the nurse goes to administer the medication the nurse finds that patient is getting ready for namaz (prayers.) The nurse undertands that the patients prays at certain times, as specified in his culture. WHat should the nurse do in this scenario

allow the patient to pray and come back later to administer the medication

to be effective i meeting various ethnic needs the nurse should:

be aware of patient's cultural differences -caused by the changing demographic profile of the US in relation to immigrant and significant culturally diverse populations

instersectionality

belong simultaneously to multiple social groups with changing social and political contexts

the nurse is assessing a patient by asking "how does this problem affect you and how has it affects your life and your family? Which type of nursing assessment question is the nurse asking?

bicultural ecology and health risks

culturally congruent care

care that fits a person's life patterns, values and system of menaing

the most important factor in providing nursing care to patients in a specific ethnic group is

communication -because different cultural groups have distinct linguistic and communication patterns

transcultural nursing

comparative study of cultures in order to understand their similarities and differences

culture

concept that applies to a group of people whose members share values and waus of thinking and acting that are different from those of people who are outside of the group

cultural encounters

cross-cultural interactions that provide opportunities to learn about other cultures

the registered nurse is evaluation the statements of a student nurse after teaching about cultural assessment models. which statement by the student nurse needs correction?

cultural assessment models are used to stereotype a particular group of patients

which type of cultural competency recognizes biases, prejudices, and assumptions with other people

cultural awareness

during their clinical postconference meeting, several nursing students were discussing their patients with their instructor. One student from a middle-class family shared that a patient was homeless. Which difference is being described?

culture

cultural competences refers to

developmental process that evolves overtime in relation to level of awareness, knowledge and skills

healthcare disparities are

differences among population in availability, accessability, and quality of health care services aimed at prevention, treatment, and management of diseases and their complications. Poor access to health care is one social determinant of health that contributes to health disparities less care is available or accessible to people in low and middle income groups compared with people in high income groups uninsured people ages 0-64 are less likely to have a regular primary care provider than those with prive or public insurance

when the nurse has a prejudice against a particular culture, which type of behavior is likely to result

discrimination

a jamaican immigrant has been late to the last two clinic visits, which in turn had to be rescheduled. Which is the best action that the nurse could take to prevent the patient from being late to the next appointment

explore what has prevented the patients from being at the clinic in for the appointment

when providing care to patients with varied cultural backgrounds. It is imperative for the nurse to recognize that

generalizations about the behavior of a particular group may be inaccurate -nurses need to determine how much an individual;s life patterns are consistent with his or her heritage

core measures

key quality indicators that help health care institutions improve performance, increase accountability, and reduce costs

cultural desire

motivation and commitment to caring that moves an individual to learn from others

which communication technique is demonstrated when the nurse connects with a patient on a social level

rapport

an older chinese women is admitted to the hospital adter a hip fracture. Once the fracture has heald, the nurse encourages the patient to walk about the room. The patient refuses to walk without her son. WHat should the nurse do?

respect the patient's wish and ask her to walk when her son is present

the nurse is caring for a Korean woman who has just delivered her first baby. Which soup should the nurse anticipate the family to provide as the firs tmeal to the women

seaweed soup

linguistic competence

the ability of an organization and its staff to communicate effectively and convery information in a manner that is easily understood by diverse audiences