NSG 152 CULTURE & SPIRITUALITY PREPU ?s

Cultural Competence Organizational Review

BEST PRACTICES: A thorough tool, such as the _____________________________________, which covers assessment, intervention, and evaluation of the organization in all its settings, is one way to ensure the organization is meeting its cultural competence initiatives.

-communication -physical distance/space -social organization -time orientation -environmental control -biologic variations (Giger identified these 6)

List the SIX Important Factors in Cultural Assessment

e. environmental control ***Environmental control refers to a client's ability to control the surroundings or direct factors in the environment. People who believe they have control of their health are more likely to seek care, change their behaviors, and follow treatment recommendations. Those who believe that illness is a result of nature or natural causes are less likely to seek traditional health care because they do not believe it can help them. (psych book p. 122)

The fact that "those who believe that illness is a result of nature or natural causes are less likely to seek traditional health care because they do not believe it can help them" relates to which important factor in cultural assessment? a. communication b. physical distance/space c. social organization d. time orientation e. environmental control f. biologic variations

C. Cultural change (Rationale: The teenager is experiencing cultural change. This often occurs when a person changes upon coming into contact with new beliefs and ideas. Culture shock is a stress response that involves being unable to comprehend the culture that one is immersed in. Viewing one's own culture as the only correct standard by which to view people of other cultures is ethnocentrism. Cultural relativity refers to an understanding that cultures relate differently to the same given situations.)

The nurse is caring for the teenage child of immigrants. The teenager voices distress because after living in the country for several years, he no longer wants to participate in some of the tradition religious rituals that are important to his parents. What is the teenager experiencing? A. Culture shock B. Cultural ethnocentrism C. Cultural change D. Cultural relativity

A. Family financial resources B. Cultural influences C. Priorities of the family E. Lack of understanding of health situation

To be effective, a community health nurse needs to recognize which factors as being important to families in making health care decisions? Select all that apply. A. Family financial resources B. Cultural influences C. Priorities of the family D. Health care provider values E. Lack of understanding of health situation

A. Uniforms worn based on place of employment B. Language or medical terminology used to communicate C. Legal authorization to provide health care to others **D&E reflect VALUES of the group, not culture

What are characteristics of nurses that make them a subculture? Select all that apply. A. Uniforms worn based on place of employment B. Language or medical terminology used to communicate C. Legal authorization to provide health care to others D. View of work as a reward; shared work ethic E. Sensitivity to the importance of time

c. social organization

Which of the 6 important factors of cultural assessment "refers to family structure and organization, religious values and beliefs, ethnicity, and culture, all of which affect a person's role and therefore his or her health and illness behavior" ? a. communication b. physical distance/space c. social organization d. time orientation e. environmental control f. biologic variations

Judaism & Adventist

Which religious groups would the nurse anticipate to regard Saturday as the Sabbath? (Select all that apply.) -Roman Catholicism -Buddhism -Adventist -Judaism -Islam -Hinduism

A. A new nurse asks a Hispanic colleague to explain how cultural beliefs might influence a Hispanic client's response to health care interventions.

Which scenario conveys the application of cultural competence in the provision of nursing care? A. A new nurse asks a Hispanic colleague to explain how cultural beliefs might influence a Hispanic client's response to health care interventions. B. An experienced nurse states during a nursing report meeting, "I just don't feel it is appropriate to allow the client to attend Mass when everyone else has to stay here." C. The nurse has independently formed a prayer group on the unit for all clients who are Catholic. D. The nurse has begun a client teaching group entitled "Understanding Your Medications."