Ch. 5: Cultural Implications

Cultural competence

Ability to work effectively in cross-cultural situations & provide best possible care from different racial/ethnic backgrounds who speak different languages. Nurses adjust practices to meet patient's cultural beliefs, practices, needs, & preferences

Cultural Awareness

Allows nurses to acknowledge the effect of their own culture; realizing many of their own norms are cultural, few are universal & that they have an obligation to be open & respectful of patient's cultural norms. Also must examine their own cultural assumptions & expectations of mental health, healthy family, & right way to behave in society. Being aware that 3 cultures are intersecting: the patient, the nurse, the setting

Eastern Tradition

Based on deep personal connections to natural world and tribe Family=identity; family interdependence & group decision making; mind, body, spirit=one; no separation of physical illness & psychological; reincarnation; disease caused by imbalance in energy forces & imbalance between daily routine, diet; those needing healthcare=vulnerable

Cultural encounters

Helps nurses to recognize, avoid, & reduce cultural pain that occurs when nursing care causes the pt. discomfort or offense when by not being sensitive to cultural norms.

Western Tradition

Individuality, values of autonomy, independence, self-reliance, mind-body=2 separate entities; disease=cause which creates effect; individual has rights, values open communication, truthfulness

Cultural Desire

Nurse not acting of sense of duty but from a sincere & genuine concern for patient's welfare. Exhibited through patience, consideration, & empathy

Cultural Knowledge

Nurses should enhance knowledge by attending cultural events & programs, attending in-services with different cultural groups where they talk about their norms. Cultural Knowledge includes worldview, beliefs, values, nonverbal communication patterns, etiquette norms, family roles, views about mental health, degree of stigma

Etiquette

Rules for polite behavior-vary greatly between cultures

Stereo-typing

Tendency to believe hat every member of a group is like all other members. Patterns that characterize a culture but individuals adhere to cultural norms in different ways.

Indigenous Culture

Those here for thousands of years like New Zealand Maoris, Australian aborigines, American Natives, & native Hawaiians

Ethnocentrism

Universal tendency of humans to think their way of thinking and behaving is the only correct & natural way

Societal attitudes

Whether people are agreeable to mental healthcare & type of treatments they engage in

Which assessment questions will support effective communication with a patient who is recently emigrated from an Asian country? SATA a. "What do you call this kind of pain?" b. "What do you think is causing your pain?" c. "How do you think your pain should be treated?" d. "Do you consider this kind of pain a serious problem?" e. "Do you think American medicine will help your pain?"

a, b, c, d

Which nursing actions demonstrate cultural competence? SATA a. Planning mealtime around the patients prayer schedule b. Helping a patient to visit the hospital chaplain c. Researching foods that a lacto-ovo-vegetarian patient will eat d. Providing time for a patients spiritual healer to visit e. Ordering standard mea trays to be delivered three times a day

a, b, c, d

Which statement indicates the beliefs and values that tend to be representative of a member of an indigenous culture? SATA a. "I've reinforced the importance of taking medications at the time they are prescribes" b. "The patient believes that illness is a result of being out of harmony with nature" c. "Spending money on medicine for his diabetes is not a comfortable concept for my patient" d. "The patient refuses treatment" e. "We discussed the patents needs regarding warding of evil spirits before her surgery"

a, b, c, e

Which nursing intervention can assist a Hindu patient in maintaining his religious practice? a. Assisting the patient to choose his own own food from the menu b. Contracting the hospital pastor for a visit c. Showing him which side of room faces east d. Offering a Torah to the patient

a. Assisting the patient to choose his own own food from the menu

Cultural Skill

asking specific questions can help pt. feel heard & understood

When considering culturally competent care for a Muslim patient diagnosed with cardiac problems, which intervention is particularly important to implement initially when a low fat diet is prescribed? a. Requesting a dietary consult b. Identifying dietary considerations c. Explaining the importance of a low fat diet d. Including the family in the conversation about food preparation

b. Identifying dietary considerations

Ling has a nursing diagnosis of risk for other-directed violence. Ling's eastern culture family is having difficulty with the illness due to their beliefs. A favorable therapeutic modality for this patient might include: a. Outpatient therapy b. Family therapy c. Long-term inpatient care d. Assimilation therapy

b. family therapy

Which intervention demonstrates the nurses understanding of what guides effective nursing care with a diverse patient population? a. Treating all patients the same to avoid prejudicial actions b. identifying the cultural norms of the population being served c. Recognizing that race and ethnicity result in specific illness management views d. Addressing the physical and emotional needs that originate from genetic factors

b. identifying the cultural norms of the population being served

Which statement by the nurse demonstrates ethnocentrism toward the Hispanic patient? a. "What do you want us to do to help your symptoms?" b. "Tell me more about what you think is causing these symptoms" c. "I'm sure we can do something to make you symptoms more manageable" d. "How much have these symptoms made it more difficult for you to go to work?"

c. "I'm sure we can do something to make you symptoms more manageable"

Intergenerational conflict may arise in immigrant families because the process of acculturation may be: a. Ignored due to cultural beliefs b. Filled with traumatic experiences c. Easier for children d. A. function if assimilation

c. Easier for children

A nurse practitioner is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient adult son died in a car accident last month, the nurse suspects: a. Vulnerability b. Acid reflux c. Somatization d. Transference

c. Somatization