Cultural Implications CC

Although his daughter has been here almost 15 years, Mr. H is a fairly new immigrant. He speaks some English and is highly educated. Although you've had no time to ask many questions, he is clearly of a more Eastern tradition. Which attitude would you expect him to share? A."Disease is caused by fluctuations in opposing forces." B."Disease is part of one's fate and we have a duty to comply." C."Disease has a cause, and treatment is aimed at the cause."

B."Disease is part of one's fate and we have a duty to comply."

Which worldview would the nurse anticipate from a client who says, "It is important to save enough money to take care of yourself in your old age. We should not rely on anyone else to take care of us." A.Eastern (balance) B.Western (science) C.Indigenous (harmony)

B.Western (science)

Which question asked by a nurse demonstrates the effective implementation of cultural desire when caring for a client from a different culture? "Where can I find information on the concept of Yin-Yang?" "How do I go about arranging for a Chinese translator?" "What can I do to provide ethnic foods that are still low in fat?" "How can I explain why we can't provide for his request for acupuncture?"

"What can I do to provide ethnic foods that are still low in fat?" Cultural desire is a genuine interest in the patient's unique perspective; it enables nurses to provide considerate, flexible, and respectful care to patients of all cultures. Attempting to incorporate ethnic foods into the client's prescribed diet demonstrates all these characteristics. None of the other options are focused on providing such care.REF: 87-88

The nurse assesses the wellness beliefs and values of a client from another culture best when asking which question? "What do you think is making you ill?" "When did you first feel ill?" "How can I help you get better?" "Did you do something to cause the illness?"

"What do you think is making you ill?" Asking the client to suggest reasons for the illness will best provide an opportunity to become familiar with general beliefs and values the client holds regarding his wellness. While appropriate assessment questions, none of the remaining options are as well suited to gather culturally influenced information.REF: 86-87

Which assessment question would produce data that would help a nurse understand healing options acceptable to a client of a different culture? "Is there someone in your community who usually cures your illness?" "What usually helps people who have the same type of illness you have?" "What questions would you like to ask about your condition?" "What sorts of stress are you presently experiencing?"

"What usually helps people who have the same type of illness you have?" Asking about typical treatment seeks information about the "usual" cultural treatment of the disorder experienced by the client. No other option focuses on this information.REF: 87

Which statement best explains the term "worldview"? Beliefs and values held by people of a given culture about what is good, right, and normal. Ideas derived from the major health care system of the culture about what causes illness. Cultural norms about how, when, and to whom illness symptoms may be displayed. Valuing one's beliefs and customs over those of another group.

Beliefs and values held by people of a given culture about what is good, right, and normal. A worldview is a system of thinking about how the world works and how people should behave in the world and toward each other. It is from this view that people develop beliefs, values, and the practices that guide their lives. None of the other statements accurately describe the term worldview.REF: 78

Which term refers to individuals' belief that their cultural values and practices are correct and superior to those of others? A.Assimilation B.Enculturation C.Ethnocentrism D.Somaticization

C.Ethnocentrism

What tem is used to describe the process implemented when members of a group are introduced to the culture's worldview, beliefs, values, and practices? Acculturation. Ethnocentrism. Enculturation. Cultural encounters.

Enculturation. Members of a group are introduced to the culture's worldview, beliefs, values, and practices in a process called enculturation. Ethnocentrism is the universal tendency of humans to think that their way of thinking and behaving is the only correct and natural way. Acculturation is learning the beliefs, values, and practices of a new cultural setting, which sometimes takes several generations. Cultural encounters occur when members of varying cultures meet and interact.REF: 87-88

In the Chinese tradition, disease is believed to be caused by what factor? Fluctuations in opposing forces Outside influences Members' disobedience Adoption of Western beliefs

Fluctuations in opposing forces In the Eastern tradition, disease is believed to be caused by fluctuations in opposing forces. None of the other options are included in the Chinese view of disease.REF: 80

Considering mental health, what term is used to define a deviation from expectations by members of the cultural group?? Hostility Lack of self-will Variation from tradition Illness

Illness Deviation from cultural expectations is considered by others in the culture to be a problem and is frequently defined by the cultural group as "illness." None of the other terms are used to describe this concept.REF: 90

According to the Western scientific view of health, what causes illness? Pathogens Energy blockage Spirit invasion Soul loss

Pathogens Disease has a cause (e.g., pathogens, toxins) that creates the effect; disease can be observed and measured. None of the other concepts are considered as illness produced by the Western view of health.REF: 79-80

Which idea held by the nurse would best promote the provision of culturally competent care? Western biomedicine is one of several established healing systems. Some individuals will profit from use of both Western and folk healing practices. Use of cultural translators will provide valuable information into health-seeking behaviors. Need for spiritual healing is a concept that crosses cultural boundaries.

Western biomedicine is one of several established healing systems. A nurse who holds this belief would be likely be open to a variety of established interventions. In truth, nurses cannot apply a standard model of assessment, diagnosis, and intervention to all clients with equal confidence. This leads to culturally irrelevant interventions.REF: 85-86

When assessing and planning treatment for a client who has recently arrived in the United States from China, the nurse should be alert to the possibility that the client's explanatory model for his illness reflects which cultural concept? Supernatural causes Negative forces Inheritance Yin-Yang

Yin-Yang Many Eastern cultures explain illness as a function of imbalance such as Yin-Yang. None of the other options are widely reflected in the Chinese culture.REF: 80