Culture/Diversity Prep-U

Minorities continue to have higher rates of what? Compared to non-minorities

Have higher rates of disease, disability, and premature death

Persistent gaps between the health status of minorities and non-minorities are defined as

Health disparities

The nurse is caring for a client who is postoperative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond?

"Can you describe what you are feeling when you try to move?" -the nurse needs to assess why the pt isn't wanting to get up,,,, some pts may control their emotions/expressions of discomfort in front of strangers

Eye contact may offend? They believe it is ?

-Asian & Native American/First Nation -they believe it is an invasion of privacy and sign of disrespect

Questions the nurse should include in a cultural assessment include:

-what do you do to promote good health -do you have a particular name for this illness -what religion do you belong to -what do you think is causing your illness ?

Refers to how widespread the effects of a culture are

Cultural preservasiveness

Negative belief that older adults are physically and cognitively impaired

Ageism

Refers to new customs and attitudes that are acquired through contact and communication among persons of a particular culture

Assimilation

Belief that to understand a person, you must understand that person cultural context

Cultural relativity

Hypertension (increased BP) and stroke are common health conditions in which culture?

Black population

A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert?

Client

Often occurs when a person changes upon coming ink contact with new beliefs and ides

Cultural change

A pt asks the nurse where and acupuncturist can come to the hospital to help manage their pain and the nurse says... "You won't need acupuncture, we have pain medicine". What characteristic has the nurse displayed ?

Cultural imposition

Refers to an understanding that cultures relate differently to the same given situation

Cultural relativity

Stress response that involves being unable to comprehend the culture that one is immersed in

Cultural shock

Refers to a self-conscious, past oriented form of identity based on a notion of shared cultural heritage and current position in larger society

Ethnicity/ ethnic identity

Viewing ones culture as the only correct standard by which to view other cultures

Ethnocentrism

When gathering cultural information the interviewee is the?

Expert

A client has anxiety toward physically closeness, but the patient has to have help ambulatory... the nurse should?

Explain the purpose of ambulated and the need for assistance while ambulating

White westerners generally make and maintain what throughout communication?

Eye-contact

A key informant is also known as a

Interpreter

When interviewing a pt their family may provide information about the culture but the client?

Is the expert

A nurse is working in a clinic that serves a community with a high population of immigrants. Which nursing assessment is the priority ?

Language assessment; if clients do not speak the dominant language, it may be necessary to obtain an interpreter

Linguisitc competence is best displayed by ?

Learning pertinent words or phrases in the pts language

Based on biologic characteristics

Race

A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice?

Racism

Clients with Arab heritage may misinterpret eye contact as ?

Sexually suggestive

Race uses what as the primary indicator of social value?

Skin color, NOT size, language, or dress

The nurse is caring for a client whose language skills are very limited in the dominant language, and an Interpreter has been obtained. The interpreter appears to be telling the client more than the nurse is saying and possibly providing an opinion or medical advice. What action is appropriate for the nurse to take?

Speak privately to the interpreter and instruct them to only provide language interpretation

Preconceived and untested beliefs about people

Stereotype

Refers to a group of people within a culture who have ideas and beliefs that are different from the rest of that society

Subculture

If a client requests the spiritual healer to be present....

The nurse should respect that decision and their beliefs

A nurse is admitting a client to the unit. Which cultural question is most appropriate?

What are your dietary needs and preferences