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
