Module 2.01-2.05

How does a nurse best gain insight into his or her personal cultural characteristics and behaviors?

Engage in a culturally focused self-assessment Through self-assessment, it is possible to gain insights into the health-related values, attitudes, beliefs, and practices that have been transmitted to you by your own family and your own life experiences.

Which of these are emic characteristics? Select all that apply.

Personal Internal Unique

Which personal attitudes are commonly responsible for allowing certain groups or individuals to be made targets of prejudice and discrimination? Select all that apply.

Cultural stereotypes Ethnocentric tendencies

To provide culturally competent care, a nurse must first develop cultural congruence.

False

Who would present relevant etic perception of the health care needs of a particular patient?

A nurse planning the patient's care Etic focuses on external influences on the health care provided. The nurse would have the greatest influence on the patient's plan of care.

Which personal characteristic is not generally considered when one engages in a cultural self-assessment?

Age

Knowledge of a client's family and kinship structure helps nurses to:

All of the above

The National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (the National CLAS Standards) are intended to:

All of the above

Holistic cultural values are another way of saying religious values.

False

Your patient's spiritual values are a valid consideration in your cultural assessment of them.

True

Which of these is useful in conducting a cultural care belief assessment? Select all that apply.

Worldview, Patterns, Conflicts

A patient's worldview both influences, and is influenced by, cultural and social structure dimensions.

true

Using the Sunrise Enabler as a guide, which dimensions are described in this scenario? Select all that apply. Male relatives of a female Muslim patient are outraged when a male nurse enters the treatment room without knocking nor asking permission to enter.

-Kinship and social factors -Cultural values, beliefs, and lifeways -Religious and philosophical factors This scenario indicates how intertwined the cultural and social structure dimensions are. The factors at work in this scenario are cultural values, beliefs, and lifeways; kinship and social factors; and religious and philosophical factors. The value of modesty and to the need to protect female relatives is a cultural phenomenon that contains elements of kinship and social factors, as well as some religious factors. While they may be a consideration, political and legal factors were not care influencers in this scenario based on the information presented.

Which term is defined as the ability to communicate sincere interest in others, patience, and the ability to intervene or start over when misunderstandings occur?

Cross-cultural communication

Which term is used to identify the foundation for culturally competent and culturally congruent nursing care?

Cultural assessment

Which of these are consumable cultural care practices? Select all that apply.

Traditional foods Herbs and teas Over-the-counter medicines

Dietary restrictions are an understandable cultural practice, and it is acceptable to work with the hospital staff to accommodate cultural needs that are not intrinsically harmful to the patient.

True

During an assessment interview, the nurse could factor an etic perspective into a community member's care plan by asking the patient if he or she is aware of the potential genetic risks associated with his or her ethnicity.

True

If you encounter an unsafe cultural care practice, keep it to yourself—it is not appropriate to address care practices when a patient's culture is involved.

False

It is expected that a person will have cultural beliefs that express his or her specific cultural influences, but there is no place for a folk healer in a patient's care plan.

False

The cultural care assessment process of identifying and documenting cultural care practices has a goal of producing beneficial health outcomes and is focused on the hospital's global goals for success.

False

Which of these characteristics is not etic?

Internal

What are the basic parts of an assessment?

Process and content

What consideration should be made when a team tasked with reviewing and analyzing data relevant to possible changes in patient care currently has 14 active members?

Subdividing the team into 2 groups of 7 members each An active working group should have membership limited to approximately 12 people. If the group is larger, consideration should be given to dividing into smaller subgroups.

Which of the following is not a key principle in the process of developing cultural competence and is more appropriately saved for the practicing of culturally congruent care?

Taking actions aligned with patient beliefs and values

An emic cultural perspective is a community member's personal, inside worldview of his or her values.

True

Holding knowledge is significant background knowledge that serves as a base of knowledge to reflect on ideas and experiences.

True

When a cultural care practice is unsafe, it is acceptable to suggest an alternative solution, provided it is respectful and sustainably integrated into the patient's daily habits.

True

Asking the patient directly is a good way to assess any cultural caregiving practices that have been used in the past or are currently being employed.

True

How would a nurse best describe traditional or folk care practices?

A combination of health care systems using healing practices that are learned informally

Leininger's Sunrise Enabler is a useful model for conducting cultural care assessments.

True

Which term is used to imply a provision of care that is meaningful and fits with cultural beliefs and lifeways?

Cultural congruence defined as a provision of care that is meaningful and fits with cultural beliefs and lifeways.

Health literacy is defined as:

"an individual's capacity to obtain, process, and understand information and services needed to make appropriate health decisions." Obtaining, processing, and understanding information and services to make appropriate health decisions demonstrates that a person is proficient in health literacy.

What is meant by "examining the cultural and social structure dimensions of the Sunrise Enabler?"

Assessing a person's worldview as expressed through care influencers like religion, philosophy, economic factors, etc. The Sunrise Enabler lists seven cultural and social structure dimensions that a nurse may use to assess how a person's worldview may influence their care preferences. In addition to religion/philosophy and economic factors, these other factors may be included: technological factors, kinship and social factors, cultural values/beliefs/lifeways, political and legal factors, and educational factors.

What does the term culturally competent imply when used to identify a specific nurse?

Certain psychomotor or behavioral skills have been developed The term culturally competent implies that a nurse has developed certain psychomotor or behavioral skills.

What are the three modes of nursing decision-making and actions presented by Leininger's Sunrise Enabler?

Cultural care preservation/maintenance, cultural accommodation/negotiation, and cultural repatterning/restructuring

What term is used to identify the major influences related to health, illness, and well-being in the Sunrise Model?

Culturally based factors Culturally based factors are major influences related to health, illness, and well-being in the Sunrise Model. It provides a comprehensive view of cultural care

Which of these cultural dimensions can influence your patient's perspective on his or her health care process? Select all that apply.

Educational factors, Economic factors, Social factors, Cultural values

Asking a community member how he or she feels about personal cultural values is not an emic interview question.

False

Attaining cultural competence and practicing culturally congruent care is a fixed, linear process, not an ongoing process.

False

Where does Purnell suggest that a person initially learns about his/her cultural values, practices and beliefs?

Home Purnell suggests that culture is learned first in the family, then in the school, and later in the community and social organizations such as churches, workplaces, and other group associations

Which of these is not one of the three action and decision modes of cultural care provision that you will engage in through a transculturally sensitive nursing process?

Identification and cessation of harmful beliefs The three modes are: (1) preservation and maintenance of health, (2) culture care accommodation and negotiation, and (3) cultural care patterning and restructuring

How best can the health care needs of a patient be determined and addressed considering both etic and emic perspectives?

Incorporating the viewpoints of both the staff and the patient

When seeking to enhance cross-cultural communication, which term is used to identify a complex integration of knowledge, attitudes, beliefs, skills, and encounters with those from cultures different from one's own?

Individual cultural competence Individual cultural competence is defined as a complex integration of knowledge, attitudes, beliefs, skills, and encounters with those from cultures different from one's own. These elements enhance cross-cultural communication and appropriate and effective interaction with others.

Which of these are good communication skills to work on while interviewing a patient about his or her past and current cultural care practices? Select all that apply.

Patience, Kindness, Cooperation

A self-assessment for cultural diversity focuses on which personal characteristic? Select all that apply.

Practices, Beliefs, Values

Using the Sunrise Enabler as a guide, which dimension is described in this scenario? Hmong parents are visibly upset when a nurse wheels in a mobile computer unit, and become even more upset when the nurse attempts to take the patient's vital signs.

Technological factors The dimension being described is technological factors: Highly traditional Hmong people fear and distrust technology to the point that they believe it will harm them. Kinship, social, environmental, religious, and philosophical factors are not at work in this scenario.