NCM120: TRANSCULTURAL NURSING MIDTERM
Dong-Quai
A type of herbal remedy, Called "female ginseng" because it is used for health conditions in women. Highly regarded herb in Chinese medicine, also used in traditional Korean and Japanese medicine.
Ginseng
A type of herbal remedy, Treatment of anemia, atherosclerosis, edema, ulcers, hypertension, influenza, colds, inflammation and disorders of the immune system (American). Considered a "heart raising" tonic for the blood and circulatory system (Asian)
Gingko Biloba
A type of herbal remedy, Used in traditional Chinese medicine for asthma, bronchitis, fatigue, circulatory disorders, sexual dysfunction, and tinnitus
Echinacea
A type of herbal remedy, Used to treat wounds and skin problems, such as acne or boils
Evening primrose
A type of herbal remedy, Used to treat wounds and skin problems, such as acne or boils
Aloe vera
A type of herbal remedy, applied as topical ointment for treatment of inflammation, sunburn, cuts, bruises, and abrasions
Ginger
A type of herbal remedy, treat post-surgery nausea
Paradigm
A way of viewing the world and the phenomena in it.
Alaska Natives
They refer to soul loss and breach of taboo as breaking a social norm
TIP model
This model incorporates the inter-professional health care team, effective verbal and nonverbal communication between all team members, and a five-step systematic, scientific problem-solving process, which includes assessment, mutual goal setting, planning, implementing, and evaluating the effectiveness of therapeutic interventions and care.
Papua New Guinea
Where did Madeleine leininger conducted her research when she noted there were cultural differences between patients and nurses while working with emotionally disturbed children
Determining whether any family member is a cigarette smoker
Which intervention demonstrates the nurse's application of the holistic health belief system when managing the care of the child newly diagnosed with asthma?
Encouraging the client to describe his or her illness in terms of his or her cultural metaphors
Which intervention will best assist the nurse in understand in the culturally diverse client's perception and description of his or her current illness?
Notifying the client that he or she is entitled to language translation services
Which nursing intervention best shows compliance with offering linguistically appropriate services for a culturally diverse population?
Medical professionals shouldn't glorify the act of giving birth.
Which of the following about the significance of birth is untrue?
Speaking another language
Which of the following is an example of verbal communication?
Nurses who engaged in critical reflection on their own values, beliefs, and cultural heritage to gain an understanding of how these characteristics and issues can impact culturally congruent nursing care.
Which statement best describes "Cultural Self-Assessment"?
"I'm always careful to apologize when I'm having difficulty understanding a client"
Which statement demonstrates the nurse's ability to communicate sincerely and respectfully with a culturally diverse client population?
"Will you explain to me what you mean when you say your heart hurts?"
Which statement demonstrates the nurse's understanding of the importance cultural symbolism has on nursing care?
Madeleine Leininger
Who conceptualized transcultural nursing?
Magissa
Woman who cures matiasma or evil eye; may be referred to as doctor
G6PD deficiency (Glucose-6-phosphate dehydrogenase deficiency)
X-linked genetic defect with clinical manifestations of neonatal jaundice and/or acute or chronic hemolytic anemia triggered by medications, infections, and fava bean
Patient's communication style
You are the nurse caring for a patient who is a recent immigrant to the United States from Mexico. Which of the following variables would you prioritize when performing an assessment of the patients cultural beliefs?
Genetics
a branch of biology that studies heredity and the variations of inherited characteristics
Individual Cultural Competence
a complex integration of knowledge, attitudes, values, beliefs, behaviors, skills, practices, and cross-cultural nurse-client interactions that include effective communication and the provision of safe, affordable, accessible, research, evidence-based, and best practice, acceptable, quality and efficacious nursing care for clients from diverse background
Health
a reward given as a sign of God's blessing and goodwill
Yoga
a term derived from a Sanskrit word meaning yoke or union.
Cross-cultural communication
ability to successfully form, foster, and sustain relationships with members of a culture that differs from one's own
20% and 9%
about ___ of the US population speaks a language other than English at home, and __ has limited English proficiency.
Culturally competent care
an extension of interprofessional collaborative practice
Health behavior
any activity undertaken by a person who believes himself or herself to be healthy for the purpose of preventing disease or detecting disease in an asymptomatic stage.
Sick role behavior
any activity undertaken by a person who considers himself ill to get well or to deal with the illness.
Illness behavior
any activity undertaken by a person who feels ill to define the state of his or her health and discover a suitable remedy.
Dietary supplements
are products (other than tobacco) taken by mouth that contain a dietary ingredient intended to supplement the diet
Mechanism
assumes that it is possible to control life processes through mechanical, genetic, and other engineered interventions
Disruption of daily activities
behaviors that are very disruptive in work or other social situations are likely to be labeled as illness much sooner than the same behaviors in a family setting. An individual whose activities are disrupted by a symptoms is likely to take that symptoms seriously even if on another occasion he would consider the same symptom trivial.
Latinos
believe health and disease to be consequences of God's approval or disapproval of one's behavior
Genetic tests
can identify heterozygous carriers for many recessive diseases such as cystic fibrosis, sickle cell disease, and Tay- Sachs disease
History
combined with the objective data from the physical examination and laboratory results to form a diagnosis about the health status of a person
Content
consists of the actual data categories in which information about clients is gathered.
Symptoms
defined as phenomena experienced by individuals that signify a departure from normal function, sensation, or appearance and that might include physical aberrations
Disabling hearing loss
defined as the loss of greater than 40 decibels in the better ear in adults and the loss of greater than 30 decibels in the better ear in children
Yin
force in the universe represents the female aspect of nature.
Cultural assessment
foundation for culturally competent and culturally congruent nursing care
Vulnerable population
groups that are poorly integrated into the health care system because of ethnic, cultural, economics, geographic (rural and urban settings), or health characteristics (i.e. disabilities or multiple chronic conditions)
Ill client
health history includes a chronologic record of the health problems
Well-client
history is used to assess lifestyle; includes: activity, exercise, diet, and related personal behaviors and choices that nurses may gather to identify potential risk factors for disease.
Health tourism
in which patients travel to other countries for medical and surgical health care needs
Ayurveda
includes diet and herbal remedies and emphasizes the use of body, mind, and spirit in disease prevention and treatment
Illness
initiated by a supernatural agent with or without justification or by another person who practices sorcery or engages the services of sorcerers.
Aromatherapy
involves the use of essential oils (extracts or essences) from flowers, herbs, and trees to promote health and well-being.
Reiki
is a Japanese word representing Universal Life Energy. Reiki is based on the belief that when spiritual energy is channeled through a Reiki practitioner, the patient's spirit is healed, which in turn heals the physical body.
Osteopathic medicine
is a form of conventional medicine that, in part, emphasizes diseases arising in the musculoskeletal system
Naturopathy
is an alternative medical system based on the premise that there is a healing power in the body that establishes, maintains, and restores health.
Homeopathic medicine
is an alternative medical system. In homeopathic medicine, there is a belief that "like cures like," meaning that small, highly diluted quantities of medicinal substances are given to cure symptoms, even though the same substances given at higher or more concentrated doses would actually cause those symptoms.
Therapeutic touch
is based on the premise that the healing force of the therapist affects the patient's recovery; healing is promoted when the body's energies are in balance
Traditional Chinese Medicine
is the current name for an ancient system of health care from China.
Reductionism
life can be reduces or divide into smaller parts.
Etic perspective
looking at the situation from an outsider's vantage point
Yang
male force, is characterized by fullness, light, and warmth
yang
male force, is characterized by fullness, light, and warmth
Illness
may be seen as a sign of God's special favor in so far as it gives the affected person the opportunity to become resigned to God's will, or it may be seen as a sign of God's possession or as a punishment
Leiden V
most common hereditary abnormality of hemostasis predisposing to thrombosis
Domestic violence
most significant health care threats for women and their unborn children
Signs
objective abnormalities that the examiner can detect on physical examination or through laboratory testing
Cultural Affliation
one of the first areas the nurse should assess in the cultural self-assessment
Refugeees
people who flee their country of origin for fear of persecution based on ethnicity, race, religion, political opinion or related reasons) and other casualties of civil unrest or war in politically unstable parts of the world.
Immigrants
people who move from one country or region to another for economics, political, religious, social, and personal reasons.
Ethnicity
perception of oneself and a sense of belonging to a particular ethnic group
Health history
provides valuable information about the coping strategies and health-related behaviors and responses used by previously by clients and family members.
Cultural stereotype
refers to a preconceived, fixed or perception or impression of someone from a particular cultural group without meeting the person.
Guided imagery
refers to a wide variety of techniques, including simple visualization and direct suggestion using imagery, metaphor and story-telling, fantasy exploration and game playing, dream interpretation, drawing, and active imagination where elements of the unconscious are invited to appear as images that can communicate with the conscious mind (Academy for Guided Imagery, 2014).
Culture-universal
refers to commonly shared values, norms of behavior and life patterns that are similarly held among cultures about human behavior and lifestyles
Process
refers to how to approach the client, consideration of verbal and non-verbal communication, and the sequence and order in which data are gathered
Prejudice
refers to inaccurate perceptions of others or preconceived judgements about people based on ethnicity, race, national origin, gender, sexual orientation, social class, size, disability, religion, language, political opinion, or related personal characteristics.
Interprofessional collaborative practice
refers to multiple health providers from different professional backgrounds working together with patients, families, caregivers, and communities to deliver the highest quality care (WHO, 2010).
Culture-particular
refers to particular values, beliefs, and patterns of behavior that tend to be special or unique to a group and do not tend to bed shared with members of other cultures
Parents
refers to primary care provider whether natural, adoptive, relational or those who are unrelated but who function as primary providers of care and/or parent surrogates for varying periods of time.
Cultural baggage
refers to the tendency for a person's own culture to be foremost in his/her assumptions, thoughts, words, and behavior.
Bias
refers to the tendency, outlook, or inclination that results in an unreasoned judgement, positive or negative, about a person, place, or object.
Gotu Kola
rejuvenating herb that increases intelligence, longetivity, and memory while slowing the aging process
Determinism
states that a cause and effect relationship exists for all natural phenomena
Objective materialism
states that what is real can be observed and measured. There is a further distinction between subjective and objective realities in this paradigm
Anthropology
study of humans
Genomics
study that addresses all genes and their interrelationship to identify their combined influence on the growth and development of the organism.
Racism
the belief that one's own race is superior and has the right to dominate others.
Transcultural nursing
the blending of nursing and anthropology
Yin and Yang
the forces of nature are balanced to produce harmony
Culture
the learned, shared, and transmitted values, beliefs, norms and lifeways of a particular group of people that guide thinking, decisions, and actions in a patterned way
Quality of symptoms
the more frightening or visible the symptoms, the greater the likelihood that the individual will intervene
Seriousness of symptoms
the perceived threat of the symptoms must be serious for action to be taken. Often others will step in if the person's behavior is considered dangerous
Epigenetics
the study of how genes are influenced by forces such as environment
Pharmacogenomics
the study of the role of inherited and acquired genetic variation in drug response, is an evolving field that facilitates the identification of biomarkers that can help health providers optimize drug selection, dose, and treatment duration as well as eliminate adverse drug reactions.
Cultural imposition
the tendency of a person or group to impose their values, beliefs and practices onto others.
Massage
therapists manipulate muscle and connective tissue to enhance function of those tissues and promote relaxation and well-being.
Cultural norm
unconscious behavior patterns that are typical of specific groups
Amniocentesis
usually performed at 16 weeks' gestation; chorionic villus sampling (CVS) is carried out at 10 to 12 weeks' gestation;
Scientific or biomedical health paradigm
A type of health belief system where Considers only forces that cannot be observed and measured. When the scientific paradigm is applied to matters of health.
Sorcery, breach of taboo, intrusion of a disease object, intrusion of a disease causing spirit, loss of soul
5 categories or events believed for illness in the Magico-religious Paradigm
Latinos
A culture of a country that the male child is expected to maintain strong control over his emotions, and not cry in the presence of others; therefore, a child crying in pain may be interpreted one way by a nurse and dismissed as inappropriate gender-related behavior by a parent.
Race
A group of people who share such genetically transmitted traits such as skin color, hair, texture, and eye shape or color.
Campinha-Bacote Model
A model of cultural competence consists of the following five constructs namely cultural awareness, cultural skills, cultural knowledge, cultural encounter and cultural desire.
Taboos
A number of factors influence childbearing practices for Filipino women includes all except of:
Prescriptive beliefs
A positive set of ideas outlining what needs to be done in order to have a healthy infant
Theory of Culture Care Diversity and Universality
A theory where this focuses on describing, explaining, and predicting nursing similarities and differences focused primarily on human care and caring in human cultures
Non-verbal communication
A type of communication, how people convey meaning without words, Facial expressions, gestures, posture, physical distance, silence, eye contact
Mixed
A type of communication, modesty, technology assisted.
verbal communication
A type of communication, spoken word, language (over 6,000 worldwide), tone of voice, abbreviations, idioms.
Biomedical Model
A type of health belief system where All aspects of human health can be understood through the natural sciences, biology, chemistry, physics and mathematic
Magico-religious and holistic
A type of health belief system where Disease is thought of as an entity separate from self, caused by an agent external to the body but capable of getting and causing damage.
Holistic Health Paradigm
A type of health belief system where The forces of nature itself must be kept in natural balance or harmony
Beta-Thalassemia
An autosomal recessive inherited anemia caused by absent or decreased betaglobin chain synthesis during hemoglobin production
Genome
An organism's complete set of DNA, including all of its genes.
Emic or insider's perspective
The ability to see the situation from the client's point of view
Breast Cancer BRCA1 and BRCA2
Autosomal dominant; accounting for 5% US cases.
Alpha-1 anti-trypsin deficiency (AAT)
Autosomal recessive disorder resulting in early onset emphysema and liver disease
Sickle Cell Disease
Autosomal recessive genetic disorder, patients with same genotype may have highly variable phenotypes, ranging from asymptomatic to life threatening complications
2050
By year ___, more than half the population will come from racial.
Multiethnicity
Can also mean feeling that one does not belong to any group because of ?
Lay midwives
Care for women before, during, and after delivery
Susto
Caused by a frightening experience and is recognized by nervousness, loss of appetite and loss of sleep
Evil Eye (Malojo)
Caused by an individual who voluntarily or involuntarily injures a child by looking at or admiring him or her
Yerbero
Consulted for preventive and curative use of herbs for both traditional and Western illnesses
2 weeks
Cultural prescriptions vary regarding when women can return to full activity after childbirth, but many traditional cultures suggest that a woman can resume normal activities in as little as how many weeks?
Socioeconomic status, ability or disability, age, sexual orientation, and occupation/profession
Culture encompasses? (5)
Empacho
Digestive condition caused by the adherence of undigested food to some part of the GI tract
Residents of urban areas
Disparities in Health are a population-specific issue. Distinctions in the existence of disease, health outcomes, or access to health treatment. The following populations are affected by health disparities, except?
Crystal gazer, hand trembler (Navajo)
Diviner diagnostician who can identify the cause of a problem, either by using crystals or by placing hand over the sick person; does not implement treatment
Caida de la mollera
Failure of the midwife to press preventively on the palate after delivery, falling on the head, abruptly removing the nipple from the infant's mouth and failing to place a cap on the infant's head.
Chiropractic
Focuses on the relationship between bodily structure primarily that of the spine and function, and how that relationship affects the preservation and restoration of health
Ashkenazi Jewish Women
Group impacted for breast cancer?
Pujos
Grunting sounds and protrusion of the umbilicus
Problem solving
Guides health care teams in determining what the client needs to obtain optimal wellbeing and health.
Disease
In Magico-religious and holistic belief, this is thought of as an entity separate from self, caused by an agent external to the body but capable of getting and causing damage.
Alpha-Thalassemia
Hereditary anemia caused by defect during hemoglobin production; various clinical phenotypes - from silent carrier to more severe
Post partum depression
Identifying and reporting of this condition in non-Western cultures may be delayed by culturally unacceptable labelling of the varying symptoms and treatment differences among post-partum women.
Attentively listen to the complaints of the patient.
In the clinical setting, what caring behaviors do you employ?
Qigong
It is a component of traditional Chinese medicine that combines movement, meditation, and regulation of breathing to enhance the flow of qi in the body improve blood circulation, and enhance immune function
Pain
It is sometimes referred to as the fifth vital sign and is the most common and important reason why people seek medical attention.
Ethnocentrism
It refers to the human tendency to consider one's own group as the core of the universe and superior to all other groups.
Discrimination
It refers to the unfair or unequal treatment of a person or group based on their age, disability, ethnicity, gender, marital status, national origin, race, religion, or sexual orientation.
Herbalist
Knowledgeable in diagnosis of illness and herbal remedies.
Scientific or Biomedical Health Behavior
Life is controlled by a series of physical and biochemical processes that can be studied and manipulated by humans
Native Alaskans
Mongolian spots are a normal variation in children of the following races except of:
Priest (Orthodox)
May be called on for advice, blessings, exorcisms, or direct healing
Braucher or baruch-doktor
Men or women who use a combination of modalities including physical manipulation, massage, herbs, teas, reflexology, and brauche, a folk-healing art with origins in 18th and 19th century Europe; especially effective in the treatment of bedwetting, nervousness, and women's health problems; may be generalist or specialist in practice; some set up treatment rooms; some see non-Amish as well as Amish patients
Restrictive beliefs
Negatively phrased beliefs limit choices and behaviors and are practices/behaviors that the mother should not engage in order to have a healthy baby
Tay-Sachs disease
Neurodegenerative disorder caused by inborn error of metabolism
Metaphor
One aspect of life is connected to another through a shared symbol
Albinism
Refers to a condition that has little or no pigment in their eyes, skin or hair
Cultural Assessment
Refers to a systematic, comprehensive examination of individuals, families groups, and communities regarding their health-related cultural beliefs, values and practices
Culture bound syndrome
Refers to more than 200 disorders created by personal, social and cultural reactions to malfunctioning biological or psychological processes and can be understood only within defined context of meaning and social relationship
Diversity
Refers to the client's distinctiveness in terms of race, ethnicity, national origin, socioeconomic background, age, gender, sexual orientation, philosophical and religious ideology, lifestyle, level of education, literacy, marital status, physical, emotional, and psychological ability, political ideology, size, and other characteristics used to compare or categorize people.
Communication
Refers to the meaningful exchange of information between one or more participants.
Genotyping
Refers to the process of identifying differences in genetic make up using biological testing rather than assuming their population affiliation.
Taboos
Restrictions with serious supernatural consequences, are practices believed to harm the baby or the mother is referred as:
Von Willebrand Disease
Resulting in platelet and clotting defect
Bonesetters
Specialize in treating uncomplicated fractures
Mexican-American
The decisions on which positions to take depend on many things besides culture, and socialization that takes place when a woman enters a labor and delivery facility may prevent her from expressing her preference. Which nation favors sitting down?
Refrain from walking the streets at noon or 5 o'clock for Vietnamese
The following are restrictive beliefs regarding activity and pregnancy except of:
Global cultural conflicts, clashes, and violence doesn't have a great impact to health care.
The following are the factors that influenced Dr. Leininger to establish TCN as a framework for addressing 20th century and health care challenges and issues, except?
Family income status
The following are the indicators of child health status, except?
Hot
The hot/cold theory views pregnancy as?
Hip dysplasia
The nurse is assessing a 5 month old american indian infant whose culture includes the use of a cradleboard. What physical complication should the nurse be alert to regarding this child?
Valerian
Used as a medicinal herb since Ancient Greece and Rome for insomnia
Saint John's Wort
Used first in Ancient Greece and historically to treat mental disorders and nerve pain. Also used to treat malaria, as a sedative, and topically for wounds, burns, and insect bites
Shaman
Uses incantations, prayers, and herbs to cure a wide range of physical, psychological and spiritual illnesses
Sunrise Enabler
Visual representation of the concepts of Madeleine Leininger theory
Yellow bile, black bile, phlegm and blood
What are the four body humors in the hot/cold theory of disease?
Organizational cultural competence
What category of cultural competence where this focuses on the collective competence of the members of an organization and their effectiveness in meeting the diverse needs of their clients, patients, staff and community.
Individual cultural competence
What category of cultural competence where this refers to the care provided for an individual client by one or more nurses, physicians, social workers, and/or other health care, education, or social services professionals.
Hmong culture
What culture considers the placenta to be the infant's first set of garments and includes it in placental burial ceremonies.
Vaginal examination
What tests might be intrusive or embarrassing to pregnant women?
Cultural Competence in Healthcare systems and organizations
What type of guideline for the Practice of Culturally Competent Nursing Care, healthcare organizations should provide the structure and resources necessary to evaluate and meet the cultural and language needs of their diverse clients
Multicultural Workforce
What type of guideline for the Practice of Culturally Competent Nursing Care, nurses shall actively engage in the effort to ensure a multicultural workforce in healthcare settings.
Evidence-based practice and research
What type of guideline for the Practice of Culturally Competent Nursing Care, nurses shall base their practice on interventions that have been systematically tested and shown to be the most effective for the culturally diverse populations that they serve
Education and training in culturally competent care
What type of guideline for the Practice of Culturally Competent Nursing Care, nurses shall be educationally prepared to provide culturally congruent health care.
Critical reflection
What type of guideline for the Practice of Culturally Competent Nursing Care, nurses shall engage in critical reflection of their own values, beliefs, and cultural heritage in order to have an awareness of how these qualities and issues can impact culturally congruent nursing care
Knowledge of cultures
What type of guideline for the Practice of Culturally Competent Nursing Care, nurses shall gain an understanding of the perspectives, traditions, values. practices and family systems of culturally diverse individuals, families, communities, and populations they care for, as well as knowledge of the complex variables that affect the achievement of health and well-being
Cross-Cultural leadership
What type of guideline for the Practice of Culturally Competent Nursing Care, nurses shall have the ability to influence individuals, groups, and systems to achieve outcomes of culturally competent care for diverse populations
Patient advocacy and empowerment
What type of guideline for the Practice of Culturally Competent Nursing Care, nurses shall recognize the effect of healthcare policies, delivery systems, and resources on their patient populations, and shall empower and advocate for their patients as indicated. Nurses shall advocate for the inclusion of their patient's cultural beliefs and practices in all dimension of their healthcare
Cross-Cultural Communication
What type of guideline for the Practice of Culturally Competent Nursing Care, use culturally competent verbal and nonverbal communication skills to identify client's values, beliefs, practices, perceptions and unique healthcare needs
