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| The 2007 US Census Bureau states that approximately how much of the population belongs to a racial or ethnic minority |
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| a culture is described as: |
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| the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. |
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| culture is comprised of 2 components |
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| they represent various ethnic, religious, and other groups with distinct characteristics from the dominant culture. |
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| a shared identity related to social and cultural heritage such as values, language, geographical space, and racial characteristics. |
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| an insider or native cultural perspective |
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| the way a cultural outsider views a particular culture (hispanic man's view on a nordic culture) |
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| Socialization into one's primary culture as a child |
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| The process of adapting to and adopting a new culture |
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| results when an individual gradually adopts and incorporates the characteristics of the dominant culture |
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| what occurs when an individual rejects a new culture because experience with a new or different culture is extremely negative. |
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| a comparative study of cultures to understand similarities (culture universal) and differences (culture-specific) across human groups. |
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| Culturally competent care |
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| the ability of a nurse to bridge cultural gaps in caring, work with cultural differences, and enable clients and families to achieve meaningful and supportive caring. |
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| a tendency to hold one's own way of life as superior to others. |
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using your own values and lifestyles as the absolute guide in dealing with clients and interpreting their behaviors.
Hence, a nurse who believes that people should bear pain quietly as a demonstration of strong moral character will be annoyed when a client insists on having pain medication and will try to deny the client's discomfort. |
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| Naturalistic practitioners |
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| attribute illness to natural, impersonal, and biological forces that cause alteration in the equilibrium of the human body. Healing emphasizes use of naturalistic modalities including herbs, chemicals, heat, cold, massage, and surgery |
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| personalistic practitioners |
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| believe that an external agent, which can be human (i.e., sorcerer) or nonhuman (e.g., ghosts, evil, or deity), causes health and illness. |
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| illnesses that are specific to one culture. |
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| in what type of culture are families are made up of distant blood relatives across three generations and fictive or nonblood kin. |
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| Cultural care preservation or maintenance |
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| Retain and/or preserve relevant care values so that clients maintain their well-being, recover from illness, or face handicaps and/or death. |
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| Cultural care accommodation or negotiation |
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| Adapt or negotiate with others for a beneficial or satisfying health outcome. |
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| Cultural care repatterning or restructuring |
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| Reorder, change, or greatly modify clients' lifestyles for a new, different, and beneficial health care pattern. |
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1. Maria is a 6-year-old child from Mexico. Maria's socialization into the Mexican culture is best described as:
1. Assimilation
2. Acculturation
3. Biculturalism
4. Enculturation |
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2. A 46-year-old woman from Bosnia came to the United States 6 years ago. Although she did not celebrate Christmas when she lived in Bosnia, she celebrates Christmas with her family now. This woman has experienced assimilation into the culture of the United States because she:
1. Choose to be bicultural
2. Adapted to and adopted the American culture
3. Had an extremely negative experience with the American culture
4. Gave up part of her ethnic identity in favor of the American culture |
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3. Brooke is a nursing student. In order for Brooke to enhance her cultural awareness, she will need to make an in-depth self-examination of her:
1. Motivation and commitment to caring
2. Social, cultural, and biophysical factors
3. Engagement in cross-cultural interactions
4. Background, recognizing her biases and prejudices |
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4. Cultural competence is the process of:
1. Learning about vast cultures
2. Motivation and commitment to caring
3. Influencing treatment and care of clients
4. Acquiring specific knowledge, skills, and attitudes |
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5. Ken is an RN caring for Mr. DeRosa. Ken has determined Mr. DeRosa is from Russian heritage. Ken has a Russian neighbor who does not keep his property well maintained. Ken tells Mr. DeRosa, “While you are in the rehabilitation center, you will keep your bedside area organized.” Ken's statement is an example of:
1. Assimilation
2. Ethnocentrism
3. Personalistic practice
4. Culture bound syndrome |
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6. When action is taken on one's prejudices:
1. Discrimination occurs
2. Delivery of culturally congruent care is ensured
3. Effective intercultural communication develops
4. Sufficient comparative knowledge of diverse groups is obtained |
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7. Jane is a nursing student who is doing her community health rotation in an inner-city public health department. When she investigates sociodemographic and health data of the people served by the health department, Jane detects disparities in health outcomes between the rich and poor. This is an example of a(n):
1. Illness attributed to natural and biological forces
2. Creation of Jane's interpretation and descriptions of the data
3. Influence of socioeconomic factors in morbidity and mortality
4. Combination of naturalistic, religious, and supernatural modalities |
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8. Culture strongly influences pain expression and need for pain medication. However, cultural pain:
1. Is not expressed verbally or physically
2. Is expressed only to others of like culture
3. Is more intense, thus necessitating more medication
4. May be suffered by a client whose valued way of life is disregarded by practitioners |
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9. The dominant values in American society on individual autonomy and self-determination:
1. Do not have an effect on health care
2. Rarely have an effect on other cultures
3. May be in direct conflict with diverse groups
4. May hinder ability to get into hospice programs |
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