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Definition
incorporating the following in health assessment: cultural factors beliefs customs practices improve the nurses ability to gather and interpret data -helps to eliminate health disparities |
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Term
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refers to the adoption and incorporation of characteristics, customs, and values of the dominant culture by those new to that culture |
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Guidelines for cultural assessment: Ethnicity |
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Definition
does the client identify with a particular ethnic/racial/cultural group? Where was the client born? How long has the client lived in this country? |
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Guidelines for cultural assessment: Communication |
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Definition
What language is spoken? Can the client communicate in English? If yes, both spoken and written? Does the client speak for self, or defer to other? What nonverbal communication behaviors are observed? What significance do these behaviors have for the nurse-client interaction? |
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Guidelines for cultural assessment: Space |
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Definition
Observe the client's proximity to other people and objects within the environment. How does the client react to the nurse's movement toward the client? Assess the client's physical environment What cultural objects within the environment have importance for health promotion/health maintenance? |
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Guidelines for cultural assessment: social organization |
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Definition
What are the client's roles? is the client the primary decision maker for healthcare behaviors? Must the client consult another to make health decisions? if yes, who? what other family members are important to the client's health decision making? is there a religious affiliation linked with cultural affiliation? |
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Term
Guidelines for cultural assessment: time |
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Definition
What is the client's time orientation: past, present, or future? What is the significance of time for the client? Does the client talk about time in specifics, such as dates, or times, or in generalities, such as "a long time" or "a short time"? |
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Guidelines for cultural assessment: environmental control |
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Definition
how is health defined by the culture? what does the client believe to be the cause of the illness or health concerns? has the client used the services of cultural healers? what healing practices has the client used? have folk healing behaviors been used? is the client wearing or carrying any amulets or artifacts that are believed to have healing properties? |
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Guidelines for cultural assessment: Biological Variactions |
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Definition
are there normal variations in anatomical characteristics? what are the dietary preferences of the client? are the dietary preferences related to the client's ethnicity? is the client at risk for nutritional deficiencies because of ethnicity? are there variations in physiological functioning related to the client's ethnicity or race? are there illnesses or diseases that the client is at risk for because of ethnicity or race? |
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Term
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Definition
belief that one's own beliefs, way to live, values, and customs are superior |
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strategies to develop cultural competence |
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Definition
-examine own cultural values and beliefs -learn variety of cultures and languages -use all resources for language differences -seek community resources to meet client needs |
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