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65 Cards in this Set
- Front
- Back
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what is included in population demographics?
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the distribution of ethnic groups, education, occupations, and incidence of the most common illness
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What types of questions do you asked a client when doing a cultural assessment?
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open-ended, focused, and contrast questions
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Example of questions asked when doing a cultural assessment
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Open-ended: What do you think caused your illness?
Focused: Did you have this problem before? Contrast: How different is this problem from the one you had previously? Open-ended: How do you want us to help you with your problem? Contrast: What is the difference between what we are doing from what you think we should be doing for you? Focused: Is there someone you want us to talk to about your care? |
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Impression management requires what?
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linguistic skills, culturally congruent interpretation of behaviors of others, and listening and observation skills.
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In cultural assessment, what is the goal?
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is to generate knowledge about the client's values, beliefs, and practices about nursing and health care.
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What cultures is it where a woman's private parts are not generally discussed with members of the opposite sex, including male members of one's family?
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Some Hispanic and Asian groups
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In societies where adults occupy higher status than the young, a child interpreter may be regarded as what?
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disrepectful
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Cultural Assessment Guide: Suggested Questions for Cultural identity/ancestry/hertiage
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Where were you born?
Where were your parents born? |
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Cultural Assessment Guide: Suggested Questions for Ethnohistory
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How long have you/your parents resided in this country?
What is your ethnic background or ancestry? How strong are you influenced by your culture? Why did you leave you homeland? |
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Cultural Assessment Guide: Suggested Questions for Social organization
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Who lives with you?
Who do you consider members of your family? Where do you live? Where do other members of your family live? How do you contact them? How often do you have contact with your family members? Who makes the decisions for you or your family? Who do you go to outside of your family for support? |
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Cultural Assessment Guide: Suggested Questions for Socioeconomic status
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What do you do for a living?
What did you do back in your homeland? Where did you go to school? What did you finish in school? How different is your life here from back home? Do you have medical insurance? Do you have a primary health care provider? |
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Cultural Assessment Guide: Suggested Questions for Biocultural ecology and health risks
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What is your purpose for coming here?
What caused your problem? Have you had this problem before? How does this problem affect or has affected your life and your family? Are there other members of your family with this kind of problem? How do you treat this problem at home? |
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Cultural Assessment Guide: Suggested Questions for Language and communication
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What language(s) do you speak at home?
What language(s) are you most comfortable speaking? In what language(s) can you read and write? How do you want us to talk to you? How should we address or call you |
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Cultural Assessment Guide: Suggested Questions for Religion/spirituality
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What is your religion?
Who is your religious or spiritual leader? Do you want to be in touch with your religious leader? How do we contact your spiritual leader? |
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Cultural Assessment Guide: Suggested Questions for Caring beliefs and practices
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What do you do to keep yourself well?
What do you do to show someone you care? How does your family or you take care of sick family members? Which caregivers do you seek when you are sick? How should we give you care? |
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Cultural Assessment Guide: Suggested Questions for Experience with professional health care
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Since you came to this country, have you had contact with doctors or hospitals?
How do you compare your past experience with now? What were some of the problems that you encountered? How were they resolved? What were the positive experiences you have? What type of care provider do you prefer? Why? |
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Haitian immigrants have linguistic and communication patterns distinct from those of ___ though they both come from the Caribbean and have a common history of slavery
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Jamaicans
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Hindu immgrants from Jamaica have ___ cultural characteristics from those originating from India because of the cultural contexts of the different regions.
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different
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Who are relocated without any choice in their initial residence?
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refugees
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When relocating, which people have the option on where they would like to go?
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immigrants
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Who experience greater dislocation and deprivation who enter the US with specialized skills and education and have the option to return to their homeland?
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Refugees
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Distinct health risks can be attributed to what?
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ecological context of the culture
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Examples of ecological context of a culture
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Immigrants originating from the region near the Nile River are generally predisposed to parasitic infestations endemic to the region.
Immigrants from the Third World with poor sanitary conditions and water supply succumb to infections such as hepatitis |
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Tay-Sachs is associated with what cultural group?
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Ashkenazi Jews
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Malignant hypertension is associated with what cultural group?
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African American
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Lactose intolerance is frequently observed among what cultural groups?
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Asians, Africans, and Hispanics
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What cultural group has a higher incidence of tuberculosis?
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Canadians descended from Native North American Indians and living on reservations
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Mortality from diabetes mellitus is 3 to 4 times higher among which cultural groups?
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Utes, Pimas, and Papago Indians
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In the dominant American society the most common unit of social organization is what?
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the nuclear family where married children and adults are expected to establish separate residences from their parents
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In collectivistic cultures, family composition may be extended to who?
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distant blood relatives across three generations and fictive or nonblood kin.
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bilineal
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both the father's and mother's side of the family
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Patrilineal
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limited to the side of the father
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Matrilineal
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limited to the side of the mother
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Patrilineally extended families are observed among what cultural group?
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Chinese and Hindus; where the woman is expected to move into the husband's clan after marriage and kinship ties with her family of orientation are minimized
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A client's status within the social hierarchy is generally linked with qualities of what?
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age and gender, as well as achieved status such as education and position.
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The dominant culture in the US emphasizes ____ as the determinant of status, whereas most collectivistic cultures give higher priority to ___ and ____
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achievement; age and gender
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The ___ ____ is next to his father in terms of authority in many Asian and African cultures.
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eldest male
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A ___ mother is subject to the authority of her oldest son in the absence of her husband
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Korean
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An adult Hispanic client may not sign her surgical consent without consulting who?
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her husband, oldest son, or brothers
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In what cultural is where the females perform the task of caregiving whereas the males are expected to be the providers and major decision makers?
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Islamic and Arabic
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To a Hmong animist, spirits could be who?
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can be those of dead ancestors or forces external to the person.
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To an Anglo-American, what does spiritually mean?
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an inner, personal relationship with God
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Devout Muslims pray how many times a day and undergo what kind of ritual?
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they pray 5 times a day and undergo an obligatory ritual cleansing of some parts of their body before praying
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Devout Hindus avoid what kind of food?
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beef, and many are vegetarians
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True or False: Many Buddhists are vegetarians
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true
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What is Halal foods? And what cultural group is it related to?
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halal foods, which include meat, fish, fresh fruit, vegetables. eggs, milk, and cheese, are permissible for Muslims.
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What is Haram?
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foods include non-Halal meats, animals with fangs, pork products, gelatin products and alcohol
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Fasting during daylight is required during the 28 days of ____, observed during the ninth lunar month
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Ramadan
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What cultural group observes a Kosher diet?
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Jews
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What is a Kosher diet?
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will avoid meat from carnivores, pork products, and fish without scales or fins. Kosher meat comes from permissible animals that are slaughtered with the least amount of suffering.
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Religious mandates followed by Jehovah's Witnesses require followers to have what type of surgery?
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blood-less and to avoid blood transfusions
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Male circumcision is practiced among what group?
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Jewish and Islamic groups
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Female circumcision is practiced among what group?
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African and Muslim groups
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Annointing of the sick is a sacrament abserved by what cultural group?
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Roman Catholics
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Hospitalized Catholic clients may request what?
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daily communion
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The family of a critically ill ___ client will turn his/her head eastward or to the right side
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Jewish
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The family of a dying ___ remains at the bedside so they can place a drop of the holy water from the River Ganges on the client's lips immediately after death to facilities transcendence of his/her soul to the next life.
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Hindu
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A dying ___ client will not be left alone so that his/her wishes can be conveyed to a close kin so that his/her soul can leave in peace
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Hispanic
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All cultures have ___, ___, and ___ time dimensions.
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past, present, and future
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In collectivistic cultures, caring means
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active involvement of the group, emphasizing mutual and reciprocal obligations of members to care for each other.
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In many cultures, caretaking tasks are the primary responsibility of who?
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the women, whereas men provide financial support and are called upon to make major decisions
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Priority of dominant rankings in meanings and actions of care
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1. respect for and about 2. Concern for and about 3. Attention to details/in anticipation of 4. Helping/assisting or facilitative acts 5. Active listening 6. Presence (being physically there) 7. Understanding (beliefs, values, lifeways, and environmental context) 8. Connectedness 9. Protection (gender related) 10. Touching 11. Comfort measures
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Three nursing decision and action modes to achieve culturally congruent care: Cultural care preservation or maintenance
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Retain and/or preserve relevant care values so that clients can maintain their well-being, recover from illness, or face handicaps and/or death
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Three nursing decision and action modes to achieve culturally congruent care: 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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Three nursing decision and action modes to achieve culturally congruent care: Cultural care repatterning or restructuring
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Reorder, change, or greatly modify clients' lifeways for a new, different, and beneficial health care pattern
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