Cultural Influence On Health (Basics In Nursing)

Front 1

(def)

the involuntary process that occurs when people adapt to or borrow traits from another culture

Back 1

acculturation

Front 2

(def)

the non-physical traits such as values, beliefs, attitudes, and customs

Back 2

culture

Front 3

(def)

the provision of nursing care accross cultural boundaries

Back 3

cultural care

Front 4

(def)

the fact or state of being different

Back 4

diversity

Front 5

(def)

a group within the social system that claims to possess variable traits such as a common religion or language

Back 5

ethnicity

Front 6

(def)

holds that the forces of nature must be maintained in balance or harmony

Back 6

Holistic health belief

Front 7

(def)

a belief system in which people attribute the fate of the world and those in it to the actions of God, the gods, or other supernatural forces for good or evil

Back 7

Magico-religious health belief

Front 8

(def)

classification of people according to shared biologic characteristics and physical features

Back 8

Race

Front 9

(def)

based on the belief that life and life processes are controlled by physical and biochemical processes that can be manipulated by humans

Back 9

scientific health belief

Front 10

(def)

a process by which a person learns the ways of a group or society in order to become a functioning participant

Back 10

Socialization

Front 11

In the census of 1990, what percent of Americans were of European descent?

Back 11

80%

Front 12

In the census of 2000, what percent of Americans were of European descent?

Back 12

70%

Front 13

True/False:

By 2065, the "average" American will be of African, Asian, Hispanic, Arabian, or Pacific-Island descent.

Back 13

True

Front 14

True/False:

A person's culture does not affect how a nurse will care for them.

Back 14

False- nurses must be culturally sensitive and have an understanding as to how cultural differences influence client's health care beliefs and practices.

Front 15

According to a study by the US Agency for Healthcare Research and Quality, how many US residents have little or no understanding of English.

Back 15

10 million

Front 16

Of the 329 languages spoken or signed in the US, what percent speak a first language other than English?

Back 16

18% (more than 40% in some cities)

Front 17

When performing a cultural assessment, what 4 things should be determined?

Back 17

- place of birth
- race
- cultural affiliation
- time in the USA (if not native)

Front 18

What are the 3 Health Belief Systems?

Back 18

- Magico-Religious
- Holistic
- Scientific

Front 19

What may happen to a person who's environment and surrounding culture is greatly different from their own?

Back 19

they may become radically disoriented and stressed

Front 20

During a time of crisis, what may happen to a client who uses English as a second language?

Back 20

- they may not fully understand or may even revert to their native tongue

Front 21

What are some tips with speaking to a client who doesn't speak English as a primary language?

Back 21

- speak slowly
- enunciate you words
- use simple terms
- use proper pronunciation

Front 22

What is the ideal solution for communicating with a person who speaks a different language?

Back 22

obtain an interpreter (preferably NOT a family member)

Front 23

Of the US residents who don't speak English, what percent speak Spanish?

Back 23

2/3

Front 24

Body postures and hand movements are ________ learned.

Back 24

culturally

Front 25

If possible, how you should provide written information to patients that speak another language?

Back 25

preferably in their native language

Front 26

What should you do before entering a client's "personal" space?

Back 26

ask permission

Front 27

One's need for space serves what 4 needs?

Back 27

- security
- privacy
- autonomy
- self-identity

Front 28

What should you always do for the client prior to procedures?

Back 28

explain what you need to do and where you will be standing

Front 29

From a cultural standpoint, what are some social organizations that need to be taken into consideration when assessing a patient?

Back 29

- marital status
- # of children
- social activities
- role in family
- relationship with siblings, parents
- religious/spiritual beliefs

Front 30

True/False:

Nursing care is provided to only the client, not the family.

Back 30

False- you provide care to the entire family, not only the client.

Front 31

True/False:

You should not remove unusual jewelry, strings, or amulets without permission.

Back 31

True

Front 32

In various cultures, who may be delegated as the decision-making authority by the client?

Back 32

- elder of the community
- family
- male of the family

Front 33

True/False:

Before reporting unusual marks or discolorations or suspicious signs to authorities, you should ask the client what happened to obtain those marks or bruises.

Back 33

True

Front 34

What are 4 things regarding time that should be taken into consideration when culturally assessing a patient?

Back 34

- orientation (past, present, or future oriented)
- view of time (social or clock-oriented)
- physiochemical reaction to time
- attitude about the application of time issues

Front 35

What are some adaptations that may need to be made for present oriented clients?

Back 35

- adapt client care in a range of time
- if you have to specify the time, give an explanation of why it is important to be prompt

Front 36

(def)

how a person perceives control over their own behavior

Back 36

locus of control

Front 37

True/False:

A patient cannot use home remedies when under the care of a hospital.

Back 37

False - as long as the remedies do not adversely affect their care, they can use them

Front 38

Why do you see less osteoporosis and vertebral fractures in African American women vs. Caucasian women?

Back 38

because bone density is greater in African American women

Front 39

(def)

darkened areas of skin common in babies and children with dark skin pigmentation

Back 39

Mongolian spots

Front 40

What are some areas that should be assessed in patients with dark skin pigmentation to determine changes in skin color?

Back 40

- nailbeds
- buccal mucosa
- tongue
- palms
- soles of the feet

Front 41

Diabetes mellitus has a higher incidence among what 2 groups of people?

Back 41

- American Indians
- African American women

Front 42

Hypertension has a higher incidence in what group of people?

Back 42

African American population

Front 43

What group has double the incidence of Peripheral Arterial Disease than Caucasians?

Back 43

African Americans

Front 44

Sickle Cell Anemia has a higher incidence in what populations?

Back 44

- African Americans
- Populations from Asia Minor, India, Mediterranean and Caribbean areas

Front 45

AIDS is disproportionately high in what 2 populations?

Back 45

African American
Hispanics

Front 46

What population groups show a higher incidence of lactose intolerance?

Back 46

Mexican American
African American
American Indians
Orientals