Culture

Front 1

Cultural Awareness

Back 1

an appreciation of an sensitivity to a client's values, belifefs, practices, lifestyle, and problem-solving strategies (ex. story of breat ca class and AA participant)

Front 2

Cultural Blindness

Back 2

when differences b/t cultures are ignored and persons act as though these differences do not exist

Front 3

Cultural Brokering

Back 3

advocating, mediating, negotiating, and intervening b/t the client's culture and the biomedical health care culture on behalf of the clients. Ex. teaching preventive care, health maintenance, sanitation, and nutrition.

Front 4

Cultureal Competence

Back 4

an interplay of factors that motivates persons to develop knowledge, skill and the ability to care for others. It includes acknowledging the differences in the ways clients respond to illness and treatment.

Front 5

Cultural Conflict

Back 5

a perceived threat that may arise from a misunderstanding of expectations b/t clients and nurses when neither is aware of their cultural differences

Front 6

Cultural Desire

Back 6

the nurse's intrinsic motivation to provide culturally competent care

Front 7

Cultural Encounter

Back 7

interaction with a client related to all aspects of his or her life

Front 8

Cultural Imposition

Back 8

the process of imposing one's values on others

Front 9

Cultural Knowledge

Back 9

the info necessary to provide nurses with an understanding of the organizational elements of cultures and to provide effective nursing care

Front 10

Cultural Nursing Assessment

Back 10

a systematic way to ID the beliefs, values, meanings, and behaviors of people while considering their history, life experiences, and the social and physical environments in which they live

Front 11

Cultural Preservation

Back 11

the use by clients of those aspects of their culture that promote healthy behaviors. Ex. acupuncture or respecting a family not using a home health aid but leaving open as an option.

Front 12

Cultural Repattering

Back 12

working with the clients to make changes in health practices when the client's cultural behaviors are harmful or decrease their well-being (ex. cutting foods out or stopping the use of harmful things)

Front 13

Cultural Shock

Back 13

the feeling of helplessness, discomfort, and disorientation experienced by an individual attempting to understand or effetively adapt to another cultural grp that differs in practices, values, and beliefs. It results from the anxiety caused by losing familiar sights, sounds, and behaviors.

Front 14

Cultural Skill

Back 14

the effective intergration of cultural knowledge and awareness to meet the needs of clients (ex. using appropriate touch and modifying physical distance)

Front 15

Culture

Back 15

a set of beliefs, values, and assumptions about life that is widely held among a group. Parents and family are the most important sources to transfer traditions.

Front 16

Environmental Control

Back 16

the ability of individuals to control nature and to influence factors in the environment that affect them

Front 17

Ethnicity

Back 17

shared feeling of peoplehood among a grp of individuals, it represents the identifying characteristics fo culture (ex. race, religion, national origin). Influenced by education, income, geographic location.

Front 18

Ethnocentrism

Back 18

a cultural prejudice, belief that one's own group or culture is superior to others

Front 19

Immigrants

Back 19

people who come into a new country in order to settle there

Front 20

Prejudice

Back 20

the emotional manifestation of deeply held beliefs about other groups; it involves negative attitudes

Front 21

Race

Back 21

a biological designation whereby group members share distinguishing features (ex.skin color)

Front 22

Racism

Back 22

a form of prejudice that refers to the belief that persons who are born into particular groups are inferior in intelligence, morals, beauty, and self-worth

Front 23

Social Organization

Back 23

the way in which a cultural group structures itself around the family to carry out role functions

Front 24

Stereotyping

Back 24

the basis for ascribing certain beliefs and behaviors about a group to an individual without giving adequate attention to individual differences (ex. all asians are hard working)

Front 25

Legal Immigrant

Back 25

Allowed by law to work and live in the US often b/c they have useful job skills or family ties.

Front 26

Entitlements of Legal Immigrants

Back 26

Afte 10 yrs they are eligible for Aid to Families of Dependent Children, food stamps, Medicaid, and unemployment

Front 27

Refugees

Back 27

people seeking asylum b/c of fear based on race, religion, nationality, social group, or political views

Front 28

Entitlements of Refugees

Back 28

TANF, SSI, and Medicaid

Front 29

Foreign-born Nonimmigrant

Back 29

Admitted to the US for a limited duration of time and for a specific purpose. Ex students, tourists, temporary workers

Front 30

Unauthorized Immigrants/Illegal Aliens

Back 30

crossed boarder illegally or legal permission has expired

Front 31

Entitlements for Illegal Immigrants

Back 31

Emergency medical services, immunizations, treatment for the symptoms of communicable diseases, and access to school lunches

Front 32

Factors regarding healthcare for immigrants

Back 32

Language barriers; differences in social, religion, and culture; provider's lack of knowledge about high-risk diseases in the group; and the fact that many rely on traditional healing or folk health care

Front 33

An example of cultural competence

Back 33

Paying attention to dietary practices, pain, death and dying, modesty, eye contact, closeness, and touching other.

Front 34

Four Principles of Culturally Competent Nursing Care

Back 34

1. Care is designed for the specific client 2. Care is based on the uniqueness of the person's culture and inclds cultural norms and values 3. Care includes self-empowerment strategies to facilitate client decision making in health behavior 4. Care is provided with sensitivity and is based on the cultural uniqueness of clients

Front 35

Three stages in the development of cultural competence

Back 35

1.Incompetent (oblivious, apathetic, unskilled, destructive) 2.Sensitive (aware, sympathetic, lacking of some skills, neutral) 3.Competent (knowledgeable, committed to change, highly skilled, constructive)

Front 36

Cultural Accomodation

Back 36

supporting and facilitating the use of cultural practices such as home burial of the placenta when they are not harmful to clients. Other examples, subing low Na soy sauce for high or broiled for fried.

Front 37

Cultural Blindness

Back 37

the tendency to ignore all differences among cultures

Front 38

Cultural Imposition

Back 38

the process of imposing one's values on others

Front 39

Cultural Conflict

Back 39

A perceived threat that may arise from a misunderstanding of expectations b/t clients and nurses when either group is not aware of cultural differences

Front 40

Cultural Shock

Back 40

the feeling of helplessness, discomfort, and disorientation experienced by an individual attempting to understand or effectively adapt to another culture. It results from the anxiety caused by losing familiar sights, sounds, and behaviors.

Front 41

Primary Prevention

Back 41

Provide health teaching about balanced diet and exercise

Front 42

Secondary Prevention

Back 42

Teach client and/or family to monitor BP. Teach about diet, keeping in mind the client's cultural preferences. Talk about health beliefs and cultural implications, such as the use of alternative therapies; make sure alternative tgherapies are complatible with any medications that may be prescribed.

Front 43

Tertiary Prevention

Back 43

If BP can't be controlled by diet, refer the client to a Dr for meds; advise the client to engage in a cardiac program that will oversee diet and exercise.