Kozier Ch 18 Culturally Responsive Nursing Care - Fundamentals Of Nursing (Elisa)

Front 1

1. What is Culturally Responsive Care ?(5 components)

Back 1

-Centered on client’s cultural perspectives
-Integrates client’s values and beliefs into plan of care
-Develops self-awareness of nurse’s own culture, attitudes, and beliefs
-Examines nurse’s biases and assumptions about different cultures
-Nurse gain knowledge and skills to create environment where trust can develop
P.316 (slide 1)

Front 2

2. What 6 Cultural Concepts can create problems for nurses?

Back 2

-Ethnocentrism
-Prejudice
-Racism
-Discrimination
-Generalizations
-Stereotyping
P. 316-317 (slide 2)

Front 3

3. define Health Disparities

Back 3

-Health disparities - differences in care experienced by one population compared with another population
P. 317 (slide 3)

Front 4

What are 2 major contributing factors to Health Disparities?

Back 4

-Inadequate access to care
-Substandard quality of care
P.318 (slide 3)

Front 5

4.To provide better care what 2 Immigration issues should nurse be aware of?

Back 5

-Acculturation
---when people incorporate traits from another culture
-Assimilation
---the process when a person develops a new cultural identity.
P.319 (slide 4)

Front 6

5. what are 5 Cultural Competence constructs?

Back 6

-Cultural desire
-Cultural awareness
-Cultural knowledge
-Cultural skills
-Cultural encounters
P. 320 (slide 5)

Front 7

6. Whar are the 3 views of Health Beliefs

Back 7

-Magico-religious
-Scientific or biomedical
-Holistic
P. 321-322 (slide 6)

Front 8

7. What is the Magico-Religious Health Belief ? (4 concepts)

Back 8

-Health and illness controlled by supernatural forces
-May believe illness is result of “being bad” or opposing God’s will
-Getting well also dependent on God’s will
-Some cultures believe magic can cause illness
P. 321 (slide 7)

Front 9

8. What is the Scientific (Biomedical) Health View ? (3 concepts)

Back 9

-Life controlled by physical and biomechanical processes manipulated by humans
-Illness caused by germs, bacteria, or breakdown of the body
-Belief that pills, treatments, or surgery will cure
P. 321 (slide 8)

Front 10

9. What is the Holistic Health Belief ? (3 concepts)

Back 10

-Forces of nature must be maintained in balance or harmony
-Human life is one aspect of nature
-When natural balance is disturbed, illness results
P. 321-322 (slide 9)

Front 11

10. What is Folk Medicine and why do people use it? (6 concepts)

Back 11

-Beliefs and practices relating to illness prevention and healing that derive from cultural traditions rather than modern medicine
-Thought to be more humanistic than biomedical health care
-Consultation and treatment take place in the community
-May be less expensive than scientific or biomedical care
-Frequently includes ritual practice by healer or client
-More comfortable, less frightening to client
P. 322 (slide 10)

Front 12

11. What is important for nurses to remember about Communication Styles when working with different cultures?

Back 12

Cultural variations exist
P. 323(slide 11)

Front 13

What are 2main Communication Styles?

Back 13

-Verbal communication
-Nonverbal communication
P. 323(slide 11)

Front 14

12. What is important for nurses to remember about Verbal Communication when working with different cultures?

Back 14

-Cultural values affect who initiates communication
-Interactions between people who speak different languages are difficult
---Translator converts written material from one language to another
---Interpreter transforms the message expressed in a source language into its equivalent
P. 323-324 (slide 12)

Front 15

13. What is important for nurses to remember about Nonverbal Communication when working with different cultures?

Back 15

(nurses must know what is OK with other cultures)
-Meaning to the client
-Meaning in client’s culture
-Use of
---Silence –Touch -Eye movement -Facial expressions -Body posture
P. 324-326 (slide 13)

Front 16

14. What is the Nursing Role to provide cultural responsive care?

Back 16

-Developing self-awareness
-Nurse identifies own cultural beliefs and assumptions
-ASKED pneumonic
---Awareness
---Skill
---Knowledge
---Encounters
---Desire
P. 327 (slide 14)

Front 17

15. How do nurses Convey Cultural Sensitivity ? (10 things )

Back 17

-Spend time with client and convey genuine desire to learn their values and beliefs
-Address by last name
-Introduce self by full name
-Be authentic and honest about the culture
-Use language that is culturally sensitive
16.
-Consider what client thinks about his or her health problem, illness, and treatment
-Ask about anything you do not understand
-Show respect for client’s values, beliefs, and practices
-Show respect for client’s support people
-Obtain client’s trust
P. 327-328 (slide 15-16)

Front 18

17. What are 4 main Steps a nurse can take in developing cultural competence?

Back 18

-Become aware of own cultural heritage
-Become aware of client’s heritage and health traditions
-Become aware of adaptations client made to live in another culture
-Form nursing plan with the client that incorporates cultural beliefs about health maintenance, protection, and restoration
P. 330 (slide 17)

Front 19

18. What should nurses be aware of when coming up with a culturally competent care plan?

Back 19

-NANDA focused on care provided in United States; based on Eurocentric cultural beliefs
-Goal is to provide adequate care to client’s of any culture
-Consider how culture influences client’s response to health conditions
-Cultural preservation and maintenance
-Cultural accommodation and negotiation
-If client chooses to follow only cultural practices, nurse and client must adjust client’s goals
P. (slide 18)

Front 20

19. The major factor contributing to the increased emphasis on the need for proficiency in cultural nursing practice in the United States is which of the following?
A. An increasing birth rate
B. Limited access to health care services
C. Demographic changes
D. A decreasing rate of immigration

Back 20

20.
a.The birth rate in the United States is actually decreasing.
b.Limited access to health care is a complex issue and is not the major factor here.
**c.Correct. There is an ongoing shift in the North American population which includes a decreasing number of Caucasian Americans (formerly the majority population) and increasing numbers of other cultural groups.
d.Immigration has increased.

Front 21

21. Which behavior is an initial step in culturally responsive nursing practice?
A. Help the client recognize the need to adapt health practices to fit commonly accepted practices.
B. Discuss the meaning of the medical regimen with the client.
C. Inform the client that lack of adherence to the medical regimen may be detrimental.
D. Ask a cultural broker to explain the relevance of the intervention.

Back 21

22.
a. Cultural sensitivity results in recognition of the right “not to fit.”
**b. Correct. Because cultural differences may result in various interpretations of a medical regime, discussing them is a standard of practice with all clients.
c. Explaining the effects of lack of adherence is more appropriate than giving a warning.
d. After the nurse discusses the regimen with the client, a cultural broker may be helpful.

Front 22

23. In initiating care for a client from a different culture than the nurse, which of the following would be an appropriate statement?
A. “Since, in your culture, people don’t drink ice water, I will bring you hot tea.”
B. “Do you have any books I could read about people of your culture?”
C. “Please let me know if I do anything that is not acceptable in your culture.”
D. “You will need to set aside your usual customs and practices while you are in the hospital.”

Back 22

24.
a. This option assumes the client follows his or her particular cultural practice, which may not be the case.
b. It may be good to learn more about the culture, but assessment of individuals is the best approach.
**C. Correct. The nurse should indicate openness to diverse views and practices. The nurse should assess before intervening.
D. Telling the client to set aside normal customs is an incorrect approach to culturally appropriate care. The nurse should assess which customs and practices the individual client performs before drawing conclusions.

Front 23

25. Which behavior is most representative of a culturally competent nurse?
A. Helps clients of Native American heritage identify ways to relate more to their culture
B. Helps parents of Latino heritage recognize that their children need to speak English
C. Interprets and validates beliefs of a client with African American heritage
D. Asks a nurse of Japanese heritage to teach others dosage calculations since Asians are good at math

Back 23

26.
a. This option may not be appropriate; the nurse needs to respect whatever choices clients have made.
b. This option does not reflect cultural competency; the nurse needs to respect choices made by clients.
**c. Correct. Culturally competency implies that, within the delivered care, the nurse understands and attends to the total context of the client’s situation, including awareness of immigration, stress factors, and cultural differences.
d. Assuming all Asians are good at math shows bias or stereotyping.