Mental Health Nursing Exam 3

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WHAT ARE CONSIDERED ALL CULTURALLY BASED AND AFFECT PSYCH. MENTAL HEALTH CARE?

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RELATIONSHIPS; ALL TYPES OF COMMUNICATION; VALUE ORIENTATIONS, RELIGION; SOCIAL SYSTEM ; DIET AND HEALTH AND ILLNESS RELATED BELIEFS.

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WHAT IS THE PRIMARY TOOL OF PSYCH. MENTAL HEALTH?

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INTERPERSONAL COMMUNICATION

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WHAT ARE VALUES, BELIEFS, NORMS, AND LIFEWAYS THAT ARE LEARNED AND SHARED WITHIN A PARTICULAR GROUP?

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CULTURE

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WHO'S CLASSIC AND COMPREHENSIVE DEFINITION DESCRIBES CULTURE AS THE COMPLEX WHOLE, INCLUDING KNOWLEDGE, BELIEF, ART, MORALS, LAW, CUSTOM, AND ANY OTHER CAPABILITIES AND HAPBITS ACQUIRED BY MAN AS AMEMBER OF SOCIETY?

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TYLOR (1871)

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WHO PROPOSES THAT CULTURE IS MALLEABLE LIKE CLAY, AND ANY INTERACTION BY PERSONS FROM DIFFERENT CULTURES MODIFIES THE CULTURES OF BOTH PARTICIPANT?

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AGAR (1994)
CULTURE SERVES AS AN EVERCHANGING FRAME FOR ITNERPRETING INFORMATION AND UNDERSTANDING HOW THE WORLD WORKS.

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HOW DOES AGAR SEES THE "SELF?"

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AS "DIALOGICAL," A PRODUCT OF ALL PAST STORIES AND MULTICULTURAL EXPERIENCES, PRODUCING MULTIPLE IDENTIES INTERACTING WITHING THE SAME INDIVIDUAL.

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IN THE TRADITIONAL VIEW OF CULTURE, HOW DOES CULTURE DEFINE VALUES?

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LEARNED BELIEFS ABOUT WHAT IS HELD TO BE GOOD OR BAD IN A CULTURE

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HOW DOES CULTURE DEFINE NORMS?

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LEARNED BEHAVIORS THAT ARE PERCEIVED TO BE APPROPRIATE OR INAPPROPRIATE IN A CULTURE

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WHICH PERCEPTION THAT OUR WORLDVIEW IS THE ONLY ACCEPTABLE TRUTH AN DTHAT OUR BELIEFS, VALUES, AND SANCTIONED BEHAVIORS ARE SUPERIOR TO ALL OTHERS?

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ETHNOCENTRISM

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NAME SOME OF THE POINTS RELATED TO CULTURE:

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TRANSMIT MEANING; IS LEARNED; IS SHARED; IS EVERCHANGING; IS 'DIALOGICAL'; DEFINES VALUES; DEFINES NORMS FOR: ROLES, RELATIONSHIPS, RIGHTS, OBLIGATION, BELIEFS, BEHAVIORS, DEFINES WORLD VIEW

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WHICH WORD DESCRIBES THE ASSUMPTION THAT PEOPLE SHARING CERTAIN CHARACTERISTICS WILL THINK AND ACT SIMILARLY?

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STEREOTYPING

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WHAT ARE THE FIVE ELEMENTS OF CAMPINHA-BACOTE'S MODEL?

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CULTURAL DESIRE, CULTURAL AWARENESS, CULTURAL KNOWLEDGE, CULTURAL SKILL, AND CULTURAL ENCOUNTER

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WHAT IS THE GOAL OF CAMPINHA-BACOTE'S MODEL?

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TO DEPICT AN ONGOING PROCESS "IN WHICH THE HEALTHCARE PROFESSIONAL CONTINUOUSLY STRIVES TO AVHIEVE THE ABILITY AND AVAILABILITY TO WORK EFFECTIVELY WITHIN THE CULTURAL CONTEXT OF THE CLIENT (INDIVIDUAL, FAMILY, COMMUNTY)

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WHAT IS MEANT BY (CAMPINHA-BACOTE'S) CULTURAL DESIRE?

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REPRESENTS THE MOTIVATION TO "WANT TO" ENGAGE IN BECOMING CULTURALLY COMPETENT.

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WHAT IS MEANT BY (CAMPINHA-BACOTE'S) CULTURAL SKILL?

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REFLECTS THE ABILITY TO COLLECT CULTURAL DATA ABOUT THE CLIET'S PRESENTING PROBLEM AND ALSO ACCURATELY PERFORM A CUTURALLY BASED PHYSICAL ASSESSMENT

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WHAT IS MEANT BY (CAMPINHA-BACOTE'S) CULTURAL WARENESS?

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REPRESENTS SELF-EXAMINATIONA AND INDEPTH EXPLORING OF ONES'S OWN CULTURAL BACKGROUND

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WHAT IS MEANT BY (CAMPINHA-BACOTE'S) CULTURAL KNOWLEDGE?

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INVOLES SEEKING AND OBTAINING A SOUND EDUCATIONAL BASE ABOUT CULTURALLY DIFFERENT GROUPS

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WHAT IS MEANT BY (CAMPINHA-BACOTE'S) CULTURAL ENCOUNTERS?

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ENCOMPASSES THE PROCESS THAT ENCOURAGES THE PROFESSIONAL TO DIRECTLY ENGAGE IN FACE TO FACE INTERACTIONS WITH CULTURALLY VARIED CLIENTS.

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(CAMPINHA-BACOTE'S) MODEL IS BASED ON: ((1-6))

1. CULTURAL COMPETENCE IS A PROCESS; NOT AN ____________

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EVENT

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(CAMPINHA-BACOTE'S) MODEL IS BASED ON:

2. PROCESS OF CULTURAL COMPETENCE CONSISTS OF ________________.

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FIVE INTERELATED CONSTRUCTS: CULTURAL..
...DESIRE
...AWARENESS
...SKILL
....KNOWLEDGE
...ENCOUNTER

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(CAMPINHA-BACOTE'S) MODEL IS BASED ON:

3. THE KEY AND PIVOTAL CONSTRUCT OF CULTURAL COMPETENCE IS __________.

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CULTURAL DESIRE

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(CAMPINHA-BACOTE'S) MODEL IS BASED ON:

4. THERE IS MORE VARIATIONS __________ THAN ACROSS CULTURAL GOUPS.

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WITHING CULTURAL GROUPS. (INTRA-CULTURAL VARIATIONS)

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(CAMPINHA-BACOTE'S) MODEL IS BASED ON:

5. THERE IS A DIRECT RELATIONSHIP BETWEEN A HEALTH CARE PROFESSIONAL'S LEVEL OF CULTURAL COMPETENCE AND "THE" ___________.

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ABILITY TO PROVIDE CULTURALLY RESPONSIVE HEALTHCARE SERVICES

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(CAMPINHA-BACOTE'S) MODEL IS BASED ON:

6. ________ IS AN ESSENTIAL COMPONENT IN RENDERING EFFECTIVE CULTURALLY RESPONSIVE CARE TO ALL CLIENTS.

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CULTURAL COMPETENCE

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WHEN CULTURAL ASSESSMENTS ARE CARRIED OUT, WHAT ARE THE THREE INTERACTING VIEWPOINTS:

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OBJECTIVE, SUBJECTIVE, CONTEXTUAL

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WHAT IS MEANT BY CULTURAL CONTEXT?

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THIS INCLUDES THE BROADER CULTURAL, SOCIOECONOMIC, POLTICAL INFLUENCES OPERATING IN THE HEALTHCARE SYSTEMS AFFECTING THE NURSE AND CLIENT.

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WHAT IS MEANT BY CULTURAL OBJECTIVE?

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COMPONENTS INCLUDE, CLIENT'S, FAMILY'S, NURSE'S, COMMUNITY'S CULTURAL AND SOCIAL CHARACTERISTICS, COMMUNICATION PATTERNS AND WORLDVIEW.

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WHAT ARE THE CULTURAL SUBJECTIVE COMPONENTS?

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THE NURSE'S PERSONAL AND CULTURAL CHARATERISTICS AND CULTURAL SELF-AWARENESS.

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HOW CAN CULTURAL ASSESSMENT ONLY BE ACCOMPLISHED SKILLFULLY?

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NURSE HAS ACQUIRED SUFFICIENT KNOWLEDGE OF HIS OR HER OWN CULTURE AND A VARIETY OF OTHER OTHER CULTURES.

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WHAT IS EHNICITY?

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IDENTIFICATION IWTH A "SOCIALLY, CULTURALLY, AND POLITICALLY CONSTRUCTED GROUP OF INDIVIDUALS THAT HOLDS A COMMON SET OF CHARACTERISTICS NOT SHARED BY OTHERS WITH WHOM ITS MEMBERS COME INTO CONTACT.

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WHY SHOULD WE AVOID "CULTURAL BLINDNESS?"

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IT IS THE ATTEMP TO TREAT ALL PERSONS FAIRLY BY IGNORING DIFFERENCES AND ACTIING AS THOUGH THE DIFFERENCES DO NOT EXIST. CAN BE PERCEIVED AS INSENSITIVITY.

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WHAT ARE SOME ELEMENTS OF ETHNICITY?

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COMMON ANCESTRY, SENSE OF HISTORICAL CONTINUITY, COMMON LAGUAGE, RELIGION, AND INTERGROUP INTERACTION.

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WHAT ARE THE SIX CULTURAL VARIABLES HAVING AN EFFECT ON HEALTH AND ILLNESS BEHAVIORS DEVELOPED BY GIGER AND DAVIDHIZER?

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COMMUNICATION, SPACE, SOCIAL ORGANIZATION, TIME, ENVIRONMENT CONTROL, BIOLOGICAL VARIATIONS.

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WHAT ARE THE FIVE CATEGORIES TO BE ASSESSED AROUND WHICH CULTURALLY SENSITIVE MENTAL HEALTH CARE BY ANDREWS AND BOYLE?

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1. BELIEFS ABOUT MENTAL ILLNESS AND CARE
2. INTERPERSONAL REACTION
3. VERBAAL AND NONVERBAL COMMUNICATION
4. DIET
5. BIOLOGICAL VARIATION

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NAME SOME BELIEFS ABOUT CAUSATION MENTAL ILLNESS AMONG LESS , (SOME EXTENT FULLY) INDUSTRIALIZED SOCIETIES:

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1. SORCERY
2. BREACH OF TABOO
3. INTRUSION OF A DISEASE OBJECT
4. DISEASE CAUSING SPIRIT
5. LOSS OF SOUL
4.

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WHICH CULTURE TEND TO EMPHASIZE LOSS OR BREACH OF TABOO AS CAUSES OF ILLNESS?

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ESKIMOS

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WHICH CULTURE TEND TO ATTRIBUTE DISEASE TO SORCERS OR WITCHES?

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AFRICAN AMERICAN

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WHICH CULTURE TEND TO ATTRIBUTE ILLNESS MORE TO A DISHARMONY IN THE RELATIONSHIP WITH THE UNIVERSE?

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ANCIENT GREEKS

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WHOSE CULTURE IS MORE ALIGNED WITH THE GREEK BELIEF IN THAT ILLNESS IS BELIEVED TO RSULT MORE FROM MORAL THOUGHT OR ACTION AGAINST THE NORMS OF SOCIETY, CREATING AN IMBALANCE IN MIND, BODY, SPIRIT AND ENVIRONMENT?

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NATIVE AMERICAN

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TO PROVIDE CULTURALLY SAFE AND EFFECTIVE CARE ________________.

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THE NURSE NEEDS TO UNDERSTAND THE POTENTIAL VARIATIONS IN THE WHO, WHAT AND WHEN OF CARE SEEKING BEFORE INTERVENTIONS CAN BE DONE.

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BEFORE THE NURSE GIVE CARE IN A GIVEN CULTURAL GROUP, WHAT DOES SHE NEEDS TO DETERMINE?

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WHAT FEELINGS, BEHAVIORS WOULD BE CONSIDEREN ABNORMAL; AT POINT WOULD THEY SEEK CARE AND FROM WHOM; WHAT DO THEY CONSIDER ACCEPTABLE CARE OR TREATMENT.

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WHAT IS "ARCTIC HYSTERIA?" WHICH CULTURE EXHIBITS THIS? AND IS THIS ABNORMAL BEHAVIOR?

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UNRESTRAINED BIZARRE BEHAVIOR.
ESKIMO WOMEN.
NOT CONSIDERED ABNORMAL.

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OFTENLY, IMMIGRANT AND MINORITIES WOULD SEEK ONLY OR INITIAL CARE FROM?

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MEDICINE MAN, HERBALIST, CURANDERO, SANTERO, VOODOO

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WHICH CULTURES USE MENTAL HEALTH LESS B/C FEW MINORITY PROFESSIONAL; ONE TO ONE COUNSEL STYLE; EMOTIONAL EMPHASIS AND VERBAL FOCUS; MONO CULTURAL ASSUMPTIONS OF MENTAL HEALTH; NEGATIVE STEREOTYPES
AND INEFFECTIVE, INAPPROPRIATE, AND ANTAGONISTIC COUNSELING APPROACHES TO THE VAULES?

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NATIVE AMERICANS, ASIAN AMERICANS, AFRICAN AMERICANS & HISPANICS

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TO WHICH CULTURE HO NOTED ABOUT THAT " THE BEST HEALING SOURCE LIES WITHIN THE FAMILY AND SEEKING HELP FROM FAMILY?"

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ASIAN BELIEF

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TRADITIONAL HEALERS AND CHINESE MEDINE WOULD BE THE CARE OPTIONS FOR WHOM? (FOLLOWED BY RECOURSE TO FRIENDS, ELDERS, AND NEIGHBORS IN THE COMMUNITY...

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MANY ASIANS

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WHAT ARE SOME EXAMPLES THAT MAY REFLECT IN INTERPERSONAL INTERACTIONS?

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ACCEPTANCE OF INEQUALITY OF STATUS AND POWERIN; ACCEPTANCE OF COLLECTIVISM VS. INDIVIDUALISM; FAVORING OF MASCULINE; NEED TO AVOID UNCERTAINTY

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IN GROUP-ORIENTED SOCIETIES (COLLECTIVIST CULTURES), WHICH ONE OF THE THERAPIES WOULD NOT BE ACCEPTABE IN SUCH A CUTURAL SETTING?

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PYSCHOANYLSIS THERAPY

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FOR EFFECTIVE COMMUNICATION TO OCCURS, PERSONS DESIGNATED AS "TRANSLATORS" MUST KNOW WHAT?

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MORE OF THE CULTURE THAT JUST ORAL OR WRITTEN LANGUAGE. IT'S MORE THAN MERE WORDS.

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WHO ARE CULTURAL FACILITATORS OR BROKER?

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WHO CAN INTERPRET THE LANGUAGE, THE CULTURE, THE HEALTH CARE CULTURE. IDEAL PERSON TO SERVE AS INTERPRETER.

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WHAT MUST THE NURSE DO IF A BROKER IS NOT AVAILABLE, BUT A LANGUAGE INTERPRETER?

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AVOID SELECTING AN INTERPRETER FROM A RIVAL GROUP, FROM A SEX, AGE, OR SOCIOECONOMIC GROUP THAT WOULD PREVENT OPEN COMMUNICATION.

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IF A BROKER IS NOT AVAILABLE, IS IT OKAY TO USE A FAMILY MEMBER TO INTERPRET?

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IF STATUS WOULD AFFECT DISCLOSURE, THEN REFRAIN FROM USING A FAMILY MEMBER.

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HOW SHOULD THE NURSE'S POSTURE HERSELF WHEN AN INTERPRETER IS USED?

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SPEAK IN HIS OR HER LANGUAGE DIRECTLY TO THE CLIENT, NOT THE INTERPRETER. IF NO INTERPRETER, THEN BE CALM, FRIENDLY USING PANTOMINES AS NECESSARY AND CONSTRUCT A PICTURE BOARD.

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A SOURCES OF INTERPRETERS

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TELEPHONE COMPANIES

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WHAT IS THE PRIMARY TOOL OF PSYCH. MENTAL HEALTH NURSING?

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COMMUNICATION

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WHICH NONVERBAL COMMUNICATION HAS MANY IMPLICATIONS AND MOST VARIABLE OF THE NONVERBAL COMMUNICATORS?

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EYE CONTACT

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PERSONS FROM CERTAIN MIDDLE EASTERN, ASIAN, NATIVE AMERICAN AND APPALACHIAN BACKGROUND CONSIDER EYE CONTACT...?

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IMPOLITE AND AGGRESSIVE

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HISPANIC AMERICANS MAY USE DOWNCAST EYES TO INDICATE...?

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RESPECT

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AMONG THE HISPANIC POPULATION WHAT IS MEANT BY "MAL OJO?"

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A CHILD IS THOUGHT TO BECOME ILL IF GIVEN EXCESSIVE ADMIRATION BY ANOTHER PERSON

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TRUE OR FALSE: IT IS IMPORTANT TO DISCUSS EXPECTIONS OF TOUCH WITH A CLIENT?

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TRUE

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WHAT ARE THE TWO ASPECTS OF TIME ORIENTATION?

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1. EMPHASIS ON, PAST, PRESENT, FUTURE. 2. ORGANIZING ACTIVITIES EITHER SEQUENTIALLY OR SYCHRONICALLY

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HOW IS TIME VALUED IN MAINSTREAM AMERICAN CULTURE?

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VALUED COMMODITY "TIME EQUALS MONEY"

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TRUE OR FALSE: WHEN CARING FOR CLIENTS OF DIFFERENT BACKGROUNDS, IT IS IMPORTANT TO ASK YOURSELT WHAT VALUE THIS CLIENT MIGHT PLACE ON TIME ORIENTATION

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TRUE

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TRUE OR FALSE: SEQUENTIALLY ORGANIZED PERSONS CAN SKILLFULLY CARRY OUT TWO OR MORE TASKS AT THE SAME TIME.

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FALSE. SYNCHRONICALLY ORGANIZED PERSONS

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WHAT IS OF GREATEST IMPORTANCE TO PSYCH. CARE REGARDING DIET AND FOOD?

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INTERACTION OF CERTAIN FOOD WITH MEDICATIONS OR MOOD

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WHY IS BIOLOGICA VARIATION IMPORTANT TO MENTAL HEALTH?

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CERTAIN PHYSICAL AND GENETIC CHARACTERISTICS AFFECT THE EPIDEMIOLOGY OF DISEASES AND THE EFFECTS OF MEDICATIONS

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WHAT IS THOUGHT TO BE ASSOCIATED WITH "MISDIAGNOSIS" AND OVERMEDICATING OF AFRICAN AMERICANS WITH PSYCHOSIS?

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CULTURAL BEHAVIORS THAT DIAGNOSED AS ABNORMALLY VIOLENT BY NON-AFRICAN AMERICAN CAREGIVERS.

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BASED ON METABOLIC AND BEHAVIOR DIFFERENCES, CARE SHOULD BE TAKE TO BASE MEDICATION DOSAGES ON WHAT?

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SERUM LEVELS AND CULTURALLY RELEVANT CLINICAL OBSERVATIONS RATHER THAN ON CULTURALLY BIASED NORMS.

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WHAT IS CULTURE SHOCK?

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WHEN A PERSON IS OVERWHELMED BY CULTURAL DIFFERENCES IN EXPECTATIONS, COMMUNICATION, AND GENERAL HABITS BETWEEN THE CULTURE OF ORIGIN AND THE DOMINANT CULTURE OF THE SOCIETY IN WHICH THE CLIENT IS TRYING TO ASSIMILATE.

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TRUE OR FALSE: CAREFUL ASSESSMENT OF THE CLIENT'S LEVEL OF INTERGRATION AND IDENTIFICATION WITH BOTH CULTURES OF ORIGIN AND THE DOMINANT CULTURE OF THE SOCIETY TO PROVIDE CULTURAL COMPETENT CARE.

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TRUE