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43 Cards in this Set
- Front
- Back
Cultural Awareness
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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)
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Cultural Blindness
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when differences b/t cultures are ignored and persons act as though these differences do not exist
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Cultural Brokering
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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.
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Cultureal Competence
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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.
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Cultural Conflict
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a perceived threat that may arise from a misunderstanding of expectations b/t clients and nurses when neither is aware of their cultural differences
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Cultural Desire
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the nurse's intrinsic motivation to provide culturally competent care
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Cultural Encounter
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interaction with a client related to all aspects of his or her life
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Cultural Imposition
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the process of imposing one's values on others
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Cultural Knowledge
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the info necessary to provide nurses with an understanding of the organizational elements of cultures and to provide effective nursing care
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Cultural Nursing Assessment
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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
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Cultural Preservation
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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.
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Cultural Repattering
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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)
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Cultural Shock
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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.
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Cultural Skill
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the effective intergration of cultural knowledge and awareness to meet the needs of clients (ex. using appropriate touch and modifying physical distance)
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Culture
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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.
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Environmental Control
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the ability of individuals to control nature and to influence factors in the environment that affect them
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Ethnicity
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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.
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Ethnocentrism
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a cultural prejudice, belief that one's own group or culture is superior to others
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Immigrants
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people who come into a new country in order to settle there
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Prejudice
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the emotional manifestation of deeply held beliefs about other groups; it involves negative attitudes
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Race
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a biological designation whereby group members share distinguishing features (ex.skin color)
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Racism
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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
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Social Organization
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the way in which a cultural group structures itself around the family to carry out role functions
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Stereotyping
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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)
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Legal Immigrant
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Allowed by law to work and live in the US often b/c they have useful job skills or family ties.
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Entitlements of Legal Immigrants
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Afte 10 yrs they are eligible for Aid to Families of Dependent Children, food stamps, Medicaid, and unemployment
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Refugees
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people seeking asylum b/c of fear based on race, religion, nationality, social group, or political views
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Entitlements of Refugees
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TANF, SSI, and Medicaid
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Foreign-born Nonimmigrant
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Admitted to the US for a limited duration of time and for a specific purpose. Ex students, tourists, temporary workers
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Unauthorized Immigrants/Illegal Aliens
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crossed boarder illegally or legal permission has expired
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Entitlements for Illegal Immigrants
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Emergency medical services, immunizations, treatment for the symptoms of communicable diseases, and access to school lunches
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Factors regarding healthcare for immigrants
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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
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An example of cultural competence
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Paying attention to dietary practices, pain, death and dying, modesty, eye contact, closeness, and touching other.
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Four Principles of Culturally Competent Nursing Care
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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
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Three stages in the development of cultural competence
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1.Incompetent (oblivious, apathetic, unskilled, destructive) 2.Sensitive (aware, sympathetic, lacking of some skills, neutral) 3.Competent (knowledgeable, committed to change, highly skilled, constructive)
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Cultural Accomodation
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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.
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Cultural Blindness
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the tendency to ignore all differences among cultures
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Cultural Imposition
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the process of imposing one's values on others
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Cultural Conflict
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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
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Cultural Shock
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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.
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Primary Prevention
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Provide health teaching about balanced diet and exercise
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Secondary Prevention
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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.
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Tertiary Prevention
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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.
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