According to the Office of Minority Health (OMH), the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups are known as
a. Culture.
b. Subculture.
c. Ethnicity.
d. Cultural backlash. ANS: A
The OMH describes culture as the thoughts, communications, actions, customs, beliefs, values, and institutions of racial,
ethnic, religious, or social groups. Subcultures represent various ethnic, religious, and other groups with distinct characteristics from the dominant culture. Ethnicity refers to a shared identity related to social and cultural heritage such as values, language, geographical space, and racial characteristics. Cultural backlash occurs when an individual rejects a new culture because experience with a new or different culture is extremely negative.
pg. 102 ANS:
A, B, E
Naturalistic practitioners attribute illness to natural, impersonal, and biological forces that cause alteration in the equilibrium of the human body. Healing emphasizes use of naturalistic modalities, including herbs, chemicals, heat, cold, massage, and surgery. In contrast, personalistic practitioners believe that an external agent, which can be human (i.e., sorcerer) or nonhuman (e.g., ghosts, evil, deity), causes health and illness. Personalistic beliefs emphasize the importance
of humans relationships with others, both living and deceased, and with their deities.
pg. 104 Answer: A, C, D, E, F
A large body of research shows that health care systems and health care providers contribute significantly to the problem of health disparities. Inadequate resources (lack of social workers), poor patient-provider communication (discharge instructions), a lack of culturally competent care, system fragmentation (not ensuring that the
patient has a primary care provider or a follow-up appointment), and inadequate language access (use of interpreters) are critical factors that contribute to inequities in patient outcomes. RESPECT is the mnemonic for Rapport, Empathy, Support, Partnership, Explorations, Cultural competence, Trust. Match each letter of the RESPECT mnemonic with a statement that describes the concept the letter represents. 1. R. ____
2. E. ____
3. S. ____
4. P.
____
5. E. ____
6. C. ____
7. T. ____ a. Ask about and try to understand barriers to care and adherence, and then offer resources to help the patient overcome them, involving family members if appropriate, and reassuring the patient that you are and will be available to help.
b. Patients may have different reasons for not disclosing important information. Earn a patient's confidence through actions and attitude that demonstrate respect, compassion, and your interest in
partnership.
c. Work closely together with the patient by being flexible with regard to issues of control, negotiating roles when necessary, and stressing that you will be working together to mutually address medical problems.
d. Provide explanations for the process and your action, checking often for understanding and using verbal clarification techniques such as Teach Back.
e. Approach each encounter thinking about cultural competence and how you can demonstrate respect for the
patient and his or her culture and beliefs.
f. Approach the encounter with empathy, remembering that the patient has come to you for help. Seek out and understand the patient's rationale for his or her behaviors or illness, verbally acknowledging and legitimizing his or her
feelings.
g. Connect on a social level, seeking the patient's point of view; consciously attempt to suspend judgment; and avoid making assumptions. According to the Office of Minority Health (OMH), the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups are known as
a. Culture.
b. Subculture.
c. Cultural backlash.
d. Ethnicity. Sets with similar terms d. Culturally congruent care The nurse is demonstrating culturally congruent care. Culturally congruent care, or care that fits a person's life patterns, values, and system of meaning, provides meaningful and beneficial nursing care. Marginalized groups are populations left out or excluded. Health care disparities are differences among populations in the availability, accessibility, and quality of health care services (e.g. screening, diagnostic, treatment, management,
and rehabilitation) aimed at prevention, treatment, and management of diseases and their complications. Transcultural nursing is a comparative study of cultures in order to understand their similarities (culture that is universal) and the differences among them (culture that is specific to particular groups).
What is the difference between race and ethnicity quizlet?
Race is used to describe biological differences between groups of people (physical) while ethnicity is used to distinguish groups of people based on their culture and heritage (cultural).
When a cultural assessment is performed knowledge of a patient's country of origin and its history and ecological context is known as what?
Knowledge of a patient's country of origin and its history and ecological contexts is significant to health care and is known as ethnic heritage and ethnohistory.
Which action by the nurse is essential to providing culturally congruent care?
The most important aspect of providing culturally competent care is exhibited through what action by the nurse? Assessing and listening to each patient's customs and beliefs is the most important way to provide culturally congruent and patient-centered care.
Which of the following best represents the dominant values in American society on individual autonomy and self determination?
Which of the following best represents the dominant values in American society on individual autonomy and self-determination? Informed consent and advance directives protect the right of the individual to know and make decisions ensuring continuity of individual autonomy and self-determination.
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