Culture and Healthcare Quiz

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Questions and Answers

What is the definition of culture, as presented in the text?

  • A comprehensive system of beliefs, values, and practices that are passed down through generations within a specific community.
  • A combination of customs, beliefs, and practices that distinguish one group from another.
  • A pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that can occur among those who speak a particular language, live in a defined geographic region, or share a common lived experience. (correct)
  • A specific set of values and traditions that guide behavior within a group.

What is enculturation?

  • The process of adopting the values and customs of a different culture.
  • The process of learning and internalizing the norms, values, and behaviors of a culture. (correct)
  • The assimilation into a dominant culture, losing one's original identity.
  • The development of a dual cultural identity, retaining aspects of both cultures.

Which of the following is NOT a characteristic of assimilation?

  • Giving up one's original cultural identity.
  • Being absorbed into the dominant cultural group.
  • Adopting a new cultural identity.
  • Choosing which aspects of a new culture to adopt. (correct)

What is the term for the process of adopting new attitudes, roles, customs, or behaviors due to contact with another culture?

<p>Acculturation (A)</p> Signup and view all the answers

What is the difference between acculturation and assimilation?

<p>Acculturation involves reciprocal influences, while assimilation only impacts the minority group. (C)</p> Signup and view all the answers

What is the relationship between ethnicity and ethnic identity?

<p>Ethnicity is the shared values and beliefs of a group, while ethnic identity is the individual's sense of belonging to that group. (C)</p> Signup and view all the answers

Which of the following is an example of how culture shapes beliefs about health and illness?

<p>All of the above. (D)</p> Signup and view all the answers

How can understanding the concept of culture be helpful for providing person-centered nursing care?

<p>All of the above. (D)</p> Signup and view all the answers

Which of the following is the most likely reason why Mr. Wong does not look at Ms. Faye or Mr. Lee during their interaction?

<p>He may be interpreting direct eye contact as disrespectful in his cultural context. (D)</p> Signup and view all the answers

What cultural factor likely influences Mr. Wong's initial reluctance to share information about his pain and emotional state?

<p>He may be concerned about appearing weak or vulnerable by expressing these feelings. (C)</p> Signup and view all the answers

Ms. Faye's initial approach to Mr. Wong demonstrates a lack of understanding of which key concept related to cultural sensitivity in healthcare?

<p>Cultural awareness (D)</p> Signup and view all the answers

Which of the following best exemplifies Ms. Faye's approach to providing culturally competent care after she learns about Mr. Wong's cultural beliefs?

<p>She incorporates Mr. Lee's insights and adapts her assessment and treatment strategies accordingly. (C)</p> Signup and view all the answers

Which of the following actions taken by Ms. Faye would NOT be considered an example of culturally sensitive care?

<p>Refraining from making eye contact with Mr. Wong to avoid making him uncomfortable. (B)</p> Signup and view all the answers

What is the primary focus of self-awareness in cultural identity?

<p>Understanding one's own beliefs and assumptions (D)</p> Signup and view all the answers

Which of the following best describes biases?

<p>Any tendency to act, think, or feel in a certain way towards others (A)</p> Signup and view all the answers

How can knowledge as a domain of cultural competency be best described?

<p>Exposing oneself to different cultural experiences (A)</p> Signup and view all the answers

Which of the following statements about cultural skills is correct?

<p>Cultural skills can be acquired through specific communication training. (C)</p> Signup and view all the answers

What does the RESPECT model focus on in cultural assessment?

<p>Building trust and understanding between patient and nurse (D)</p> Signup and view all the answers

Which of the following factors is essential for improving health outcomes in culturally diverse populations?

<p>Effective collaboration and patient engagement strategies (B)</p> Signup and view all the answers

What is a common misconception that nurses may hold regarding biases?

<p>Biases do not apply to them as professionals. (A)</p> Signup and view all the answers

In cultures that prioritize interdependence, what is more valued?

<p>Obligations to family and community (C)</p> Signup and view all the answers

Which activity can help individuals gain knowledge about other cultures?

<p>Reading culturally diverse literature (A)</p> Signup and view all the answers

Which of the following beliefs might reflect a nurse's cultural bias?

<p>Thinking that individuals with mental illness choose their condition (C)</p> Signup and view all the answers

How can speaking a foreign language benefit healthcare professionals?

<p>It helps in gathering cultural information. (A)</p> Signup and view all the answers

In what way do one's cultural values influence nursing practice?

<p>They shape decisions about patient care. (D)</p> Signup and view all the answers

What approach is suggested for developing cultural competency in nursing?

<p>Active engagement in learning about various cultures. (D)</p> Signup and view all the answers

What is the primary means through which culture is transmitted during childhood and adolescence?

<p>Socialization (A)</p> Signup and view all the answers

Which of the following best describes subcultures?

<p>Groups that share specific values and norms, regardless of ethnicity (D)</p> Signup and view all the answers

How has globalization impacted cultures?

<p>It has led to reassertion of local cultures and preservation of unique characteristics. (A)</p> Signup and view all the answers

What do less visible attributes of culture primarily include?

<p>Gender roles and values (D)</p> Signup and view all the answers

In which type of culture is the concept of a 'separated self' more commonly observed?

<p>Individualist cultures (B)</p> Signup and view all the answers

What does the term 'power distance' refer to in cultural contexts?

<p>The acceptance of unequal power distribution as legitimate (C)</p> Signup and view all the answers

Which of these cultural attributes exemplifies a preference for egalitarian communication styles?

<p>Low power distance cultures (B)</p> Signup and view all the answers

Which cultural attribute highlights the differences in gender roles?

<p>Masculinity versus femininity (A)</p> Signup and view all the answers

What example reflects an individualistic approach in American culture?

<p>Personal recognition and achievements (C)</p> Signup and view all the answers

In collectivist cultures, how are social worth and identity generally defined?

<p>Through relationships with others (C)</p> Signup and view all the answers

What does a high power distance culture typically imply about authority figures?

<p>Their authority is rarely questioned or challenged. (B)</p> Signup and view all the answers

Which of the following scenarios illustrates the concept of acculturation?

<p>A person maintains their original beliefs while adopting local customs. (B)</p> Signup and view all the answers

Which statement best reflects a characteristic of masculine cultures?

<p>They prioritize achievement and material success. (A)</p> Signup and view all the answers

In healthcare, what is an implication of low power distance values?

<p>Patients actively participate in shared decision-making. (D)</p> Signup and view all the answers

What is a defining characteristic of long-term oriented cultures?

<p>Preference for saving for the future (C)</p> Signup and view all the answers

How do gender roles in certain cultures typically impact women?

<p>They may experience caregiver strain due to caretaker roles (A)</p> Signup and view all the answers

What does the term 'emic' refer to in the context of care diversity?

<p>Understanding culture from within its own context (D)</p> Signup and view all the answers

What trend is observed regarding the non-Hispanic White population in the United States?

<p>It represented 60% of the total population in 2021. (A)</p> Signup and view all the answers

Which theory emphasizes the connection between cultural elements and health care?

<p>Leininger’s Theory of Culture Care Diversity (C)</p> Signup and view all the answers

What is the primary model of health and illness in Western cultures?

<p>Biomedical model (D)</p> Signup and view all the answers

How has the religious landscape in the United States changed over the years?

<p>The growth of the religiously unaffiliated is notable among younger generations. (B)</p> Signup and view all the answers

How do cultural norms influence health and illness?

<p>All of the above (D)</p> Signup and view all the answers

What is often a result in cultures that grant higher status to men?

<p>Greater prevalence of violence against women (A)</p> Signup and view all the answers

What percentage of the US population identified as having a disability in 2019?

<p>About 27%. (C)</p> Signup and view all the answers

Which of the following is NOT an example of a cultural idiom of distress?

<p>Influenza (A)</p> Signup and view all the answers

What is cultural competency in nursing primarily focused on?

<p>Conveying acceptance of the patient’s health beliefs. (A)</p> Signup and view all the answers

What distinguishes short-term oriented cultures in healthcare behavior?

<p>Delayed treatment until symptoms worsen (A)</p> Signup and view all the answers

Why is it inadequate to treat all patients the same in nursing?

<p>It overlooks the unique needs of each individual. (C)</p> Signup and view all the answers

What role does spirituality play in cultural contexts?

<p>It is a core component of shared beliefs and values. (D)</p> Signup and view all the answers

What is the primary difference between "culture-bound syndromes" and "cultural idioms of distress"?

<p>Cultural idioms of distress are more specific to the culture they originate from. (C)</p> Signup and view all the answers

What is the main issue with the term "culture-bound syndromes"?

<p>All of the above. (D)</p> Signup and view all the answers

Which of the following describes the theory of social suffering?

<p>Illness reflects social structures and political inequalities. (C)</p> Signup and view all the answers

What does cultural desire in nursing refer to?

<p>An interest and intent to understand diverse populations. (C)</p> Signup and view all the answers

How should nursing care be implemented according to the core competencies for culture?

<p>By incorporating the patient’s cultural beliefs in care plans (B)</p> Signup and view all the answers

What is the primary concern with social stigma surrounding certain illnesses?

<p>All of the above. (D)</p> Signup and view all the answers

What significant aspect is emphasized in developing cultural humility?

<p>Self-reflection and examination of personal beliefs. (A)</p> Signup and view all the answers

In cultures valuing silent endurance, how might illness be perceived?

<p>It can be viewed as a form of social suffering. (C)</p> Signup and view all the answers

Which of the following illnesses is often stigmatized in many cultures?

<p>Depression (B)</p> Signup and view all the answers

Which of the following best describes the concept of cultural competency?

<p>Understanding and incorporating a patient’s cultural background in care. (A)</p> Signup and view all the answers

What stereotype is often held by healthcare providers regarding their biases?

<p>They believe their behavior does not contribute to healthcare inequalities. (A)</p> Signup and view all the answers

What is the key difference between Western biomedical model and non-Western perspectives on illness?

<p>Western medicine solely considers biological factors, while non-Western perspectives incorporate social and spiritual aspects. (C)</p> Signup and view all the answers

How does a long-term orientation influence health behavior?

<p>Supports ongoing health management and preventive care (D)</p> Signup and view all the answers

What is a potential consequence of cultural variations in health perceptions?

<p>Diverse approaches to illness and treatment (A)</p> Signup and view all the answers

How can cultural differences in symptom expression impact healthcare?

<p>All of the above. (D)</p> Signup and view all the answers

What percentage of Americans identified as Christian according to the 2020 census of American religions?

<p>70%. (D)</p> Signup and view all the answers

What is one consequence of societal discrimination faced by the LGBTQ+ community?

<p>Increased rates of mental illness. (A)</p> Signup and view all the answers

What is the concept of "balance" in Ayurvedic medicine?

<p>Maintaining equilibrium between five natural elements. (A)</p> Signup and view all the answers

Which best describes 'interprofessional theory of social suffering'?

<p>Collective trauma affects the understanding of individual health. (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of culture?

<p>Culture is innate and inherited. (C)</p> Signup and view all the answers

What must nurses consider for holistic care as suggested by core competencies?

<p>Social and cultural factors affecting health (B)</p> Signup and view all the answers

How does empathy relate to expert nursing practice?

<p>It is the ability to understand qualitative distinctions between patients. (D)</p> Signup and view all the answers

What is one of the essential steps of the Think Cultural Health initiative?

<p>Educating nurses in cultural competency. (C)</p> Signup and view all the answers

Which of these may deter someone from seeking treatment for suicidal thoughts?

<p>All of the above (D)</p> Signup and view all the answers

What is the significance of the "cultural concepts of distress" terminology?

<p>All of the above (D)</p> Signup and view all the answers

What is a major risk factor for eating disorders like anorexia and bulimia?

<p>Sociocultural pressures about body size (D)</p> Signup and view all the answers

Which of the following is a key factor in understanding the scope of cultural influences on health and illness?

<p>Cultural beliefs and practices related to health (B)</p> Signup and view all the answers

What is meant by a patient's explanatory model in healthcare?

<p>The patient's understanding of the cause of their illness. (C)</p> Signup and view all the answers

In the context of patient care, why is it important to acknowledge power dynamics?

<p>It recognizes the vulnerability of patients and their access to resources. (B)</p> Signup and view all the answers

Which of the following questions aims to assess a patient's beliefs about their illness?

<p>What kind of treatment do you think you should receive? (A)</p> Signup and view all the answers

What does the spiritual care approach primarily benefit?

<p>Addressing the emotional and spiritual needs of patients. (A)</p> Signup and view all the answers

Which assessment aids nurses in understanding the patient's cultural perspectives?

<p>Spiritual assessments. (B)</p> Signup and view all the answers

How can cultural factors influence a patient's health beliefs?

<p>They may contribute to the perceptions of illness and treatment. (C)</p> Signup and view all the answers

Which of the following aspects is NOT typically included in a cultural assessment?

<p>Personal financial history. (B)</p> Signup and view all the answers

What is the purpose of the FICA assessment in healthcare?

<p>To address spiritual concerns in patient care. (C)</p> Signup and view all the answers

Which of the following best describes the RESPECT model?

<p>A framework for building rapport with patients. (A)</p> Signup and view all the answers

Why might a patient consult a faith healer or traditional healer?

<p>They may attribute their illness to spiritual distress. (A)</p> Signup and view all the answers

Which of the following factors can contribute to a patient’s expectations for treatment?

<p>The patient’s previous medical experiences. (D)</p> Signup and view all the answers

Which approach to spiritual care involves direct engagement with the patient?

<p>Listening and encouraging conversation. (D)</p> Signup and view all the answers

What significant issue can the power imbalance in healthcare lead to?

<p>Concerns and fears about treatment outcomes. (B)</p> Signup and view all the answers

What might influence a patient's understanding of the severity of their illness?

<p>Cultural beliefs and previous experiences with health. (D)</p> Signup and view all the answers

Which of the following is NOT a healthcare practice or belief that can be influenced by culture?

<p>Social media usage (B)</p> Signup and view all the answers

If a patient from a culture that emphasizes collectivism is facing a life-threatening illness, how might their decision-making differ from someone from an individualistic culture?

<p>They may be more likely to seek multiple opinions from family members. (C)</p> Signup and view all the answers

What is a taboo in the context of healthcare practices?

<p>A prohibited action or behavior based on cultural values. (D)</p> Signup and view all the answers

How might power distance influence patient-provider communication?

<p>Patients from cultures with lower power distance may be more hesitant to ask questions or express concerns. (A)</p> Signup and view all the answers

Why is it important for healthcare providers to be aware of cultural differences in the way people perceive and express illness symptoms?

<p>To avoid cultural bias in patient care and ensure culturally sensitive communication. (B)</p> Signup and view all the answers

What does it mean when someone holds an external locus of control in regards to their health?

<p>They believe that events happen outside of their personal control. (B)</p> Signup and view all the answers

Based on the content, which of these is a potential healthcare barrier for patients with limited English proficiency?

<p>They may have difficulty understanding and following treatment plans. (C)</p> Signup and view all the answers

What does the acronym CLAS stand for in the context of healthcare?

<p>Cultural and Linguistic Access Standards (C)</p> Signup and view all the answers

What is one reason why healthcare providers should be sensitive to cultural taboos?

<p>To avoid offending patients and compromising their trust in the provider. (D)</p> Signup and view all the answers

Which of the following practices is NOT mentioned in the text as a potential cultural taboo in healthcare?

<p>Using herbal remedies alongside conventional medicine. (D)</p> Signup and view all the answers

What is the potential implication of failing to consider cultural differences in symptom expression when assessing a patient?

<p>The patient may receive unnecessary or ineffective treatment. (C)</p> Signup and view all the answers

Which of the following is a possible explanation for Mr. Wong's lack of participation in physical therapy, as described in the case study?

<p>All of the above are possible explanations. (D)</p> Signup and view all the answers

Why might Ms. Faye's information about Mr. Wong's widower status be relevant to his care?

<p>All of the above are relevant considerations. (D)</p> Signup and view all the answers

Which of the following is NOT a consideration Ms. Faye should prioritize when attempting to understand Mr. Wong's lack of participation in physical therapy?

<p>His financial situation and access to transportation. (B)</p> Signup and view all the answers

If Mr. Wong expresses his inability to participate in physical therapy due to cultural beliefs, what should Ms. Faye's initial response be?

<p>Respectfully inquire about his cultural beliefs and how they impact his care. (D)</p> Signup and view all the answers

What is the most crucial element in ensuring culturally competent care for Mr. Wong?

<p>Respecting his cultural beliefs and preferences in all aspects of his care. (C)</p> Signup and view all the answers

Which of the following is NOT a desired outcome for the Future of Nursing 2020-2030, relevant to achieving health equity for diverse cultures?

<p>Increased funding for nursing schools to prioritize research into specific ethnic and racial health outcomes (A)</p> Signup and view all the answers

What is the main way the Affordable Care Act addresses health disparities in access to care?

<p>Making information, websites, and insurance documents available in multiple languages (C)</p> Signup and view all the answers

Which of the following is NOT a way that culture affects family dynamics?

<p>Determining the legal custody of children in cases of divorce (B)</p> Signup and view all the answers

Which of the following is an example of how cultural beliefs can influence the interpretation of healthcare practices?

<p>A patient refusing a blood transfusion due to religious beliefs (C)</p> Signup and view all the answers

How does culture play a role in communication between healthcare providers and patients?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following best describes the concept of stress and coping as they relate to culture?

<p>Cultural belief systems can influence how individuals cope with stressors (D)</p> Signup and view all the answers

How can cultural beliefs affect a patient's understanding of fatigue?

<p>All of the above (D)</p> Signup and view all the answers

Which of these is NOT a factor contributing to higher rates of depression among vulnerable populations?

<p>Increased access to mental health services (C)</p> Signup and view all the answers

Which of the following is NOT a cultural value or belief that can create barriers to mental health treatment?

<p>Preference for traditional healing practices over Western medical treatments (C)</p> Signup and view all the answers

What is a major challenge in providing culturally competent healthcare?

<p>Understanding that each individual's culture is unique and complex (B)</p> Signup and view all the answers

What is a potential advantage of incorporating cultural beliefs and practices into healthcare?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is an example of how cultural values can affect family roles in healthcare?

<p>A family member making decisions about a patient's care without consulting the patient (D)</p> Signup and view all the answers

How can nurses foster a culture of health equity in their practice?

<p>All of the above (D)</p> Signup and view all the answers

Why is it important for nurses to be aware of their own cultural biases?

<p>All of the above (D)</p> Signup and view all the answers

How can nurses utilize the concept of ethics in providing culturally competent care?

<p>By considering the ethical values of diverse cultures in their practice (A)</p> Signup and view all the answers

What is the most important step in achieving health equity for diverse cultures?

<p>Addressing the underlying social determinants of health (D)</p> Signup and view all the answers

Flashcards

Culture

A pattern of shared attitudes, beliefs, and values among a group.

Enculturation

The process of learning the norms and behaviors of one's own culture.

Acculturation

Acquiring new behaviors or customs due to contact with another culture.

Assimilation

Giving up one’s original identity to adopt a dominant culture.

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Biculturalism

Identifying with and choosing aspects from two different cultures.

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Ethnicity

Shared ancestry reflected in common values and beliefs.

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Ethnic Identity

A person’s identification with a particular ethnic group.

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Worldview

The overall perspective from which one sees and interprets the world.

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Culture Transmission

Culture is passed down through socialization during childhood and adolescence.

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Subcultures

A group within a larger culture with distinct values and norms.

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Cultural Adaptation

The process by which cultures change due to environmental or technical innovations.

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Population Migration

Movement of people due to various factors like overpopulation or conflict.

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Individualism

A cultural attribute where independence and personal achievement are valued.

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Collectivism

A cultural attribute that emphasizes interdependence and group loyalty.

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Power Distance

Acceptance of unequal power distribution in relationships and society.

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Low Power Distance

Cultures where power is distributed more equally and voices are heard.

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High Power Distance

Cultures where hierarchy and unequal power distribution are accepted.

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Masculinity

Cultural emphasis on male achievements and gender roles.

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Femininity

Cultural emphasis on harmony, relationships, and care for others.

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Cultural Attributes

Visible and invisible elements that define a culture, like customs and values.

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Social Practices

Behaviors and rituals that reflect a culture's values and norms.

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Spirituality in Culture

Affects cultural values, important in health and wellness contexts.

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Race in genetics

The misguided belief that genetic variations define racial groups; humans share 99.9% of their DNA.

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Cultural norms

Shared beliefs, values, and behaviors that influence various aspects of life, including communication and gender roles.

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Biomedicine model

A Western health model that views illness as deviations from biological norms with specific causes.

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Non-Western illness concepts

Illness viewed holistically in terms of mind, body, and social/spiritual factors.

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Natural causes of illness

Explanations for illness in non-Western cultures include environmental factors like bacteria and viruses.

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Cultural idiom of distress

A culturally specific set of symptoms recognized as an illness in a particular culture.

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Ataque de nervios

A Latino-Caribbean cultural idiom of distress linked to stress, manifesting in various physical symptoms.

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Neurasthenia

A cultural idiom primarily in Asia characterized by fatigue and weakness, viewed as socially acceptable over depression.

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Stigmatized illnesses

Illnesses often hidden from healthcare providers due to societal shame or taboo, like mental health issues.

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Suicide stigma

Cultural and legal sanctions against discussing or treating suicidal thoughts, especially in certain countries.

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Role of families in culture

Families are fundamental in teaching and sharing cultural beliefs and practices.

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Help-seeking behaviors

The decision to seek medical help influenced by cultural norms and perceptions of illness.

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Healthcare policy influence

Cultural norms shape institutional practices and public health policies.

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Expressions of illness

Cultural differences determine how people express and interpret symptoms of illness.

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Caregiver Strain

The stress and burden experienced by caregivers, often due to their role in caring for aging relatives.

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Gender Roles

Culturally assigned roles based on one's gender, affecting responsibilities and behaviors.

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Long-Term Orientation

A cultural perspective prioritizing future rewards and perseverance over immediate results.

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Short-Term Orientation

A cultural perspective that emphasizes present circumstances and quick results.

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Spirituality

A quest for meaning and understanding connected to one's beliefs, often transcending organized religion.

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Religiosity

The degree to which religion influences day-to-day activities and life choices.

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Leininger's Theory

A framework emphasizing culture's impact on health care, using emic and etic perspectives.

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Emic Perspective

Understanding a culture from the insider's viewpoint.

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Etic Perspective

Applying external constructs to understand universal cultural characteristics.

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Transcultural Nursing

A nursing approach focused on holistic culture care to promote health and well-being.

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Social Suffering

Illness as a form of suffering influenced by cultural and political factors.

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Cultural Assessment

Evaluating an individual's cultural background to inform health care practices.

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Individual Healthcare Decisions

Respect for healthcare choices made by individuals and families, reflecting their values.

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Bias Awareness

Understanding one's own biases to improve communication and respect in healthcare settings.

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Cultural Competency

The ability to understand and respect different cultural health beliefs and practices.

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Cultural Diversity

The presence of multiple cultural groups within a society.

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Non-Hispanic White Population

Refers to individuals who do not identify as Hispanic and are part of the White racial group.

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Cultural Desire

Interest and intent to understand individuals from different backgrounds.

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Cultural Humility

A lifelong process of self-reflection to understand one's own biases and privileges.

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Disability Diversity

Refers to the variety within the disability community, including shared experiences.

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Religious Diversity

Variety of religious beliefs and affiliations within a population.

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Healthcare Disparities

Inequities in healthcare access and outcomes related to cultural or social factors.

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Person-Centered Care

Care tailored to the unique needs and experiences of each patient.

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Empathy in Nursing

The ability to understand and share the feelings of patients.

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Think Cultural Health Initiative

An educational program aimed at increasing cultural competency among healthcare providers.

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Social Justice in Healthcare

The idea that all individuals deserve equal access to healthcare.

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Unconscious Bias

Unrecognized biases that affect decisions and perceptions of others.

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Coping Resources

Tools or strategies that help individuals manage stress and health challenges.

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Aging White Population

Refers to the demographic trend of an increasing age in the White population.

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Self-Awareness

The active process of recognizing and understanding one's own beliefs and assumptions.

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Cultural Identity

The sense of belonging to a particular culture, shaped by common values and practices.

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Cultural Biases

Tendencies to act, think, or feel a certain way towards specific groups or individuals.

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Autonomy in Healthcare

The value of independence in decision-making, especially in health contexts.

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Interdependence

A cultural value that emphasizes reliance on family and community in healthcare decisions.

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Cultural Knowledge

Understanding and being motivated to learn about different cultures, beyond mere facts.

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Communication Skills

Essential for building trust and understanding in nurse-patient relationships.

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RESPECT Model

A cultural assessment framework focusing on Respect, Empathy, and Sociocultural context.

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Collaborative Decision Making

Working together with patients to reach healthcare decisions.

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Sociocultural Context

The social and cultural factors influencing individuals’ healthcare needs and behaviors.

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Health Literacy

The ability to understand health information and make informed decisions.

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Cultural Context in Nursing

Understanding how cultural beliefs influence patient care and treatment choices.

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Empathy in Care

The capacity to understand and share the feelings of another, especially patients.

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Spiritual Beliefs in Health

Personal beliefs that provide comfort and guidance, especially during stress.

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Cultural Differences in Communication

Variations in how different cultures express and interpret communication.

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Stoicism in Chinese Culture

Cultural belief in enduring pain without expressing distress or seeking help.

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Stigma of Mental Health

Negative perceptions that prevent open discussions about mental health issues.

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Family Involvement in Care

Engaging family members in health decisions, reflecting cultural values.

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Health Disparities

Differences in health outcomes affecting marginalized groups due to systemic obstacles.

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Health Equity

Ensuring individuals receive fair access to healthcare regardless of circumstances.

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Culturally Competent Care

Healthcare that respects and responds to patients' cultural needs.

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Social Justice in Nursing

The belief that all individuals deserve quality health care.

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Cultural Beliefs and Coping

How belief systems shape coping strategies during difficult times.

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Mental Health Treatment Barriers

Obstacles minority groups face in accessing mental health care.

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Family Dynamics in Culture

The impact of cultural beliefs on family roles and healthcare practices.

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Ethics and Culture

The varied interpretations of appropriate behavior across cultures.

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Communication in Culture

How verbal and nonverbal interactions are defined by cultural norms.

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Immigration's Impact on Mental Health

Stress from immigration can lead to increased mood disorders.

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Cultural Norms on Illness

Cultural variations in expressing and interpreting symptoms.

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Religiosity and Health

Religious beliefs can enhance coping and foster positive emotions.

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Bidirectional Influence of Culture

Culture influences health practices while health behaviors can reshape culture.

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Personal Space in Communication

Cultural norms dictate acceptable physical distance in interactions.

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Explanatory Model

A patient's understanding of the causes of their illness.

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Power in Healthcare

Recognizing the patient's vulnerability and unequal access to resources.

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Therapeutic Alliance

Trust and rapport between nurse and patient enhancing care.

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RESPECT Model Questions

Eight questions to understand a patient’s illness perception.

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Spirituality in Health

The role of spiritual beliefs in coping with illness.

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FICA Assessment

A framework to assess spiritual concerns in healthcare.

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Personal Health Beliefs

Individual perceptions about the causes and severity of illness.

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Dietary Practices

Cultural beliefs influencing food preferences and restrictions.

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Communication Styles

Ways that respect is shown and information is exchanged in cultures.

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Spiritual Care Interventions

Actions to support a patient's spiritual needs.

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Coping with Illness

Methods patients use, including spirituality or seeking healers.

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Health Care Partnership

Collaboration between providers and patients in care.

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Diversity in Healthcare

Creating an inclusive environment for all cultural backgrounds.

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Language Preference

The preferred language spoken by individuals, affecting healthcare understanding.

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Patient-Provider Communication

The interaction and information exchange between patients and healthcare providers.

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Cultural Taboo

An act or behavior banned based on cultural beliefs or morals.

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Symptoms of Illness

Cultural interpretations can influence how illness symptoms are expressed and perceived.

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Beliefs About Illness Control

Cultural beliefs about the extent of personal control over health and illness outcomes.

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Individualism vs. Collectivism

Cultural values determining whether decisions prioritize personal or group interests.

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Religious Healing Practices

Health-related actions based on religious beliefs or rituals.

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Family Roles

The responsibilities and dynamics within families, shaped by culture.

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Complimentary Alternative Medicine

Treatment approaches outside standard Western medicine, often used alongside it.

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Nonverbal Communication

Communication without words, through gestures, posture, or facial expressions.

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Caregiver Roles

Cultural expectations about who takes care of the sick or elderly in a family.

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Study Notes

Culture in Healthcare

  • Culture encompasses attitudes, beliefs, norms, roles, and values shared by a group, shaping their worldview and health perceptions.
  • Cultural norms influence everything from interpersonal relationships to treatment preferences, symptom reporting, and help-seeking behaviors.
  • Culture is learned from families and communities, is adaptable, and influences healthcare policies.
  • Cultural differences in illness perceptions exist: Western cultures often favor the biomedical model, while non-Western cultures may incorporate spiritual, social, or natural explanations.
  • Cultural idioms of distress (e.g., ataque de nervios, neurasthenia) represent symptom patterns specific to certain cultures.
  • Some illnesses or behaviors are stigmatized across cultures, affecting treatment-seeking.

Subconcepts of Culture

  • Enculturation: The process of learning a culture's norms and behaviors.
  • Acculturation: The process of adapting to a new culture through contact with another.
  • Assimilation: The process of abandoning one's original culture to adopt a new one.
  • Biculturalism: The ability to identify with two distinct cultures.
  • Ethnicity: Shared ancestry, values, and beliefs, passed down through generations.
  • Ethnic Identity: A powerful determinant of self-identification, often rooted in ethnicity.

Cultural Attributes

  • Individualism vs. Collectivism: Cultural difference in social relationships; independent (Western) vs. interdependent (e.g., Asian, Latin American).
  • Power Distance: Acceptance of unequal power distribution; high power distance cultures may not openly challenge authority.
  • Masculinity vs. Femininity: Varying cultural perceptions of gender roles; impacting expectations for caregivers.
  • Long-term vs. Short-term Orientation: Cultural focus on future rewards vs. immediate results, impacting health practices.
  • Spirituality: Shared beliefs and values regarding the sacred, often present in cultural identity, influencing coping mechanisms.

Cultural Competency

  • Cultural Desire: The fundamental interest in understanding another culture, necessary for overcoming biases and promoting patient-centered care.
  • Cultural Humility: A lifelong process of self-reflection and examining one's own beliefs and privileges to address power imbalances.
  • Cultural Knowledge: Exposing oneself to different cultures through various means – including experiences, reading, interaction, etc.
  • Cultural Skills: Developing effective communication strategies for diverse populations.

Cultural Assessment

  • The RESPECT model provides a framework for cultural assessment, focusing on respect, explanatory models, sociocultural contexts, power dynamics and other factors impacting care.

Cultural and Spiritual Assessment (Exemplary cases)

  • Cultural assessment and spiritual assessment are essential components for developing holistic nursing care as it helps the nurse understand the patient's specific cultural and spiritual needs, treatment preferences, and cultural sensitivity.

Clinical Application (Case Study Analysis)

  • Cultural differences influence communication, pain expression, and treatment preferences affecting health outcomes.
  • Healthcare providers must consider a patient's individual cultural background and beliefs, not just their language or ethnicity, to provide effective care.
  • Healthcare providers must be aware of their own biases.

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