86 Questions
What does the ESFT model help providers understand about a patient?
The patient's fears and concerns
What does the ESFT model guide providers in doing?
Contracting for therapeutic approaches
In the ESFT model, what does 'S' stand for?
Social and environmental factors
According to the ESFT model, what is the focus of 'T'?
Therapeutic interventions
What is the main focus of the 'F' in the ESFT model?
Fostering open communication and trust
Which of the following best describes the relevance of fears and concerns in the ESFT model?
They significantly impact the patient-provider relationship
Which aspect is emphasized by the 'S' in the ESFT model?
Social support for the patient
What does the 'E' in the ESFT model stand for?
Explanation
How does the 'E' component of the ESFT model influence patients?
By explaining the causes of their problems
What type of health and illness model does the 'E' represent in the ESFT model?
Explanatory model
In the ESFT model, what type of question might be an example of 'E'?
What do you think caused your problems?
In the ESFT model, what aspect is emphasized by the 'S'?
Social and environmental factors
What type of questions are relevant in the 'S' component of the ESFT model?
Questions about the patient's social and environmental factors
What is the focus of the 'F' component in the ESFT model?
Addressing the patient's fears and concerns
An example of T in the ESFT model
Do you know how to take the medication?
What is a key aspect of a nurse's role in cultural competence?
Accommodating cultural practices
What should nurses avoid when striving for cultural competence?
Mandating change
What is an important part of a nurse's development in cultural competence?
Seeking cultural assistance
What is a key requirement for nurses to achieve cultural competency?
Understanding clients' beliefs and self-awareness of one's own influences
What principle drives the standards of practice for culturally competent nursing care?
Social justice and health equity
What does cultural competency in nursing aim to reduce?
Health disparities
What does ethnicity represent?
A sense of identity in a collective group based on family or place of origin
What is the primary factor that determines ethnicity?
Family and place of origin
Which of the following best describes the concept of ethnicity?
It encompasses identity in a collective group based on family, place of origin, regardless of race
What is race typically based on?
Physical characteristics
What is the primary focus of cultural competency in nursing?
Understanding and addressing the unique needs of diverse patients
What is cultural conflict in the context of the given text?
It is becoming aware of cultural differences and feeling threatened
What does cultural imposition entail in the given context?
Expecting everyone else to conform to one's belief system
How can cultural blindness be described based on the given information?
It is ignoring cultural differences and proceeding as if they don't exist
What is stereotyping primarily based on?
Group similarities
What type of questions is it best to ask when inquiring about a client's feelings?
Open-ended questions to encourage the client to verbalize their pain
Why is it important to encourage verbalization about a client's pain?
To promote discussion and understanding of the client's pain
Which of the following is an example of a condition that certain races may be more susceptible to?
Sickle cell anemia
In the context of health care, which factor may influence physiological variations based on race, ethnicity, or culture?
Genetic predispositions
What is a common health concern that Africans are more susceptible to, based on the information provided?
Hypertension
In certain cultures, how is expressing pain often viewed by Latino men?
As a weakness
In the context of the text, what does the term 'cultural blindness' refer to?
The lack of awareness of the influence of culture on perceptions and behaviors
How does culture potentially impact the experience and expression of pain?
Culture may shape whether pain is openly expressed or suppressed
How does culture impact the experience of pain in different ethnic groups?
It can lead to underreporting or misinterpretation of pain symptoms
What role do ethnic beliefs play in mental health within communities?
They may contribute to stigmatization of mental health issues
In some cultures, what is the dominant role of males within the family?
Being the head of the family
What is a common practice in some cultures regarding the care of Muslim descent females?
Cared for only by other females
What is a characteristic of biological sex roles in certain cultures?
Males being primary caregivers for children
How do different cultures perceive time?
Some cultures value the past while others value the future
What does culture provide for daily living?
Shared system of beliefs and values
What is the primary function of cultural competence in nursing?
To provide equitable care for diverse populations
What does culture provide for daily living?
A shared system of beliefs, values, and behavioral expectations
What is the primary function of cultural competence in nursing?
To understand and address the cultural needs of a diverse patient population
What type of health and illness model does the 'E' represent in the ESFT model?
Explanatory model
What does linguistic competence refer to in the context of healthcare?
The ability to understand and respond to the linguistic needs of patients and their families
Why is it important to use a qualified interpreter in healthcare settings instead of relying on family members for translation?
To avoid misinterpretation of questions and answers
How could nurses living in areas with high prevalence of Spanish speakers contribute to linguistic competence?
By learning pertinent words and phrases in that language
What does 'personal space' refer to?
The area around a person regarded as part of the person
In the United States, what is the cultural value related to time and punctuality?
Valuing getting the job done on time and punctuality
Why might family members not be the preferred translators according to the text?
They could be protective and not the most reliable means of transferring information
What is a potential consequence of limited food choices for patients with cultural food preferences in long-term care facilities or hospitals?
Malnutrition due to inadequate intake of culturally preferred foods
In the context of assessing appetite loss, what aspect should be taken into account?
Cultural beliefs and practices
In nursing care, why is it important to include the family in planning care for a patient?
Because it helps meet the individualized needs of the patient, especially when considering all family members
Why might some cultures be hesitant to share private health information with healthcare providers outside their family?
Because they prefer to keep their health issues private
What socioeconomic factor has the greatest impact on children's likelihood to face food insecurity in the U.S.?
Income level of the household
Which group is most affected by poverty according to the text?
Elderly individuals
What do health disparities refer to?
Health differences between individuals
How can health disparities affect individuals?
Increasing the likelihood of getting sick
What is the potential impact of health disparities on mortality?
Increasing the frequency of deaths from diseases
What is the purpose of asking patients to teach back in their own words?
To assess the patient's understanding
What is the main reason for encouraging patients to verbalize their understanding of their care?
To evaluate the effectiveness of the nurse's teaching
What is the definition of ethnocentrism?
The belief that one's culture is superior to others' cultures
What does cultural imposition entail?
Imposing one's cultural beliefs and practices on individuals from other cultures
What does cultural humility entail?
Being open, self-aware, and flexible
What is the primary action associated with cultural humility?
Being self-aware and respectful
Which of the following best describes the action required to formulate a tailored response in cultural humility?
Being open and self-aware
Why should nurses always use a certified interpreter in healthcare settings?
To ensure accurate translation and confidentiality
What is the primary reason for using a certified interpreter in healthcare settings?
To avoid civil rights violations
What is the potential consequence of not using a certified interpreter in healthcare settings?
Miscommunication and violation of patient's rights
What does it mean to be socialized-trained according to the text?
To learn how to behave in a way that is acceptable to others in your group
How does culture influence socialization according to the text?
It heavily influences the development of acceptable behaviors within a group
What is the primary impact of being socialized-trained as per the text?
Adapting to cultural norms and expectations within a group
Why should a nurse choose an interpreter of approximately the same age and sex as the patient?
To avoid any potential bias or misinterpretation due to age and sex differences
Why might it be important for a nurse to be culturally competent?
To avoid misunderstandings and provide effective care to patients from marginalized identity groups
What does the term 'marginalized identity group' refer to?
People whose physical and cultural characteristics are different from the majority of society
How would you best describe the characteristics of a 'marginalized identity group'?
Distinct and different from the majority culture
What is the defining feature of a 'marginalized identity group'?
Their physical and cultural characteristics differ from the majority culture
During which stage of culture shock does the client recognize and become frustrated by the differences in old and new cultures?
Disenchantment phase
What is the characteristic of the client during the 'Honeymoon phase' of culture shock?
The client idealizes the new culture and is highly positive about it
When is the client able to fully and comfortably participate in the new culture?
Effective functioning
What role do key informants play in the context of the given text?
translators
Test your knowledge of the ESFT model, which helps providers understand a patient's explanatory model of illness, environmental factors, fears, and concerns, and guides them in contracting for therapeutic approaches.
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