Family and Culture Flashcards
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Questions and Answers

What does the family systems theory state?

Families are circular rather than linear, recognizing that changes in one member affect the entire family. Family members influence and interact with each other, viewing the family as a unit, while each member is unique and takes on several roles.

How would a nurse provide family-centered care?

Include family members in all aspects of care, prepare parents and siblings for childbirth, involve significant others in the birthing process, allow sibling visitation, and implement strategies to foster family member's attachment to the newborn.

What is a family that consists of a father, mother, and child living together but apart from grandparents?

Nuclear family.

What is the family type that combines two families with children from one or both families?

<p>Reconstituted or blended families.</p> Signup and view all the answers

What is a family that includes grandparents, married siblings, and their families?

<p>Extended family.</p> Signup and view all the answers

What defines single-parent families?

<p>Divorced, never married, or widowed parents with at least one child; often considered to have the greatest risk for lack of support.</p> Signup and view all the answers

What is an unmarried couple living together called?

<p>Cohabitating.</p> Signup and view all the answers

What is a single person or couple with an adoptive child called?

<p>Adoptive.</p> Signup and view all the answers

What describes partners of the same sex with or without children?

<p>Gay/lesbian.</p> Signup and view all the answers

What is defined in biological terms based on characteristics such as skin color and hair?

<p>Race.</p> Signup and view all the answers

How is culture defined?

<p>The beliefs, values, attitudes, and practices that are accepted by a population, community, or individual.</p> Signup and view all the answers

What is ethnicity?

<p>A social identity associated with shared behaviors and patterns, including family structure, religious affiliation, language, dress, eating habits, and health behaviors.</p> Signup and view all the answers

What is ethnocentrism?

<p>The belief that one's own ethnic or cultural group is superior to others; it emphasizes the need to avoid cultural imposition.</p> Signup and view all the answers

Why is there a need to avoid cultural imposition?

<p>Imposing personal cultural beliefs and practices on clients while trivializing or disregarding theirs.</p> Signup and view all the answers

What is assimilation?

<p>A group completely changes its cultural identity to become part of the majority culture; groups melt into mainstream.</p> Signup and view all the answers

What is acculturation?

<p>The process by which people adapt to new cultural norms while retaining some cultural beliefs; childbearing and illness are often bound by traditional cultural beliefs and practices.</p> Signup and view all the answers

What is cultural relativism?

<p>The principle of regarding the beliefs, values, and practices of a culture from the viewpoint of that culture itself.</p> Signup and view all the answers

What is cultural competence?

<p>A set of congruent behaviors, attitudes, and policies that enable effective cross-cultural interactions in systems and agencies.</p> Signup and view all the answers

What is health literacy?

<p>The ability to gather and process health information provided through written and spoken word; includes communicating needs to healthcare providers, understanding instructions, and using basic math skills for medication management.</p> Signup and view all the answers

How can nurses provide culturally competent care?

<p>By critically examining one's own cultural beliefs, identifying biases, respecting values of others, using sensitive language, and learning about major cultural and ethnic groups.</p> Signup and view all the answers

What is the CRASH course in cultural competence?

<p>C - Culture, R - Show Respect, A - Assess/Affirm Differences, S - Show Sensitivity/Self-Awareness, H - Do it all with Humanity.</p> Signup and view all the answers

What are the food practices of Hispanic-Americans?

<p>They may adhere to the 'hot/cold theory' of foods, avoid milk during pregnancy, and consume boiled milk and toasted tortillas for two days postpartum.</p> Signup and view all the answers

What communication skills do Hispanic-Americans utilize?

<p>Nonverbal: direct eye contact is often avoided.</p> Signup and view all the answers

What prenatal care practices do Hispanic-Americans follow?

<p>Pregnancy is considered a normal state, care may be delayed, folk medicine may be used, and medications might be avoided due to perceived dangers.</p> Signup and view all the answers

What is observed during labor of a Hispanic-American woman?

<p>Pain: crying out or shouting is acceptable; walking is recommended to encourage quick birth; there is a fear of unnecessary medical interventions.</p> Signup and view all the answers

What postpartum practices does a Hispanic-American woman do?

<p>Bed rest for three days, may avoid bathing for 14 days, and avoid exposure to cold air.</p> Signup and view all the answers

Why do Hispanic-American women delay breastfeeding for three days?

<p>They believe that colostrum is dirty and spoiled.</p> Signup and view all the answers

What communication strategies are used for Asian-Americans?

<p>Nodding politely does not mean understanding; asking questions may be seen as disrespectful; avoiding eye contact with authority figures to show respect.</p> Signup and view all the answers

What dietary practices are followed by Asian-Americans?

<p>Pregnancy is considered 'cold', so cold foods are avoided; milk may be omitted from the diet due to causing gastrointestinal distress.</p> Signup and view all the answers

Why is it 'forbidden' to go outdoors or shower/bathe in the first 30 days in Asian-American culture?

<p>It is believed that the mother's pores remain open and cold air can enter the body.</p> Signup and view all the answers

What is observed in the Asian-American culture during labor?

<p>The father does not play an active role; female family members are present; pain is typically expressed with a stoic response.</p> Signup and view all the answers

What is observed in the Asian-American culture during the postpartum period?

<p>There is activity restriction for 30 days, and warm rooms, showers, and baths are prohibited.</p> Signup and view all the answers

What are some reasons why women do not value or attend prenatal care?

<p>Difficulty accepting pregnancy, discomfort with prenatal care specifics, perceived judgments by staff, inability to keep appointments, and lack of social support.</p> Signup and view all the answers

What makes a good medical interpreter?

<p>Same native language, religion, and country of origin; health-related language skills; maturity to keep confidentiality; same sex as the patient; preferably a trained medical interpreter.</p> Signup and view all the answers

What are the nursing responsibilities when working with an interpreter?

<p>Interpreter is a communication bridge, not a content expert; be patient; speak slowly and clearly; avoid jargon; talk directly to the family.</p> Signup and view all the answers

What is the evil eye?

<p>A disease or misfortune passed by a malicious look or glance; protective amulets are often worn.</p> Signup and view all the answers

What is a breach of taboo?

<p>A disease that befalls individuals who do something forbidden.</p> Signup and view all the answers

What is body imbalance?

<p>Illness occurs when balance within the body is disturbed, often associated with concepts like yin and yang and hot and cold.</p> Signup and view all the answers

What are contraindications of acupuncture?

<p>Risk of easy bruising/bleeding; blood thinners; pregnant abdomen.</p> Signup and view all the answers

What is aromatherapy?

<p>Improvement of quality of life from an emotional response to pleasing scents; may enhance relaxation and relieve muscle soreness.</p> Signup and view all the answers

What are contraindications for using a TENS unit?

<p>Poorly controlled epilepsy and presence of implanted medical devices.</p> Signup and view all the answers

Study Notes

Family Systems Theory

  • Family systems theory emphasizes that families function as a circular system rather than a linear one.
  • Changes in one family member can impact the entire family unit.
  • Interactions among family members are reciprocal, and each member's unique roles influence the dynamics.

Family-Centered Care

  • Nurses should actively involve family members in all aspects of patient care.
  • Childbirth preparation includes education for parents and siblings.
  • Significant others should take part in the birthing process and sibling visitation is encouraged.
  • Strategies should promote attachment of family members to newborns.

Family Types

  • Nuclear Family: Comprises a father, mother, and their child living separately from grandparents.
  • Reconstituted/Blended Families: Formed when two families combine, including children from either or both families.
  • Extended Family: Encompasses grandparents, married siblings, and their families.
  • Single-Parent Families: A single parent (due to divorce, widowhood, or never-married) raising at least one child, often facing support challenges.
  • Cohabitating: Unmarried couples living together.
  • Adoptive Families: Single individuals or couples with an adopted child.
  • Gay/Lesbian Families: Same-sex partners with or without children.

Cultural Concepts

  • Race: Defined biologically through observable characteristics like skin color and hair.
  • Culture: Encompasses the beliefs, values, attitudes, and practices of a group, influencing shared behaviors and experiences.
  • Ethnicity: Linked to social identity, integrating family dynamics, religion, language, and lifestyle habits.
  • Ethnocentrism: Belief in the superiority of one's cultural group, which necessitates avoiding cultural imposition.

Cultural Adaptation Processes

  • Assimilation: Complete cultural identity change to integrate into the dominant culture.
  • Acculturation: Adapting to new cultural norms while preserving some original beliefs.
  • Cultural Relativism: Understanding a culture's beliefs and practices from its own perspective.
  • Cultural Competence: A system’s or professional group's ability to operate effectively in cross-cultural contexts.

Health Literacy and Culturally Competent Care

  • Health literacy involves the ability to process health information and effectively communicate needs with healthcare providers.
  • Strategies for culturally competent care:
    • Self-examine personal cultural beliefs and biases.
    • Respect and acknowledge others' values and beliefs.
    • Use respectful and updated language regarding different cultures.
    • Be informed about rituals and practices of various cultural and ethnic groups.

CRASH Course in Cultural Competence

  • C: Culture
  • R: Show respect
  • A: Assess/affirm differences
  • S: Show sensitivity/self-awareness
  • H: Conduct interactions with humanity

Cultural Practices and Communication

  • Hispanic-Americans:

    • Food Practices: Follow "hot/cold" food theories; may avoid milk during pregnancy.
    • Communication Skills: Avoid direct eye contact to respect authority; nonverbal cues are significant.
    • Prenatal Care: View pregnancy as normal; may delay care or utilize folk medicine.
    • Labor: Accepts expressive pain communication; influenced by family, especially mothers-in-law.
    • Postpartum Practices: Rest and avoid baths for extended periods.
    • Breastfeeding Beliefs: Delay breastfeeding due to beliefs that colostrum is contaminated.
  • Asian-Americans:

    • Communication Strategies: Nodding may indicate politeness, not understanding; silence shows respect.
    • Dietary Practices: Avoid cold foods during pregnancy; milk is excluded due to gastrointestinal issues.
    • Postpartum Norms: Restrictions on activity, outdoor exposure, and bathing during a 30-day recovery period.
    • Labor Environment: Father's role is minimal, with family women present; pain expression is more subdued.

Barriers to Prenatal Care

  • Women may not prioritize prenatal care due to:
    • Acceptance difficulties regarding pregnancy.
    • Discomfort with the care process and perceived staff judgment.
    • Challenges in keeping appointments.

Medical Interpreters and Patient Interaction

  • Good medical interpreters should share native language, religious background, and cultural understanding, and must maintain confidentiality.
  • Nurses' Responsibilities:
    • Interpreters serve as communication bridges, not content experts.
    • Maintain patience, speak clearly, and avoid jargon.
    • Encourage questions and focus on direct communication with the patient.

Cultural Health Beliefs

  • Evil Eye: Illness believed to result from malicious looks; protective amulets are commonly worn.
  • Breach of Taboo: Illnesses that arise from violating cultural prohibitions.
  • Body Imbalance: Health is viewed as a balance between opposing forces, such as yin and yang.

Health Practices

  • Acupuncture Contraindications: Should be avoided in patients with bleeding disorders or those on blood thinners.
  • Aromatherapy: Improves well-being through emotional responses to pleasant scents, promoting relaxation and reducing stress.
  • TENS Unit Contraindications: Should not be used by individuals with uncontrolled epilepsy or implanted medical devices.

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Test your knowledge on family systems theory and family-centered care with these flashcards. Explore key concepts about family dynamics and the role of healthcare providers in including family members in care decisions. Perfect for students in healthcare or family studies.

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