click below
click below
Normal Size Small Size show me how
Assessment - Culture
Culture by Arrias
| Question | Answer |
|---|---|
| Culture | all the knowledge, values, beliefs, attitudes, languages, rituals, symbols, behaviors, and customs shared by a group of people |
| Diversity | distinctly dissimilar or unlike |
| Cultural Diversity | differences based on cultural, ethnic, racial factors |
| Cultural Shock | Confused, nervous when entering a different culture |
| Race | categorization of humans into groups based on similar genetic characteristics |
| Racism | discriminatory or abusive behavior towards members of another race |
| Prejudice | a negative belief that is generalized about a group...leads to prejudgement |
| Stereotype | a broad generalization or oversimplified view that disregards individual differences |
| Assimilation | PROCESS of developing a new cultural identity |
| Acculturation | ADOPTION of the behavior patterns of the surrounding culture |
| Ethnography | study and recording of human cultures |
| Ethnicity | quality or affilliation resulting from racial or cultural ties |
| Ethnocentrism | belief in the superiority of one's own ethnic group |
| Ethnocentrism leads to... | misunderstanding |
| Ethnocentrism may result in a ... | false distortion of what is meaningful and functional to other people |
| Ethnocentrism causes one to make wrong _______________ about other people. | wrong assumptions about other people |
| Ethnocentrism leads to evaluating "them" based on what we are best at, so... | we may miss many aspects of life that others may handle more competently than we do |
| Cultural characteristics are... | are LEARNED / guide BEHAVIOR PATTERNS / influenced by the group's PHYSICAL and SOCIAL DYNAMICS / TREANDS and PRACTICES remain CONSTANT |
| Cultural Competence (1-4 of 8) | 1. Have the capacity for cultural self- assessment 2.Diversity 3.Understand culturally influenced health behaviors 4.Listen...find out and learn about other's beliefs on health and illness5.Avoid stereotyping/misapplications of scientific knowledg |
| Cultural Competence | 5. Stereotyping/misapplication of scientific knowledge6. Conscious of inherent dynamics when cultures interact7. Institutionalized cultural knowledge8. Service delivery adapted to reflect understanding of cultural diversity |
| Name the (4) challenges of healthcare providers: | 1.Ability to recognize clinical differences among different ethnic groups and racial groups.2. Know how the patient communicates best including verbal/body language and space/time orientation3. Respect the belief systems of others and the effects of t |
| American healthcare culture values _____________ and independence. What do pts value? Conflict? | American healthcare culture values AUTONOMY. Patients often value the family and prefer to make group decisions and have family help with "self-care" functions. CONFLICT: We want pts to do ADL"S.Family may not want this. compromise and explain to family. |
| American healthcare culture values efficiency? What do pts value? Conflict? | Pts value privacy and modesty. Providers find it difficult or not their focus to keep pts covered when the prim,ary concern is performing a procedure quickly and appropriately. |
| American healthcare values self-control. How does this Conflict with pts? | Many pts come from cultures where emotional expressiveness is the norm. CONFLICT: Can lead to resentment toward and delayed care for such pts. |
| Worldview - Give example | Basic assumptions about the nature of reality that become the foundation for all actions and interpretations EX. If u believe that everything happens for a reason, you will tend to find meaning in all events. |
| People rarely ______________ the veracity (truthfulness) of their beliefs. No matter how much contrary evidence is presented, they rarely _______________________________. | They rarely QUESTION their beliefs. They rarely question or CHANGE their worldview. |
| People always reinterpret events in what kind of manner? | They always reinterpret in a manner consistent with their beliefs. |
| Religion often defines the worldview of people who are devoutly religious. What might these people not believe? | -germs cause disease / -diet and exercise will improve health (BAD MORAL behavior has caused illness) |
| Scientific Worldviews of a child born with birth defects... | genetic, exposure to something |
| Reincarnation Worldview of a child born with birth effects... | pay for bad karma, punishment for sin |
| Name the three types of health beliefs | Magical-Religious / Scientific-Biomedical / Holistic-Folk Medicine |
| Magical-Religious worldview believes what about illness? Treatment? | Caused by spells, hex, and luck. TREATMENT: Potions, prayers, atonement.... |
| Scientific-Biomedical worldview believes what about illness? Treatment? | Caused by germs, internal process. TREATMENT: Drugs, surgery. |
| Holistic-Folk Medicine world view believes what about illness? Treatment? | Being out of harmony, Chi out of balance. They believe in rebalancing/reinstating the flow of energy. TREATMENT: Herbs, acupuncture, meditation...etc |
| What is probably the most important cultural dimension and the most dificult to define? | Context is the most difficult to define |
| Context refers to the entire array of stimuli surrounding all _________________________, _________________________________________. | COMMUNICATION events, the context in which the communication takes place, and how much of that stimuli is meaningful...and how it is interpreted. |
| What is LOW CONTEXT? | Little is taken for granted, things are fully spelled out...there is less chance of misunderstanding. |
| What is HIGH CONTEXT? | Many contextual elements help understanding of the rules; very confusing for thos who do not understand the "unwritten rules" of the culture. |
| How is the perception and adherance of time defined? | Perception of time and adherence to its flow is CULTURALLY DEFINED. |
| Name the three perceptions of time | Monochronic / Polychronic / Essence of TIme |
| Monochronic Time is ___________or a _________. | Monochronic Time is linear or a flat-closed circle. Structured & Inflexible. |
| Describe Monochronic Time... | Has a definite starting-ending pts / Sequencial march of days and years and rotation of the seasons / When an event is passed, it is gone forever. Everything is scheduled down to the minute. |
| Describe Monochronic Time in regards to work time and personal space. | Work time and personal time are kept SEPERATE. |
| How does Monochronic handle interruptions? How are unavoidable interruptions addressed? | PRECAUTIONS are taken to guard against interruptions. Unavoidable interruptions are often met with a sense of STRESS AND PANIC. |
| Polychronic Time is _________________________. | Polychronic Time is CIRCULAR AS IN A SPIRAL. |
| Polychronic CLOCK Time is __________________. | Clock time is ARBITRARY (not fixed or set by rules). |
| In Polychronic Time, how are interruptions handled? | In Polychronic Time, interruptions are EXPECTED and sometimes welcomed! |
| In Polychronic Time the focus is on _____________________________________. | In PolyChronic Time the focus is on relationships more than completing the tasks. |
| Does Polychronic Time focus on single task or muti-tasking? | Polychronic multi-task well and often flip from project to project. |
| How do Industrial Societies view time orientation? | Focus is on "clock time" / time is a limited resource / punctuality is a virtue |
| How do Agricultural Societies view time orientation? | Time is circular, fluid, renews itself and is INFINITE / Focus is on "general" times. |
| Time Continuum Orientation...What is the PAST orientation? Who? | Concerned with PAST events / TRADITION is revered and respected. / Traditional / No new procedures or meds (China,Britain,Japan, Austrian, Spanish-speaking Latinos to a degree) |
| Time Continuum Orientation...What is the PRESENT orientation? Who? | PAST IS PASSED!!! Future is uncertain / LIVE FOR TODAY!!! / Less use of preventive measures / Flexible time adherence / No future plans / (Latino, Lower Anglos, African American) |
| Time Continuum Orientation...What is the FUTURE orientation? Who? | Can shape the future by their actions / Progress and change are highly valued / use preventative practices / Progress & change are highly valued (Upper/middle Anglos, some Chinese) |
| The key to effective communication is __________. | KNOWLEDGE |
| Potential problems are ________________in cross cultural communication | Potential problems are INHERENT in cross cultural communication. |
| When it comes to communicantion, assume that one's efforts will _________________________. | Assume that one's efforts will NOT ALWAYS be successful and adjust one's behavior. appropriately. |
| When it comes to communication, assume that there is the possibilty ______________________communication problems. | Assume that there is the possibility that cultural differences are causing communication problems. |
| What should you do if you are having problems communicating? How should you respond? | Be patient and forgiving / Respond slowly and carefully |
| PROXMETICS | Measurable distances between people as they interact. |
| Personal space is _________________________. People need _______________________________. | Personal space is a MOBILE form of territory. People need less or greater distances between them and others. |
| In regards to Proxmetics, describe LOW TERRITORIALITY? Space? Boundaries? Territory? | Have less ownership of space / Boundaries are less important / Territory and ownership are shared with little thought / Tend to be HIGH CONTEXT. |
| In regards to Proxmetics, describe HIGH TERRITORIALITY? | More territorial / seek to markout areas which are theirs / Extends to material things / Security becomes a concern for people with a high need for ownership / Tend to be LOW CONTEXT. |
| Acupuncture does what? | Acupuncture can ease pain, but researchers aren't sure of the exact mechanism. |
| What do you take for PMS? | Calcium / Magnesium / Vitamin B6 |
| Guided Imagery is for _________ & _________. | Guided Imagery is for PAIN & ANXIETY. |
| What Alternative/ Complimentary meds can you take for depression? | ST. JOHN'S WORT |
| What do you take for joint pain? | Glucosamine |
| Cultural awareness is ____________________ process. | Cultural awareness is a deliberate, conscious process. |
| Cultural awareness involves being __________. | Cultural awareness involves being knowledgeable about one's own thoughts feelings and sensations. |
| Examine your _____________, _______________ and _____________ to determine how they may affect the care you provide to patients. | beliefs, morals and values |
| Develop a base of nursing practice that embraces the delivery of | culturally competent care |
| Culutural humility incorporates a lifelong commitment to ___________and__________-. | self-evaluation and self-critique |
| What is a KISS in the deaf culture? | "Keep It Simple Stupid" |
| When using an interpreter for the deaf, who should you face? What else might you use? | Face the patient at all times. Ask them if using a tablet is ok? |
| What should you do if a deaf person is giving you a "blank" look when you talk to them? | Ask the patient waht you said...see if they understand. |
| How should the environment look like when speaking to the deaf? | Provide good lighting. |
| What would be a conflict the blind may have when reading lips? | Problems reading lips of those with beard or moustache. |
| How should you approach a blind person? | Always introduce yourself, and others when entering the room / Always ask if they need assistance; don't assume they do / NEVER touch or grab them without warnining or explanation |
| How should you talk to a blind person? | Use descriptive words / Don't avoid using words such as "SEE" / Speak in a normal tone (they are not HOH (hard of hearing)/ |
| How should the environment be for a blind person | Low vision prefers well-lit rooms, color contrasts between the floor, walls, and furniture, and floors that are slip and hazard resistant |