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Psychosocial Ch14Wk4
Cultural Competence in Psychiatric Nursing
| Question | Answer |
|---|---|
| Culture | Internal and external manifestation of a person’s, group’s, or community’s learned and shared values, beliefs, and norms that are used to help individuals function in life and understand and interpret life occurrences |
| Cultural Competence | Process whereby the nurse proficiently develops cultural awareness, knowledge, and skills to promote effective and quality health care for patients |
| Barriers to Culturally Competent Care | Definition of health Miscommunication—primary problem Lack of knowledge about culture (own and patient’s) Failure to assess patient’s cultural perspective Differences between nurse’s and patient’s cultural worldviews |
| Unnatural causes | believe that voodoo or spirit or “evil eye” causes mental illness |
| Scientific causes | objective explanation for the cause of mental illness |
| Analytic | Western civilization (western medicine) |
| Relational | grounded in spirituality; significance w/ relationships of individuals (African, Hispanics, Arabic) |
| Community | idea that the community's needs are more important than the individual's need (Asian; Polynesian) |
| Ecologic | r/t interconnectedness – the circle of life – humans have a responsibility to take care of the earth (Native America) |
| Broken heart | native american |
| Susto | lost soul (hispanic) |
| Mal ojo | evil eye (african; jamaican; carribean) |
| Culture-bound syndromes | usually respects traditional healer intervention; broken heart, Susto, Mal ojo |
| Psychotic symptoms | Amok, Ghost sickness, Spells |
| Amok | Loasian |
| Ghost sickness | Native American |
| Spells | r/t evil eye - African |
| Common alternative therapies | acupuncture, acupressure, nutritional therapies, coining |
| Coining | moxibustion, cupping (looks like abuse) – believed to restore balance; Bring heat to skin surface to restore balance |
| Nutritional therapy | Various hot or cold foods to restore equilibrium |
| Acupuncture and Acupressure | Meridians stimulated to restore balance |
| ethnopharmacology | meds act differently in individuals from different cultures. |
| Cultural preservation | acknowledging the value and accepting the client's cultural belief |
| Cultural negotiation | working w/ client to try culturally acceptable techniques |
| Cultural repatterning | ability for nurse to incorporate cultural preservation in the care plan |
| Cultural elements | Communication, orientation, nutrition, family relationships, health beliefs, education, spirituality and religion, and biologic or physiologic elements |
Created by:
MarieG
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