Kleinman explanatory Model correct answers Eliciting the patient's (explanatory) model gives
the physician knowledge of the beliefs the patient holds about his illness, the personal and social
meaning he attaches to his disorder, his expectations about what will happen to him and what the
doctor will do, and his own therapeutic goals
Cultural competence correct answers Cultural competence is defined as "a dynamic, fluid,
continuous process whereby an individual, system or health care agency find meaningful and
useful care delivery strategies based on knowledge of the cultural heritage, beliefs, attitudes, and
behavior of those to whom they render care"
Cultural Awareness correct answers :Self-examination of one's own prejudices and biases toward
other cultures. An in-depth exploration of one's own cultural/ethnic background.
Cultural humility correct answers A lifelong commitment to self-evaluation and self-critiques,
redressing the power of imbalances in the patient- physician dynamic, developing mutually.
Beneficial relationships.
Cultural Knowledge correct answers Obtaining a sound educational foundation concerning the
various worldviews of differences cultures. Obtaining knowledge regarding biological variations,
disease and health conditions and variation in drug metabolism.
Cultural Skill: correct answers Ability to collect culturally relevant data regarding the client's
health history and presenting problem. Ability to conduct culturally based physician assessments.
Conducting these assessments in a culturally sensitive manner.
Cultural Desire correct answers Motivation of the healthcare provider to "want" to engage in the
process of cultural competence, characteristics of compassion, authenticity, humility, openness,
availability, and flexibility, commi tment and passion to caring, regardless of conflict.
ethnicity correct answers as "the aggregate of cultural practices, social influences, religious
pursuits, and racial characteristics shaping the distinctive identity of community"
Cultural competence in nursing consists of four principles. correct answers Care is designed for
the specific client.
Care is based on the uniqueness of the person's culture and includes cultural norms and values.
Care includes self-employment strategies to facilitate client decision making to improve health
behaviors.
Care is provided with sensitivity and is based on the cultural uniqueness of clients.
The APN may also use the Kleinman Explanatory Model of Illness (1978). Below are the
questions that can be utilized. correct answers What do you call your problem?
What do you think caused your problem?
Why do you think it started when it did?
What does your sickness do to you?
, What do you fear most about your sickness?
What are the chief problems your sickness has caused you?
What kind of treatment do you think you should receive?
What is the most important result you hope to receive from the treatment?
According to Giger and Davidhizer (2000), although cultures differ, they all have the same basic
organizing factors that must be assessed in order to provide care for culturally diverse patients.
These factors include correct answers communication (verbal and nonverbal);
personal space;
social organization;
time perception;
environmental control; and
biological variations.
The National Center for Cultural Competence (NCCC) provides national leadership and
contributes to the body of knowledge on cultural and linguistic competency within systems and
organizations. Major emphasis is placed on translating evidence into policy and practice for
programs and personnel concerned with health and mental healthcare delivery, administration,
education, and advocacy. correct answers
The NCCC uses four major approaches to fulfill its mission, including correct answers Web-
based technical assistance, (2) knowledge development and dissemination, (3) supporting a
community of learners, and (4) collaboration and partnerships with diverse groups.
These approaches entail the provision of training, technical assistance, and consultation and are
intended to facilitate networking, linkages, and information exchange. The NCCC has particular
expertise in developing instruments and conducting organizational self-assessment processes to
advance cultural and linguistic competency. correct answers
Epidemiological Triad: correct answers host, agent, environment
Genetics is considered an agent in the epidemiological triad correct answers
Genetics correct answers The study of individual genes and their impact on relatively rare single
gene disorders
Genomics correct answers The study of all genes in the human genome as well as their
interaction with other genes, the individual's environment, and the influence of cultural and
psychosocial factors
Genetic epidemiology correct answers the link of epidemiology and genetics
Absolute risk correct answers is the probability of an event, such as illness, injury, or death
Absolute risk correct answers gives no indication of how its magnitude compares with others.