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Exam (elaborations)

NR-503 Epidemiology final Questions and Correct Answers/ Latest Update / Already Graded

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NR-503 Epidemiology final Questions and Correct Answers/ Latest Update / Already Graded

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NR-503 Epidemiology final Questions and
Correct Answers/ Latest Update / Already
Graded
Kleinman explanatory Model

Ans: 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

Ans: 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

Ans: :Self-examination of one's own prejudices and biases
toward other cultures. An in-depth exploration of one's own
cultural/ethnic background.




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Cultural humility

Ans: 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

Ans: 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:

Ans: 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

Ans: Motivation of the healthcare provider to "want" to engage
in the process of cultural competence, characteristics of
compassion, authenticity, humility, openness, availability, and



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flexibility, commi tment and passion to caring, regardless of
conflict.


ethnicity

Ans: 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.

Ans: 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.

Ans: What do you call your problem?
What do you think caused your problem?
Why do you think it started when it did?


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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

Ans: 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.

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