ANSWERS RATED A+
✔✔Empathy - ✔✔Remember that the patient has come to you for help. Seek out and
understand the patient's rationale for behaviors or illness
✔✔Support - ✔✔Ask about and try to understand barriers to care. Help to overcome
barriers
✔✔Partnership - ✔✔Be flexible with regard to issues of control. Negotiate roles when
necessary. Stress that you will be working together.
✔✔Explanations - ✔✔Check often for understanding. Use verbal clarification techniques
✔✔Cultural competence - ✔✔Respect the patient's cultural beliefs. Understand your
personal style and recognize when it isn't working.
✔✔Trust - ✔✔•Take the time to establish trust. Self-disclosure may be an issue for
some patients.
✔✔Theoretic Links to Culture - ✔✔•Leininger's theory of culture care diversity and
universality
•Interprofessional theory of social suffering
✔✔Sexuality - ✔✔is a state of physical, emotional, mental, and social well-being related
to sexuality; It is not merely the absence of disease, dysfunction, or infirmity.
✔✔Sexual health - ✔✔requires a positive and respectful approach to sexuality and
sexual responses, as well as the possibility of having pleasurable and safe sexual
experiences, free of coercion, discrimination, and violence.
✔✔sex - ✔✔one of four primary drives (thirst, hunger, avoidance of pain)
✔✔Sexual acts - ✔✔behaviors that include genitalia and erogenous zones
✔✔Sexual orientation - ✔✔how one views self in terms of emotionally, romantically,
sexually, or affectionately attracted to an individual of a particular gender
✔✔Sexual identity - ✔✔perception of one's gender as masculine or feminine
✔✔Sexual behavior - ✔✔how one responds to sexual impulses
✔✔Cultural healers and modalities - ✔✔Herbalist
•Chinese and southeast Asians
, •Asian Indians
Acupuncturist
•Chinese and southeast Asians
•Asian Indians
Fortune teller
•Chinese and southeast Asians
•Asian Indians
Shaman
•American Indians
✔✔Homelessness Demographics - ✔✔•Single men 44%
•Single women 13%
•Families with children 36%
•Unaccompanied minors 7%
✔✔LGBTQ - ✔✔•Lesbian, gay, bisexual, transgender, questioning or queer
•Many fear prejudice; and hesitant to seek medical care
•Establish patient's gender identity; do not make assumption based on appearance]
•Ask questions about sexual identity
•Health care needs will align with the biological gender
✔✔Homelessness Racial breakdown - ✔✔•50% African American
•35% white
15% othe
✔✔Types of Medicine Western Medicine - Allopathy - ✔✔•A system of medical therapy
in which a disease or an abnormal condition is treated by creating an environment that
is antagonistic to the disease or condition.
•Drug oriented
•Relies on hypothesis, experiment, and the result of the experiment
•AKA drug therapy
✔✔Homelessness and diseases - ✔✔•Most homeless individuals avoid health care
•Prone to cardiovascular disease, hypertension, diabetes mellitus, high cholesterol, and
infections
•Health care providers should limit the number of visits needed
✔✔Healers - ✔✔•African American
•"granny midwife", spiritualist, voodoo practitioner, houngan (male), mambo (female)
•Hispanics
•Curanderos, Yerbero, Sobador, Espiritista, Sanetro/a
✔✔Curanderismo - ✔✔medical system that combines Aztec, Spanish, spiritualism,
homeopathic, and scientific components