EXAM ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY
GRADED A+
1. Kleinman explanatory Model: Eliciting the patient's (explanatory) model gives the provider:
-knowledge of the pt's beliefs about his illness,
-the personal & social meaning he attaches to d/o -his expectations about what will happen to him
-what the doctor will do
-his own therapeutic goals
2. Cultural competence: 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.
3. Cultural Awareness: Self-examination of one's own prejudices and biases toward other cultures. An in-depth exploration of
one's own cultural/ethnic background.
4. Cultural humility: A lifelong commitment to self-evaluation and self-critiques, redressing the power of imbalances in the patient-
provider dynamic, developing mutually beneficial relationships.
5. Cultural Knowledge: Obtaining a sound educational foundation concerning the various worldviews of ditterent cultures.
Obtaining knowledge regarding biological variations, disease and health conditions, and variations in drug metabolism.
6. Cultural Skill: 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.
7. Cultural Desire: 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.
8. Ethnicity: as "the aggregate of cultural practices, social influences, religious pursuits, and racial characteristics shaping the distinctive identity
of community"
9. Cultural competence in nursing consists of four principles.: 1-Care is designed for the specific client.
2- Care is based on the uniqueness of the person's culture and
includes cultural norms and values.
3- Care includes self-employment strategies to facilitate
client decision-making to improve health behaviors.
, 4- Care is provided with sensitivity and is based on the
cultural uniqueness of clients.
10. The APN may also use the Kleinman Explanatory Model of Illness (1978). Below are the
questions that can be utilized.: -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?
11. According to Giger and Davidhizer (2000), although they differ from each other, all cultures
have the same basic organizing factors that must be assessed in order to provide care for culturally
diverse patients. These factors are:: -com- munication (verbal and nonverbal);
-personal space;
-social organization;
-time perception;
-environmental control; and
-biological variations.
12. 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.
-Places major emphasis on translating evidence into policy and practice for programs and personnel concerned with health and mental healthcare
delivery, administration, education, and advocacy.
13. The NCCC's (4) major approaches to fulfill its mission are:: (1) Web-based technical assistance
(2) Knowledge development and dissemination (3) Supporting a community of learners
(4) Collaboration & partnerships with diverse groups.