Terms in this set (85)
Kleinman explanatory Model
CORRECT RESPONSE;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 RESPONSE;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"
Brainpower
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Cultural Awareness
CORRECT RESPONSE;: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 RESPONSE;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 RESPONSE;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 RESPONSE;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 RESPONSE;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
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.
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 RESPONSE;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 RESPONSE;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.
The NCCC uses four major approaches to fulfill its mission, including
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.
Epidemiological Triad:
host, agent, environment
Genetics is considered an agent in the epidemiological triad
Genetics
CORRECT RESPONSE;The study of individual genes and their impact on relatively
rare single gene disorders