NR503 EPI FINAL.docx

Marginalization - correct answer major cause of vulnerability, which refers to exposure to a range of possible harms, and being unable to deal with them adequately. Four dimensions that capture the principal determinants of health marginalization - correct answer residential instability, material deprivation, ethnic concentration, and dependency Social determinants of health and inequalities data are areas that APRNs - correct answer can also use to inform and guide their practice to develop socioculturally appropriate interventions. Campinha-Bacote MODEL (2002) - correct answer views cultural competence as an ongoing learning process as the providers continuously strive to achieve the best outcomes for patients, families, and populations. Macro-scale influences - correct answer Broad understandings of illness, suffering and healing, Social roles and the bureaucratic and economic context of health care services Micro-scale influences - correct answer Face-to-face interaction at front-lines, Successful and failed communication Cultural competence in nursing consists of four principles - correct answer · 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. Cultural Awareness - correct answer 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 answer 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 answer 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 answer 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 answer Motivation of the healthcare provider to "want" to engage in the process of cultural competence, characteristics of compassion, authenticity, humility, openness, availability, and flexibility, commitment and passion to caring, regardless of conflict. Cultural competence - correct answer Respect for, and understanding of, diverse ethnic and cultural groups, their histories, traditions, beliefs, and value systems. 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. Norms - correct answer Something that is usual, typical, or standard. a standard or pattern, especially of social behavior, that is typical or expected of a group. Customary rules of behavior that govern our interactions with others. Something that is usual, typical, or standard within a population. Cultural norms - correct answer are the standards we live by. They are the shared expectations and rules that guide the behavior of people within social groups. Cultural norms are learned and reinforced from parents, friends, teachers, and others while growing up in a society. Cultural norms are the standards we live by. They are the shared expectations and rules that guide behavior of people within social groups. Cultural norms are learned and reinforced from parents, friends, teachers and others while growing up in a society. Norms often differ across cultures, contributing to cross-cultural misunderstandings. value - correct answer The degree of importance of something. a person's principles or standards of behavior; one's judgment of what is important in life. Personal principles or standards of behavior; one's judgment of what is important in life The commonly held standards of what is acceptable or unacceptable, important or unimportant, right or wrong, workable or unworkable, etc., in a community or society. Something is held to deserve; the importance, worth, or usefulness of something within a population Cultural values - correct answer are beliefs of a person or social group in which they have an emotional investment (either for or against something). Core principles and ideals upon which an entire community exists. This is made up of several parts: customs, which are traditions and rituals; values, which are beliefs; and culture, which is all of a group's guiding values. Kleinman Explanatory Model - correct answer 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. Proposes that individuals and groups can have vastly different notions of health and disease. Instead of simply asking patients, "Where does it hurt," the physicians should focus on eliciting the patient's answers to "Why," "When," "How," and "What Next." Kleinman suggests the following questions to learn how your patient sees his or her illness: - correct answer 1. What do you think caused your problem? 2. Why do you think it started when it did? 3. What do you think your sickness does to you? 4. How severe is your sickness? 5. Do you think it will last a long time, or will it be better soon in your opinion? 6. What are the chief problems your sickness has caused for you? 7. What do you fear most about your sickness? 8. What kind of treatment do you think you should receive? 9. What are the most important results you hope to get from treatment? 10. What do you call your problem? Socioeconomic status - correct answer Social standing or class of an individual or group. An economic and sociological combined total measure of a person's work experience and of an individual's or family's economic and social position in relation to others, based on income, education, and occupation. Examinations of socioeconomic status often reveal inequities in access to resources, plus issues related to privilege, power and control Disparities - correct answer Health disparities can be defined as the differences identified in incidence or prevalence of factors. If a health outcome is seen to a greater or lesser extent between populations, there is disparity. Race or ethnicity, gender, sexual identity (LGBT), age, disability, socioeconomic status, low health literacy, cultural barriers, and low English proficiency, and geographic location all contribute to an individual's ability to achieve good health. Population health - correct answer will focus on disparities in the hopes to bridge the gap and locate methods and interventions to reach populations with numerous health disparities. Other disparities that America is facing include; low health literacy, cultural barriers, inability to read and understand english (results in subpar health communication). APRNs have access to resources to decrease health disparities... · The National Partnership for Action (NPA) to End Health Disparities o Mobilizes individuals and groups to work to improve quality and elimination of health disparities · The national Priorities partnership o Key private and public stakeholders who have agreed to work on major health priorities of patients and families, palliative and end of life care, carae coordination, patient safety, and population health. · The quality alliance steering committee o Work to improve healthcare quality and costs · Office of Minority Health and Health Disparities (OMHD) house within the CDC o Resources may be used by the APRN to obtain data that demonstrate how minority population compare with the US population as a whole Food Dessert - correct answer Food deserts describes neighborhoods and communities in parts of the country especially one with low-income residents, that have limited access to affordable and nutritious foods such as fresh fruit, vegetables, and other healthful whole foods, usually found in impoverished areas. This is largely due to a lack of grocery stores, farmers' markets, and healthy food providers. A part of the country vapid of fresh fruit, vegetables, and other healthful whole foods, usually found in impoverished areas. This is largely due to a lack of grocery stores, farmers' markets, and healthy food providers Cultural desire - correct answer : Motivation of the healthcare provider to "want" to engage in the process of cultural competence, characteristics of compassion, authenticity, humility, openness, availability, and flexibility, commitment and passion to caring, regardless of conflict. Ethnicity - correct answer the aggregate of cultural practices, social influences, religious pursuits, and racial characteristics shaping the distinctive identity of community" Race - correct answer a biological designation whereby group members share features (e.g., skin color, bone structure, genetic traits such as blood groupings) Nationality - correct answer country of birth, or the ancestors' country of birth. Accommodation - correct answer To create an environment that accommodates health practice and ritual from other cultures within a plan of care Acculturation - correct answer Degree two which an individual from one culture has given up the traits of that culture and adopted the traits of the dominant cultural in which they now reside Assimilation - correct answer The social, economic, and political integration of a cultural group into a mainstream society to which it may have emigrated. Social determinants of health - correct answer are economic and social conditions that influence the health of people and communities. They the conditions in which people are born, grow, live, work and age. They include factors like socioeconomic status, housing, education, neighborhood, physical environment, employment, social support networks, access to public transportation, access to safe water, access to fresh food, as well as access to health care. They must be considered when interpreting epidemiological