NUR 100 Exam 3 Ch 10, 20-21 Questions
and Answers
culture - Answer-the learned, shared, and transmitted values, beliefs, norms and life-
way practices of a particular group that guide thinking decisions, and actions in
patterned way
diversity - Answer-differences in race, ethnicity, national origin, religion, age, gender,
sexual orientation... and related attributes of groups of peoples
ethnic - Answer-group of people who share common and distinctive culture who are
members of a specific group
characteristics of culture - Answer-learned, taught, social, adaptive, satisfying, difficult to
articulate, exists at many levels
components of spirituality - Answer--universal concept to all individuals
-uniqueness of individual is essential
-formal religious connection is not a necessary requirement for spirituality
-awareness of spirituality heightens in times of need
characteristics of spiritual well being - Answer-Sense of inner peace
Compassion for others
Reverence for life
Gratitude
Appreciation of both unity and diversity
Humor
Wisdom
Generosity
transcultural nursing - Answer--The study of different cultures and subcultures with
respect to nursing and health illness caring practices, beliefs, and values.
-Madeline Leininger: nurse anthropologist
cultural phenomena - Answer-Giger and Davidhizar
6 phenomena that vary among culture groups and affect health care;
environmental control, biologic variations, social organization, communication, space,
and time orientation.
environmental control - Answer--ability of members of a particular culture to control
nature or environmental factors.
-Some groups perceive humans as having mastery over nature -- expect positive results
from medications, surgery, and other treatment modalities.
, -others perceive humans to be dominated by nature --may not be compliant with
treatments because they
believe that whatever happens to them is part of their
destiny (african americans and mexican americans)
-other groups see humans as having a harmonious relationship with nature -- believe
that illness represents a disharmony with nature. These clients may see medication as
relieving only the symptoms and not curing the disease. Therefore, they are more likely
to rely on naturalistic remedies, such as herbs or hot and cold treatments (native
americans and asians)
biologic variation - Answer-body build and structure, genetic variations, skin
characteristics, susceptibility to disease, and nutritional variations, exist among different
cultures.
-skin color, eye shape, hair texture, adipose tissue deposits, shape of earlobes, and
body configuration
-Laboratory values for some tests also vary among
cultural groups. For example, serum cholesterol levels
-rates of different diseases
social organization - Answer--the family unit (nuclear, single-parent, or extended family)
and the religious or ethnic groups with which families identify.
-families depend on the extended family for emotional and financial support in times of
crisis.
-family is defined differently across cultures.
ex; African-American culture, family often includes people who are unrelated or distantly
related, and matriarchs are involved in decision making especially in health care
communication - Answer--differences include language differences, verbal and
nonverbal behaviors, and silence.
-Language can be the greatest obstacle to providing
multicultural care. If the client does not speak the same
language as the nurse, a skilled interpreter is mandatory
-level of comfort with eye contact- Euro-American, value direct eye contact as a sign of
attention, other cultures, such as African-American or American Indian, may view direct
eye contact as rude behavior.
-Asian culture, it is considered important behavior to agree with those in authority. This
aspect of the Asian culture has important implications for the nurse who is involved in
patient education - may just agree out of respect but not actually understand or plan to
follow through with instructions
-informal vs formal communication style - best to be formal at first, address them by
their last name, and ask the client how they would like to be addressed
-some ethnic groups consider it a breach of confidentiality to have a stranger interpret,
whereas certain individuals may not want other family members or friends to know the
specifics of their medical condition - important to be aware and advocate for what the
patient wants/needs
and Answers
culture - Answer-the learned, shared, and transmitted values, beliefs, norms and life-
way practices of a particular group that guide thinking decisions, and actions in
patterned way
diversity - Answer-differences in race, ethnicity, national origin, religion, age, gender,
sexual orientation... and related attributes of groups of peoples
ethnic - Answer-group of people who share common and distinctive culture who are
members of a specific group
characteristics of culture - Answer-learned, taught, social, adaptive, satisfying, difficult to
articulate, exists at many levels
components of spirituality - Answer--universal concept to all individuals
-uniqueness of individual is essential
-formal religious connection is not a necessary requirement for spirituality
-awareness of spirituality heightens in times of need
characteristics of spiritual well being - Answer-Sense of inner peace
Compassion for others
Reverence for life
Gratitude
Appreciation of both unity and diversity
Humor
Wisdom
Generosity
transcultural nursing - Answer--The study of different cultures and subcultures with
respect to nursing and health illness caring practices, beliefs, and values.
-Madeline Leininger: nurse anthropologist
cultural phenomena - Answer-Giger and Davidhizar
6 phenomena that vary among culture groups and affect health care;
environmental control, biologic variations, social organization, communication, space,
and time orientation.
environmental control - Answer--ability of members of a particular culture to control
nature or environmental factors.
-Some groups perceive humans as having mastery over nature -- expect positive results
from medications, surgery, and other treatment modalities.
, -others perceive humans to be dominated by nature --may not be compliant with
treatments because they
believe that whatever happens to them is part of their
destiny (african americans and mexican americans)
-other groups see humans as having a harmonious relationship with nature -- believe
that illness represents a disharmony with nature. These clients may see medication as
relieving only the symptoms and not curing the disease. Therefore, they are more likely
to rely on naturalistic remedies, such as herbs or hot and cold treatments (native
americans and asians)
biologic variation - Answer-body build and structure, genetic variations, skin
characteristics, susceptibility to disease, and nutritional variations, exist among different
cultures.
-skin color, eye shape, hair texture, adipose tissue deposits, shape of earlobes, and
body configuration
-Laboratory values for some tests also vary among
cultural groups. For example, serum cholesterol levels
-rates of different diseases
social organization - Answer--the family unit (nuclear, single-parent, or extended family)
and the religious or ethnic groups with which families identify.
-families depend on the extended family for emotional and financial support in times of
crisis.
-family is defined differently across cultures.
ex; African-American culture, family often includes people who are unrelated or distantly
related, and matriarchs are involved in decision making especially in health care
communication - Answer--differences include language differences, verbal and
nonverbal behaviors, and silence.
-Language can be the greatest obstacle to providing
multicultural care. If the client does not speak the same
language as the nurse, a skilled interpreter is mandatory
-level of comfort with eye contact- Euro-American, value direct eye contact as a sign of
attention, other cultures, such as African-American or American Indian, may view direct
eye contact as rude behavior.
-Asian culture, it is considered important behavior to agree with those in authority. This
aspect of the Asian culture has important implications for the nurse who is involved in
patient education - may just agree out of respect but not actually understand or plan to
follow through with instructions
-informal vs formal communication style - best to be formal at first, address them by
their last name, and ask the client how they would like to be addressed
-some ethnic groups consider it a breach of confidentiality to have a stranger interpret,
whereas certain individuals may not want other family members or friends to know the
specifics of their medical condition - important to be aware and advocate for what the
patient wants/needs
