What was a big shift in nursing in the 20th century? correct answers shift from primarily in
homes to more in hospitals and from hospital to community
What happened to hospitals after World War 2? correct answers there was a boom in hospitals,
technology, and education
- Regan changed medicare?
What are some community-based nursing care components? correct answers - self-care of clients
and families
- preventative health care
- care within the context of a community
- collaborative care
- coordination of care
- expectation of nursing skills and competencies
What are the five social determinants of health? correct answers 1) Neighborhood and built
environment
2) health and health care
3) social and community context
4) education
5) economic stability
How do you define culture? correct answers members of a cultural group share values and ways
of thinking and acting, it affects how people value, evaluate and categorize life experiences
What are some race differences? correct answers growth and development, skin color, enzymatic
differences, susceptibility to disease and lab test data
What is prejudice? correct answers emotional manifestation of deeply held stereotypes about a
group of people (usually negative)
What is racism? correct answers a form of prejudice that occurs through the exercise of power by
individuals and institutions against people who are judged to be inferior, and people are denied
certain opportunities
What is ethnicity? correct answers an ethnic identity can be based in a shared language,
geographical area, racial characteristics, and values of the group's heritage
What are the four categories of foreign born immigrants? correct answers 1) legal immigrants
2) refugees (seeking freedom)
3) nonimmigrants (like tourists, reporters)
4) unauthorized immigrants (crossed the border)
What is marginalization? correct answers being present but feeling like you don't have a voice
, What is the definition of cultural competence? correct answers combination of culturally
congruent behaviors, attitudes and policies that allow nurses to use interpersonal communication
and relationship skills to work effectively in cross cultural situations
What is culturally competent care? correct answers the process of acquiring specific knowledge,
skills, and attitudes to provide culturally congruent care
What does culturally competent care involve? correct answers - cultural preservation or
maintenance: preserving relevant care values so patient maintains their well being and recovers
from ailments
- cultural accommodation of negotiation: adapting or negotiating with others for beneficial
outcome
- cultural repatterning: reorder, change or modify lifestyle of patient for better health care pattern
What is a cultural assessment? correct answers a systematic and comprehensive examination of
the cultural care values, beliefs, and practices of individuals, families, and communities that
gathers information that will enable the nurse to provide culturally competent care
What is ethnocentrism? correct answers when a person views their own way of life as being
superior to others
What is an "emic" perspective? correct answers a native perspective
What are some factors that determine family structure? correct answers - individuals who
compose family
- relationship between individuals
- interactions between members
- interactions with other social systems
What are some examples of family demographics? correct answers - living arrangements
- marriage, divorce, cohabitation
- births
- deaths
- parenting
- immigration
- family caregivers
What is the family systems theory and what is the family development and life cycle theory?
correct answers systems theory: families are social systems and nurses can learn from the
systems approach
life cycle theory: focuses on predicted stress on families as they change and transition over time
What can a home visit do to reduce health risk? correct answers - help assess family structure,
natural home environment and behavior in that environment
- helps identify barriers and supports for reaching family health promotion goals