Questions and Answers
1.Kleinman explanatory Model
Answer 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
2.Cultural competence
Answer 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"
3.Cultural Awareness
Answer
Self-examination of one's own prejudices and biases to- ward other
cultures. An in-depth exploration of one's own cultural/ethnic
background.
,4.Cultural humility
Answer A lifelong commitment to self-evaluation and self-critiques,
redressing the power of imbalances in the patient- physician dynamic,
developing mutually. Beneficial relationships.
5.Cultural Knowledge
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.
6.Cultural Skill
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.
7.Cultural Desire
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, commi
tment and passion to caring, regardless of conflict.
8.ethnicity
Answer 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.
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.
10.The APN may also use the Kleinman Explanatory Model of Illness (1978).
Below are the questions that can be utilized.
Answer 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?