NR-503 EPIDEMIOLOGY FINAL
QUESTIONS AND CORRECTS
ANSWERS
Kleinman explanatory Model - 10 10 10
aEliciting the patient's (explanatory) model gives the physician knowledge of the beliefs th
10 10 10 10 10 10 10 10 10 10 10 10 10
e patient holds about his illness, the personal and social meaning he attaches to his disord
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
er, his expectations about what will happen to him and what the doctor will do, and his own t
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
herapeutic goals 10
Cultural competence - 10 10
aCultural competence is defined as "a dynamic, fluid, continuous process whereby an indi
10 10 10 10 10 10 10 10 10 10 10 10 10
vidual, system or health care agency find meaningful and useful care delivery strategies ba
10 10 10 10 10 10 10 10 10 10 10 10 10
sed on knowledge of the cultural heritage, beliefs, attitudes, and behavior of those to whom
10 10 10 10 10 10 10 10 10 10 10 10 10 10
they render care"
10 10 10
Cultural Awareness - a:Self- 10 10 10
examination of one's own prejudices and biases toward other cultures. An in-
10 10 10 10 10 10 10 10 10 10 10
depth exploration of one's own cultural/ethnic background.
10 10 10 10 10 10
Cultural humility - aA lifelong commitment to self-evaluation and self-
10 10 10 10 10 10 10 10 10
critiques, redressing the power of imbalances in the patient-
10 10 10 10 10 10 10 10
physician dynamic, developing mutually. Beneficial relationships.
10 10 10 10 10 10
Cultural Knowledge - 10 10
aObtaining a sound educational foundation concerning the various worldviews of differenc
10 10 10 10 10 10 10 10 10 10 10
es cultures. Obtaining knowledge regarding biological variations, disease and health condi
10 10 10 10 10 10 10 10 10 10
tions and variation in drug metabolism.
10 10 10 10 10
Cultural Skill: - 10 10
aAbility to collect culturally relevant data regarding the client's health history and presentin
10 10 10 10 10 10 10 10 10 10 10 10 10
g problem. Ability to conduct culturally based physician assessments. Conducting these as
10 10 10 10 10 10 10 10 10 10 10
sessments in a culturally sensitive manner. 10 10 10 10 10
Cultural Desire - 10 10
aMotivation of the healthcare provider to "want" to engage in the process of cultural compe
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
tence, characteristics of compassion, authenticity, humility, openness, availability, and flex
10 10 10 10 10 10 10 10 10
ibility, commi tment and passion to caring, regardless of conflict.
10 10 10 10 10 10 10 10 10
, ethnicity - 10
aas "the aggregate of cultural practices, social influences, religious pursuits, and racial ch
10 10 10 10 10 10 10 10 10 10 10 10 10
aracteristics shaping the distinctive identity of community" 10 10 10 10 10 10
Cultural competence in nursing consists of four principles. -
10 10 10 10 10 10 10 10
aCare is designed for the specific client.
10 10 10 10 10 10 10
Care is based on the uniqueness of the person's culture and includes cultural norms and v
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
alues.
Care includes self- 10 10
employment strategies to facilitate client decision making to improve health behaviors. 10 10 10 10 10 10 10 10 10 10
Care is provided with sensitivity and is based on the cultural uniqueness of clients.
10 10 10 10 10 10 10 10 10 10 10 10 10
The APN may also use the Kleinman Explanatory Model of Illness (1978). Below are the qu
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
estions that can be utilized. - aWhat do you call your problem?
10 10 10 10 10 10 10 10 10 10 10
What do you think caused your problem?
10 10 10 10 10 10
Why do you think it started when it did?
10 10 10 10 10 10 10 10
What does your sickness do to you?
10 10 10 10 10 10
What do you fear most about your sickness?
10 10 10 10 10 10 10
What are the chief problems your sickness has caused you?
10 10 10 10 10 10 10 10 10
What kind of treatment do you think you should receive?
10 10 10 10 10 10 10 10 10
What is the most important result you hope to receive from the treatment?
10 10 10 10 10 10 10 10 10 10 10 10
According to Giger and Davidhizer (2000), although cultures differ, they all have the same
10 10 10 10 10 10 10 10 10 10 10 10 10 10
basic organizing factors that must be assessed in order to provide care for culturally divers
10 10 10 10 10 10 10 10 10 10 10 10 10 10
e patients. These factors include - acommunication (verbal and nonverbal);
10 10 10 10 10 10 10 10 10
personal space; 10
social organization; 10
time perception; 10
environmental control; and 10 10
biological variations. 10
The National Center for Cultural Competence (NCCC) provides national leadership and co
10 10 10 10 10 10 10 10 10 10 10
ntributes to the body of knowledge on cultural and linguistic competency within systems an
10 10 10 10 10 10 10 10 10 10 10 10 10
d organizations. Major emphasis is placed on translating evidence into policy and practice f
10 10 10 10 10 10 10 10 10 10 10 10 10
or programs and personnel concerned with health and mental healthcare delivery, adminis
10 10 10 10 10 10 10 10 10 10 10
tration, education, and advocacy. - a 10 10 10 10 10
The NCCC uses four major approaches to fulfill its mission, including - aWeb-
10 10 10 10 10 10 10 10 10 10 10 10
based technical assistance, (2) knowledge development and dissemination, (3) supportin
10 10 10 10 10 10 10 10 10
g a community of learners, and (4) collaboration and partnerships with diverse groups.
10 10 10 10 10 10 10 10 10 10 10 10
These approaches entail the provision of training, technical assistance, and consultation a
10 10 10 10 10 10 10 10 10 10 10
nd are intended to facilitate networking, linkages, and information exchange. The NCCC h
10 10 10 10 10 10 10 10 10 10 10 10
as particular expertise in developing instruments and conducting organizational self-
10 10 10 10 10 10 10 10 10
assessment processes to advance cultural and linguistic competency. - a 10 10 10 10 10 10 10 10 10
QUESTIONS AND CORRECTS
ANSWERS
Kleinman explanatory Model - 10 10 10
aEliciting the patient's (explanatory) model gives the physician knowledge of the beliefs th
10 10 10 10 10 10 10 10 10 10 10 10 10
e patient holds about his illness, the personal and social meaning he attaches to his disord
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
er, his expectations about what will happen to him and what the doctor will do, and his own t
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
herapeutic goals 10
Cultural competence - 10 10
aCultural competence is defined as "a dynamic, fluid, continuous process whereby an indi
10 10 10 10 10 10 10 10 10 10 10 10 10
vidual, system or health care agency find meaningful and useful care delivery strategies ba
10 10 10 10 10 10 10 10 10 10 10 10 10
sed on knowledge of the cultural heritage, beliefs, attitudes, and behavior of those to whom
10 10 10 10 10 10 10 10 10 10 10 10 10 10
they render care"
10 10 10
Cultural Awareness - a:Self- 10 10 10
examination of one's own prejudices and biases toward other cultures. An in-
10 10 10 10 10 10 10 10 10 10 10
depth exploration of one's own cultural/ethnic background.
10 10 10 10 10 10
Cultural humility - aA lifelong commitment to self-evaluation and self-
10 10 10 10 10 10 10 10 10
critiques, redressing the power of imbalances in the patient-
10 10 10 10 10 10 10 10
physician dynamic, developing mutually. Beneficial relationships.
10 10 10 10 10 10
Cultural Knowledge - 10 10
aObtaining a sound educational foundation concerning the various worldviews of differenc
10 10 10 10 10 10 10 10 10 10 10
es cultures. Obtaining knowledge regarding biological variations, disease and health condi
10 10 10 10 10 10 10 10 10 10
tions and variation in drug metabolism.
10 10 10 10 10
Cultural Skill: - 10 10
aAbility to collect culturally relevant data regarding the client's health history and presentin
10 10 10 10 10 10 10 10 10 10 10 10 10
g problem. Ability to conduct culturally based physician assessments. Conducting these as
10 10 10 10 10 10 10 10 10 10 10
sessments in a culturally sensitive manner. 10 10 10 10 10
Cultural Desire - 10 10
aMotivation of the healthcare provider to "want" to engage in the process of cultural compe
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
tence, characteristics of compassion, authenticity, humility, openness, availability, and flex
10 10 10 10 10 10 10 10 10
ibility, commi tment and passion to caring, regardless of conflict.
10 10 10 10 10 10 10 10 10
, ethnicity - 10
aas "the aggregate of cultural practices, social influences, religious pursuits, and racial ch
10 10 10 10 10 10 10 10 10 10 10 10 10
aracteristics shaping the distinctive identity of community" 10 10 10 10 10 10
Cultural competence in nursing consists of four principles. -
10 10 10 10 10 10 10 10
aCare is designed for the specific client.
10 10 10 10 10 10 10
Care is based on the uniqueness of the person's culture and includes cultural norms and v
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
alues.
Care includes self- 10 10
employment strategies to facilitate client decision making to improve health behaviors. 10 10 10 10 10 10 10 10 10 10
Care is provided with sensitivity and is based on the cultural uniqueness of clients.
10 10 10 10 10 10 10 10 10 10 10 10 10
The APN may also use the Kleinman Explanatory Model of Illness (1978). Below are the qu
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
estions that can be utilized. - aWhat do you call your problem?
10 10 10 10 10 10 10 10 10 10 10
What do you think caused your problem?
10 10 10 10 10 10
Why do you think it started when it did?
10 10 10 10 10 10 10 10
What does your sickness do to you?
10 10 10 10 10 10
What do you fear most about your sickness?
10 10 10 10 10 10 10
What are the chief problems your sickness has caused you?
10 10 10 10 10 10 10 10 10
What kind of treatment do you think you should receive?
10 10 10 10 10 10 10 10 10
What is the most important result you hope to receive from the treatment?
10 10 10 10 10 10 10 10 10 10 10 10
According to Giger and Davidhizer (2000), although cultures differ, they all have the same
10 10 10 10 10 10 10 10 10 10 10 10 10 10
basic organizing factors that must be assessed in order to provide care for culturally divers
10 10 10 10 10 10 10 10 10 10 10 10 10 10
e patients. These factors include - acommunication (verbal and nonverbal);
10 10 10 10 10 10 10 10 10
personal space; 10
social organization; 10
time perception; 10
environmental control; and 10 10
biological variations. 10
The National Center for Cultural Competence (NCCC) provides national leadership and co
10 10 10 10 10 10 10 10 10 10 10
ntributes to the body of knowledge on cultural and linguistic competency within systems an
10 10 10 10 10 10 10 10 10 10 10 10 10
d organizations. Major emphasis is placed on translating evidence into policy and practice f
10 10 10 10 10 10 10 10 10 10 10 10 10
or programs and personnel concerned with health and mental healthcare delivery, adminis
10 10 10 10 10 10 10 10 10 10 10
tration, education, and advocacy. - a 10 10 10 10 10
The NCCC uses four major approaches to fulfill its mission, including - aWeb-
10 10 10 10 10 10 10 10 10 10 10 10
based technical assistance, (2) knowledge development and dissemination, (3) supportin
10 10 10 10 10 10 10 10 10
g a community of learners, and (4) collaboration and partnerships with diverse groups.
10 10 10 10 10 10 10 10 10 10 10 10
These approaches entail the provision of training, technical assistance, and consultation a
10 10 10 10 10 10 10 10 10 10 10
nd are intended to facilitate networking, linkages, and information exchange. The NCCC h
10 10 10 10 10 10 10 10 10 10 10 10
as particular expertise in developing instruments and conducting organizational self-
10 10 10 10 10 10 10 10 10
assessment processes to advance cultural and linguistic competency. - a 10 10 10 10 10 10 10 10 10
