EvCC Nursing 110 Test 2 with 204
complete solutions.
EvCC Nursing 110 Test 2 with 204
complete solutions.
Culturally responsive care - ANSWER care that is centered on the client's cultural point of view and
integrates the client's values and beliefs into the plan of care
What must a nurse do when providing culturally responsive care? - ANSWER Develop self-awareness of
his or her own culture, attitudes, and beliefs and examine the biases and assumptions he or she holds
about different cultures
In a culturally responsive care, the nurse must respond to the client's needs not vice versa. True or false?
- ANSWER True
Diversity - ANSWER referring to the fact or state of being different
What types of factors account for diversity? - ANSWER Sex, age, culture, ethnicity, socioeconomic status,
educational attainment, religious affiliation, etc.
Cultural assessment involves... - ANSWER how and when questions are asked requiring sensitivity and
clinical judgement. Timing is important in introducing questions, sensitivity is needed in phrasing
questions. Trust MUST be established before clients can be expected to volunteer and share sensitive
information
A nurse needs to do what before conducting a cultural assessment? - ANSWER Determine what
language the client speaks and the client's degree of fluency in the English language
LEARN model to understand client perspective - ANSWER Listen actively with empathy to the client's
perception of the problem
Explain what you think you heard/ask for clarification
,EvCC Nursing 110 Test 2 with 204
complete solutions.
Acknowledge the importance of what is said and what it means
Recommend inclusive strategies
Negotiate the plan of care by collaborating with the client and others
4 C's of Culture - ANSWER What do you CALL your problem?
- remember to ask "what do you think is wrong?" or "what is concerning/worrying you?" to get the
client's perception of the problem.
What do you think CAUSED your problem?
- this gets at the client's beliefs regarding the source of the problem)
How do you COPE with your condition?
- "what have you done to make it better?" , "who else have you been to for treatment?"
What are your CONCERNS regarding the condition?
- "how serious do you think this is?" or "what potential complications do you fear?"
Heritage Assessment Interview - ANSWER Designed to enhance the process in order to determine if
clients are identifying with their traditional cultural heritage (heritage consistent) or if they have
acculturated into the dominant culture of the modern society in which they reside (heritage
inconsistent)
Diagnosing for diversity - ANSWER Developed by NANDA and it is essential to expand the understanding
of the nursing practice to include cultural beliefs of other cultures, nurses must provide appropriate care
to clients of any culture
,EvCC Nursing 110 Test 2 with 204
complete solutions.
Planning for diversity - ANSWER - being aware of one's own cultural heritage
- become aware of the client's heritage and health traditions as described by the client
- become aware of adaptations the client made to live in another culture. Identifying the client's
preferences in health practices, diet, hygiene and so on
- form a nursing plan with the client that incorporates his or her cultural beliefs regarding the
maintenance, protection, and restoration of health. In this way, cultural values, practices, and beliefs
can be incorporated with the necessary nursing care
cultural competence - ANSWER involves delivering care that integrates the mind, the body, the spirit,
and the cultural values of the individual.
It is an ongoing process and the skills necessary to incorporate cultural care into standard nursing
require the acquisition of a broad base grow over time
Implementing for diversity - ANSWER The implementation of cultural nursing care includes (a) cultural
preservation and maintenance and (b) cultural accommodation and negotiation. Cultural preservation
may involve the use of cultural health practices, such as giving herbal tea, chicken soup or "hot" foods to
the ill client
Is negotiation a collaborative process? True or false? And what does it incorporate? - ANSWER True, it
acknowledges that the nurse-client relationship is reciprocal and that different views of health, illness
and treatment exist. The nurse attempts to bridge the gap between nurse's scientific and the client's
cultural perspectives.
If the client's views can lead to harmful behavior or outcomes, then what attempt is made? - ANSWER
To educate the client
When a client choose to follow only cultural practices and declines all prescribed medical or nursing
interventions, what should the nurse do? - ANSWER the nurse and client must adjust the client goals
Evaluating for diversity - ANSWER Actual client outcomes are compared with the goals and expected
outcomes established following comprehensive assessment that includes cultural sensitivity
, EvCC Nursing 110 Test 2 with 204
complete solutions.
however, if the outcomes are not achieved, the nurse should be especially careful to consider whether
the client's belief system has been adequately included as an influencing factor
ASKED mnemonic - purpose - ANSWER using this model, nurses reflect on questions which focus on how
well prepared they are to acknowledge their own biases, their openness to embracing differences in
people, and their willingness to learn appropriate means of communicating and caring for diverse
populations.
ASKED mnemonic - ANSWER Awareness - health care providers become aware of, appreciative of and
become sensitive to the values, beliefs and ways of life in other cultures as their well as their own
Skills - do you know how to conduct a cultural assessment, in a sensitive manner?
Knowledge - do you know about different cultures' worldview and the field of bicultural ecology?
Encounters - do you have sacred encounters with people from cultures different than yours and are you
committed to resolving cross-cultural conflicts?
Desire - Do you want to become culturally competent
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 a patterned ways
- culture can guide our thinking and we may not even know it
- controls behavior in deep and persisting ways (Shannon had to teach a women's in-law in OB)
- Patient as an individual rather than part of a group
- Stereotyping
Who is the ANA? - ANSWER American Nursing Association
complete solutions.
EvCC Nursing 110 Test 2 with 204
complete solutions.
Culturally responsive care - ANSWER care that is centered on the client's cultural point of view and
integrates the client's values and beliefs into the plan of care
What must a nurse do when providing culturally responsive care? - ANSWER Develop self-awareness of
his or her own culture, attitudes, and beliefs and examine the biases and assumptions he or she holds
about different cultures
In a culturally responsive care, the nurse must respond to the client's needs not vice versa. True or false?
- ANSWER True
Diversity - ANSWER referring to the fact or state of being different
What types of factors account for diversity? - ANSWER Sex, age, culture, ethnicity, socioeconomic status,
educational attainment, religious affiliation, etc.
Cultural assessment involves... - ANSWER how and when questions are asked requiring sensitivity and
clinical judgement. Timing is important in introducing questions, sensitivity is needed in phrasing
questions. Trust MUST be established before clients can be expected to volunteer and share sensitive
information
A nurse needs to do what before conducting a cultural assessment? - ANSWER Determine what
language the client speaks and the client's degree of fluency in the English language
LEARN model to understand client perspective - ANSWER Listen actively with empathy to the client's
perception of the problem
Explain what you think you heard/ask for clarification
,EvCC Nursing 110 Test 2 with 204
complete solutions.
Acknowledge the importance of what is said and what it means
Recommend inclusive strategies
Negotiate the plan of care by collaborating with the client and others
4 C's of Culture - ANSWER What do you CALL your problem?
- remember to ask "what do you think is wrong?" or "what is concerning/worrying you?" to get the
client's perception of the problem.
What do you think CAUSED your problem?
- this gets at the client's beliefs regarding the source of the problem)
How do you COPE with your condition?
- "what have you done to make it better?" , "who else have you been to for treatment?"
What are your CONCERNS regarding the condition?
- "how serious do you think this is?" or "what potential complications do you fear?"
Heritage Assessment Interview - ANSWER Designed to enhance the process in order to determine if
clients are identifying with their traditional cultural heritage (heritage consistent) or if they have
acculturated into the dominant culture of the modern society in which they reside (heritage
inconsistent)
Diagnosing for diversity - ANSWER Developed by NANDA and it is essential to expand the understanding
of the nursing practice to include cultural beliefs of other cultures, nurses must provide appropriate care
to clients of any culture
,EvCC Nursing 110 Test 2 with 204
complete solutions.
Planning for diversity - ANSWER - being aware of one's own cultural heritage
- become aware of the client's heritage and health traditions as described by the client
- become aware of adaptations the client made to live in another culture. Identifying the client's
preferences in health practices, diet, hygiene and so on
- form a nursing plan with the client that incorporates his or her cultural beliefs regarding the
maintenance, protection, and restoration of health. In this way, cultural values, practices, and beliefs
can be incorporated with the necessary nursing care
cultural competence - ANSWER involves delivering care that integrates the mind, the body, the spirit,
and the cultural values of the individual.
It is an ongoing process and the skills necessary to incorporate cultural care into standard nursing
require the acquisition of a broad base grow over time
Implementing for diversity - ANSWER The implementation of cultural nursing care includes (a) cultural
preservation and maintenance and (b) cultural accommodation and negotiation. Cultural preservation
may involve the use of cultural health practices, such as giving herbal tea, chicken soup or "hot" foods to
the ill client
Is negotiation a collaborative process? True or false? And what does it incorporate? - ANSWER True, it
acknowledges that the nurse-client relationship is reciprocal and that different views of health, illness
and treatment exist. The nurse attempts to bridge the gap between nurse's scientific and the client's
cultural perspectives.
If the client's views can lead to harmful behavior or outcomes, then what attempt is made? - ANSWER
To educate the client
When a client choose to follow only cultural practices and declines all prescribed medical or nursing
interventions, what should the nurse do? - ANSWER the nurse and client must adjust the client goals
Evaluating for diversity - ANSWER Actual client outcomes are compared with the goals and expected
outcomes established following comprehensive assessment that includes cultural sensitivity
, EvCC Nursing 110 Test 2 with 204
complete solutions.
however, if the outcomes are not achieved, the nurse should be especially careful to consider whether
the client's belief system has been adequately included as an influencing factor
ASKED mnemonic - purpose - ANSWER using this model, nurses reflect on questions which focus on how
well prepared they are to acknowledge their own biases, their openness to embracing differences in
people, and their willingness to learn appropriate means of communicating and caring for diverse
populations.
ASKED mnemonic - ANSWER Awareness - health care providers become aware of, appreciative of and
become sensitive to the values, beliefs and ways of life in other cultures as their well as their own
Skills - do you know how to conduct a cultural assessment, in a sensitive manner?
Knowledge - do you know about different cultures' worldview and the field of bicultural ecology?
Encounters - do you have sacred encounters with people from cultures different than yours and are you
committed to resolving cross-cultural conflicts?
Desire - Do you want to become culturally competent
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 a patterned ways
- culture can guide our thinking and we may not even know it
- controls behavior in deep and persisting ways (Shannon had to teach a women's in-law in OB)
- Patient as an individual rather than part of a group
- Stereotyping
Who is the ANA? - ANSWER American Nursing Association
