Culture - CORRECT ANSWER✅✅A pattern of shared beliefs, attitudes, self definitions, norms, roles, and
values that can occur among those who speak a particular language or live in a defined geographic
region
ethnicity/ethnic identity - CORRECT ANSWER✅✅-Common ancestry that leads to shared values and
beliefs
-influenced by culture and common ancestry
-Ethnicity is a powerful determinant of ones identity
Race - CORRECT ANSWER✅✅-Influenced by physical or biological characteristics
Scope of culture - CORRECT ANSWER✅✅-very broad
-influences the shared beliefs, values, and behaviors of a group
Influences and affects exemplars - CORRECT ANSWER✅✅-causual beliefs about health
-illness expression
-symptoms of illness
-taboos
Culture attributes - CORRECT ANSWER✅✅-culture is learned
-culture is changing and adapting
-shared beliefs, values, and behaviors
Theoretical links to culture - CORRECT ANSWER✅✅-Leininger's theory of culture care diversity and
universality
-Interprofessional theory of social suffering
Lingers theory of culture care diversity and universality - CORRECT ANSWER✅✅World view
,-emic (within)
-etic (discover universal application)
-Avoid stereotyping
-Treat the individual
-See every patient encounter as cross-cultural
Intersectionality - CORRECT ANSWER✅✅Iceberg analogy
-Most aspects of a persons world view are hidden
-understanding the different levels of oppression and where you stand helps you develop cultural
competence
Iceberg Analogy - CORRECT ANSWER✅✅-unconscious bias
-implicit bias
-culturally congruent care
-cultural competence
Health disparities - CORRECT ANSWER✅✅a particular type of health difference that is closely linked
with social, economic, and/or environmental disadvantage
social determinants of health - CORRECT ANSWER✅✅The conditions in which people are born, grow,
live, work, and age
Marginalized groups - CORRECT ANSWER✅✅-gay/lesbian/bisexual/transgender
-People of color
-physically or mentally challenged
-not college educated
Cultural competence - CORRECT ANSWER✅✅-Meaningful and useful care strategies based on
knowledge of the cultural heritage, beliefs, attitudes and behaviors of those to whom they render care
,Cultural competency in nursing - CORRECT ANSWER✅✅-expected component of nursing education and
professional nursing practice
-requires underlying acceptance of patients health and beliefs
Requires adapting care to meet unique needs and perspectives of individual
Care measures - CORRECT ANSWER✅✅-key quality indicators that help health care institutions improve
performance, increase accountability and reduce costs
-intended to reduce health disparities
-all patients regardless of cultural and socioeconomic status are to be treated equally because the
standard of care applies to all
4 interrelated concepts - CORRECT ANSWER✅✅-self/cultural awareness
-Cultural knowledge
-cultural skill
-cultural desire
Transcultural care - CORRECT ANSWER✅✅culturally congruent when it fits a persons life patterns,
values, and system of meaning
Cultural encounter goals - CORRECT ANSWER✅✅-communicate in a way that generates a wide variety
of responses
-interact to validate, refine, or modify existing values, beliefs, and practices about a cultural group
Cultural desire - CORRECT ANSWER✅✅having the motivation to engage patients so that you
understand them from a cultural perspective
LEARN model - CORRECT ANSWER✅✅L: listen
E: explain
A: acknowledge
R: recommend
, N: negotiate
RESPECT model - CORRECT ANSWER✅✅1. what do you call the problem?
2. what do you think has caused the problem?
3. why do you think it started when it did?
4. What do you think the sickness does? how does it work?
5. how severe is the sickness? will it have a long or short course?
6. What kind of treatment do you think the patient should receive?
7. what are the chief problems the sickness has caused?
8. What do you fear most about the sickness?
Individualism vs. Collectivism - CORRECT ANSWER✅✅-interpersonal vs intrapersonal
Power distance - CORRECT ANSWER✅✅-acceptance of unequal distribution of power as legitimate or
fair
Masculine vs feminism - CORRECT ANSWER✅✅how gender roles are connected
religiosity varies to degree - CORRECT ANSWER✅✅organized/institutionalized
-help cope
Cultural assessment data - CORRECT ANSWER✅✅-origin and family
-communication
-personal beliefs about health, illness
-daily practices
Culture model - CORRECT ANSWER✅✅-health disparities
-spirituality
-family dynamics