NR 503 FINAL EXAM REVIEW
I I I I
WEEK 5 I
1. How Idoes Iculture Iinfluence Ithe Idecisions Ia Iprovider Imay Imake Iwhen Iselecting Ian
Iintervention?
Healthcare Iprofessionals Ishould Iprovide Icare Ithat Iis Irespectful Ito Ithe Ipatient’s Iculture Iand
Ishould Ibe Iculturally Isensitive. IHealthcare Iprofessionals Ineed Ito Igain Iknowledge Iabout Ithe
Ipatient’s Iculture, Itraditions, Ireligion, Iand Ibeliefs Iin Iorder Ifor Ithe Ihealthcare Iinterventions
Ito Imeet Iall Iof Ithe Ipatient’s Ineeds Iand Ibe Isatisfactory Ito Ithe Ipatient.
The ILeininger’s ITheory Iof ICulture ICare Iand IUniversality Iinvolves Iknowing Iand
Iunderstanding Idifferent Icultures Iwith Irespect Ito Inursing Iand Ihealth-illness Icaring
Ipractices, Ibeliefs, Iand Ivalues Iwith Ithe Igoal Ito Iprovide Imeanings Iand Iefficacious Inursing
Icare Iservices Ito Ipatients Iaccording Ito Itheir Iculture.
2. Explain Ihow Iculture Iimpacts Iprovider Iattitudes. IDoes Iit? IHow Iwill Iyou Iassess Iyour
Iown Iattitudes Iabout Ivarious Icultures/races/groups?
Culture Iimpacts Iprovider Iattitudes Iby Irequiring Iproviders Ito Ifocus Ion Icultures Iother Ithan
Itheir Iown, Ibeing Iculturally Isensitive, Ihaving Icultural Iawareness Iand Iavoiding
Istereotyping. IProviders Ineed Ito Iunderstand Ithat Ipatients Imay Ihave Itraditions Iand Ibeliefs
Idifferent Ifrom Itheirs, Imay Ihave Ihealth Idisparities, Iand Imay Ihave Ilanguage Idifficulties Ior
Imay Ilack Ihealth Iliteracy. IProviders Ineed Ito Iprovide Icare Iand Icommunicate Iwith Ia Ipatient
Iin Ia Iway Ithat Ithe Ipatient Iwill Iunderstand Iand Iprovide Ia Icertified Iinterpreter Ior Iuse Ithe
Ihealth Iphone Iline Iin Icases Iof Ilanguage Ibarriers. IThe Iprovider Ineeds Ito Ibe Iaware Iof Itheir
Iculture, Ireligion Iand Ibeliefs Ifirst, Iin Iorder Ifor Ihim Ior Iher Ito Ibe Icomfortable Iand
Iunderstanding Iof Iother Icultures, Iraces, Ior Ireligions.
Cultural Icompetence Iin Inursing Iconsists Iof Ifour Iprinciples:
• Care Iis Idesigned Ifor Ithe Ispecific Iclient.
• Care Iis Ibased Ion Ithe Iuniqueness Iof Ithe Iperson's Iculture Iand Iincludes Icultural
Inorms Iand Ivalues.
• Care Iincludes Iself-employment Istrategies Ito Ifacilitate Iclient Idecision Imaking Ito
Iimprove Ihealth Ibehaviors.
• Care Iis Iprovided Iwith Isensitivity Iand Iis Ibased Ion Ithe Icultural Iuniqueness Iof
Iclients.
Accommodation I-to Icreate Ian Ienvironment Ithat Iaccommodates Ihealth Ipractice Iand Iritual
Ifrom Iother Icultures Iwithin Ia Iplan Iof Icare
Acculturation I-degree Itwo Iwhich Ian Iindividual Ifrom Ione Iculture Ihas Igiven Iup Ithe Itraits
Iof Ithat Iculture Iand Iadopted Ithe Itraits Iof Ithe Idominant Icultural Iin Iwhich Ithey Inow Ireside
IAssimilation I-the Isocial, Ieconomic, Iand Ipolitical Iintegration Iof Ia Icultural Igroup Iinto Ia
Imainstream Isociety Ito Iwhich Iit Imay Ihave Iemigrated
, Cultural IHumility I– Ia Ilifelong Icommitment Ito Iself-evaluation Iand Iself-critiques,
Iredressing Ithe Ipower Iof Iimbalances Iin Ithe Ipatient- Iphysician Idynamic, Ideveloping
Imutually. IBeneficial Irelationships.
Cultural IKnowledge I- Iobtaining Ia Isound Ieducational Ifoundation Iconcerning Ithe Ivarious
Iworldviews Iof Idifferences Icultures. IObtaining Iknowledge Iregarding Ibiological Ivariations,
Idisease Iand Ihealth Iconditions Iand Ivariation Iin Idrug Imetabolism.
Cultural ISkill I- Iability Ito Icollect Iculturally Irelevant Idata Iregarding Ithe Iclient's Ihealth
Ihistory Iand Ipresenting Iproblem. IAbility Ito Iconduct Iculturally Ibased Iphysician
Iassessments. IConducting Ithese Iassessments Iin Ia Iculturally Isensitive Imanner.
Cultural IDesire I- Imotivation Iof Ithe Ihealthcare Iprovider Ito I"want" Ito Iengage Iin Ithe
Iprocess Iof Icultural Icompetence, Icharacteristics Iof Icompassion, Iauthenticity, Ihumility,
Iopenness, Iavailability, Iand Iflexibility, Icommitment Iand Ipassion Ito Icaring, Iregardless Iof
Iconflict.
3. Review Ithe Iterms Ifor Ithis Iweek Iand Iapply Ithem Ito Ipopulation Ihealth; Ifor Iinstance:
Icultural Icompetence, Icultural Iawareness, Inorms, Ivalues, IKleinman IExplanatory
IModel, Isocioeconomic Istatus, Idisparities, Iminorities, Ifood Idessert.
Cultural ICompetence I-respect Ifor, Iand Iunderstanding Iof, Idiverse Iethnic Iand Icultural
Igroups, Itheir Ihistories, Itraditions, Ibeliefs, Iand Ivalue Isystems. IA Idynamic, Ifluid, Icontinuous
Iprocess Iwhereby Ian Iindividual, Isystem, Ior Ihealthcare Iagency Ifind Imeaningful Iand Iuseful
Icare Idelivery Istrategy Ibased Ion Iknowledge Iof Ithe Icultural Iheritage, Ibeliefs, Iattitudes, Iand
Ibehavior Iof Ithose Ito Iwhom Ithey Irender Icare. ITo Iassist Ihealthcare Iproviders Iin Iachieving
Icultural Icompetency Iand Iprovide Iappropriate Icare, Ithe IAPN Imust Itake Iresponsibility Ito
Iacquire Iabout Ithe Inecessary Iskills
Cultural IAwareness I- Iself-examination Iof Ione's Iown Iprejudices Iand Ibiases Itoward Iother
Icultures. IAn Iin-depth Iexploration Iof Ione's Iown Icultural/ethnic Ibackground
Cultural INorms I– Inormal, Iusual, Iand Itypical Icultural Ipractices
Cultural IValues I– Ithe Icore Iprinciples Iand Iideals Iupon Iwhich Ian Ientire Icommunity Iexists;Iit
Iis Icomposed Iof Icustoms Iwhich Iare Itraditions Iand Irituals, Ivalues Iwhich Iare Ibeliefs, Iculture
Iwhich Iis Ia Igroup’s Ivalues
Kleinman IExplanatory IModel I– Igive Ithe Iprovider Iknowledge Iabout Ithe Ipatient’s Ibeliefs
Iof Itheir Iillness, Ipersonal Iand Isocial Imeanings Ito Ithe Isickness, Iwhat Ithe Ipatient Ithinks Iwill
Ihappen Ito Ihim, Iand Itherapeutic Igoals. IThe Imodel Iproposes Ithat Iinstead Iof Isimply Iasking
Ipatients I“where Idoes Iit Ihurt?” Ithe Iprovider Ishould Ifocus Ion Ieliciting Ithe Ipatient’s Ianswers
Ito I“why”, I“when”, I“how”, Iand I“what Inext”? Iwhy Ido Iyou Ithink Ithe Iproblem Istarted?, Iwhat
Ido Iyou Ithink Icaused Iyour Iproblem?, Iwhat Ido Iyou Ithink Ithis Isickness Idoes Ito Iyou?, Ihow
Isevere Iis Iyour Isickness, Iwhat Iare Iyour Ichief Iproblems?, Iwhat Ido Iyou Ifear Imost Iabout Iyour
Isickness?, Iwhat Ikind Iof Itreatment Ido Iyou Ithink Iyou Ishould Ireceive?, Iwhat Iare Ithe Imost
Iimportant Iresults Iyou Ihope Ito Iget Ifrom Iyour Itreatment?
Socioeconomic IStatus I– Ithe Isocial Istanding Ior Iclass Iof Ian Iindividual Iin Ia Igroup. IIt Iis
Ioften Imeasured Ias Ia Icombination Iof Ieducation, Iincome, Iand Ioccupation. IThere Iare Ioften
Isocioeconomic Iinequalities Iin Iaccess Ito Iresources, Iprivileges, Ipower, Iand Icontrol
I I I I
WEEK 5 I
1. How Idoes Iculture Iinfluence Ithe Idecisions Ia Iprovider Imay Imake Iwhen Iselecting Ian
Iintervention?
Healthcare Iprofessionals Ishould Iprovide Icare Ithat Iis Irespectful Ito Ithe Ipatient’s Iculture Iand
Ishould Ibe Iculturally Isensitive. IHealthcare Iprofessionals Ineed Ito Igain Iknowledge Iabout Ithe
Ipatient’s Iculture, Itraditions, Ireligion, Iand Ibeliefs Iin Iorder Ifor Ithe Ihealthcare Iinterventions
Ito Imeet Iall Iof Ithe Ipatient’s Ineeds Iand Ibe Isatisfactory Ito Ithe Ipatient.
The ILeininger’s ITheory Iof ICulture ICare Iand IUniversality Iinvolves Iknowing Iand
Iunderstanding Idifferent Icultures Iwith Irespect Ito Inursing Iand Ihealth-illness Icaring
Ipractices, Ibeliefs, Iand Ivalues Iwith Ithe Igoal Ito Iprovide Imeanings Iand Iefficacious Inursing
Icare Iservices Ito Ipatients Iaccording Ito Itheir Iculture.
2. Explain Ihow Iculture Iimpacts Iprovider Iattitudes. IDoes Iit? IHow Iwill Iyou Iassess Iyour
Iown Iattitudes Iabout Ivarious Icultures/races/groups?
Culture Iimpacts Iprovider Iattitudes Iby Irequiring Iproviders Ito Ifocus Ion Icultures Iother Ithan
Itheir Iown, Ibeing Iculturally Isensitive, Ihaving Icultural Iawareness Iand Iavoiding
Istereotyping. IProviders Ineed Ito Iunderstand Ithat Ipatients Imay Ihave Itraditions Iand Ibeliefs
Idifferent Ifrom Itheirs, Imay Ihave Ihealth Idisparities, Iand Imay Ihave Ilanguage Idifficulties Ior
Imay Ilack Ihealth Iliteracy. IProviders Ineed Ito Iprovide Icare Iand Icommunicate Iwith Ia Ipatient
Iin Ia Iway Ithat Ithe Ipatient Iwill Iunderstand Iand Iprovide Ia Icertified Iinterpreter Ior Iuse Ithe
Ihealth Iphone Iline Iin Icases Iof Ilanguage Ibarriers. IThe Iprovider Ineeds Ito Ibe Iaware Iof Itheir
Iculture, Ireligion Iand Ibeliefs Ifirst, Iin Iorder Ifor Ihim Ior Iher Ito Ibe Icomfortable Iand
Iunderstanding Iof Iother Icultures, Iraces, Ior Ireligions.
Cultural Icompetence Iin Inursing Iconsists Iof Ifour Iprinciples:
• Care Iis Idesigned Ifor Ithe Ispecific Iclient.
• Care Iis Ibased Ion Ithe Iuniqueness Iof Ithe Iperson's Iculture Iand Iincludes Icultural
Inorms Iand Ivalues.
• Care Iincludes Iself-employment Istrategies Ito Ifacilitate Iclient Idecision Imaking Ito
Iimprove Ihealth Ibehaviors.
• Care Iis Iprovided Iwith Isensitivity Iand Iis Ibased Ion Ithe Icultural Iuniqueness Iof
Iclients.
Accommodation I-to Icreate Ian Ienvironment Ithat Iaccommodates Ihealth Ipractice Iand Iritual
Ifrom Iother Icultures Iwithin Ia Iplan Iof Icare
Acculturation I-degree Itwo Iwhich Ian Iindividual Ifrom Ione Iculture Ihas Igiven Iup Ithe Itraits
Iof Ithat Iculture Iand Iadopted Ithe Itraits Iof Ithe Idominant Icultural Iin Iwhich Ithey Inow Ireside
IAssimilation I-the Isocial, Ieconomic, Iand Ipolitical Iintegration Iof Ia Icultural Igroup Iinto Ia
Imainstream Isociety Ito Iwhich Iit Imay Ihave Iemigrated
, Cultural IHumility I– Ia Ilifelong Icommitment Ito Iself-evaluation Iand Iself-critiques,
Iredressing Ithe Ipower Iof Iimbalances Iin Ithe Ipatient- Iphysician Idynamic, Ideveloping
Imutually. IBeneficial Irelationships.
Cultural IKnowledge I- Iobtaining Ia Isound Ieducational Ifoundation Iconcerning Ithe Ivarious
Iworldviews Iof Idifferences Icultures. IObtaining Iknowledge Iregarding Ibiological Ivariations,
Idisease Iand Ihealth Iconditions Iand Ivariation Iin Idrug Imetabolism.
Cultural ISkill I- Iability Ito Icollect Iculturally Irelevant Idata Iregarding Ithe Iclient's Ihealth
Ihistory Iand Ipresenting Iproblem. IAbility Ito Iconduct Iculturally Ibased Iphysician
Iassessments. IConducting Ithese Iassessments Iin Ia Iculturally Isensitive Imanner.
Cultural IDesire I- Imotivation Iof Ithe Ihealthcare Iprovider Ito I"want" Ito Iengage Iin Ithe
Iprocess Iof Icultural Icompetence, Icharacteristics Iof Icompassion, Iauthenticity, Ihumility,
Iopenness, Iavailability, Iand Iflexibility, Icommitment Iand Ipassion Ito Icaring, Iregardless Iof
Iconflict.
3. Review Ithe Iterms Ifor Ithis Iweek Iand Iapply Ithem Ito Ipopulation Ihealth; Ifor Iinstance:
Icultural Icompetence, Icultural Iawareness, Inorms, Ivalues, IKleinman IExplanatory
IModel, Isocioeconomic Istatus, Idisparities, Iminorities, Ifood Idessert.
Cultural ICompetence I-respect Ifor, Iand Iunderstanding Iof, Idiverse Iethnic Iand Icultural
Igroups, Itheir Ihistories, Itraditions, Ibeliefs, Iand Ivalue Isystems. IA Idynamic, Ifluid, Icontinuous
Iprocess Iwhereby Ian Iindividual, Isystem, Ior Ihealthcare Iagency Ifind Imeaningful Iand Iuseful
Icare Idelivery Istrategy Ibased Ion Iknowledge Iof Ithe Icultural Iheritage, Ibeliefs, Iattitudes, Iand
Ibehavior Iof Ithose Ito Iwhom Ithey Irender Icare. ITo Iassist Ihealthcare Iproviders Iin Iachieving
Icultural Icompetency Iand Iprovide Iappropriate Icare, Ithe IAPN Imust Itake Iresponsibility Ito
Iacquire Iabout Ithe Inecessary Iskills
Cultural IAwareness I- Iself-examination Iof Ione's Iown Iprejudices Iand Ibiases Itoward Iother
Icultures. IAn Iin-depth Iexploration Iof Ione's Iown Icultural/ethnic Ibackground
Cultural INorms I– Inormal, Iusual, Iand Itypical Icultural Ipractices
Cultural IValues I– Ithe Icore Iprinciples Iand Iideals Iupon Iwhich Ian Ientire Icommunity Iexists;Iit
Iis Icomposed Iof Icustoms Iwhich Iare Itraditions Iand Irituals, Ivalues Iwhich Iare Ibeliefs, Iculture
Iwhich Iis Ia Igroup’s Ivalues
Kleinman IExplanatory IModel I– Igive Ithe Iprovider Iknowledge Iabout Ithe Ipatient’s Ibeliefs
Iof Itheir Iillness, Ipersonal Iand Isocial Imeanings Ito Ithe Isickness, Iwhat Ithe Ipatient Ithinks Iwill
Ihappen Ito Ihim, Iand Itherapeutic Igoals. IThe Imodel Iproposes Ithat Iinstead Iof Isimply Iasking
Ipatients I“where Idoes Iit Ihurt?” Ithe Iprovider Ishould Ifocus Ion Ieliciting Ithe Ipatient’s Ianswers
Ito I“why”, I“when”, I“how”, Iand I“what Inext”? Iwhy Ido Iyou Ithink Ithe Iproblem Istarted?, Iwhat
Ido Iyou Ithink Icaused Iyour Iproblem?, Iwhat Ido Iyou Ithink Ithis Isickness Idoes Ito Iyou?, Ihow
Isevere Iis Iyour Isickness, Iwhat Iare Iyour Ichief Iproblems?, Iwhat Ido Iyou Ifear Imost Iabout Iyour
Isickness?, Iwhat Ikind Iof Itreatment Ido Iyou Ithink Iyou Ishould Ireceive?, Iwhat Iare Ithe Imost
Iimportant Iresults Iyou Ihope Ito Iget Ifrom Iyour Itreatment?
Socioeconomic IStatus I– Ithe Isocial Istanding Ior Iclass Iof Ian Iindividual Iin Ia Igroup. IIt Iis
Ioften Imeasured Ias Ia Icombination Iof Ieducation, Iincome, Iand Ioccupation. IThere Iare Ioften
Isocioeconomic Iinequalities Iin Iaccess Ito Iresources, Iprivileges, Ipower, Iand Icontrol
