NR 503 WEEK 5 -8 FINAL EXAM STUDY GUIDE
Week 5
1. How does culture influence the decisions a provider may make when selecting an intervention?
2. Explain how culture impacts provider attitudes? Does it? How will you assess your own attitudes
about various cultures/races/groups?
3. Review the terms for this week and apply them to population health; for instance: cultural
competence, cultural awareness, norms, values, Kleinman Explanatory Model, socioeconomic
status, disparities, minorities, food dessert.
o Culture - the practices, beliefs, values, and norms which can be learned or shared, and
which guide the actions and decisions of each person in the group
o Cultural competence - 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.
4 principles of cultural competence – Caring is designed for the specific client.
Care is based in the uniqueness of the person's culture and includes cultural
norms and values. Care includes self-employment strategies to facilitate client
decisions making to improve health behaviors. Care is provided with sensitivity
and is based on the cultural uniqueness of clients.
o Cultural awareness - Self-examination of one's own prejudices and biases toward other
cultures. An in-depth exploration of one's own cultural/ethnic background
o Cultural humility - A lifelong commitment to self-evaluation and self-critiques,
redressing the power of imbalances in the patient- physician dynamic, developing
mutually. Beneficial relationships
o Cultural knowledge - 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.
o Cultural skill - 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.
, o Norms and values - Specific practices that guide their actions and decisions of each
person in a group based on their culture. Can be either learned or shared.
o Kleinman Explanatory Model - A set of questions the advanced practice nurse can use in
order to assess the culture of a patient and proposes that individuals have vastly
different notions of health and disease.
o Socioeconomic Status - A measure that takes into account three interrelated
dimensions: a persons income level, education level, and type of occupation. Some
measures of socioeconomic status use only one dimension such as income.
o Disparities - A higher burden of illness, injury, disability, or mortality experienced by one
group in relation to another. ex. Socioeconomic, health, racial or ethnic
o Miniorities -
o Food dessert - Neighborhoods and communities that have limited access to affordable
fresh and nutritious food
o Ethnicity - the aggregate of cultural practices, social influences, religious pursuits, and
racial characteristics shaping the distinctive identity of community
4. What are the social determinants of health? How does a provider integrate knowledge of these
social determinants of health into their practice? Why are they important?
o Things like poverty, education level, racism, income and poor housing that affect access
to healthcare. Biology and genetics, individual behavior, social environment, physical
environment, and health services.
5. Apply social justice theory to the provision of care; what does social justice mean when applied
to health care?
o The goal that all people will have equal opportunity to healthcare access and quality of
healthcare will be the same
6. What data sources are used to assess determinants of health?
o Chronic Disease Indicators. Level of data: state, territory, select large metropolitan
areas. The Chronic Disease Indicators enable public health professionals and policy
makers to retrieve state and selected metropolitan-level data for chronic diseases and
risk factors.
o Interactive Atlas of Heart Disease and Stroke. Level of data: national, state, territory,
county. The Interactive Atlas of Heart Disease and Stroke enables online county-level
mapping of heart disease and stroke by race/ethnicity, gender, and age group. Maps can
show social and economic factors and health services for the United States, specific
states, or territories.
o National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Atlas. Level of
data: national, state, select territories. The Atlas provides interactive maps, graphs,
Week 5
1. How does culture influence the decisions a provider may make when selecting an intervention?
2. Explain how culture impacts provider attitudes? Does it? How will you assess your own attitudes
about various cultures/races/groups?
3. Review the terms for this week and apply them to population health; for instance: cultural
competence, cultural awareness, norms, values, Kleinman Explanatory Model, socioeconomic
status, disparities, minorities, food dessert.
o Culture - the practices, beliefs, values, and norms which can be learned or shared, and
which guide the actions and decisions of each person in the group
o Cultural competence - 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.
4 principles of cultural competence – Caring is designed for the specific client.
Care is based in the uniqueness of the person's culture and includes cultural
norms and values. Care includes self-employment strategies to facilitate client
decisions making to improve health behaviors. Care is provided with sensitivity
and is based on the cultural uniqueness of clients.
o Cultural awareness - Self-examination of one's own prejudices and biases toward other
cultures. An in-depth exploration of one's own cultural/ethnic background
o Cultural humility - A lifelong commitment to self-evaluation and self-critiques,
redressing the power of imbalances in the patient- physician dynamic, developing
mutually. Beneficial relationships
o Cultural knowledge - 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.
o Cultural skill - 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.
, o Norms and values - Specific practices that guide their actions and decisions of each
person in a group based on their culture. Can be either learned or shared.
o Kleinman Explanatory Model - A set of questions the advanced practice nurse can use in
order to assess the culture of a patient and proposes that individuals have vastly
different notions of health and disease.
o Socioeconomic Status - A measure that takes into account three interrelated
dimensions: a persons income level, education level, and type of occupation. Some
measures of socioeconomic status use only one dimension such as income.
o Disparities - A higher burden of illness, injury, disability, or mortality experienced by one
group in relation to another. ex. Socioeconomic, health, racial or ethnic
o Miniorities -
o Food dessert - Neighborhoods and communities that have limited access to affordable
fresh and nutritious food
o Ethnicity - the aggregate of cultural practices, social influences, religious pursuits, and
racial characteristics shaping the distinctive identity of community
4. What are the social determinants of health? How does a provider integrate knowledge of these
social determinants of health into their practice? Why are they important?
o Things like poverty, education level, racism, income and poor housing that affect access
to healthcare. Biology and genetics, individual behavior, social environment, physical
environment, and health services.
5. Apply social justice theory to the provision of care; what does social justice mean when applied
to health care?
o The goal that all people will have equal opportunity to healthcare access and quality of
healthcare will be the same
6. What data sources are used to assess determinants of health?
o Chronic Disease Indicators. Level of data: state, territory, select large metropolitan
areas. The Chronic Disease Indicators enable public health professionals and policy
makers to retrieve state and selected metropolitan-level data for chronic diseases and
risk factors.
o Interactive Atlas of Heart Disease and Stroke. Level of data: national, state, territory,
county. The Interactive Atlas of Heart Disease and Stroke enables online county-level
mapping of heart disease and stroke by race/ethnicity, gender, and age group. Maps can
show social and economic factors and health services for the United States, specific
states, or territories.
o National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Atlas. Level of
data: national, state, select territories. The Atlas provides interactive maps, graphs,
