FINAL TEST EXAM REVIEW
WEEK 5
1. How does culture influence the decisions a provider may make when selecting an
intervention?
Healthcare professionals should provide care that is respectful to the patient’s culture and
should be culturally sensitive. Healthcare professionals need to gain knowledge about the
patient’s culture, traditions, religion, and beliefs in order for the healthcare interventions
to meet all of the patient’s needs and be satisfactory to the patient.
The Leininger’s Theory of Culture Care and Universality involves knowing and
understanding different cultures with respect to nursing and health-illness caring
practices, beliefs, and values with the goal to provide meanings and efficacious nursing
care services to patients according to their culture.
2. Explain how culture impacts provider attitudes. Does it? How will you assess your
own attitudes about various cultures/races/groups?
Culture impacts provider attitudes by requiring providers to focus on cultures other than
their own, being culturally sensitive, having cultural awareness and avoiding
stereotyping. Providers need to understand that patients may have traditions and beliefs
different from theirs, may have health disparities, and may have language difficulties or
may lack health literacy. Providers need to provide care and communicate with a patient
in a way that the patient will understand and provide a certified interpreter or use the
health phone line in cases of language barriers. The provider needs to be aware of their
culture, religion and beliefs first, in order for him or her to be comfortable and
understanding of other cultures, races, or religions.
Cultural competence in nursing consists of four principles:
Care is designed for the specific client.
Care is based on the uniqueness of the person's culture and includes cultural
norms and values.
Care includes self-employment strategies to facilitate client decision making to
improve health behaviors.
Care is provided with sensitivity and is based on the cultural uniqueness of
clients.
Accommodation -to create an environment that accommodates health practice and ritual
from other cultures within a plan of care
Acculturation -degree two which an individual from one culture has given up the traits
of that culture and adopted the traits of the dominant cultural in which they now reside
Assimilation -the social, economic, and political integration of a cultural group into a
mainstream society to which it may have emigrated
, 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.
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.
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.
Cultural Desire - motivation of the healthcare provider to "want" to engage in the
process of cultural competence, characteristics of compassion, authenticity, humility,
openness, availability, and flexibility, commitment and passion to caring, regardless of
conflict.
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.
Cultural Competence -respect for, and understanding of, diverse ethnic and cultural
groups, their histories, traditions, beliefs, and value systems. A dynamic, fluid,
continuous process whereby an individual, system, or healthcare agency find meaningful
and useful care delivery strategy based on knowledge of the cultural heritage, beliefs,
attitudes, and behavior of those to whom they render care. To assist healthcare providers
in achieving cultural competency and provide appropriate care, the APN must take
responsibility to acquire about the necessary skills
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
Cultural Norms – normal, usual, and typical cultural practices
Cultural Values – the core principles and ideals upon which an entire community exists;
it is composed of customs which are traditions and rituals, values which are beliefs,
culture which is a group’s values
Kleinman Explanatory Model – give the provider knowledge about the patient’s beliefs
of their illness, personal and social meanings to the sickness, what the patient thinks will
happen to him, and therapeutic goals. The model proposes that instead of simply asking
patients “where does it hurt?” the provider should focus on eliciting the patient’s answers
to “why”, “when”, “how”, and “what next”? why do you think the problem started?, what
do you think caused your problem?, what do you think this sickness does to you?, how
severe is your sickness, what are your chief problems?, what do you fear most about your
sickness?, what kind of treatment do you think you should receive?, what are the most
important results you hope to get from your treatment?
Socioeconomic Status – the social standing or class of an individual in a group. It is
often measured as a combination of education, income, and occupation. There are often
socioeconomic inequalities in access to resources, privileges, power, and control
WEEK 5
1. How does culture influence the decisions a provider may make when selecting an
intervention?
Healthcare professionals should provide care that is respectful to the patient’s culture and
should be culturally sensitive. Healthcare professionals need to gain knowledge about the
patient’s culture, traditions, religion, and beliefs in order for the healthcare interventions
to meet all of the patient’s needs and be satisfactory to the patient.
The Leininger’s Theory of Culture Care and Universality involves knowing and
understanding different cultures with respect to nursing and health-illness caring
practices, beliefs, and values with the goal to provide meanings and efficacious nursing
care services to patients according to their culture.
2. Explain how culture impacts provider attitudes. Does it? How will you assess your
own attitudes about various cultures/races/groups?
Culture impacts provider attitudes by requiring providers to focus on cultures other than
their own, being culturally sensitive, having cultural awareness and avoiding
stereotyping. Providers need to understand that patients may have traditions and beliefs
different from theirs, may have health disparities, and may have language difficulties or
may lack health literacy. Providers need to provide care and communicate with a patient
in a way that the patient will understand and provide a certified interpreter or use the
health phone line in cases of language barriers. The provider needs to be aware of their
culture, religion and beliefs first, in order for him or her to be comfortable and
understanding of other cultures, races, or religions.
Cultural competence in nursing consists of four principles:
Care is designed for the specific client.
Care is based on the uniqueness of the person's culture and includes cultural
norms and values.
Care includes self-employment strategies to facilitate client decision making to
improve health behaviors.
Care is provided with sensitivity and is based on the cultural uniqueness of
clients.
Accommodation -to create an environment that accommodates health practice and ritual
from other cultures within a plan of care
Acculturation -degree two which an individual from one culture has given up the traits
of that culture and adopted the traits of the dominant cultural in which they now reside
Assimilation -the social, economic, and political integration of a cultural group into a
mainstream society to which it may have emigrated
, 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.
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.
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.
Cultural Desire - motivation of the healthcare provider to "want" to engage in the
process of cultural competence, characteristics of compassion, authenticity, humility,
openness, availability, and flexibility, commitment and passion to caring, regardless of
conflict.
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.
Cultural Competence -respect for, and understanding of, diverse ethnic and cultural
groups, their histories, traditions, beliefs, and value systems. A dynamic, fluid,
continuous process whereby an individual, system, or healthcare agency find meaningful
and useful care delivery strategy based on knowledge of the cultural heritage, beliefs,
attitudes, and behavior of those to whom they render care. To assist healthcare providers
in achieving cultural competency and provide appropriate care, the APN must take
responsibility to acquire about the necessary skills
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
Cultural Norms – normal, usual, and typical cultural practices
Cultural Values – the core principles and ideals upon which an entire community exists;
it is composed of customs which are traditions and rituals, values which are beliefs,
culture which is a group’s values
Kleinman Explanatory Model – give the provider knowledge about the patient’s beliefs
of their illness, personal and social meanings to the sickness, what the patient thinks will
happen to him, and therapeutic goals. The model proposes that instead of simply asking
patients “where does it hurt?” the provider should focus on eliciting the patient’s answers
to “why”, “when”, “how”, and “what next”? why do you think the problem started?, what
do you think caused your problem?, what do you think this sickness does to you?, how
severe is your sickness, what are your chief problems?, what do you fear most about your
sickness?, what kind of treatment do you think you should receive?, what are the most
important results you hope to get from your treatment?
Socioeconomic Status – the social standing or class of an individual in a group. It is
often measured as a combination of education, income, and occupation. There are often
socioeconomic inequalities in access to resources, privileges, power, and control
