Success in Practical/Vocational Nursing

Success in Practical/Vocational Nursing Ch 10 & 11 Graded A+ Culture - ANSWER way of life Cultural competence - ANSWER continuous attempt to gain knowledge and skills that will allow them to effectively provide care for patients of different cultures cultural sensitivity - ANSWER developing an awareness of different cultures and continually learning about people who are different from you Customs - ANSWER Generally accepted ways of doing things that are common to people who share the same culture Enculturation - ANSWER Process of learning your culture Worldview - ANSWER generally shared by persons of the same cultural background cultural bias - ANSWER mental leaning that is never proved or questioned by the individual Socialization - ANSWER process by which a person of one culture learns how to function in a larger culture Ethnocentrism - ANSWER people who belong to the same cultural group may develop the attitude that their way of doing things is superior, right, better than those of different cultures prejudice - ANSWER intolerance of another cultural group discrimination - ANSWER when rights and privileges are withheld from those of another culture stereotypes - ANSWER false assumption used to describe all members of a specific group without exception Six phenomena that are critical to the assessment of patients in providing culturally competent care - ANSWER communication, space, social organization, time, environmental control, and biological variations Communication differences - ANSWER language spoken, verbal behaviors, nonverbal behaviors, and the use of silence Space - ANSWER refers to the degree of comfort when speaking or interacting with people around us in a two-person group or setting. Anglo Americans prefer how much space? - ANSWER 0-18 inches Social organization - ANSWER refers to the family unit, the patient's affiliated religious or ethnic groups, and their political views Past oriented time reference - ANSWER punctuality is not priority, look to ancestors for wisdom and guidance and value previous experiences Future oriented - ANSWER generally punctual and strong planners; long term health care goals are important Environmental control - ANSWER refer to whether the person has an internal or external locus of control Biological variations - ANSWER visible or invisible; genetic tendencies or nutritional variations and incidence of specific disease Melting pot - ANSWER immigrants had given up their native culture and adopted the culture of the American people; 19th century US called this Cultural diversity - ANSWER refers to the many differences in the elements of culture in groups of people in American and Canadian society individual worth - ANSWER belief shared by all members of the healthcare team; the philosophy includes the uniqueness and value of each human being who comes for care regardless of differences that may be observed or perceived in that individual nonjudgmental - ANSWER taking the difference at face value, accepting people as they are, and giving high quality care Nuclear family - ANSWER mother, father, children extended family - ANSWER nuclear family plus grandparents and other relatives Vietnamese family structure? - ANSWER Extended family w/three or more generations living in the same house linear time - ANSWER time is a straight line with no beginning and no end economic level - ANSWER related to educational background Complementary and alternative medicine - ANSWER focuses on assisting the body's own healing powers and restoring body balance Biomedicine - ANSWER primary belief system of the US; also called Western medicine; abnormalities in structure and function of the body organs, bacteria, viruses, biochemical alterations, immune system disturbance, environmental factors Personalistic system - ANSWER believes disease is a punishment from ghost, God, evil spirit, sorcerer, ancestor spirit, witch Personalistic system DX - ANSWER by a person with magic or supernatural powers Personalistic system cure - ANSWER Shaman, diviner, herbalist, magic/religious specialist Personlaistic system prevention - ANSWER Faithful observance of rituals, protective spells, wearing objects that have magic properties Naturalistic system - ANSWER imbalance of body elements, yin/yang, wet/dry, emotions, bad luck Naturalistic system DX - ANSWER Cause of excess hot or cold identified Naturalistic system cure - ANSWER Physician or herbalist no supernatural or magical powers Naturalistic system prevention - ANSWER Maintain balance of hot and cold in body, mind, spirit, and environment Hispanics belief? - ANSWER Naturalistic; hot and cold Spirituality - ANSWER essential part of human being; pertaining to the soul, one's life force Spirit - ANSWER life force that penetrates the person's entire body; gives meaning to life Religion - ANSWER may be spiritual experience that contains specific beliefs and rituals spiritual dimension - ANSWER gives insight into the person's meaning of life, suffering, and death emotional needs - ANSWER include how people respond to deal with feelings of joy, anger, sorrow, guilt, remorse, and love Spiritual needs - ANSWER requirements that arise out of the desire of human beings to find meaning in life, suffering, and death