QUESTIONS AND ANSWERS SURE A+
✔✔Four principles of cultural competence - ✔✔(1)Care is designed for the specific
client.
(2)Care is based on the uniqueness of the person's culture and includes cultural norms
and values.
(3)Care includes self-employment strategies to facilitate client decision making to
improve health behaviors.
(4)Care is provided with sensitivity and is based on the cultural uniqueness of clients.
✔✔Cultural nursing assessment - ✔✔a systematic identification and documentation of
the cultural care beliefs, meaning, values, symbols, and practices of individuals or
groups using a holistic perspective
✔✔Kleinman Explanatory Model of Illness - ✔✔What do you call your problem?
What do you think caused your problem?
Why do you think it started when it did?
What does your sickness do to you?
What do you fear most about your sickness?
What are the chief problems your sickness has caused you?
What kind of treatment do you think you should receive?
What is the most important result you hope to receive from the treatment?
✔✔What do you call your problem?
What do you think caused your problem?
Why do you think it started when it did?
What does your sickness do to you?
What do you fear most about your sickness?
What are the chief problems your sickness has caused you?
What kind of treatment do you think you should receive?
What is the most important result you hope to receive from the treatment? -
✔✔communication (verbal and nonverbal);
personal space;
social organization;
time perception;
environmental control; and
biological variations.
✔✔How does culture influence the decisions a provider may make when selecting an
intervention? - ✔✔It influences how an individual might view an illness, how they seek
care, and how they might respond to therapy. Cultural issues play a key role in
compliance
, ✔✔Explain how culture impacts provider attitudes? Does it? How will you assess your
own attitudes about various cultures/races/groups? - ✔✔By utilizing culture competence
we are able to have an open mind and positive attitude when treating diverse
populations. Having an open mind and positive attitude lets you understand the patient,
open more treatment options for the patient and being sensitive to treat clients form
other cultures in improving to treat all clients and not just one culture
✔✔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? - ✔✔the economic and social conditions that influence individual and group
differences in health status.
✔✔What data sources are used to assess determinants of health? - ✔✔What data
sources are used to assess determinants of health?
The National Center for Cultural Competence (NCCC)
Healthy People 2020
✔✔Mendel's theory of inheritance - ✔✔gene inheritance patterns, including autosomal
dominant, autosomal recessive, autosomal trisomy, X-linked dominant, X-linked
recessive disorders, and Y-chromosome linked disorders
✔✔Human genome project - ✔✔conducted from 1990 to 2003 to map and sequence
the entire human genome. The result has been the identification of over 1,800 genes
associated with various diseases
✔✔Genetics - ✔✔The study of individual genes and their impact on relatively rare single
gene disorders
✔✔Genomics - ✔✔The study of all genes in the human genome as well as their
interaction with other genes, the individual's environment, and the influence of cultural
and psychosocial factor
✔✔Genetic epidemiology - ✔✔The link of epidemiology and genetics
focuses on the risk of developing disease, in populations that have a genetic basis, and
is now recognized as a component of risk analysis.
✔✔Pharmacogenomics - ✔✔genetic variations can affect mediation efficacy, toxicity,
and drug interaction outside of the drugs themselves
✔✔Absolute risk - ✔✔probability of an event, such as illness, injury, or death - gives no
indication of how its magnitude compares with others.
✔✔Odds ratio + relative risk - ✔✔used to assess the strength of association between
risk factor and outcome.