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NR-503 Epidemiology final Exam/85 Questions and Answers
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NR-503 Epidemiology final Exam/85Questions and Answers
Kleinman explanatory Model - -Eliciting the patient's (explanatory) model
gives the physician knowledge of the beliefs the patient holds about his
illness, the personal and social meaning he attaches to his disorder, his
expectations about what will happen to him and what the doctor will do, and
his own therapeutic goals
-Cultural competence - -Cultural competence is defined as "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"
-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 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, commi tment
and passion to caring, regardless of conflict.
-ethnicity - -as "the aggregate of cultural practices, social influences,
religious pursuits, and racial characteristics shaping the distinctive identity of
community"
-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.
-The APN may also use the Kleinman Explanatory Model of Illness (1978).
Below are the questions that can be utilized. - -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?
-According to Giger and Davidhizer (2000), although cultures differ, they all
have the same basic organizing factors that must be assessed in order to
provide care for culturally diverse patients. These factors include - -
communication (verbal and nonverbal);
personal space;
social organization;
time perception;
environmental control; and
biological variations.
-The National Center for Cultural Competence (NCCC) provides national
leadership and contributes to the body of knowledge on cultural and
linguistic competency within systems and organizations. Major emphasis is
placed on translating evidence into policy and practice for programs and
personnel concerned with health and mental healthcare delivery,
administration, education, and advocacy. - -
-The NCCC uses four major approaches to fulfill its mission, including - -
Web-based technical assistance, (2) knowledge development and
dissemination, (3) supporting a community of learners, and (4) collaboration
and partnerships with diverse groups.
-These approaches entail the provision of training, technical assistance, and
consultation and are intended to facilitate networking, linkages, and
information exchange. The NCCC has particular expertise in developing
instruments and conducting organizational self-assessment processes to
advance cultural and linguistic competency. - -
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