SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN EXAMINATION 9TH EDITION BY SILVESTRI CHAPTER 1-44
Saunders Comprehensive Review for the NCLEX-RN® Examination EIGHTH EDITION Linda Anne Silvestri, PhD, RN
SAUNDERS Q & A REVIEW FOR THE NCLEX-RN® EXAMINATION 2024 -2025 (QUESTION 1- 400 CHAPTER 6: PHYSIOLOGICAL INTEGRITY PRACTICE QUESTIONS
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TRANSCULTURAL NURSING EXAM
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Cultural Relativism
Judging and interpreting the behaviour of others in terms of their traditions and experiences
as opposed to one's own experiences and traditions.
Cultual Knowledge
As an element of the Cultural Care Framework, identifies that cultural competence in
knowledge based-care. Cultural knowledge two components: specific cultural knowledge and
generic cultural knowledge. .
Transference
,Cultural transference and counter-transference occurs in the therapeutic relationship. Majority
(M) and minority (m) refer to power dynamics. With a majority therapist and minority client
(Mm), the client may be more trusting of the healthcare provider, feeling that a majority
healthcare provider is more educated than a minority one, leading to a positive transference;
or the client may feel discriminated against by the majority healthcare provider because of
past experience, leading to a negative transference.
Somatization
A phenomenon where emotional or mental distress is expressed as a physical complaint.
Generic Cultural Competencies
A broad set of knowledge, skills, and attitudes that enable that healthcare provider to work
cross-culturally with clients from any ethnocultural groups.
Generic Cultural Knowledge
Fundamental knowledge of cultural issues that can be applied across cultural and clinical
populations.
Specific Cultural Competencies
Intimate knowledge of the culture, community, and culturally appropriate treatment
approaches and skills, such as language, fluency, that enable healthcare provider to practice
effectively with clients who identify with a particular cultural group.
Specific Cultural Knowledge
,In-depth cultural knowledge that is pertinent to specific clinical or cultural populations.
Marginalization
To relegate or confine to a lower or outer limit or edge, as of social standing. The social
process of marginalization refers to a lack of equitable access to social, political, and
economic benefit, including health, on the basis of one's membership in an identifiable group.
Cultural Competence
Refers to the ability of healthcare providers to apply knowledge and skill appropriately in
interactions with clients in cross-cultural situations.
Cultural Mindedness
The aptitude for dealing with cross-cultural interactions and situations. This is what
healthcare providers bring to the clinical encounter. Part of the aptitude is derived from
nature, but part of it also can be purposefully nourished. We consider this aptitude to be the
basis of the cultural competence, and enhancing our CM will develop it.
Cultural Mindedness -Domains
Attitude: curiosity, respect, desire to connect
Awareness -awareness of world views, healthcare provider has a distinct worldview, power
dynamics and how they effect relationship
Autobiography -healthcare provider's unique life experience, which also powerfully
contributes to CM: past, present, and future (aspirations).
Cultural proficiency
, Part of the cultural competence continuum. This stage where practitioners and organizations
value diversity and seek out the positive role that culture can play in health and health care.
Ethnocentrism
A belief that one's own cultural values, beliefs, and behaviours are the best, preferred, and
most superior ways.
Cultural Destructiveness
Refers to attitudes, practices, and organizational policies that focus on the superiority of one
culture to the extent that other cultures are dehumanized and destroyed.
Acculturation
The process by which members of a cultural group learn an adopt behaviours of a different
culture as a result of close, often continuous, contact.
Four types -assimilation, integration, rejection, deculturaiton.
Cultural Incapacity
Refers to the inability of healthcare providers and institutions to help clients from different
cultures. The dominant client group serves as the norm for all care, and systemic biases lead
to paternalism or exclusionary approaches for diverse communities. The subtle and not-so-
subtle messages are that members of communities that are different are not welcomes, valued,
or able to fit into all systems of care. The expectation is that the minority culture will adapt
to, accept, and even be grateful for, the care provided. Cultural incapacity is said to exist
when healthcare providers are aware of the need to do things differently but do not recognize
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