NR-503 Epidemiology final exam with
correct answers
Kleinman explanatory Model - ** VERIFIED ANSWERS **✔✔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 - ** VERIFIED ANSWERS **✔✔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 - ** VERIFIED ANSWERS **✔✔: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 - ** VERIFIED ANSWERS **✔✔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 - ** VERIFIED ANSWERS **✔✔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: - ** VERIFIED ANSWERS **✔✔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 - ** VERIFIED ANSWERS **✔✔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 - ** VERIFIED ANSWERS **✔✔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. - ** VERIFIED ANSWERS **✔✔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. - ** VERIFIED ANSWERS **✔✔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 - ** VERIFIED ANSWERS **✔✔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. - ** VERIFIED ANSWERS **✔✔
The NCCC uses four major approaches to fulfill its mission, including - ** VERIFIED ANSWERS
**✔✔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. - ** VERIFIED ANSWERS **✔✔
Epidemiological Triad: - ** VERIFIED ANSWERS **✔✔host, agent, environment
Genetics is considered an agent in the epidemiological triad - ** VERIFIED ANSWERS **✔✔
Genetics - ** VERIFIED ANSWERS **✔✔The study of individual genes and their impact on
relatively rare single gene disorders
Genomics - ** VERIFIED ANSWERS **✔✔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 factors
Genetic epidemiology - ** VERIFIED ANSWERS **✔✔the link of epidemiology and genetics
Absolute risk - ** VERIFIED ANSWERS **✔✔is the probability of an event, such as illness, injury,
or death
Absolute risk - ** VERIFIED ANSWERS **✔✔gives no indication of how its magnitude compares
with others.