NR-503 Epidemiology final Test
Questions and Complete Solutions
Graded A+
Kleinman explanatory Model - Answer: Eliciting the patient's (explanatory) model gives the provider:
-knowledge of the pt's beliefs about his illness,
-the personal & social meaning he attaches to d/o -his expectations about what will happen to him
-what the doctor will do
-his own therapeutic goals
Cultural competence - Answer: 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 - Answer: 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 - Answer: A lifelong commitment to self-evaluation and self-critiques, redressing the
power of imbalances in the patient-provider dynamic, developing mutually beneficial relationships.
Cultural Knowledge - Answer: Obtaining a sound educational foundation concerning the various
worldviews of different cultures.
Obtaining knowledge regarding biological variations, disease and health conditions, and variations in
drug metabolism.
Cultural Skill - Answer: 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 - Answer: 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 - Answer: 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. - Answer: 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.
The APN may also use the Kleinman Explanatory Model of Illness (1978). Below are the questions that
can be utilized. - Answer: -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 they differ from each other, all cultures have the
same basic organizing factors that must be assessed in order to provide care for culturally diverse
patients. These factors are: - Answer: -communication (verbal and nonverbal);
-personal space;
-social organization;
-time perception;
-environmental control; and
-biological variations.
National Center for Cultural Competence (NCCC) - Answer: -Provides national leadership and contributes
to the body of knowledge on cultural and linguistic competency within systems and organizations.
-Places major emphasis on translating evidence into policy and practice for programs and personnel
concerned with health and mental healthcare delivery, administration, education, and advocacy.
The NCCC's (4) major approaches to fulfill its mission are: - Answer: (1) Web-based technical assistance
(2) Knowledge development and dissemination (3) Supporting a community of learners
(4) Collaboration & 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 - Answer: advance cultural and linguistic competency.
Genetics is considered an agent in the epidemiological triad - Answer: Genetics = Agent in Triad
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