Exam (elaborations)
NSG 152 CULTURE, SPIRITUALITY & PATIENT EDUCATION (1
NSG 152 CULTURE, SPIRITUALITY & PATIENT EDUCATION (1
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NSG 152 CULTURE, SPIRITUALITY & PATIENTEDUCATION
cultural competence - CORRECT ANSWER-care delivered with an awareness of the aspects of
the patient's culture
Culture - CORRECT ANSWER-sum total of human behavior or social characteristics particular to
a specific group and passed from generation to generation or from one to another within the
group; all the ways of life including arts, beliefs and institutions of a population that are passed
down from generation to generation; the arts and other manifestations of human intellectual
achievement regarded collectively
cultural assimilation - CORRECT ANSWER-process that occurs when a minority group, living as
part of a dominant group within a culture, loses the cultural characteristics that made it different
culture shock - CORRECT ANSWER-those feelings, usually negative, a person experiences when
placed in a different culture
ethnicity - CORRECT ANSWER-sense of identification that a cultural group collectively has; the
sharing of common and unique cultural and social beliefs and behavior patterns, including
language and dialect, religious practices, literature, folklore, music, political interests, food
preferences and employment patterns
ethnocentrism - CORRECT ANSWER-Belief that one's own ideas, beliefs, and practices are best,
superior, or most preferred to those of others; using one's cultural norms as the standard to
evaluate others' beliefs
stereotyping - CORRECT ANSWER-assigning characteristics to a group of people without
considering specific individuality
Direct eye contact may be considered disrespectful in which cultures? - CORRECT
ANSWER--Asians
-Native Americans
-Indochinese
-Arabs
-Appalachians
_____________ may look downward in deference to age, biological sex, social position, economic
status, or authority. - CORRECT ANSWER-Hispanics
__________________ often indicate modesty by avoiding eye contact with men - CORRECT
ANSWER-Muslim-Arab women
________________ may avoid direct eye contact with women - CORRECT ANSWER-Hasidic
Jewish men
Cultural preferences regarding pain - CORRECT ANSWER--some may see pain as a sign of
weakness
-less likely to ask for pain or answer truthfully
-would rather use alternate pain remedies
,-some cultures encourage suppression of emotions related to pain
-some cultures encourage open expression of emotions related to pain
--nurse should respect the patient's right to respond to pain in his/her own manner
--never stereotype a patient's perceptions of or responses to pain based on the person's culture
Complementary & Alternative therapy for pain - CORRECT ANSWER--herbal tea/remedies
-cutaneous stimulation
-therapeutic touch
-acupuncture
-heat/cold
Cultural preferences regarding proximity/space - CORRECT ANSWER--Arabic & African origin
commonly sit and stand close to one another when talking
-people of Asian and European descent are more comfortable with more distance between
themselves and others
Cultural competence in nursing - CORRECT ANSWER--demonstrating knowledge &
understanding of the patient's culture, health-related needs, & culturally specific meanings of
health & illness
-developing awareness of one's own existence, sensations, thoughts & environment to prevent
them from having an undue influence on those from other backgrounds
-accepting & respecting cultural differences in a manner that facilitates the patient's & family's
abilities to make decisions to meet their needs & beliefs
-not assuming that the health care provider's beliefs & values are the same as the patient's
-resisting judgmental attitudes
-being open to & comfortable with cultural encounters
-accepting responsibility for one's own education in cultural competence by attending conferences,
reading professional literature, & observing cultural practices
Personal Values or Beliefs - CORRECT ANSWER--check them at the door
-develop cultural self-awareness
-develop cultural knowledge
-accommodate culture practices in healthcare
-respect culturally based family roles
-avoid mandating change
-seek cultural assistance
Sexual Orientation - CORRECT ANSWER-preferred biological sex of the partner of an individual;
refers to romantic, emotional, affectionate or sexual attraction to others
gender/gender identity - CORRECT ANSWER-who one goes to bed as
sexual orientation - CORRECT ANSWER-who one goes to bed with; who you are physically,
spiritually and emotionally attracted to based on their sex/gender in relation to your own
Principles to guide nursing care - CORRECT ANSWER-ANA Code of Ethics: Committed to the
fundamental uniqueness of each client
ICN: Nursing care should be respectful of & unrestricted by consideration of age, color, creed,
culture, disability/illness, gender, sexual orientation, nationality, politics, race or social status
, Natal sex - CORRECT ANSWER-sex assigned at birth
Gender Identity - CORRECT ANSWER-one's internal, deeply held sense of gender; not visible to
others
Transgender - CORRECT ANSWER-do not identify or exclusively identify with their sex assigned
at birth; gender identity differs from sex assigned at birth
Transition - CORRECT ANSWER-person's process of developing & assuming a gender
expression to match their gender identity
Transsesxual - CORRECT ANSWER-person of a certain biological sex with the feelings of the
opposite sex; similar to transgender
Genderqueer - CORRECT ANSWER-people who do not identify or express their gender within the
gender binary; may identify as neither male nor female, may see themselves as outside of or in
between the binary gender boxes, may simply feel restricted by gender labels; (how you, in your
head, think about yourself; the chemistry that composes you & how you interpret what that means)
Gender dysphoria - CORRECT ANSWER-anxiety/discomfort regarding one's sex assigned at birth
Androgynous - CORRECT ANSWER-gender expression is how you demonstrate your gender
through the ways you act, dress, behave & interact; partly male and partly female in appearance;
of indeterminate sex
intersex - CORRECT ANSWER-refers to the objectively measurable organs, hormones, and
chromosomes; Female=vagina, ovaries, xx chromosome; Male=penis, testes, xy chromosome;
intersex=combination of the two
A nurse is interviewing a newly admitted patient. Which question is considered culturally sensitive?
a. "Do you think you would be able to eat the food we have here?"
b. "Do you understand that we can't prepare special meals?"
c. "What types of food do you eat for meals?"
d. "Why can't you just eat our food while you are here?" - CORRECT ANSWER-c. "What types of
food do you eat for meals?"
A nurse is teaching a novice nurse how to provide care for patients in a culturally diverse
community health clinic. Although all these actions are recommended, which one is MOST basic
to providing culturally competent care?
a. learning the predominant language of the community
b. obtaining significant information about the community
c. treating each patient at the clinic as an individual
d. recognizing the importance of the patient's family - CORRECT ANSWER-c. treating each
patient at the clinic as an individual
Core aspects of Spirituality - CORRECT ANSWER--Faith
-Hope
-Transcendence
-Forgiveness
-Connectedness
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