NUR 310 - CULTURE & DIVERSITY Questions With
Complete Solutions
4C'S OF CULTURE CARE Correct Answer • Call: What do
you think is wrong? [What do you call your problem?]
• Cause: What do you think caused your problem?
• Cope: How do you cope with your condition?
• Concerns: What are your concerns regarding the conditions
and/or recommended treatment?
BARRIERS: LACK OF DIVERSITY AMONG HEALTH
CARE PROVIDERS (HCP) AND NURSES Correct Answer •
6% of physicians, 5% of dentist, 9% nurses
• 2015 National Workforce Survey of Registered
- 80.5% Caucasian/white, 6% Black/African American (13.4%
US), 4.8% Hispanic (18% US), 6% Asian or Native
Hawaiian/Pacific Native, 1% other
- 14.1% RN's are male (50% us pop)
Multicultural Profession: Nurses of all Backgrounds
CONTEXTUAL ELEMENTS IMPACTING NURSING
PRACTICE AND PATIENT CARE Correct Answer Culture:
America: A Nation of Immigrants
A. 1600's European settlements
B. 1690's African Slave Transport
C. Eastern Europeans 1st half 20th century (first immigrants)
escaping religious persecution and hiding their ethnic roots
,B. Soviet Union (WWII) escape communism
C. Southeast Asian immigrants (withdrawal from Vietnam)
D. Mexico, South American (recently for economic refuge)
DIFFERENCES BETWEEN CULTURAL BACKGROUND
OF PATIENT AND PROVIDER MAY IMPACTS HEALTH
OUTCOMES Correct Answer Patients Background
• Advantages, disadvantages and privileges that impact health
status and ability engagement in health promoting behaviors
• Likelihood of adverse health outcomes
• Success in life and contributions to society
DIFFERENCES BETWEEN CULTURAL BACKGROUND
OF PATIENT AND PROVIDER MAY IMPACTS HEALTH
OUTCOMES Correct Answer Providers Background
• Differences in culture and lack of understanding of privilege
can lead to inaccurate assumptions about others health or health
behavior
• Inappropriate treatment recommendations
• Inaccurate diagnoses
• Incomplete, inaccurate health assessments
DIFFERENT IDEAS ABOUT ILLNESS Correct Answer •
Gaining a better understanding of a pt's perception of his or her
illness is extremely valuable in providing culturally and
linguistically competent care.
• Acute illness: severe sx that are relatively short lived
• Chronic illness: gradual development of sx that are long-lived
requiring ongoing medical attention.
, DIFFERENT IDEAS ABOUT ILLNESS Correct Answer •
Response to illness varies widely: Individual personality
influences illness response
• Disease: physiological and psychological processes
• Illness: psycho-social meaning and experience of the perceived
disease for the individual, the family, and those associated w/
the individual
DIVERSITY DEFINED Correct Answer An all-inclusive
concept, and includes DIFFERENCES in race, color, ethnicity,
national origin, and immigration status (refugee, sojourner,
immigrant, or undocumented)
- religion, age, gender, sexual orientation, ability/disability,
political beliefs, social and economic status, education,
occupation, spirituality, language, marital and parental status,
urban versus rural residence, enclave identity, and other
attributes of groups of people in society.
FAMILIES HAVE SIMILARITIES AND DIFFERENCES
Correct Answer Many variations exist
• Structure: Organization of the elements within the family
(matriarchal/patriarchal)
• Process: Phenomenon occurring over time; growth,
development, & change
• Function: Results or effectiveness of family
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