NUR 190 Final Exam Study Guide
Questions and Answers
cultural diversity - Answer-Plurality of ideas and opinions for behavior to which people
are exposed, adding to the texture and complexity of a society
cultural relativity - Answer-Principle that meaning is created by one's culture and truth is
culture-specific; the same experience may carry different meanings to people of
different cultures
culturally competent nursing characteristics - Answer-Nursing that has the "attitudes,
knowledge, and skills necessary to provide quality care to diverse populations"
culture - Answer-1. a society's behavior and institutions
2. growth of microorganisms in a specialized medium under precise conditions
culture shock - Answer-Failure to comprehend the culture in which one is living
ethnicity of ethnic identity - Answer-shared cultural characteristics that symbolize a
common group origin
ethnocentrism - Answer-use of one's own culture to judge the beliefs, behaviors,
attitudes, and values of people in another culture
health disparity - Answer-a particular type of health difference that is closely linked to
*social or economic* disadvantage
health equity - Answer-attainment of the highest level of health for all people
implicit bias - Answer-An extension of implicit cultural perspectives that is frequent and
long-lasting, functioning at an unconscious level and impacting one's views, conduct,
and recall of events
key informants - Answer-
minority - Answer-persons who know and will discuss certain aspect of their culture with
someone outside that culture
race - Answer-group defined by biological characteristics
racism - Answer-oppression and exploitation of people of a different skin color or ethnic
origin
rituals - Answer-common and observable expressions of culture
,Stereotypes - Answer-pre-conceived beliefs about a person or peoples
subculture - Answer-beliefs held by a portion (e.g., occupational or age group) of the
larger population
transcultural nursing - Answer-nursing practice that is patient centered, evidence based,
and is influenced by culture
what culture is... - Answer-Learned from others- not innate
Learned over a period of time
Shared by people who communicate overtime
Shared unequally by members- some have more access
Dynamic- always changing
Diverse- increase ideas and opinions
Reasonable- makes sense to members
Implicit- habitat and habituated assumptions
Not easily described by members
Stabilizing- predictable responses
Ethnocentric- one's own culture as the standard
Relative- to socio ecological context
Persuasive and holistic
Ritualistic
Recognizable- in patterns
what culture is not... - Answer-*Predictable* at individual levels
Necessarily *logical* or reasonable to the outside observer
A *set of traits*
what culture functions to... - Answer-Guide behavior
Interpret experience
Explain the unknown
Leininger Modalities (3) *PAR* - Answer-Culture care preservation/maintenance
Culture care accommodation
Culture care repatterning
culture care preservation/maintenance - Answer-refers to assistive, supportive,
facilitative, or enabling professional actions and decisions which help specific culture to
*maintain care values and life ways for their well-being*, to recover from illness, or to
deal with a handicap or dying
culture care accommodation - Answer-refers to assistive, supportive, facilitative, or
enabling professional actions and decisions that help people of specific culture or
subculture *adapt to or negotiate with others for meaningful, beneficial, and congruent
health outcomes*
, culture care repatterning - Answer-refers to assistive, supportive, facilitative, or enabling
professional actions and decisions that help patients *reorder, change, or modify their
life* ways for new, different, and beneficial health outcomes
Barriers to culturally competent care (9) *VLA* - Answer-Vulnerable Populations
Language & Health Literacy
Availability
Accessibility
Affordability
Appropriateness
Accountability
Adaptability
Acceptability
Awareness
Attitudes
Approachability
Alternative Practices
culturally competent nursing goals - Answer-Care that assures quality and safety;
nurses *increase the quality and safety* of their care by considering cultural influences
on their own responses as well as on those of the patient, family, or community to
health, illness, disease, and injury
culture assessment - Answer-- Understand culture
- Recognize nurse's own bias/prejudice
- Cultural Assessment
- Culturally sensitive communication
- Open Ended Interviews
- Key Informants
- identify patients' and families' *views of themselves, their health, their patterns of daily
living, demands that are made on them, their resources, and their values and goals*
- Interviewees are the expert and recording date without editing is critical
grief - Answer-Characteristic pattern of psychological and physiologic responses to the
loss of a significant person, object, belief, or relationship
bereavement - Answer-response to the death of a significant
- "Taking away or being deprived of"
- State of desolation in result of a loss
- Response to loss, including; emotional, physical, social, cognitive
dysfunctional grief - Answer-Grief that falls outside normal parameters; may manifest as
*absence of, delayed, exaggerated, or prolonged* grief