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Health Assesment Test 1-ch4
ch4
11
Medical
Professional
09/12/2008

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Cards

Term
Cultural Competence
Definition
incorporating the following in health assessment: cultural factors
beliefs
customs
practices
improve the nurses ability to gather and interpret data
-helps to eliminate health disparities
Term
assimilation
Definition
refers to the adoption and incorporation of characteristics, customs, and values of the dominant culture by those new to that culture
Term
Guidelines for cultural assessment: Ethnicity
Definition
does the client identify with a particular ethnic/racial/cultural group?
Where was the client born?
How long has the client lived in this country?
Term
Guidelines for cultural assessment: Communication
Definition
What language is spoken?
Can the client communicate in English? If yes, both spoken and written?
Does the client speak for self, or defer to other?
What nonverbal communication behaviors are observed? What significance do these behaviors have for the nurse-client interaction?
Term
Guidelines for cultural assessment: Space
Definition
Observe the client's proximity to other people and objects within the environment.
How does the client react to the nurse's movement toward the client?
Assess the client's physical environment
What cultural objects within the environment have importance for health promotion/health maintenance?
Term
Guidelines for cultural assessment: social organization
Definition
What are the client's roles? is the client the primary decision maker for healthcare behaviors?
Must the client consult another to make health decisions? if yes, who?
what other family members are important to the client's health decision making?
is there a religious affiliation linked with cultural affiliation?
Term
Guidelines for cultural assessment: time
Definition
What is the client's time orientation: past, present, or future?
What is the significance of time for the client?
Does the client talk about time in specifics, such as dates, or times, or in generalities, such as "a long time" or "a short time"?
Term
Guidelines for cultural assessment: environmental control
Definition
how is health defined by the culture?
what does the client believe to be the cause of the illness or health concerns?
has the client used the services of cultural healers?
what healing practices has the client used? have folk healing behaviors been used?
is the client wearing or carrying any amulets or artifacts that are believed to have healing properties?
Term
Guidelines for cultural assessment: Biological Variactions
Definition
are there normal variations in anatomical characteristics?
what are the dietary preferences of the client? are the dietary preferences related to the client's ethnicity?
is the client at risk for nutritional deficiencies because of ethnicity?
are there variations in physiological functioning related to the client's ethnicity or race?
are there illnesses or diseases that the client is at risk for because of ethnicity or race?
Term
Ethnocentrism
Definition
belief that one's own beliefs, way to live, values, and customs are superior
Term
strategies to develop cultural competence
Definition
-examine own cultural values and beliefs
-learn variety of cultures and languages
-use all resources for language differences
-seek community resources to meet client needs
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