Term
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Definition
classification onbasis of skin color and facial features
--> unreliable because because of mixtures of gene pool (biological) |
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Term
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Definition
| collection of beliefs, values, and behaviors may be shared with many groups (sociological) |
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Term
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Definition
| distinctpopulation group because of its historical origin and shared heritage (historical) |
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Term
| when people feel they are treated in an insensitive manner or their beliefs and values are disparaged or ignored, they: |
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Definition
| avoid seeking health care |
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Term
| we as nurses should assess our own: |
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Definition
- ethnocentric beliefs
- our tendencies to stereotype
- our cultural blind spots |
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Term
| an understanding of cultural class systems and their influence on development of behavior is essential to: |
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Definition
| * understanding yourself and the person under the nurses' care |
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Term
| individualizing nursing care is still critical in order to : |
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Definition
| > avoid stereotyping clients from each culture |
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Term
| diversity is often greater: |
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Definition
| within groups than between them |
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Term
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Definition
- a way of thinking about life
- gives us a sense of security- behavior
- provides underlying values/beliefs
-determines importance of place on achievement, independence, work, leisure
- definition of male/female roles
-our response to authority figures
-how children are raised
- defines reaction to pain, coping skills, death, response to health care
- how we value past, present and future |
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Term
true or false
minority groups live sicker and die younger than european whites |
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Definition
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Term
| in minority groups infant mortality rates are: |
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Definition
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Term
| in minority groups obesity rates are : |
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Definition
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Term
| in minority groups, diabetes mortality rates: |
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Definition
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Term
| in minorities, heart disease mortality is: |
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Definition
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Term
| in minorities, death rates from cancer are: |
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Definition
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Term
| people of color are less likely to : |
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Definition
-to have health insurance coverage
-see a provider on a regular basis
-recieve preventive screenings or routine health services |
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Term
| minorities are most likely to be diagnosed: |
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Definition
| at a later stage of the disease and be hospitalized for preventable conditions |
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Term
| what is the stated mission of the NCMHD: |
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Definition
| is to " promote minority health and to lead, coordinate, support, and assess the NIH effort to reduce and ultimatelyeliminate health disparities |
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Term
| racial and ethnic minorities groups often rely on : |
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Definition
| public programs for insurance coverage |
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Term
| Medicaid and SCHIP help to increase: |
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Definition
* access to health care
- when these safety net programs are scaled back, restructured or altered, thousands of beneficiaries leave them without any place to go for health care |
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Term
| uninsured people are more likely to: |
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Definition
| skip routine medical care and take advantage of more expensive emergency or urgent care centers |
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Term
| health outcomes for our minority populations is : |
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Definition
| jeopardized and further widens the gap between minorities and whites |
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Term
true or false
utah is most comprised of white folk with insurance |
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Definition
false!
in utah 57.2% of hispanics/latinos
42.1% of "other" ethnic minorities were uninsured
compared to 27.7 % of whites |
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Term
| the health of minority groups affects : |
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Definition
| the whole nation's health and is an important step in reducing health care costs for everyone |
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Term
true or false
trust levels and increased ability to accept and comply with treatment modalities of scientific medical practices increases when clients are served by their own minority health care provider |
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Definition
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Term
| to provide culturally competent care : |
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Definition
| the language barrier must be bridged |
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Term
| language access services- any health care agency recieving federal funds should: |
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Definition
| provide a culturally competent translator to clients who do not understand english |
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Term
| when working with a translator, allow extra: |
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Definition
time!
because everything has to be said at least twice |
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Term
| use what type of trained interpreter? |
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Definition
| *bilingual/bicultural interpreters whenever possible! |
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Term
| as an interpreter never use: |
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Definition
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Term
| what are some tips to refer to while working with an interpreter: |
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Definition
*watch the pt's body language and other behavioral cues during interpretation
*speak slowly and clearly
*sentence by sentence interpretation works best
*allow the interpreter to ask open ended questions if needed to clarify
*avoid metaphors, slang and jargon
*explain all medical terms in simple language
*allow the patient time to ask questions and seek clarifications
* ask the patient to repeat instructions
* before meetingwith the patient, gave the interpreter a brief summary about the patient |
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Term
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Definition
| recognition of significance of cultural factors in health |
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Term
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Definition
| ability to view beliefs and behaviors in the context of the culture in which they originated |
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Term
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Definition
| modification of health care delivery in light of cultural factors |
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Term
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Definition
| meditation between individuals or groups from different cultures |
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Term
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Definition
| belief that one's own culture is superior to that of others |
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Term
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Definition
| failure to recognize cultural differences |
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Term
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Definition
| immobilization due to perceptions of overwhelming cultural differences |
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Term
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Definition
| ridicule of cultural beliefs and practices of others because of percieved threats to one's beliefs |
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Term
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Definition
| belief that all members of a cultural group conform to a set of real or percieved beliefs and behaviors |
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Term
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Definition
| belief that people can be classified by biophysical traits that indicate innate superiority or inferiority |
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Term
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Definition
| unfavorable attitudes toward an individual or group based on perceptions rather than fact |
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Term
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Definition
| differntial treatment of an individual or group based on unfavorable attitudes to the group |
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Term
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Definition
| belief that everyone should conform to the dominant culture |
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Term
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Definition
| a communication technique model to optimize culturally competent care with a question format |
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Term
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Definition
| what do you think may be the reason that you have these symptoms? what do people important to you say about your symptoms? |
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Term
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Definition
| what kinds of medicines, home remedies, or other treatments have you tried for this illness? |
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Term
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Definition
| have you sought any advice from folk healers, friends or other non-medical people to help with your problems? tell me about it. |
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Term
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Definition
| what are the most important results you hope to achieve from the treatments and care i wouldlike to give you? does the care i give you follow your beliefs in getting better? |
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Term
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Definition
| determine the intervention that is optional and incorperates their spirituality and cultural practices. |
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Term
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Definition
| collaborate with all people the client determines is important in their care including family members, healers, ect. |
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Term
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Definition
african countries
west indian
islanders
dominican republic
haiti jamaica |
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Term
| aisain/pacific islander americans |
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Definition
china
japan
hawaii
philippines
veitnam
asian indian
india
korea
samona
guam
asian/pacific islands |
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Term
| health problems and challenges for latino/hispanic: |
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Definition
| TB, HBP, DM, violence, alcohol/drug abuse, infectious diseases, AIDS, parasitic infections |
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Term
| latino/hispanic folk meidcine practices: |
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Definition
catholicism dominant religion, submission to will of god, illness is punishment, witchcraft evil eye, hebr tea, present in time
curandero (native header) |
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Term
| latino/hispanic cultural values: |
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Definition
| extended, cohesive families patriarchal, males are superior (machismo man) self sacrificing woman |
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Term
| african-americans folk medicaine practices: |
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Definition
prayer, laying on of hands, magic, wearing preventive charms.
health and illness I harmony or disharmony with nature, lactose intolerant |
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Term
| african-americans health problems/challenges: |
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Definition
- cardivascular disease
- diabetes
- AIDS
-high infant mortality rate
-stroke
-homicide
-malnutrition |
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Term
| african-american cultural values: |
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Definition
Interdependence
religious values
( babtists soul food music, physical activities) |
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Term
| native americans folk medicine practices: |
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Definition
90% seek out medicine man
bases of therapy lies in nature
health/illness have supernatural explanations
purification rituals |
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Term
| native americans health problems/challenges: |
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Definition
Diabetes
TB
obesity
alcoholism- epidemic levels
maternal infant mortality
teen suicide |
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Term
| native american cultural values: |
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Definition
| value family, respect for aged, live in present, value patience, practice periods of silence, feel oppressed and dehumanized, lack of trust in whites |
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Term
| asian-american/pacific islanders folk medicine practices: |
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Definition
| yin/yang flow of energy, acupuncture, herbs, shaman, massage, cupping, burning, spirit and magic experts |
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Term
| asian-american/pacific islanders health problems/challenges: |
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Definition
| TB, mental illness, CA, respiratory infections, arthritis, suicide, malnutrition |
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Term
| asian-american/pacific islanders values: |
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Definition
patriarchal males are valued over females
elders are respected
value achievement
brings honor to family
coorperation is valued over cometition |
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Term
| what is the average migrant farm worker hours: |
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Definition
- does 6 months of seasonal work
- 8 weeks of nonagricultural work
- travel for 8 weeks
-unemployed for 10 weeks |
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Term
| what is the life expectancy for a migrant farm worker? |
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Definition
49 years
-->compared to national average of 75 years |
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Term
| what is the infant mortality rate amoung migrant farm workers: |
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Definition
| 25 times higher than national average |
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Term
| malnutrition is higher than in any other subpopulation: |
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Definition
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Term
| parasitic infection is 11 to 59 times higher than in general population for which subgroup? |
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Definition
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Term
| influenza, pneumonia, TB deaths are 25 % higher for which group than the normal poplulation: |
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Definition
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Term
| anemia, hypertension, diabetes, and dental disease are common for which group of people: |
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Definition
migrant farm workers
--> resulting from poor health care access (day appointments; lack of transportation, funds and child care) |
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Term
| what causes migrant farm workers to get communicable diseases? |
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Definition
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Term
true or false
migrant workers have an inceased amount of skin diseasses caused by lack of hygeine and exposure to chemicals used on the land |
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Definition
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Term
| what are the injuries, depression, and hoplessness caused by in migrant farm workers: |
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Definition
| family violence and abuse |
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Term
| why do migrant works have high risk pregnancies and low birth weight babies? |
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Definition
| * r/t malnutrition, work schedules, lack of sanitation, lack of prenatal care |
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