NR 503 WEEK 5 Final exam reviewer.
Final exam reviewer:
WEEK 5:
The 5W's of descriptive epidemiology:
What = health issue of concern
Who =
... [Show More] person
Where = place
When = time
Why/how = causes, risk factors, modes of transmission
cultural competence- not an option but a necessity for APRNs.
Cultural competence is defined as “a dynamic, fluid, continuous process whereby an
individual, system or health care agency find meaningful and useful care delivery
strategies based on knowledge of the cultural heritage, beliefs, attitudes, and behavior
of those to whom they render care” (Giger & Davidhizar, 2002, p.186).
cultural awareness- Self-examination of one's own prejudices and biases toward other
cultures. An in-depth exploration of one's own cultural/ethnic background.
Cultural humility- A lifelong commitment to self-evaluation and self-critiques, redressing
the power of imbalances in the patient- physician dynamic, developing mutually.
Beneficial relationships.
Cultural knowledge- Obtaining a sound educational foundation concerning the various
worldviews of differences cultures. Obtaining knowledge regarding biological variations,
disease and health conditions and variation in drug metabolism
Cultural skill- Ability to collect culturally relevant data regarding the client's health history
and presenting problem. Ability to conduct culturally based physician assessments.
Conducting these assessments in a culturally sensitive manner.
Cultural desire- Motivation of the healthcare provider to "want" to engage in the process
of cultural competence, characteristics of compassion, authenticity, humility, openness,
availability, and flexibility, commi tment and passion to caring, regardless of conflict.
Kleinman Explanatory Model- individuals and groups can have vastly
different notions of health and disease.
What do you call your problem?
What do you think caused your problem?
Why do you think it started when it did?
What does your sickness do to you?
What do you fear most about your sickness?
What are the chief problems your sickness has caused you?
What kind of treatment do you think you should receive?
What is the most important result you hope to receive from the treatment?
Cultural factors:
communication (verbal and nonverbal);
personal space;
social organization;
time perception;
environmental control; and
biological variations.
Accomodation- To create an environment that accommodates health practice and
ritual from other cultures within a plan of care
Acculturation- Degree two which an individual from one culture has given up the
traits of that culture and adopted the traits of the dominant cultural in which they
now reside
Assimilation- The social, economic, and pol [Show Less]