Value orientation ANS: C Cultural values guide actions and decision-making that facilitates self-worth and self-esteem. They shape human behaviors and determine what individuals will do to maintain their health status, how they will care for themselves, and others who become ill, and where and from whom they will seek health care.
Ethnicity focuses on differences in meanings, values, and ways of living. Value orientations reflect the personality type of a particular society. Which of the following actions demonstrates a health care professional providing culturally competent care? Encouraging the person to take medications as prescribed b. Asking the person to describe his folk healing methods c. Demonstrating the proper way to administer an insulin injection d.
Assisting the person with discussing his health problems with the family ANS: B It is very important for health care providers to be aware of how people interpret their health issues or illnesses to be capable to provide culturally competent care. Asking the person to describe his folk healing methods is the only action that demonstrates the health care professional seeking input from the person into the care that is received.
A person reports that she has been seeking care from an acupuncturist to help relieve the chronic pain that she has been experiencing.
Which of the following statements would be the most appropriate response from the nurse? The nurse asking the person to describe the treatments from the acupuncturist allows the nurse to learn this information.
The other responses demonstrate an ethnocentric perspective by the nurse, viewing the treatments from the acupuncturist as inferior to professional care.
When providing an educational session about the Arab American population, which of the following information would be included? The largest group of Arab Americans was refugees in the s.
The largest groups of Arab Americans are from Palestine and Iraq. Members of the Arab American population are most likely to live in rural communities. Members of the Arab American population are more likely to have college degrees than Americans at large. Arab Americans came to the United States in three immigration waves; the last occurred in the s and consisted of many professionals, entrepreneurs, and skilled and semiskilled laborers.
A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care? This ethnic culture tends to be future oriented. Religion plays an important role in this culture. Traditional cultural practices are infrequently used during a health crisis. Members of this culture tend to have smaller families. ANS: B Religion plays an important part in Arab culture, and there are dietary rules and prescribed rituals for praying and washing.
Arab Americans are present oriented and view the future as uncertain. During a health crisis, many Arab Americans seek out their family, community, and traditional values and cultural practices.
Arab American families are, on average, larger than non—Arab American families. A health care professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional?
Encourage the parents to bring other siblings into the clinic for screening. Schedule multiple educational sessions for the child and family. Watch for nonverbal gestures by the adults to indicate understanding. Maintaining harmony is an important value in Asian cultures, and it is strongly emphasized to avoid conflict and direct confrontation. As a result of this, Asian Americans may not show their disagreement with the recommendations of health care professionals.
Type I diabetes is not a common health problem experienced by this minority, so it is probably not necessary to encourage screening for siblings. Additional educational sessions may be necessary; however, Asian Americans tend to be more highly educated than any other population in the United States. An Asian American family has recently immigrated to the United States.
Which of the following would provide an appropriate rationale when encouraging the family to send their child to school? The child will get a good education. According to law, all children must go to school. The child can get health care at school. Exposure to different cultures in school will enhance socialization. ANS: D Exposure to different cultures in school facilitates the adoption of other cultural beliefs and aids in the socialization of the child into a new environment. Which of the following was the fastest-growing minority group in the United States between and ?
Asian American b. Arab American c. Hispanic American d. The interrelationship of poverty and health care dollars spent by Blacks and other minorities is affected greatly by: a. A health care provider is working with an African American woman who has recently suffered a stroke and is homebound.
She insists that she must get out of the house and attend Sunday worship services. What is the most likely explanation for her insisting that she participate in this cultural practice? The church is the only place where prayer can be performed. The church serves as a social support for its members. The church is the place where the family meets on a weekly basis. The church serves as a site for folk healing practices. It serves many purposes beyond worship and formation, including serving as a place to meet where members could pass news, take care of business, and find strength of purpose; providing direct social welfare services; acting as a stabilizing force in the community; facilitating citizenship training and community social action; serving as a transmitter of cultural history; and providing the means for coping and surviving in a hostile world.
African Americans often find comfort in the support their religious leader can give them, but it does not have to happen within the church. African Americans believe in the healing power of prayer, but that can happen outside of the church as well.
Family is the strongest source of support for African Americans, and most meet more often than weekly at church. Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide? Asian Americans c. Difficult life situations and stresses of daily life contribute to an array of problems, including feelings of hopelessness, desperation, family dissolution, and substance abuse.
A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation? Hispanic Americans value keeping balance and harmony with the earth. The oldest male is the decision maker in African American families. Native Americans are present oriented, taking one day at a time. The hot and cold concept of disease is part of the Asian American culture.
ANS: C Native Americans are generally present oriented, emphasizing events that are occurring now rather than events that will happen later. They take one day at a time and in times of illness they cope by hoping for improvements the next day. Native Americans value keeping balance and harmony with the earth.
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Summarizes specific clinical interventions in Health Teaching boxes to provide students with "how-to" nursing actions.
Think About It clinical scenarios provide critical thinking questions to help readers grasp important concepts. Multicultural Awareness boxes present cultural perspectives important to care planning.
Introduces significant issues, trends, and controversies in health promotion through Hot Topics boxes to engage students in critical discussion and debate about these topics. Research Highlights emphasize current research efforts and research opportunities in health promotion. A new Study Questions section with answers and rationales helps you review and assess your understanding of chapter content.
Healthy People boxes highlight current national health promotion priorities. A new full-color design helps to highlight important features and content. A new companion Evolve website offers case studies with questions and answers, WebLinks, content updates, and a Glossary with search capability to enhance your learning experience. Compatible with any devices. The book addresses health promotion for all ages and all population groups individuals, families, and communities.
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Manual of Structural Kinesiology. Extensive coverage of growth and development throughout thelifespan emphasizes the unique problems and health promotionneeds of each age and stage of development.
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