Chapter 11: Culture Ethnicity (pt 2)

A __________ can be positive or negative and affects how a person views others or situations.

bias

__________ is the belief that one’s own group—whether cultural, professional, ethnic, or social—is superior to others.

Ethnocentrism

__________ are oversimplified and unsubstantiated beliefs that all people of a certain racial or ethnic group are alike.

Stereotypes

__________ involves negative attitudes toward others based on faulty and rigid stereotypes such as race, gender, or sexual orientation.

Prejudice

__________ refers to the behavioral manifestations of prejudice, such as refusing to treat certain groups of people.

Discrimination

__________ is a form of prejudice and discrimination based on the belief that race determines human traits and capabilities.

Racism

__________ is the belief that one sex is superior to the other.

Sexism

A __________ barrier may include the use of slang, street talk, foreign languages, or medical terminology that clients may not understand.

language

A lack of __________ can lead to emotional responses and misunderstandings when interacting with clients from different backgrounds.

knowledge

Developing __________ is essential for removing barriers and helps nurses effectively communicate with their clients.

self-knowledge

The charge nurse of a unit tries, as a rule, to admit Hispanic clients to a room at the end of the hall so that “the noise from the family will not disturb others.” This nurse is exhibiting…

Discrimination

__________ involves examining your own personal attitudes related to various aspects of culture to identify personal bias.

Cultural awareness

__________ means being knowledgeable about the cultures in your area of practice.

Cultural sensitivity

__________ means applying your cultural knowledge to the delivery of care.

Cultural appropriateness

__________ means understanding and addressing the entire cultural context of each client.

Cultural competence

__________ occurs when a nurse imposes the rules or beliefs of their own culture onto another person and is similar to __________.

Cultural imposition; ethnocentrism

Nurses must respond appropriately to a client’s cultural health practices in areas such as __________, __________, __________, and __________.

pain; nutrition; communication; family patterns and gender roles

__________ or __________ involves working with clients to change or modify cultural health practices that are harmful while respecting their beliefs.

Repatterning; restructuring

When communicating with clients who speak a different language, the nurse should use an __________ to facilitate understanding.

interpreter or translation service

Other tools that may assist communication include __________ and __________ translation software.

internet; computer

A __________ converts written materials from one language to another.

translator

To provide culturally competent care, nurses should first __________ and know themselves.

reflect

Nurses should continue to __________ about different cultures.

keep learning

The nurse should __________ and __________ with clients to develop care that respects cultural differences.

accommodate; negotiate

Effective care requires nurses to __________ with clients and show __________ for their cultural beliefs.

collaborate; respect

B – Be aware of your own cultural __________.

heritage

A – _______ that the client is unique; influenced, but not defined by their culture.

Appreciate

L – _____ about the client’s cultural group.

Learn

I – _______ the client’s cultural values and behaviors into the care plan.

Incorporate

The L in the LIVE portion of the model stands for:

Like with your clients.

The I in the LIVE portion of the model stands for:

Inquire about their cultural beliefs and practices.

The V in the LIVE portion of the model stands for:

Visit the client’s cultural environment.

The E in the LIVE portion of the model stands for:

Experience cultural competence by engaging in cross-cultural interactions.

The L in the LEARN portion of the model stands for:

Listen to the client’s perspective.

The E in the LEARN portion of the model stands for:

Evaluate your own assumptions and biases.

The A in the LEARN portion of the model stands for:

Acknowledge and validate cultural differences.

The R in the LEARN portion of the model stands for:

Recommend treatment that is culturally appropriate.

The N in the LEARN portion of the model stands for:

Negotiate agreement between the client and provider for the care plan.