Purnell Model
Cultural Assessment
Cultural Norms of the Health Care System
Nursing Interventions
100

What is culture?

A shared system of beliefs, values, and behavioral expectations that provides social structure for daily living. 

100

What are three cultural assessment questions?

  •  To what causes does the patient attribute illness and disease? Yin/yang, hot/cold
  •  What are the patient’s beliefs about the ideal body size/shape/ body image?
  •  What name does the patient give their health illness or condition?
  •  What are the patient’s beliefs in health promotion?
  •  What are the patient’s religious affiliations and how actively are they involved?
  •  Does the patient rely on cultural healers (shaman, priest, monk)? Who determines if they are “sick”?
  • In what types of cultural healing does the patient engage?
  •  How are biomedical/scientific health care providers perceived?
  • What are the expectations of nurses and nursing care?
  •  Who determines what the signs and symptoms of an illness are and what circumstances are appropriate to follow in relation to the conditions?
  • Who decides when person is no longer sick?
  • Who cares for patient at home?
  •  How does that patient’s cultural group view mental disorders?
  • Are there differences in acceptable behaviors with physical v.s. psychological illnesses?
100

What is the definition of beliefs?

Standardized definitions of health and illness, omnipotence (present everywhere) of technology.

100

What does LEP stand for?

Limited English Proficiency 
200

Why does the Purnell Model have a blank center?

Represents unknown aspects of one's culture 

200

What role does a Shaman, Priest, and a Monk play in culture?

Cultural healers 

200

What is the definition of Practices?

Maintenance of health and prevention of illness, example: annual physical examinations and diagnostic procedures.

200

What is the first step in becoming cultural competent towards a client?

Conduct a cultural assessment

300

What are included in the four outer rings of the Purnell Model?

Global, community, family, and person 

300

A nurse is caring for a client who shares for the nurse's religious background. Which of the following information should the nurse anticipate?

The same religious beliefs can influence individual differently

300

What is the definition of Habits?

Documentation, frequent use of medical jargon, use of a systematic approach and problem-solving methodology.

300

What to do if a client is LEP?

Obtain a medical interpreter 

400

What are the primary characteristics of culture?

Age, generation, nationality, race, color, gender, and religion 

400

When can you invite medical decision makers?

Once you have obtained client's permission

400

What is the definition of Likes and Dislikes?

Promptness, neatness and organization, compliance.

Tardiness, disorderliness and disorganization.

400
Who to speak towards when using a medical interpreter?

The client 

500

What are the secondary characteristics of culture?

Educational status, socioeconomic status, occupation, military status, political beliefs, urban versus rural residence

500

A nurse is caring for a client who is crying while reading from his devotional book. Which of the following interventions should the nurse take?

Provide quiet times for these moments

500

What is the definition of Customs?

Professional deference and adherence to the pecking order (chain of command) found in autocratic and bureaucratic systems, use of certain procedures attending birth and death.

500

When does a nurse provide printed materials?

Whenever new education is provided to a client

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