Terms - Cultural Competency
Nursing Process: Assessment
Nursing Process: Diagnoses
Nursing Process: Planning & Implementation
Terms - Spiritual Health
100
"..the learned, shared, and transmitted knowledge of values, beliefs, and ways of life of a particular group." [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 395]
What is culture? (characteristics: learned, symbolic, shared, integrated)
100
Communication, space, social organization, time, environmental control, biologic variations. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 404]
What are cultural domains? (framework of Transcultural Assessment Model by Giger & Davidhizar; included in health assessment)
100
..... r/t chronic illness aeb expressions of hopelessness and statements indicating concern over the recent inability to pray. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 421]
What is Spiritual Distress?
100
Generalizations, stereotypes, prejudice, discrimination, race. [source: Fundamentals of Nursing by Yoost & Crawford (2016), ch. 21]
What are cultural concepts? (concepts that impact cultural competence; avoid cultural bias)
100
The meaning of life, death, and existence; the expression of meaning and purpose. [source: Fundamentals of Nursing by Yoost & Crawford (2016, p.414]
What is spirituality? (universal among humans, central dimension of health, affecting physical, psychological, and social aspects of a person)
200
"..the process whereby a culture is passed from generation to generation." [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 395]
What is enculturation? (occurs consciously, e.g. mother teaching her child a family recipe, and unconsciously, e.g. son observing behaviors of men in the family)
200
".....praying, baptizing, fasting, singing, meditating, reading the Torah, Bible, or Koran." [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 399]
What are rituals? ("..formal, stylized, repetitive, and stereotypical actions performed in special places at special times." p. 399)
200
..... r/t illness aeb difficulty adhering to religious dietary customs and expressions of emotional distress over special diet restrictions. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 421]
What is Impaired Religiosity?
200
Using culturally based knowledge to promote the well-being and health of people/groups which improves their ability to face difficult life conditions. [source: Fundamentals of Nursing by Yoost & Crawford (2016)]
What is culturally congruent care? Or, what is culturally competent care? (cultural competence: integration of knowledge, attitudes, beliefs, skills, encounters w/people from different cultures; a continuous process requiring cultural self-assessment)
200
"... the process of contemplating experiences, sometimes even life-changing experiences, and searching for meaning in those events." [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 415]
What is reflection? (facilitated by methods that involve intellectual, meditative, artistic practices and/or communing with nature)
300
"...the person's identification with or membership in a particular racial, national, or cultural group and observation of the group's customs, beliefs, and language." [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 395]
What is ethnicity? (based on cultural similarities and differences; central consideration in nursing care that is culturally appropriate)
300
Call, Caused, Cope, Concerns. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 421]
What is the 4 C's of Culture? (developed by Galanti to assist health care professionals in patient-centered health assessment and provide culturally responsive care)
300
..... aeb rejecting harmful customs and seeking reconciliation with previously estranged family members. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 421]
What is Readiness for Enhanced Religiosity?
300
Allow time and opportunity for self-disclosure, be physically present, actively listen, monitor and promote supportive social contacts. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 423]
What is are nursing interventions for spiritual care? (unless contrary to agency policies, collaborate with interdisciplinary team to address spiritual concerns of patient)
300
"... provides a structure for understanding spirituality and involves rites and rituals within a faith community." [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 415]
What is religion? (can provide process to discern meaning and purpose during crises, especially involving health; important in promoting health)
400
"...a mechanism of cultural change achieved through the exchange of cultural features resulting from first-hand contact between groups." [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 398]
What is acculturation? (each group remains intact, compared to "assimilation" which is the transformational process of individuals from one group merging and blending into another group through continuous social interactions)
400
Determining possible needs a person may have related to behaviors and beliefs that strengthen him or her and provide meaning to life. [source: Fundamentals of Nursing by Yoost & Crawford (2016)]
What is spiritual assessment? (required by AACN "Essentials" as a capability of BSN graduates: conduct spiritual assessment and recognize impact of spirituality on health care)
400
..... r/t cultural conflict between medical treatment and religious beliefs aeb expressions of concern about refection by religious community and hesitation in accepting blood transfusion. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 421]
What is Moral Distress?
400
"Patient will report the ability to pray after counsel by the hospital chaplain." [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 421]
What is an example of an outcome? (for diagnosis: "Spiritual Distress r/t chronic illness aeb expressions of hopelessness and statements indicating concern over the recent inability to pray.")
400
"... a mutual, purposeful, interactive process between a nurse and a patient, which may include family, to promote the patient's spiritual health." [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 417-418]
What is spiritual care? (provided when interconnectedness of the physical, cultural, and spiritual realms are recognized and included in addressing a patient's holistic needs. Required by Joint Commission in hospitals by multidisciplinary team)
500
"...the belief that one's own culture is superior to that of another while using one's own cultural valued as the criteria by which to judge other cultures." [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 398]
What is ethnocentrism? (poses serious ethical concerns; counter this by being culturally knowledgeable, sensitive, and competent)
500
Faith & beliefs, Importance of faith, Faith community involvement, Address spirituality/spiritual practices in care. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 420]
What is FICA? (spiritual assessment framework developed by Puchalski & Romer, 2000)
500
..... r/t unclear personal beliefs aeb questioning of personal beliefs while making decision and delayed decision making. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 421]
What is Decisional Conflict?
500
Standards that address language access, organizational support, diverse and culturally competent staff, existing laws, data collection, and information dissemination. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 401]
What is CLAS (Culturally and Linguistically Appropriate Standards)? (developed by US Dept. of Health & Human Services for provision of culturally competent care)
500
Disruption in belief or value system that may possibly threaten a person's meaning and sense of purpose in life. [source: Fundamentals of Nursing by Yoost & Crawford (2016), p. 420]
What is spiritual distress? (may be expressed in verbal and nonverbal ways, e.g. anger, depression, neediness, crying)
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