Ch 4 Nur 114

True or false

Life expectancies at birth and at 65 yrs of age are increasing for all racial and ethnic groups.

True

What racial or ethical group has the highest life expectancy?

Hispanic Women

What racial or ethical group has the lowest life expectancy?

African Americans

What is trans-cultural nursing?

The provision of nursing care across cultural boundaries.

_____________ in nursing is defined as "a process as opposed to an ed point in which the nurse continuously strives to work effectively within the cultural context of an individual family or community from a diverse cultural background."

Cultural competence

This is defined as "the subjectively and objectively learned and transmitted values beliefs and patterned lifeways that assist support facilitate or enable another individual or group to maintain their health and well being to improve their human condition and life way, or to deal with illness, handicaps, or death."

Cultural care

This is a state of not being aware that one is lacking knowledge about another culture.

Unconscious incompetence

When a person becomes aware and takes actions to learn about a culture it is known as?

Conscious incompetence

The person progresses to a stage of ______________ by verifying generalization and incorporating culture specific interventions in care.

Conscious competence

Health care professionals are expected to achieve cultural competency or ___________ in relation to the specific cultural groups for whom they provide care.

Conscious competence

Exploring ones own attitudes about people of different cultural backgrounds through a cultural self assessment is also called ___________

Cultural rooting

According to this nursing model the recipient of care can be individuals families groups and communities with innate variable that relate to physiological and psychological sociocultural developmental and spiritual aspects.

Neuman Systems Model

____________ a nurse anthropologist who established trans-cultural nursing as a formal and legitimate area of study in the nid 1950's

Madeleine Leininger

_____________ refers to health care services that are respectful of and responsive to a persons linguistic needs.

Linguistic competence

This cultural grouping consists of African, West Indian, and Caribbean Islander

Black or African American

This cultural grouping consists of Cuban, Spaniard, Mexican, Puerto Rican, and Central or South American.

Hispanic or Latino

This cultural grouping consists of Chinese, Japanese, Korean, Filipino, Asian Indians, and Vietnamese.

Asian

This cultural grouping consists of Native Hawaiian, Samoan, Fijian, and Guamanian.

Native Hawaiian and other Pacific Islander

This cultural grouping consists of Aleut, Eskimo, and more than 500 tribes of the American Indian.

Native American and Native Alaskan

What medical conditions are more prevalence in African Americans?

Stroke, Cancer, Arthritis, Diabetes, Glaucoma, Hypertension, Alcoholism, Heart disease, and Cerebrovascular disease

_________ headed house holds are common in African Americans

Female

Largest population of African Americans Lives in the region of the US.

South

Largest population of African Americans in Metropolitan areas is?

New York, California, Texas, Florida, Georgia and Illinois.

______________ immigrates came to American during colonial times to help build the railroads. Today many work as agricultural laborers.

Mexican Americans

_____________ were experienced farm laborers who worked in cotton sugar beet, and other agricultural fields.

Braceros

_________ immigranted to the US to work in late 1800's to work in the tobacco industry. The next wave and the largest number of them came to the US in the 1959 to 1979 for political reasons.

Cubans

___________ first come to the US in the 1830's and began settling in New York city but the greatest number of them did not immigrate until after WWII.

Puerto Ricans

Most __________ in the US are concentrated in major cities in Arizona, California, Florida, New Jersey, New Mexico, New York, and Texas.

Hispanics

___________ refers to people having origins in any of the original people of the far east, south east Asia, or the Indian subcontinent.

Asian

The largest subgroup of Asians in the US is the _______________

Chinese

The _________ 1st migrated as laborers between 1840 and 1882 many came for political or socioeconomic reason and had little or not education.

Chinese

_____________ people began immigrating to the American in 1885 and were barred from entering in the US in 1942.

Japanese

Japanese referred to the 1st American born generation as ____________

Nisei

Japanese referred to the 3rd American born generation as ____________

Sansei

Japanese referred to the 4th American born generation as ____________

Yonsei

Japanese referred to the 5th American born generation as ____________

Gosei

Japanese referred to the 6th American born generation as ____________

Rokusei

_________ began immigrating to the US in the 1900's particularly to Hawaii where they sought plantation work.

Koreans

The _______ began arriving to the US in the mid 1970 seeking political refuge due to the Vietnam war.

Vietnamese

_________ and __________ are very family oriented and place a strong value on care for older family members

Asian and Pacific Islanders

_______ refers to female energy and is associated with wet, cold, and dark.

Yin

____________ refers to male energy and is associated with dry hot and light.

Yang

_______ and ________ have an excess prevalence of diabetes, hypertension, certain cancers, anemia, hep B, other liver diseases, and tuberculosis

Asian and Pacific Islanders

_____________ are the only minority group indigenous to the US

American Indians

___________ have the highest prevalence of diabetes and the lowest cancer survival rates.

American Indians

Diabetes, cancer, obesity, arthritis, cataracts , alcoholism, tuberculosis, kidney disease, rheumatoid arthritis, and liver and gall bladder disease is prevalent in this group?

American Indians

__________ is generally used to reference to people who live out side areas designated as urban or metropolitan.

Rural

_______ older adults are self reliant and politically conservative, have strong bonds with family, church, and community.

Rural

_________ is a specific rural non-farming region of the US most of its people are white, of British or Scotch Irish descent. (where I grew up... Take me home country roads to a place where I belong... WV)

Appalachia

Most older homeless look and behave as if they were ____ to ___ yrs older than their actual ages.

10 to 20 yrs

Characteristics of _________ adults include higher mortality rates, higher levels of disability, and higher overall rates of chronic illnesses and metal illness than younger of this same group.

Homeless older adults