ch 9 cultural awareness

Question 1

health disparity

Answer 1

a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage

Question 2

social determinants of health

Answer 2

the conditions in which people are born, grow, live, work, and age; shaped by the distribution of money, power, and resources at global, national, and local levels

Question 3

examples of social determinants of health

Answer 3

income and wealth
family and household structure
social support
education
occupation
discrimination
neighborhood institutions
social institutions

Question 4

cultural awareness

Answer 4

an in-depth self-examination of one’s own background, recognizing biases, prejudices, and assumptions about other people

Question 5

cultural knowledge

Answer 5

sufficient comparative knowledge of diverse groups, including the values, health beliefs, care practices, world view, and bicultural ecology commonly found within each group

Question 6

cultural skills

Answer 6

ability to assess social, cultural, and biophysical factors that influence patient treatment and care

Question 7

cultural encounters

Answer 7

cross-cultural interactions that provide opportunities to learn about other cultures and develop effective intercultural communication

Question 8

cultural desire

Answer 8

the motivation and commitment to caring that moves an individual to learn from others, accept the role as a learner, be open to and accepting of cultural differences, and build on cultural similarities

Question 9

Blanchet and Pepin’s 3 dimensions of cultural competence

Answer 9

1. building a relationship with the other
2. working outside the usual practice framework
3. reinventing practice in action

Question 10

using interpreters

Answer 10

1. determine qualification- don’t use family members
2. ensure interpreter can speak the pt’s dialect
3. stop interaction if not going well
4. pace speech and allow time for answers
5. direct speech to the pt, not the interpreter

Question 11

teach back method

Answer 11

1. use open-ended questions to verify understanding
2. plan your approach
3. use hand-outs, pictures, and models as reinforcement
4. clarify
5. practice