Race: social classification based on physical markers such as skin color.
Ethnicity: shared feeling of peoplehood among a group; reflects culture
Unfamiliar & uncomfortable with anything different from one's own culture.
How can we help people become more resilient?
Primary reason a person is vulnerable.
_____ & ______ are not cause of most disparities; _____ and ______ ARE.
race & ethnicity
poverty & low education level
Wide variations(differences) in health services and health status between certain
What is andragogy?
Teaching adults and individuals with some knowledge about a health-related topic.
What is pedagogy?
Learning strategies for children and individuals with little knowledge about a health-related topic
Two of the most important learner-related barriers.
low literacy and
lack of motivation to learn information and make needed behavioral changes
The ________ domain of learning includes changes in attitudes and the development of values.
The _________ domain of learning includes memory, recognition, understanding, reasoning, application, and problem solving
Teacher directed learning strategy.
Goal of long-term evaluation of health & behavioral changes (Ch 11).
analyze effectiveness for ENTIRE COMMUNITY, not a specific pt
In a group, what is a task function? (Ch 11)
Anything a member does that deliberately contributes to the group's purpose
In a group, what is a maintenance function? (Ch 11)
Something that helps members affirm, accept, and support one another, resolve conflicts, and create social and environmental comfort.
In a group, what is a task NORM?
commitment to return to central goals of group
In a group, what do maintenance NORMS do?
Create group pressures to affirm members and maintain their COMFORT.
How may a person using patriarchal leadership act?
control members through rewards and threats, often keeping them in the dark about goals & rationale behind actions
How may a democratic leader act?
Cooperative, promotes & supports member involvment in all aspects of decision making and planning.
Which learning domain includes changes in attitudes and development of values?
For ______ learning, nurses consider and attempt to influence what learners feel, think, and VALUE.
This learning domain includes memory, recognition, understanding, reasoning, application, and problem solving.
An example is, "Within 2 weeks, each of the children will be able to demonstrate at least two exercised they have learned."
An example is "Each child in the
third-grade class will participate in 30 minutes of daily physical exercise, 4
days per week for two months."
Difference b/w goals & objectives.
broad, long-term expected outcomes
Objectives: specific, short-term criteria
that are met as steps toward achieving the long-term goal.
What does cultural accomodation mean?
The nurse supports and facilitates pts in their use of cultural practices when they are not harmful to the pts.
What does cultural repatterning mean?
The nurse works with pts to help them reorder, change, or modify their cultural practices when these practices are HARMFUL to them.
What is cultural SKILL?
The effective integration of cultural awareness & cultural knowledge to obtain relevant cultural data and meet the needs of culturally diverse pts.
Most important causes of disease, disability, & death among children
injuries & accidents
Major causes of deaths in children.
MVA #1, also drowning, burns, poisonings, falls.
What age of children has the lowest injury rate? Highest?
At what age do most SIDS occur?
Most common types of cancer in women.
lung, breast, colorectal
Leading cause of cancer deaths among women.
Colorectal cancer found in women older than _____ and the 4-yr relative survival rate is ____.
What is geriatrics?
study of disease in old age
What is Gerontology?
study of the PROCESSES of growing old
What are the five I's?
Chronic problems that affect aging.
1) Intellectual impairment
5) Iatrogenic drug rxns
Important info about Asians.
asian men are sensitive to opioid/morphine metabolism-drugs are not affected on them bc they lack enzyme needed to break down codeine to useful form.
Difference b/w culturally sensitive and culturally competent.
Culturally Sensitive: aware, sympathetic, lacking some skill, neutral
Culturally Competent: knowledgeable, committed to change, highly skilled, constructive
Blocks the willingness of a person to be open and to learn about specific individuals or groupsStereotypes can be either positive or negative
Relates to ascribing certain beliefs and behaviors about a given racial and ethnic group to an individual without assessing for individual differences.
The emotional manifestation of deeply held beliefs (stereotypes) about a group; Usually refers to negative feelings.
A form of prejudice that occurs through the exercise of power by individuals and institutions against people who are judged to be inferior.
Also called cultural prejudice. It is the belief that one’s own cultural group determines the standards by which another group’s behavior is judged; example: nurse believes Western medicine is the only medicine that should be used.
Inability to recognize the differences between one’s own cultural beliefs, values, and practices and those of another culture
A perceived threat that may arise from a misunderstanding of expectations when nurses are unable to respond appropriately to another individual’s cultural practice because of unfamiliarity with the practice
The feeling of helplessness, discomfort, and disorientation experienced by an individual attempting to understand or effectively adapt to a cultural group whose beliefs and values are radically different from the individual’s culture
Brought on by anxiety that results from losing familiar signs and symbols of social interaction
What is the DARN CAT guide to motivational interviewing?
Desire (I want to change)
Ability (I can change)
Reason (it’s important to change)
Need (I should change)
Committment (I will make changes)
Activation (I am ready, prepared, willing to change)
Taking steps (I am taking actions to change)
Members of a group start to communicate their feelings but still view themselves as individuals rather than part of the team. They resist control by group leaders and show hostility.
Team acquaints and establishes ground rules. formalities are preserved and members are treated as strangers.
People feel part of the team and realize that they can achieve work if they accept other viewpoints.