pharm 3.txt

  1. Be able to define all key terms for this chapter.
  2. How would knowledge of cultural influences impact nursing care?
    Providing culturally competent care complements the Quality and Safety Education of Nurses (QSEN) initiative
  3. What six cultural phenomena occur in all cultures according to the Transcultural Assessment Model developed by Giger and Davidhizar?
    • 1)Communication: occurs verbally and nonverbally, must be alert to different types of comunication styles among clients
    • 2)Space: Americans often desire a great deal of personal space. In other cultures, population density may dictate limited personal space.
    • 3)Social Organization: Groups are organized according to a social order that is perceived to facilitate the functioning of the group
    • 4)Time: Largely shaped by culture. Some are primarily present time oriented, others are more concerend with the future
    • 5)Environmental Control: The concept of "nature" may include otherworldly forces or beings, such as deities and spirits.
    • 6)Biological Variations: There is evidence that certain classifications of medications have different effects in individuals whose genetics markers are predominantly characteristics. Differences in skin structure and physiology can affect response to dermatologic and topically applies products.
  4. What parts of communication are essential for the nurse to know to deliver culturally competent care?
    • Language
    • Vernacular English: any style of english that varies from standard English; its use can lead to misunderstandings
    • Greetings and communication styles: keep in mind nurses should be formal
  5. Why is it important for the nurse to know the amount of personal space a certain culture requires?
    So she doesn’t violate personal space. Some cultures have dense population and if have too much personal space may feel insecure (like in hospital room)
  6. How can the nurse utilize knowledge of social organization to help in providing care to a client?
    Nursing care can be enhanced by including family when appropriate
  7. How does the concept of time affect the client’s perception of care?
    • Linear: will think “I must d this now”
    • Circular: will think “I will have time to o this later”
    • Present-Oriented: Perception of time are more likely to discontinue mainstream prescriptive therapies when they perceive that they are well
    • Future-Oriented: perception of time are more likely to be concerned with long term health outcomes
  8. What types of environmental controls are utilized when providing cultural care?
    Healers and spiritual advisors
  9. What biologic variations impact pharmacotherapy?
    Genetic markers
  10. How can the Giger and Davidhizar Transcultural Assessment Model be utilized to provide care for persons of European descent? African descent? Latin descent? Native American descent? Asian descent? (Table 3-1)
    • Peoples of European Descent: Communication Styles
    • *prefer direct eye contact
    • *use moderate to loud vocal volume
    • *use many words to describe symptoms
    • *uncomfortable with periods of silence
  11. Peoples of European Descent: Perception of Time
    • *Primarily future oriented
    • *secondarily present oriented
  12. Peoples of European Descent: Biological Variations
    *poor metabolizers of tricyclic anti-depressants and isoniazed (INH), which can lead to toxicity
  13. Peoples of African Descent: Communication Styles
    • *prefer direct eye contact
    • *use moderate to lud vocal volume
    • *uncomfortable with periods of silence
  14. Peoples of European Descent: Perception of Time
    • *primarily present oriented
    • *secondarily future oriented
  15. Peoples of European Descent: Biologic Variations
    *May have diminished therapeutic effects from beta blockers, ACE inhibitors, and warfarin sodium (Coumadin)
  16. Peoples of Latin American Descent and Native Americans: Communication Styles
    • *Not likely to make direct eye contact with persons perceived to be in authoritative positions
    • *Varying degrees of comfort with silence
  17. Peoples of Latin American Descent and Native Americans: Perception of Time
    • *primarily present oriented
    • *secondarily future oriented
  18. Peoples of Latin American Descent and Native Americans: Biologic Variations
    • *Native Americans have high incidence of latose intolerance resulting in low calcium diets
    • *Also exhibit enhanced vasomotor responses(nerve response)to alcohol
  19. Peoples of Asian Descent: Communication Styles
    • *not likely to make direct eye contact with persons perceived to be in authoritavie positions
    • *use low vocal volume
    • *comfortable with periods of silence
  20. Peoples of Asian Descent: Perception of Time
    • *primarily present oriented
    • *secondarily future oriented
    • *some groups are past oriented
  21. Peoples of Asian Descent: Biologic Variations
    • *May have diminished therapeutic effects from codeine
    • *Are rapid metabolizers of isoniazid (INH)
  22. In the nursing process what assessment factors consider culture and pharmacogenetics?
    • Assess patient's ability to communicate using standard English
    • Determine if pt participates in traditional health practices and/or complementary or alternative medicl practices
    • List py’s use of pharmacotherapeutic agents, including prescription meds, OTC meds, herbs and teas
    • Decide if including a traditional healer would help w/compliance w/prescriptive therapies
    • Ask about pt’s preferencs regarding touch, modesty and personal space
    • Gauge pt’s perception of time
  23. What nursing diagnosis can be related to cultural care?
    • Anxiety r/t inability to communicate and understand diagnosis
    • Impaired verbal communication r/t not understanding primary language
    • Ineffective community coping r/t lack of relationship with members of community
    • Ineffective self-health management r/t not accessing or understanding health care resources
  24. What nursing interventions can be utilized to provide culturally competent care?
    • Use appropriate translators
    • Need more time when pt and family do not speak English
    • Give appropriate space
    • Include significant members of social group in planning and implementing care
    • Allow adequate time w/members of pt’s social group
    • Recognize need for pt to control environment
    • Anticipate unique response to drugs based on social, cultural and biologic influences
    • Incorporate nonharmful traditional health practices when appropriate
    • Facilitate adherence to mainstream prescriptive therapies within pt’s social and cultural contexts
  25. What teaching methods could the nurse utilize when explaining prescriptive therapies?
    • Include significant members of social group when appropriate while teaching about prescriptive therapies
    • Provide health info written in pt’s primary language. Use Medline website
Card Set
pharm 3.txt
Pharm 3-Culture