Pharmacology Test 2, Chapter 7

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Pharmacology
Chapter 7
updated 7 years ago by hcollins
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1

Ethnocentrism is

defined as the widespread human tendency to precieve the ways of doing things in ones own culture as normal and natrual and the ways of other cultures as strange, inferior, or possibly even unnatural or inhuman

2

The concept of transcultural nursing was formalized by ___________a nurse antropologist who founded the ____________ in 1974.

Madeleine Leininger; Transcultural Nursing Society

3

Traditional Health Practices include...

the use of teas, herbs, spices, and special foods as well as homeopathic remedies, poultices, and ointments

4

Assimilation

occurs when a less powerful group changes its ways to blend in with the dominate cultural group

5

Pharmacogetnetics

the effect of a drug that varies from the predicted response due to genetic factors

6

The Giger and Davidhizar Transcultural Assessment Model

Developed by Giger and Davidhizar in 2008, postulates that all cultures have 6 cultural phenomena

7

The 6 Cultural Phenomena:

1)Communication
2)Space
3)Social Organization
4)Time
5)Environmental Control
6)Biological Variations

8

The 6 Cultural Phenomena:
Communication

occurs verbally and nonverbally, must be alert to different types of comunication styles among clients

9

The 6 Cultural Phenomena:
Space

Americans often desire a great deal of personal space. In other cultures, population density may dictate limited personal space.

10

The 6 Cultural Phenomena:
Social Organization

Groups are organized according to a social order that is perceived to facilitate the functioning of the group

11

The 6 Cultural Phenomena:
Time

Largely shaped by culture. Some are primarily present time oriented, others are more concerend with the future

12

The 6 Cultural Phenomena:
Time : Future-Oriented

perception of time are more likely to be concerned with long term health outcomes

13

The 6 Cultural Phenomena:
Time : Present-Oriented

Perception of time are more likely to discontinue mainstream prescriptive therapies when they perceive that they are well

14

The 6 Cultural Phenomena:
Environmental Control

The concept of "nature" may include otherworldly forces or beings, such as deities and spirits.

15

The 6 Cultural Phenomena:
Biologic 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.

16

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

17

Peoples of European Descent: Perception of Time

*Primarily future oriented
*secondarily present oriented

18

Peoples of European Descent: Biological Variations

*poor metabolizers of tricyclic anti-depressants and isoniazed (INH), which can lead to toxicity

19

Peoples of African Descent:
Communication Styles

*prefer direct eye contact
*use moderate to lud vocal volume
*uncomfortable with periods of silence

20

Peoples of European Descent:
Perception of Time

*primarily present oriented
*secondarily future oriented

21

Peoples of European Descent:
Biologic Variations

*May have diminished therapeutic effects from beta blockers, ACE inhibitors, and warfarin sodium (Coumadin)

22

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

23

Peoples of Latin American Descent and Native Americans:
Perception of Time

*primarily present oriented
*secondarily future oriented

24

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

25

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

26

Peoples of Asian Descent: Perception of Time

*primarily present oriented
*secondarily future oriented
*some groups are past oriented

27

Peoples of Asian Descent: Biologic Variations

*May have diminished therapeutic effects from codeine
*Are rapid metabolizers of isoniazid (INH)

28

Include significant members of the _______ in the planning and implementaion of the clients' care

social group

29

Recognize the need for clients to__________in their environment

exercise control

30

True or False
You can incorporate traditional health practices with your care.

True; Incorporate nonharmful traditional health practices with main stream prescriptive therapies when appropriate.

31

The delivery of nursing care can be enhanced by including _____ whenever appropriate.

the family

32

True or False
Translators should be used whenever possible.

True, however one may not be readily avaiable

33

Vernacular English is

any style of English that varies from standard English

34

The roles of the _____ and ______ ______ can be benifical in health care settings.

healers; spiritual advisors

35

Complementary Health Practices are...

practices that combine traditional beliefs and mainstream health practices