Cultural Competence In The Health History

Read chapter 3 of the class textbook and review the attached PowerPoint presentation. Once done answer the following questions;

1. Mention and discuss the process and content needed for a comprehensive cultural assessment of clients from diverse cultures.

2. Mention and discuss biocultural variations in common laboratory tests.

3. Identify and discuss biocultural variations in health and illness for individuals from diverse cultures.

Please present your assignment Word document, 12 Arial font attached to the forum in

A minimum of 2 references (excluding the class textbook) no older than 5 years must be used. If you use the textbook as a reference will not be counted. Every reference that you present in your assignment must be quoted in the assignment.

A minimum of 700 words are required (not counting first and reference page)

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Cultural Assessment #1

Customized or tailored to the client’s unique background.

Health history and physical exam interrelated.

With growing diversity comes the need for nurses to develop knowledge and skills in cultural assessment.

Cultural Assessment #2

Assessments form the foundation for the plan of care.

Tend to be broad and comprehensive.

Cultural assessment usually integrated into the overall assessment.

Health History #1

The purpose of the health history is to collect subjective data.

This is combined with the objective data from the physical exam for both well and ill clients.

Question #1

Is the following statement true or false?

Subjective data refers to things that people say or relate about themselves, whereas objective data result from the physical examination and the laboratory findings.

Answer to Question #1

True

Rationale: Subjective data come from the client and is information only they can give and confirm; objective data are observable and confirmed through sources other than the client.

Health History #2

Major data categories to be considered when conducting a culturally competent health history:

1. Biographic data and history

2. Genetic data

3. Review of medications and allergies

4. Reason for seeking care

Health History #3

Major data categories to be considered when conducting a culturally competent health history (cont.):

5. Present health and history of present illness

(culture-bound syndromes)

6. Past health

7. Family and social history

8. Review of systems

Question #2

Is the following statement true or false?

Most cultures recognize the difference between prescribed medications and over-the-counter medications including herbs.

Answer to Question #2

False

Rationale: It is important to note all prescription and over-the-counter medications, including herbs, that clients might purchase or grow in home gardens. Because of cultural differences in peoples’ perceptions of which substances are considered medicines, it is important to ask about specific items by name.

Physical Examination #1

Accurate assessment and evaluation of clients require:

Knowledge of normal biocultural variations among healthy members of selected populations

Assessment skills that will enable you to recognize variations that occur in illness

Physical Examination #2

Biocultural variations in:

Measurements

Height, body proportions, weight (see Table 3-5)

Vital signs, including pain

General appearance

12 Cultural Competence In The Health History