65091956.edited

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Jomo Kenyatta University of Agriculture and Technology *

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HEALTH ASS

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Nursing

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Nov 24, 2024

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1 Student Name: ___________________________________________ Date: _______________ The Cultural Self-Assessment assignment is an integrated assignment. This assignment will assist you in the clinical area in understanding and working with clients of different cultures. The Cultural Self- Assessment Tool can assist you with an investigation of your ethnic, cultural and religious heritage. Complete the following questions honestly and completely (leave no blanks). You must submit your type written answers to the individual file exchange on Blackboard. The following tool has been modified from: Fuller, J.O. (1995). Getting In Touch With Your Heritage. In N. Vacc, S.Devaney and J.Wittmer (eds.), Experiencing and Counseling Multicultural and Diverse Populations (3 rd ed.). Busto 1, PA: Taylor & Francis Group. Giger, J. & Davidhizer, R. (1995). Transcultural Nursing Assessment and Intervention (2 nd ed.). St. Louis: Mosby. Spector, R.E. (1996). Guide to Heritage Assessment and Health Tradition . Stummford, CT.: Appleton and Lange. Culural Terms:  Cultural awareness  Cultural knowledge  Cultural skill  Cultural encounter  Cultural desire  Ethnocentrism  Stereotyping  Prejudice  Racism Page 1 of 9

2  Cultural blindness  Cultural imposition  Cultural conflict  Cultural shock  Dominant value orientation  Discrimination  Enculturation  Minority group  Norms  Subculture  Values  Cultural preservation  Cultural accommodations  Cultural repatterning  Cultural brokering Where was your Mother born? Her religion is not specified in the provided information. Armenian Where was your Father born? .His religion is not specified in the provided information. Hypothesize: Page 2 of 9

3 Consider: R ace is white; ethnicity armenain family from yerevan Armenia Answer the following 1. Where were you born? Answer: I was born in Yerevan, Armenia. What is your race? Answer: My race is White. What is your ethnicity? Answer: My ethnicity is Armenian What setting were you born in? (Circle one) Home Other 2. Where was your Mother born? Answer: My mother was also born in Yerevan, Armenia Her race: Her race is White. Her religion: Apostolic Christianity 3. Where was your Father born? Answer: My father was born in Yerevan, Armenia His race: His race is White His ethnicity: His ethnicity is Armenian. His religion: Apostolic Christianity 4. Where were your Grandparents born? Answer: Your Mother’s Mother: she was born in Yerevan, Armenia. Your Mother’s Father: he was also born in Yerevan, Armenia. Your Father’s Mother: She was born in Yerevan, Armenia. Your Father’s Father: He was also born in Yerevan, Armenia 5. Number of sisters: 2 Number of brothers: 1 6. Did you grow up in a: (circle one) Rural area Urban area Suburban area 7. Where did your parents grow up? And grandparents? The parents grew up in Yerevan, Armenia. The grandparents also grew up in Yerevan, Armenia . Page 3 of 9 Hospital Urban area Urban area

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4 8. What religious beliefs were you brought up with? Apostolic Christianity 9. What is your religious preference now? Christianity 10. Are you: (circle one) Married Single Divorced Other 11. If married, is your spouse the same religion as you? If not, which one? N/A 12. What is your ethnic background? Armenian 13. What is your spouse’s ethnic background if married? Or significant other? N/A 14. Do you (and spouse) attend religious services? Yes 15. How do you practice your religious beliefs? Praying: I engage in prayers. Bible reading: occasionaly I do read the bible. Dietary restrictions: only during fasting periods. Celebration of religious holidays: I celebrate Armenian Christian holidays. Other: Any additional religious practices are not specified. 16. What type of ethnic activities do you and your family participate in? Music, dance, and traditional festivals. 17. Does your family practice any cultural traditions and when? Yes, January 6th, the birth and baptism of Jesus Christ. And August 11th, Armenian New Year 18. Describe your use of non-verbal communication patterns? Nodding head to signal yes, silent when angry 19. Describe your use of silence and do you have difficulty/discomfort with silence? I use silence when angry, however at times am compelled to talk when am annoyed. 20. When you have something important to discuss with your family, how do you approach them? I open up and hold direct conversations with them Page 4 of 9

5 21. What is your function in your family system? Am a caregiver, mediator and helps provide 22. When you were a child who or what influenced you the most? And why? I was influenced by how my parents provided guidance, values, and a sense of identity. 23. Who makes the decisions in your family? Mostly the parents, and sometimes collaborative in decision-making 24. What is your relationship like with your parents and siblings? We are very close and love each other. 25. When there is conflict between you and another individual, how do you handle it? I pursue open dialogue, at times avoid some conflicting situations or seek mediation when conflicts arise. 26. When you talk with family members, how close do you stand? A reasonable distance. 27. When you communicate with coworkers, peers, and/or acquaintances, how close do you stand to them? Depending on the context and familiarity with the individuals, I don’t mind the distance when am close to my colleague friends, but keep a reasonable distance to seniors and those am not close to. 28. If a stranger touches you, how do you react or feel? I feel uncomfortable and like my personal space has been intruded to. But it also depend on the manner of touching. 29. At what distance, do you feel uncomfortable, when a stranger invades your space? When the get closer than 2 metres. 30. Do objects in the environment affect your sense of space and please elaborate? (i.e. clutter, furniture placement, medical supplies, etc.) No. I don’t mind them unless they appear weird, very strange or discomforting. 31. What is your normal state of health? I strive to maintain good physical and mental health 32. Are parents alive and well? Grandparents? Or Deceased? The parents are alive; the grandmas Page 5 of 9

6 are alive. 33. How do you define social activities? They are activities promote social interaction and connections. 34. What activities do you enjoy by yourself? And with others? enjoy reading, listening to music, or pursuing personal hobbies. Others, are enjoy socializing, attending cultural events, or participating in group activities. 35. Do your political views influence your attitude toward health and illness issues and how? No. Service to humanity especially regarding health matter to me comes first. 36. Are there any special religious practices or beliefs that you have, that may affect your health care when you are ill? No. 37. What events, rituals, and/or ceremonies are important within your life? They are religious holidays, family celebrations (such as weddings and baptisms), and cultural festivals. 38. Do you rely on prayer to affect change in your life? Please explain. Yes. I pray to seek spiritual guidance and solace during challenging times. 39. What is your physiochemical reaction to time? Do you go to sleep and wake on a consistent schedule? I sometimes sleep late but wake up early thus I don’t have a constant schedule 40. If you have an appointment at 2 pm, what time is acceptable to arrive? Between 1.40pm and 1.50pm 41. If your nurse tells you that you will receive a medication in “about an hour”, how much time will you allow before calling the nurses’ station? I give around 10 minutes if the nurse does not communicate again but also depends on the urgency. 42. Do you have an internal locus-of-control or external locus-of-control and explain? I have an internal locus of control, as I tend to believe that my actions and choices have a significant Page 6 of 9

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7 impact on my life, 43. Is it acceptable for strangers to stop by unexpectedly? If not, why? Yes it is because they may need dire help. 44. Name some ways your parents or other persons treated your illnesses, when you were a child. They gave me medication, home remedies, and sought medical advice when necessary. 45. Have you ever used home remedies? Which ones? Did they work? Would you use them in the future? I don’t remember. If I know them well and medically work I may use. 46. Are there health topics you feel are too sensitive to discuss? Which ones and why? No. I believe in candid discussions. 47. What is your attitude toward: Mental illness: I believe it is importance to understand and support those with mental illness, thus reducing stigma, and advocating for mental health awareness and access to care. Disability: I believe no one wants to be disabled so they deserve to equality. Disability is not inability. Older Adults: they need our care. Pain (Chronic & Acute): Be empathic and look for effective pain management, especially for those with chronic pain. Chronic illnesses: I t is needful to give compassionate care, patient education, and do research to improve the quality of life for individuals living with chronic conditions HIV/AIDS: it is a death penalty and victims need guidance and counselling and emotional support Page 7 of 9

8 Abortion: every foetus has right to life unless the mother is in a risked medical condition. Homeless: it is good to identify the root causes of homelessness and address them where applicable Suicide: if symptoms manifest early then I prefer guidance and counselling to the person and advocate for close monitoring Assisted Suicide: it is now worthwhile. Death and Dying: it the final stage in human life. Substance Abuse: it is good to recognize it as a health issue and advocate for treatment, rehabilitation, and harm reduction strategies. LGBT population: they have their own rights and not need to sideline them Dementia/Cognitive Impairment: those sick need support, understanding, and research should done improve the quality of life for affected individuals and their caregivers. 48. What diseases/illnesses are common in your family? The condition is hypertension. 49. Describe your family’s typical behavior when a family member becomes ill. Every becomes concerned 50. How do you respond when you are angry? I try to breathe in and out to ease the pressure, then listen to music to sooth. 51. Who or what helps you cope during a difficult time? My parent and siblings; what makes cope is the belief that no situation is permanent. It soon will end. 52. Are there any foods forbidden by your culture, or are some foods a cultural requirement in observance of a rite or ceremony? Elaborate on answers. No foods are forbidden; dishes like dolma, lavash, and baklava preferred during celebrations and ceremonies. 53. Identify things you are proud of in regards to your culture. I take pride in our rich cultural heritage, historical achievements, and resilience. Page 8 of 9

9 54. Identify things that embarrass you about your culture. I feel embarrassed about some aspects especially negative stereotypes or biases from others. 55. Describe an event when you were hurt by someone’s verbal prejudice or action. And describe your feelings and thoughts regarding the event. I recall someone's saying hurtful word to. This motivated me to become an advocate for promoting understanding and tolerance among people from diverse backgrounds. 56. Share an act of discrimination (stereotype, prejudice) you learned as a child. How do you deal with this as an adult and why? As a child, I learned stereotypes about other races, but now as an adult, I have unlearned them and engage in open conversations with myself about diversity. 57. Do you feel you could survive poverty and how? Poverty a challenge, but I would seek assistance from social services, community organizations, and employment opportunities. 58. What three things would you bring with you to survive in poverty and why? How would protect your property while in a shelter or on the street? In poverty, I will bring identification, hygiene supplies, academics document and warm clothing; the identification and academics documents would help in securing job. Page 9 of 9

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