NCLEX - CGFNS : Cultural Diversity (4)

  • They use languages include English, Navajo, and other tribal languages.
  • They speak in a low tone of voice
  • Silence indicates respect for the speaker and eye contact is viewed as disrespect
  • Body language is important
  • Touch another person’s hand during greetings is important
  • Some tribes may prohibit touching of a dead body
  • Message is used for the newborn infant to promote bonding
  • Members are family oriented and basic family unit is the extended family and in some tribes, grandparents are viewed as family leaders
  • Elders are honored
  • Religion and healing practices are integrated
  • Father does all the work outside the home and mother does responsibility for domestic duties
  • It is important to teach children to respect traditions
  • Community social organization are important.
  • Health is assumes as a state of harmony between the person, the family, and the environment and illness is caused by supernatural forces disequilibrium between person and environment
  • Traditional health and illness beliefs may continue to be observed
  • They have health risks : injury, alcohol abuse, heart disease, diabetes mellitus, tuberculosis, arthritis, gallbladder disease, lactose intolerance, and glaucoma.

So it is important as a nurse when giving care to Native American to:
  • Clarify communication
  • Be attentive to own use of body language
  • Understand that client may be attentive even when eye contact is absent
  • Encourage client to personalize space
  • Assess for availability of running water, infection control and hygiene practice at home
  • Provide modes of healing include herbs, restoration balance between person and the universe, and traditional healers

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