NCLEX - CGFNS : Cultural Diversity (3)

EUROPEAN AMERICAN (WHITE) ORIGIN

• They use national language and English.
• Eye contact is viewed as indicating trustworthiness and silence is used to show respect or disrespect depends on situation.
• For them time is important and members tend to be on time
• Handshakes is used for formal greeting and may be aloof and tend to avoid close contact
• The man is dominant figure.
• Religion includes Judeo Christian beliefs.
• The nuclear family is the basic unit, even the extended family is also important for them.
• They will see that community social organization is important.
• They will see that the health is viewed as an absence of disease or illness and will rely on modern Western health care delivery system.
• For this population: cancer, diabetes mellitus, heart disease, and injury are health risks for them.
• As a nurse to deliver nursing care to this group should monitor and assess client’s body language and respect client’s personal space.

HISPANIC AMERICAN

• Their languages include Spanish and Portuguese, tend to be verbally expressive.



• Direct confrontation is disrespectful and expression of negative feeling is impolite.
• When expressing emotion or pain, they will use dramatic body language such as gesture and facial expression.
• Close proximity with family, friends, and acquaintance is important for them.
• They will be very tactile and using embraces and handshakes and politeness and modesty are essential.
• The nuclear family is the basic unit for them, also the extended family is highly regarded.
• Men are the decision makers and women are the caretakers and homemakers.
• Their religions include Catholicism, Evangelicalism, Jehovah’s Witness, and Mormons. Social organization are important.
• They see the health may be a reward from God or a result of good luck, also it results from a state of balance between “hot and cold” forces and “wet and dry” forces.
• On the other hand, illness may be viewed as a result of God’s punishment for sin and they will adhere to folk medicine tradition.
• This group will have health risk of lactose intolerance, diabetes mellitus, parasites, hypertension, and heart disease.
• As a nurse delivers care to this groups should allow time for client to discuss treatment options with family member, protect privacy, and flexible regarding time of arrival for appointment.
• Give them alternative modes of healing include herbs, consultation with lay healers, prayer, and religious medals.