Last Updated on January 6, 2023 by Admin
Module 6 Assignment
Read the following two Case Studies and answer the questions presented.
Chinese Case Study #1 – Li Ying Bin Questions
1. If you were to go to China on a business trip, how would you design your name card so that the Chinese would not be confused?
2. If you wished to have a meeting with a Chinese delegation of health-care providers, would you expect them to be on time? Why?
3. If the meeting included a meal with Chinese food, what kinds of food would you expect to be served? How would it be presented? If something were served that you do not like, would you eat it anyway?
4. Compare and contrast the Chinese meaning of life and way of thinking with the Western meaning of life and way of thinking.
5. What are the common health risks for the development of chronic
obstructive pulmonary disease among Chinese people?
6. What are some of the reasons that Mr. Li waited so long to enter the hospital?
7. Mr. Li did not complain of chest pain in the cardiac intensive-care unit. Is this a common behavior? Why?
8. True or False: The Chinese family will expect health-care providers at the hospital to provide most of the care for Mr. Li.
9. Why must the physician be careful with the amounts of medication
10. Mrs. Li is curt, demanding, and disagreeable toward her daughter-in-law. Why does she act this way?
11. Explain why Mr. Li blames the airplane ride and the Western food for his heart attack. Why does he meditate and do exercises?
12. Is Mr. Li’s stoicism during dying surprising? Why do the family members refuse to discuss his health and possible death?
13. What is the preferred method for handling the remains of a deceased Chinese person?
14. Describe common mourning rituals for the Chinese.
15. Describe bereavement in a Chinese family.
16. Describe a common view of death among Chinese.
Japanese Case Study #1 – Marianne and Ken Shimizu Questions
1. Identify some of the cultural issues that may lead to conflict in this international
2. What are the family resources for this international family?
3. What factors within the Japanese health system may account for the late diagnosis of
4. What practical issues might arise for the Shimizus if Mother Shimizu were placed in
a long-term-care facility in the United States?
5. What dietary factors may contribute to Marianne’s hypertension?
6. In what ways might you consider Ken to be countercultural as a Japanese man?
7. What social pressures might Marianne have faced, given some of her choices, as a
housewife in Japan?
8. What pressures will Ken likely experience as he considers how to meet the needs of
both his mother and his wife?
9. Compare and contrast the fertility and mortality rates of Japan and the United States.
10. Do the traditional Japanese maintain sustained eye contact with strangers? Why or
11. To which drugs might Japanese people have greater sensitivity than that of white
12. How do most Japanese people meet their need for calcium?
Length: 1250–1500 words; answers must thoroughly address the questions in a clear, concise manner.
Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.
Format: Save your assignment as a Microsoft Word document (.doc or .docx).
File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)
Expert Answer and Explanation
Chinese Case Study #1 – Li Ying Bin Questions
Based on the case study, many Chinese do not understand English and other western languages. Hence, if I were to go to China on a business trip, I would design my English and Chinese name to avoid confusion at the airport.
When having a meeting with the Chinese delegation, I expect them to be on time. According to Tao and Li (2020), the Chinese value their word; hence, when they say they will meet you at a specific time, they will be there to defend their honor.
Some of the Chinese food that can be served during the meeting include Hotpot, Sichuan Pork, Braised Pork Balls in Gravy, and Shrimp with Vermicelli and Garlic. Hotpot would be served raw or cooked, and disposable chopsticks would be availed to eat it. I would eat the food even if I do not like it.
The Chinese way of thinking looks at an idea as a whole, while Western thinking looks at parts of an idea. Chinese prioritize society while westerners prioritize an individual. In other words, the Chinese are more societal, while westerners are individualistic.
According to a study done by Millwood et al. (2018), the common health risks for chronic obstructive pulmonary disease among the Chinese population include obesity or overweight, smoking, hypertension, dyslipidemia, and diabetes. The study also notes that late arrivals in hospitals are also a risk factor for heart problem mortality.
First, Mr. Li visited the hospital late because he was not satisfied with the treatment he received in Beijing. Second, together with his wife, the patient believed so much in Chinese traditional medicine than western medicine. The language barrier may also be a factor for late arrival.
It is common for Chinese patients, especially men, to complain of pain in their body parts. Tao and Li (2020) argue that most Chinese people prefer to meditate to reduce their pain instead of complaining of the pain to other people.
False. For instance, in the case study, the patient’s wife did not allow the nurses to provide full care to her husband. She often brought Chinese medicine and gave it to the patient regardless of the nurse’s warning.
A physician must be careful with the number of drugs ordered to avoid overdose and drug interaction. Also, when prescribing medications to a Chinese patient, a physician should consider Chinese medicine.
She acts this way because she does not fully trust western medicine. While in China, the physician in charge of Mr. Li often used traditional herbs to improve the patient’s health, which increased her trust in Chinese medicine rather than Western drugs.
Mr. Li blames western food because he does not trust how it is made or prepared. He also blames the airplane because he started feeling unhealthy after alighting from the plain. In Chinese tradition, meditation and exercise are forms of healing and pain management.
Mr. Li’s stoicism character during dying is not surprising. Morgunova, Karmushakov, Klebanov, and Khokhlov (2019) argue that the patient was behaving this way to prevent his family from feeling sad. The family has refused to discuss the patient’s health and possible death because talking about death in Chinese tradition is a taboo and can invoke bad luck.
The Chinese people prefer to cremate the dead rather than burring them. Thus, Mr. Li will be cremated and not buried.
In China, after one is dead, the family members will set aside seven days for mourning. However, mourning rituals will depend on the age, social status, and marital status of the diseased. White clothes are often worn during mourning.
One of the bereavement activities in the Chinese family is participating in the funeral. The tradition also allows the Chinese family that is bereaved to express their grief and avoid losing their comportment in the process.
Chinese tradition prohibits Chinese from discussing death because it is a taboo and can lead to a bad omen. Death is a negative event and is a result of natural causes, such as disease or aging.
Japanese Case Study #1 – Marianne and Ken Shimizu Questions
One of the cultural issues that may lead to conflict in this international family is the spouses’ belief about caring for older adults. Marianne considers placing her husband’s mother in long-term care, but Ken does not welcome the idea as it is not practiced in Japan as it is in the US.
The first family resource is the subsidized post–World War II housing near Shimizu’s university. Another resource is the profession of both Marianne and Ken Shimizu. The couple’s children are also their family resources.
The late diagnosis of Ken’s glaucoma is due to Japan’s poor health system. It is noted that Marianne prefers the US health system compared to the Japanese due to its effectiveness. She also prefers to take Ken’s mother to long-term care in the US because of its high quality.
Japanese culture requires children to take care of their parents. The issue of long-term care is not highly practiced in Japan. Shimizu may feel ashamed for failing to care for his mother.
According to Lelong et al. (2017), some of the dietary factors that may contribute to Marianne’s hypertension include excessive sodium intake, too little potassium in her diet, a lot of added sugar in her tea, and many fats. Fat can block her arteries and increase her blood pressure.
Ken can be said to be a countercultural Japanese man due to the following reasons. First, he abandoned his traditional religion and decided to practice Christianity. Second, Japanese men are culturally required to dictate the rules in the family. However, in the case, Ken allows his wife to have a say in their family issues.
Some of the social pressures Marianne might have faced as a Japanese housewife include the following. First, he must cook for his husband, tidy the house, care for her children, satisfy her husband, and perform various house chores. These responsibilities have made it hard for her to pursue her career.
As a Japanese husband, Ken is required to care for his parents, wife, and children without others’ help. Ken is likely to experience financial and commitment pressures as he cares for his mother and wife. He is likely to experience stress because of his health condition.
Fertility rates in the US are higher than those in Japan. According to Mizumoto and Chowell (2020), the US recorded 1.77 births per woman, while Japan recorded 1.43 births per woman in 2017. The death rate in the US is lower than that of Japan. In 2019, the US recorded a mortality rate of 8.8 per 1000 people, while Japan recorded 10.7 per 1000 people.
Japanese do not maintain eye contact with others, let alone strangers. In Japanese culture, making eye contact is a sign of rudeness and odd; hence Japanese are required to avoid the practice.
Japanese are more resistant to azole drug than whites because their genetic makeup has higher expression of the cyp51a gene.
Japanese may meet their calcium intake by consuming soybeans, milk, yogurt, and sardines (Oono, Sakamoto, Tachi, Mabashi-Asazuma & Iida, 2020).
Lelong, H., Blacher, J., Baudry, J., Adriouch, S., Galan, P., Fezeu, L., … & Kesse-Guyot, E. (2017). Individual and combined effects of dietary factors on risk of incident hypertension: prospective analysis from the NutriNet-Santé cohort. Hypertension, 70(4), 712-720. https://doi.org/10.1161/HYPERTENSIONAHA.117.09622
Millwood, I. Y., Bennett, D. A., Holmes, M. V., Boxall, R., Guo, Y., Bian, Z., … & Yu, C. (2018). Association of CETP gene variants with risk for vascular and nonvascular diseases among Chinese adults. JAMA cardiology, 3(1), 34-43. https://jamanetwork.com/journals/jamacardiology/article-abstract/2661813
Mizumoto, K., & Chowell, G. (2020). Temporary Fertility Decline after Large Rubella Outbreak, Japan. Emerging Infectious Diseases, 26(6), 1122. doi: 10.3201/eid2606.181718
Morgunova, G. V., Karmushakov, A. F., Klebanov, A. A., & Khokhlov, A. N. (2019). Studies into the effect of “mild” uncoupling with 2, 4-dinitrophenol on the growth of Chinese hamster cell culture and its subsequent dying out in the stationary phase. Moscow University Biological Sciences Bulletin, 74(3), 163-169. https://link.springer.com/article/10.3103/S0096392519030088
Oono, F., Sakamoto, Y., Tachi, Y., Mabashi-Asazuma, H., & Iida, K. (2020). Effect of Cdx2 Polymorphism on the Relationship between Dietary Calcium Intake and Peak Bone Mass in Young Japanese Women. Nutrients, 12(1), 191. https://doi.org/10.3390/nu12010191
Tao, X., & Li, S. (2020). The developing influence of Chinese culture on finance: A literature review and case-study illustration. Research in International Business and Finance, 54, 101302. https://doi.org/10.1016/j.ribaf.2020.101302
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