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1.
Where were you born?
United States.
What is your race?
White.
What is your ethnicity?
Armenian.
What setting were you born in? (Circle one) Home Hospital Other
2.
Where was your Mother born?
Armenia.
Her race
White.
Her religion
Christianity.
3.
Where was your Father born?
Armenia.
His race
White.
His ethnicity
Armenian.
His religion
Christianity.
4.
Where were your Grandparents born?
Your Mother’s Mother
Armenia.
Your Mother’s Father
Armenia.
Your Father’s Mother
Armenia.
Your Father’s Father
Armenia.
5.
Number of sisters 0 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?
My parents grew up in Armenia in a suburban area. Also, my grandparents did grow up in Armenia in a suburban area.
8.
What religious beliefs were you brought up with?
I was brought up with believing in god and christianity. As did my parents and my grandparents.
9.
What is your religious preference now?
My religious preference is Christianity.
10.
Are you: (circle one) Married Single Divorced Other
Engaged.
11.
If married, is your spouse the same religion as you? If not, which one?
I am not married yet, but soon to be married but yes, my fiance is christian.
12.
What is your ethnic background?
I am Armenian and the ethnic background of Armenian Highlands of Western Asia are home to this ethnic group. Armenians make up the majority of the population in both Armenia and Artsakh, which is de facto independent. Outside of modern Armenia, there is a large diaspora of around 5 million people with full or partial Armenian ancestry.
13.
What is your spouse’s ethnic background if married? Or significant other?
They are also Armenian.
14.
Do you (and spouse) attend religious services?
I do attend religious services with my fiance every Sunday morning. We go to church when we can and every religious holiday we attend church together. For example, on Easter we go to church and on Christmas we go to church and other religious holidays that Armenians celebrate.
15.
How do you practice your religious beliefs?
Praying
Yes, I do pray often probably multiple times a day.
Bible reading
Y
es, I do read the Bible when attending church services.
Dietary restrictions
Sometimes depending on the occasion. There are certain days before Easter that Armenians have to do a dietary restriction before Easter.
Celebration of religious holidays
Yes, I do celebrate religious holidays and it’s very important to me.
Other
16.
What type of ethnic activities do you and your family participate in?
There are a lot of ethnic activities that my family and I participate in, but one we did recently was my engagement party. Where we had over 300 peopl and had our pastor come and pray for our engagement and had a party and blessings and
gifts. Also. On February 13, we do celebrate something called Trndez. Where we go to church as a couple me and my fiance we listen to the pastor, pray. They light a fire from the prayer and then from that fire, we take a candle home. Or we can jump from the fire at church. But this year we took the candle home and we lit a fire at home with their friends and family and jumped over the fire multiple times. As a sign of good fortune, when the flames touch you. They even do it for newborns when a baby is born, you jump with your baby over the fire for good fortune. It also symbolizes light, warmth, joy. and the shift of winter. But more than that, it has predictions. The fire predicts whether a couple is going to marry or to have a child.
17.
Does your family practice any cultural traditions and when?
Some cultural traditions we have is getting drenched with water on a specific dayDuring July. It is called Vardavar this date takes back years I’m not too familiar wit all the meanings, but I know for sure it is for the goodness of water and purity. We take one day out of the year to celebrate summer and get drenched in water. We don’t look at who it is, we just splash them with water, even if they’re going into work or running away. Our culture has very traditional dance. I went to dance for many years and I got to learn my heritage. We, as Armenians, are light on our feet and love nothing more than to dance, especially on weddings and birthdays. We never need an excuse to celebrate. Once the song turns on everyone is expected to dance. During our parties, we love our Armenian traditional food that we make like Xorovach And more.
18.
Describe your use of nonverbal communication patterns?
My nonverbal communication patterns would be mostly facial expressions and eye contact.
19.
Describe your use of silence and do you have difficulty/discomfort with silence?
My use of silence is not talking. And I do not have a difficulty or discomfort with silence. I actually find it calming and sometimes you can learn a lot more when in silence than when talking.
20.
When you have something important to discuss with your family, how do you approach them?
When I have something important to say to my family or to discuss with my family I would usually talk to them over dinner. During the day, everyone is at work or I am at school. Every night we have dinner together, so it is the best time to have everyone together and talk.
21.
What is your function in your family system?
My function in my family would mostly be helping out my mom cook dinner or clean the house or run errands for my parents. I am also a very caring person I love helping out my family. Especially when they are sick or when they are busy.
22.
When you were a child who or what influenced you the most? And why?
The person that mostly influenced me in my life was my grandmother. She was young in age so she was like a second mother to me. My parents were pretty young when they had me and my brother I am half their age. So someone wise and that had good advice was my grandmother and I would go to her with any problems or anything that I needed help with and also she is actually the one who pushed me to go into nursing school before she passed away.
23.
Who makes the decisions in your family?
The person who makes the most decisions in my family is my dad. If my dad doesn’t make the decision, my mom does.
24.
What is your relationship like with your parents and siblings?
My relationship with my parents is very loving and caring. They don’t treat me like I am little they treat me like an adult. Since our age, differences aren’t a lot. With my sibling he is not in the same country as me, but we always talk on the phone and we are very close.
25.
When there is conflict between you and another individual, how do you handle it?
26.
When you talk with family members, how close do you stand?
27.
When you communicate with coworkers, peers, and/or acquaintances, how close do you stand to them?
28.
If a stranger touches you, how do you react or feel?
29.
At what distance, do you feel uncomfortable, when a stranger invades your space?
30.
Do objects in the environment affect your sense of space and please elaborate? (i.e. clutter, furniture placement, medical supplies, etc.)
31.
What is your normal state of health?
32.
Are parents alive and well? Grandparents? Or Deceased?
33.
How do you define social activities?
34.
What activities do you enjoy by yourself? And with others?
35.
Do your political views influence your attitude toward health and illness issues and how?
36.
Are there any special religious practices or beliefs that you have, that may affect your health care when you are ill?
37.
What events, rituals, and/or ceremonies are important within your life?
38.
Do you rely on prayer to affect change in your life? Please explain.
39.
What is your physiochemical reaction to time? Do you go to sleep and wake on a consistent schedule?
40.
If you have an appointment at 2 pm, what time is acceptable to arrive?
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?
42.
Do you have an internal locus-of-control or external locus-of-control and explain?
43.
Is it acceptable for strangers to stop by unexpectedly? If not, why?
44.
Name some ways your parents or other persons treated your illnesses, when you were a child.
45.
Have you ever used home remedies? Which ones? Did they work? Would you use them in the future?
46.
Are there health topics you feel are too sensitive to discuss? Which ones and why?
47.
What is your attitude toward:
Mental illness:
Disability:
Older Adults:
Pain (Chronic & Acute):
Chronic illnesses:
HIV/AIDS:
Abortion:
Homeless:
Suicide:
Assisted Suicide:
Death and Dying:
Substance Abuse:
LGBT population:
Dementia/Cognitive Impairment:
48.
What diseases/illnesses are common in your family?
49.
Describe your family’s typical behavior when a family member becomes ill.
50.
How do you respond when you are angry?
51.
Who or what helps you cope during a difficult time?
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.
53.
Identify things you are proud of in regards to your culture.
54.
Identify things that embarrass you about your culture.
55.
Describe an event when you were hurt by someone’s verbal prejudice or action. And describe your feelings and thoughts regarding the event.
56.
Share an act of discrimination (stereotype, prejudice) you learned as a child. How do you deal with this as an adult and why?
57.
Do you feel you could survive poverty and how?
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?
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