Deck 2: Cultural Competence and Health Equity in Nursing Care

Question 1

Having a commitment to the goal of inclusivity and equity is classified as which domain in the ABCs of cultural competence?

A) Skills
B) Affective
C) Knowledge
D) Behavioural

Answer 1

Affective

Question 2

A recent RN graduate is assessing a newly admitted non-English-speaking Chinese patient.Which action would alert the preceptor to intervene and assist the nurse with culturally appropriate care?

A) Sitting down at the bedside
B) Calling for a medical interpreter
C) Beginning the physical assessment with palpation
D) Avoiding eye contact with the patient

Answer 2

Beginning the physical assessment with palpation

Question 3

Which of the following is a system factor that influences help-seeking behaviour for health care?

A) Lack of health insurance
B) Association by patients of hospitals with death
C) Lack of ethnic-specific health care programs
D) Possible patient distrust of the dominant population and institutions

Answer 3

Lack of ethnic-specific health care programs

Question 4

Which following term refers to characteristics of a group whose members share a common social,cultural,linguistic,or religious heritage?

A) Diversity
B) Ethnicity
C) Ethnocentrism
D) Cultural imposition

Question 5

What is the most appropriate action when the patient constantly pauses before answering questions about his or her health history on an admission assessment?

A) Stop the assessment and return later.
B) Wait for the patient to answer the questions.
C) Ask why the questions require so much time to answer.
D) Give the patient the assessment form listing the questions and a pen.

Question 6

What is a primary factor that shapes the health of Canadians?

A) Medical treatments
B) Living conditions
C) Lifestyle choices
D) Obesity

Question 7

Which statement accurately reflects a health inequity experienced in Canada today?

A) Aboriginal adults are less likely to smoke tobacco than other adults in Canada.
B) Overall suicide rate among First Nation communities is about twice the rate of the general population.
C) Individuals from lower income neighborhoods undergo preventative health screening more than their higher income counterparts.
D) Recent immigrants are more likely to have a primary care physician than Canadian-born respondents.

Question 8

If an interpreter is not available when a patient speaks a language different from the nurse's,which action is most appropriate?

A) Use specific medical terms in the Latin form.
B) Talk loudly and slowly so that each word is clearly heard.
C) Repeat important words so that the patient recognizes their importance.
D) Use pantomime to demonstrate what is to be communicated to the patient.

Question 9

Which best describes culturally appropriate nursing care?

A) Asking permission to touch a patient
B) Avoiding questions about male-female relationships
C) Explaining how Western medical care differs from cultural folk remedies
D) Applying knowledge of a culture to patients of the same cultural group

Question 10

An Aboriginal patient tells the nurse that he thinks his abdominal pain is caused by eating too much seal fat and that strong massage over the stomach will help it.What is this patient describing?

A) Awareness and knowledge of his own culture
B) Encounters with cultures different from his own
C) Explanatory model of health and health practices
D) Knowledge about the differences in modern and folk health practices