Question 1

A 32-year-old patient shares with the nurse that she has been unwell for 2 weeks.She has had a variety of symptoms and has been treating them with herbs that her mother has provided.The nurse should:

Accepted Answer

Today,Canadians of all backgrounds draw upon a range of traditions as part of their health care.Perspectives on what are acceptable health care practices change over time and are culturally and socially bound.The nurse's responsibility is to inform patients about the potential effects of particular practices but not to judge the acceptability of those practices.

Question 2

A patient tells the nurse that she believes in "the hot-cold theory,where illness is caused by hot or cold entering the body." Which of the following responses from the nurse would be most appropriate?

Accepted Answer

Health care providers who are alert to and respectful of the wide variety of health care practices and understandings about health will more easily find a mutually acceptable way to address people's concerns.This will require the nurse to remain critically reflective about how he or she may be conveying the dominant culture of health care in ways that can make patients feel uncomfortable or hesitant to share their perspectives.

Question 3

When providing culturally competent care,nurses must incorporate cultural assessment into their health assessment.Which statement is most appropriate to use when initiating a cultural beliefs assessment with a First Nations elder?

Accepted Answer

As demographics indicate,the majority of Canadians associate themselves with the dominant linguistic groups (English and French)and with the dominant European ancestry.These patterns create both the potential of "Othering" in health care and the potential for modelling culturally safe,actively respectful ways of working across differences in health care.

Question 4

When inquiring about a patient's health,the nurse must remember that:

Accepted Answer

While certain data must be collected in the initial interview to address the patient's presenting health issues,patients should not be expected to share sensitive information until trust has been established.

Question 5

An elderly woman is being discharged from the hospital to her home,where she lives with her son and his family.In preparing for discharge,the nurse must consider which of the following statements?

Accepted Answer

Many families in Canada are required to take on the extra work of caring for family members in their homes because of shortened hospital stays for acutely ill patients;the lack of affordable,quality long-term care facilities;and,in some cases,families' personal commitments to care for older parents in the home.

Question 6

Which of the following prevents a health care provider from being able to provide comprehensive care?

Accepted Answer

Relational approaches in clinical practice can make a difference.It is important for the nurse to remain critically reflective about the assumptions he or she may have and to remain focused on the historical and social contexts and current living conditions that continue to shape people's health,access to health care,and overall well-being.

Question 7

"Aboriginal peoples" refers to which of the following groups?

Accepted Answer

The term "Aboriginal peoples" is used to refer generally to the indigenous inhabitants of Canada including First Nations,Métis,and Inuit people.

Question 8

Which of the following practices will enhance a health care provider's ability to connect across differences?

Accepted Answer

The notion of "connecting across differences" comes from Doane and Varcoe (2005),who emphasize that "relational practice requires that you connect across differences by joining people as they are and where they are" (p.295).This can be easier said than done,and the integration of knowledge and reflection will take time.

Question 9

Spirituality is a personal search for:

Accepted Answer

Spirituality is a search for meaning.

Question 10

A First Nations family requires dental care.The nurse needs to determine which of the following in order to facilitate the best possible care for this family?

Accepted Answer

Currently,First Nations people with status and Inuit people receive limited health care benefits (noninsured health benefits,or NIHBs)not covered by provincial insurance plans.NIHBs are administered by Health Canada and consist of selected medical benefits,including dental care.

Question 11

Participation in a formal institutional structure with its rituals and beliefs is known as:

Accepted Answer

Religions are often established by formal institutions structures,rituals,and beliefs.

Question 12

Which of the following examples illustrates the concept of cultural safety?

Accepted Answer

Cultural safety acknowledges that culturally based meanings and practices must be respected.

Question 13

A family who is new to Canada has come to the family practice unit seeking a primary care practitioner.The mother begins crying and says that she misses her family back home but has come to Canada because her husband cannot find work in their country.This is an example of:

Accepted Answer

The "push-pull" factors in migration are often due to the need to explore new economic opportunities,family reunification,or forced relocation due to persecution or ecological disasters.

Question 14

Expecting that all Chinese persons believe in the hot-cold theory of health and illness is an example of:

Accepted Answer

Culturalism is the assumption that people act in particular ways because of their culture.

Question 15

An Aboriginal woman who lives away from the reserve has come to the clinic to seek help with regulating her diabetes.In conducting an interview,the nurse's priority involves:

Accepted Answer

Profound social disruption exists within many Canadian Aboriginal communities.This has contributed to a lack of employment opportunities and high levels of poverty.

Question 16

A nurse preparing to conduct a prenatal class is aware that which of the following groups is at highest risk for infant mortality?

Accepted Answer

Infant mortality rates are almost twice as high for status First Nations infants as for other Canadians.

Question 17

Which of the following is an example of health inequity?

Accepted Answer

Health inequity refers to those inequalities in health that are unnecessary and avoidable,and differences that are considered unfair and unjust.

Question 18

A 30-year-old woman who was born in Canada brings her 68-year-old mother to hospital.The nurse notes that the mother is reluctant to follow the plan of care,but her daughter,who is a dental hygienist,is insisting that she do so.This is an example of:

Accepted Answer

Western-educated health care providers tend to attribute illness to individual behaviours or factors,view the individual as responsible for getting well,and value "compliance" with recommended treatments.However,there is a great variation in the extent to which patients and their family members subscribe to the values of the dominant health care culture.

Question 19

Which of the following statements is true regarding respect for differences?

Accepted Answer

Conveying respect for differences will build trust and welcome patients to share their understandings.

Question 20

Before being able to understand the health care needs of another,a health care provider needs to:

Accepted Answer

A relational approach to health assessment prompts a health care provider to ask,"How do my social,cultural,and professional backgrounds shape my ability to relate to,and my assumptions about,the various people I encounter in my practice?"

Quiz 3: Cultural Competence: Cultural Care and Social Considerations in Health Assessment