Question 1

While working with an Indigenous patient, the nurse recalls that a call to action from the Truth and Reconciliation Committee (TRC) Report would be supported through:

Accepted Answer

One of the calls to action from the TRC related to health recommends that the health care system recognize the value of Indigenous healing practices and incorporate them, at patients' request, when treating Indigenous patients.

Question 2

The nurse is meeting a new family that recently emigrated from Africa.What question might the nurse ask to gather the family's perspectives on ethnicity?

Accepted Answer

Ethnicity encompasses multiple different aspects, such as one's country of origin or ancestry, identity, family history, languages spoken, and, in some cases, religious identity.Ethnicity is complex and difficult to define; it is still evolving.

Question 3

Which question should the nurse ask to assess the patient's spiritual health?

Accepted Answer

It is important to communicate openness, interest, and acceptance of patients' religious and spiritual beliefs and practices.It is important to not make assumptions or communicate bias.The nurse should encourage patients to talk about their beliefs and practices and how best to provide care congruent with their spirituality.

Question 4

The nurse is working with non-English-speaking Asian immigrants, who have been in Canada for 1 year.What might be a concern the nurse should assess the clients for?

Accepted Answer

Immigrants encounter challenges in accessing health care services, often as the result of limited proficiency in communicating in English and limited availability of interpreter services.

Question 5

During a class on religion and spirituality, the nurse is asked to define spirituality.Which of the following descriptions is correct?

Accepted Answer

Spirituality arises out of each person's unique life experience and his or her personal effort to find purpose and meaning in life.The other definitions reflect the concept of religion.

Question 6

When conducting a health assessment, the nurse should assess for:

Accepted Answer

Canadians come from many backgrounds and may undertake different traditions and alternative health practices.People may use a variety of approaches with regard to their health care, including Western medicine, complementary therapies, natural health products, and so on.

Question 7

A patient admitted to the hospital does not speak or understand English or French.What is this patient at risk for experiencing?

Accepted Answer

Racism can be experienced by people who are not fluent in either of Canada's official languages, creating inequities because of perceived differences.

Question 8

An older Indigenous woman with traditional beliefs has been admitted to an inpatient care unit.A culturally sensitive nurse would:

Accepted Answer

In addition to seeking help from the biomedical or scientific health care provider, patients may also seek help from traditional healers.The TRC calls for collaboration with Indigenous healers and elders to better support Indigenous patients.

Question 9

Patient care which incorporates the influence of social, economic, political, and historical contexts of the patient on health is:

Accepted Answer

Culturally safe care integrates the patient's social, economic, political, and historical contexts of health and the health care experience into the patient care provided.

Question 10

The nurse is meeting a new Asian patient for the first time.The nurse recognizes that assuming the patient understands health to be a balance of hot and cold demonstrates:

Accepted Answer

Assuming that people act in particular ways because of their culture is known as culturalism.It would be incorrect to assume that all people from China embrace the hot-cold theory of health and illness

Question 11

The nurse working with a Métis patient recognizes that:

Accepted Answer

Services provided through the NIHB services for Indigenous peoples do not apply to the Métis and non-status Indigenous peoples.The services provided through the NIHB services for status Indigenous peoples are quite limited.

Question 12

A young mother and her three young children are attending clinic today.During assessment, what information might cause the nurse to have concerns about the family's health?

Accepted Answer

Rates of poor health are usually high among certain populations, such as women with low-income and raising children as a lone parent and people living in poverty.

Question 13

The nurse encounters a young male who is questioning his gender.The nurse is aware that this young person:

Accepted Answer

People who identify themselves as gender nonconforming experience increased stigmatization when accessing health care and other public systems.

Question 14

The nurse manager is explaining culturally competent care during a staff meeting.Which of the following best describes the concept of culturally competent care?

Accepted Answer

The Canadian Nurses Association (CNA) defines cultural competence as "the application of knowledge, skills, attitudes or personal attributes required by nurses to maximize respectful relationships with diverse populations of clients and coworkers."

Question 15

Nursing students are discussing the inequities in the health status of the Indigenous peoples.What was one of the discriminatory practices implemented to assimilate Indigenous peoples into the dominant Canadian society?

Accepted Answer

To promote assimilation of Indigenous peoples into the dominant Canadian society, their land was appropriated and reserves created; cultural and spiritual practices (including the work of traditional healers) were outlawed; Indigenous peoples were not given voting rights; and residential schools were created to indoctrinate Indigenous children about the practices of the dominant culture.

Question 16

The nurse would like to include cultural safe care when working with new immigrants from different countries.The nurse can:

Accepted Answer

Cultural safety is focused on the root causes of "power imbalances and inequitable social relationships in health care," to improve on equity in the health care system.Cultural safety aims to change the practices and policies in the health care system to a culture that strives to eliminate culturalism, racism, discrimination, and inequities.

Question 17

Taking a critical cultural perspective when working with culturally diverse populations, the nurse is attentive to patients' culture and:

Accepted Answer

From a critical cultural perspective, culture shifts and changes over time and depends on an individual's history, social context, past experiences, gender identity, professional identity, and so on; culture intersecting with the social determinants of health.

Question 18

What should the nurse be mindful of when working with Canada's culturally diverse population?

Accepted Answer

Culture is a "dynamic relational process of selectively responding to and integrating particular historical social, political, economic, physical, and linguistic" factors and is "relationally determined and contextual." Nurses need to be careful not to make assumptions about people who are assumed to be part of certain groups.

Question 19

The nurse is meeting a patient for the first time.What question might the nurse ask to develop trust and demonstrate respect?

Accepted Answer

Questions that are nonjudgemental and communicate respect and openness to listening and learning more about a patient will show respect and help develop trust in the nurse-patient relationship.

Question 20

When working with a family of Indigenous background, what is important for the nurse to be aware of?

Accepted Answer

The inequities of the past continue to influence people's health status in the present.The health of many Indigenous people is poorer than the overall Canadian population on almost all measures.The TRC calls on the federal government to establish measurable goals to identify and eliminate the differences in health outcomes between Indigenous and non-Indigenous communities.

Quiz 3: Cultural Competence: Cultural Care