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NURS 202 Premidterm > Unit 5 - Cultural & Spirituality > Flashcards

Unit 5 - Cultural & Spirituality Flashcards

1
Q

Culturalism

A

making assumptions about a person

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2
Q

Dominate healthcare approach

A

“Western”

Behavioural = blaming pt

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3
Q

Cultural Safety

A

To work in a respectful manner with our pts and offset inequities they face in accessing health care.

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4
Q

Cultural Risky Practices

A

Actions by service providers that demean, diminish or disempower the cultural identity and wellbeing of an individual

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5
Q

% of immigrants that speak English or French

A

30%

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6
Q

Ratio of population born outside Canada

A

1 in 5

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7
Q

Aboriginal

A

First Nations, Metis, and Inuit

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8
Q

% of Indigenous in Canada

A

4%

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9
Q

Year of Indian Act

A

1876

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10
Q

About how many First Nations Cultures?

A

560

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11
Q

Effects of Immigration on health

A 
Stress of immigration
Unsuitable employment
Lack of social support network
Socioeconomic status (low education & low household income)
Access to health & social services
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12
Q

What area do you collect the spirituality of a pt

A

Health history

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13
Q

Which of the following statements related to cultural conflicts is an accurate definition?
A. Cultural imposition is using others’ values as the absolute guides in providing services to patients and interpreting their behaviour.
B. Ethnocentrism is a belief that one’s own way of life is inferior to that of others.
C. Stereotypes are generalizations about any particular group that allow further assessment of unique characteristics.
D. Discrimination is treating people unfairly on the basis of their group membership.

A

D. Discrimination is treating people unfairly on the basis of their group membership.

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14
Q

Which factors are least significant during assessment when gathering information about cultural practices?
A. Biocultural needs
B. Language, timing
C. Touch and eye contact
D. Pain perception and pain management expectations

A

A. Biocultural needs

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15
Q

Which statement about cultural safety is correct?
A. Cultural awareness and cultural sensitivity are concepts interchangeable with cultural safety.
B. Cultural safety is a stepwise progression.
C. Cultural safety is safe care defined by the person delivering the care to the patient.
D. Cultural safety ensures that the nurse is aware of the patients’ cultural practices..

A

B. Cultural safety is a stepwise progression.

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16
Q

Which of the following results when action is taken on one’s prejudices?
A. Discrimination occurs.
B. Effective intercultural communication develops.
C. Delivery of culturally congruent care is ensured.
D. Sufficient comparative knowledge of diverse groups is obtained.

A

A. Discrimination occurs

17
Q

Ethnocentrism is the root of which of the following?
A. Cultural beliefs
B. Biases and prejudices
C. Meanings by which people make sense of their experiences
D. Individualism and self-reliance in achieving and maintaining health

A

B. Biases and prejudices

18
Q

Which of the following best describes the nurse’s role in planning care for a culturally diverse population?
A. Focus only on the needs of the patient, ignoring your beliefs and practices.
B. Include care that is culturally congruent with the nursing staff based on predetermined criteria.
C. Provide care while remaining aware of your own bias and focusing on the patient’s individual needs rather than the staff’s practices.
D. Blend your values that are for the good of the patient and minimize the patient’s individual values and beliefs during care.

A

C. Provide care while remaining aware of your own bias and focusing on the patient’s individual needs rather than the staff’s practices.

19
Q

Which of the following statements about culture is correct?
A. Subcultures are cultures that are inferior to others.
B. Culture is not inherited but is a result of socialization.
C. Cultural needs are the same as racial needs because they originate from biological traits that are unique to that group.
D. Cultural conflict is the inability of a person to decide which cultural pathway to follow when exposed to multiple cultures.

A

B. Culture is not inherited but is a result of socialization.

20
Q

Which of the following is true regarding the dominant values in Canadian society of individual autonomy and self-determination?
A. These values do not have an effect on health care.
B. These values rarely have an effect on those of other cultures.
C. These values may be in direct conflict with the values of diverse groups.
D. These values may hinder the ability to gain admission to hospice programs.

A

C. These values may be in direct conflict with the values of diverse groups.

21
Q

Which activities would be expected by the nurse to meet the cultural needs of the patient?
Select all that apply.
A. Developing the structure and process for meeting cultural needs on a regular basis and means to avoid overlooking these needs in patients
B. Expecting the patient’s family to keep an interpreter present at all times, day and night, to assist in meeting the communication needs of the patient while hospitalized
C. Promoting and supporting attitudes, behaviours, knowledge, and skills to respectfully meet the patient’s cultural needs despite your own beliefs and practices
D. Ensuring that the interpreter understands not only the patient’s language but also the feelings and attitudes behind cultural practices to make sure an ethical balance can be achieved

A

A. Developing the structure and process for meeting cultural needs on a regular basis and means to avoid overlooking these needs in patients
C. Promoting and supporting attitudes, behaviours, knowledge, and skills to respectfully meet the patient’s cultural needs despite your own beliefs and practices
D. Ensuring that the interpreter understands not only the patient’s language but also the feelings and attitudes behind cultural practices to make sure an ethical balance can be achieved

22
Q

Culture strongly influences pain expression and the need for pain medication. Which one of the following statements is true about cultural pain?
A. It is not expressed verbally or physically.
B. It is expressed only to others of like culture.
C. It is more intense, thus necessitating more remediation.
D. It may be suffered by a patient whose valued way of life is disregarded by practitioners.

A

D. It may be suffered by a patient whose valued way of life is disregarded by practitioners.

23
Q

For a nursing student to enhance cultural awareness, the student will need to make an in-depth self-examination of which of the following?
A. The effect on others of his or her cultural background
B. Social, cultural, and biophysical factors
C.Engagement in cross-cultural interactions
D. Background, including recognition of biases and prejudices

A

D. Background, including recognition of biases and prejudices

24
Q

Which of the following should the nurse do when planning nursing care for a patient with a different cultural background?
A.Identify how these cultural variables affect the health problem.
B. Speak slowly and show pictures to make sure the patient always understands.
C. Allow the family to provide care during the hospital stay so that all rituals or customs are carried out.
D. Explain how the patient must adapt to hospital routines to be effectively cared for while in the hospital.

A

A.Identify how these cultural variables affect the health problem.

25
Q

The best explanation of Canada’s multicultural policy is that it allows the freedom to do which of the following?
A. Abide by the traditions of Canadians only.
B. Retain one’s unique cultural differences.
C. Adopt the customs and attitudes of Canadians.
D. Adapt to the characteristics of Canadian culture.

A

B. Retain one’s unique cultural differences.

26
Q

Cultural competence is the process of which of the following?
A. Learning about the large number of cultures
B. Developing motivation and commitment to caring
C. Using the dominant culture to influence care
D. Acquiring specific knowledge, skills, and attitudes

A

D. Acquiring specific knowledge, skills, and attitudes

27
Q 
When the nurse utilizes knowledge, skills, attitudes, and personal attributes that emphasize respect when interacting with diverse patient and coworker populations, the nurse is practising:
A.  cultural sensitivity.
 B. cultural competence.
C.  culturalism.
D.  cultural safety.
A

B. cultural competence.

28
Q 
When assessing a patient’s risk factors for health, what does the nurse know to be the primary cause of poor health among Canadians?
A.  Inequality
B.  Immigration
C.  Poverty
D.  Racialization
A

C. Poverty

29
Q 
Which of the determinants of health claims the greatest impact on the health status of the population?
A.  Social and economic environment
B.  Physical environment
C.  Health care system
D.  Biology and genetic endowment
A

A. Social and economic environment

30
Q

Performing culturally safe health assessments requires that the nurse:
A. understand culture to be the values, beliefs, customs, and practices specific to particular ethnocultural groups, and assume that “cultural traits” are typical and different from the dominant cultural norm.
B. recognize that patients’ social problems are the result of their culture, and assume that their health beliefs are governed by their ethnicity.
C. build trust, engage through listening, communicate respect for differences, and be aware of the patient’s social and economic contexts.
D. use direct questioning, communicate judgement, assert authority, and dismiss fears and beliefs you do not understand.

A

C. build trust, engage through listening, communicate respect for differences, and be aware of the patient’s social and economic contexts.

31
Q

Spirituality is defined as:
A. participating in religious services on a regular basis.
B. a personal effort to find meaning and purpose in life.
C. the process of being raised within a culture.
D. a social group that claims to possess variable traits.

A

B. a personal effort to find meaning and purpose in life.

32
Q

Which of the following is true regarding language barriers and health care?
A. Limited English or French proficiency can be a challenge to accessing health care.
B. Limited English or French proficiency is associated with a higher quality of care.
C. English or French proficiency is associated with a lower quality of care.
D. Patients with language barriers have a decreased risk of nonadherence to medication regimens.

A

A. Limited English or French proficiency can be a challenge to accessing health care.

33
Q 
The reality that the health status of many Aboriginal peoples is poorer than the rest of the Canadian population is an example of:
A.  health inequities.
B.  health status of visible minorities.
C.  health status and immigration.
D.  health inequalities.
A

A. health inequities.

34
Q 
What type of perspective has been promoted to counter the tendency toward culturalism in health care?
A.  Ethnicity
B.  Critical cultural
C.  “Othering”
D.  Racialization
A

B. Critical cultural

35
Q

Traditional Chinese medicines, homeopathy, and Aboriginal traditional medicines are examples of:
A. allopathic medicine.
B. complementary and alternative health care.
C. Western medicine.
D. natural health products.

A

B. complementary and alternative health care.

36
Q

To develop cultural competence in nursing practice, the nurse needs to cultivate awareness and understanding around which of the following?
Select all that apply.
A. One’s own personal culture as it continually develops through vast and varied life experiences
B. The narrow perspective of culture
C. The culture of health care professions, including nursing
D. The culture of the health care system
E. The importance of socioeconomic and cultural contexts in health

A

B. The narrow perspective of culture
C. The culture of health care professions, including nursing
D. The culture of the health care system

NURS 202 Premidterm (8 decks)

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