Unit 5 - Cultural & Spirituality

Question 1

Culturalism

Answer 1

making assumptions about a person

Question 2

Dominate healthcare approach

Answer 2

“Western”

Behavioural = blaming pt

Question 3

Cultural Safety

Answer 3

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

Question 4

Cultural Risky Practices

Answer 4

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

Question 5

% of immigrants that speak English or French

Answer 5

30%

Question 6

Ratio of population born outside Canada

Answer 6

1 in 5

Question 7

Aboriginal

Answer 7

First Nations, Metis, and Inuit

Question 8

% of Indigenous in Canada

Answer 8

4%

Question 9

Year of Indian Act

Answer 9

1876

Question 10

About how many First Nations Cultures?

Answer 10

560

Question 11

Effects of Immigration on health

Answer 11

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

Question 12

What area do you collect the spirituality of a pt

Answer 12

Health history

Question 13

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.

Answer 13

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

Question 14

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

Answer 14

A. Biocultural needs

Question 15

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..

Answer 15

B. Cultural safety is a stepwise progression.

Question 16

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.

Answer 16

A. Discrimination occurs

Question 17

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

Answer 17

B. Biases and prejudices

Question 18

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.

Answer 18

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

Question 19

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.

Answer 19

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

Question 20

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.

Answer 20

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

Question 21

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

Answer 21

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

Question 22

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.

Answer 22

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

Question 23

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

Answer 23

D. Background, including recognition of biases and prejudices

Question 24

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.

Answer 24

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

Question 25

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.

Answer 25

B. Retain one’s unique cultural differences.

Question 26

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

Answer 26

D. Acquiring specific knowledge, skills, and attitudes

Question 27

``` 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. ```

Answer 27

B. cultural competence.

Question 28

``` 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 ```

Answer 28

C. Poverty

Question 29

``` 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 ```

Answer 29

A. Social and economic environment

Question 30

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.

Answer 30

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

Question 31

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.

Answer 31

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

Question 32

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.

Answer 32

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

Question 33

``` 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. ```

Answer 33

A. health inequities.

Question 34

``` 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 ```

Answer 34

B. Critical cultural

Question 35

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.

Answer 35

B. complementary and alternative health care.

Question 36

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

Answer 36

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