Week 7: Race, Culture & Health Flashcards
(33 cards)
A nurse recognizes that structural racism contributes to health inequities. Which of the following is an example of structural racism in healthcare?
A. Providing universal access to healthcare for all populations.
B. Public policies that result in reduced access to quality care for racialized groups.
C. Programs specifically designed to address health disparities in marginalized populations.
D. Ensuring equitable representation of racialized groups in healthcare leadership.
Answer: B
Rationale: Structural racism is embedded in policies and practices that perpetuate unequal access to resources and opportunities for racialized groups.
Which action best demonstrates cultural humility in nursing practice?
A. Reflecting on personal biases to improve patient care.
B. Assuming all patients share similar cultural values.
C. Prioritizing medical interventions over patient preferences.
D. Avoiding conversations about cultural differences.
Answer: A
Rationale: Cultural humility involves ongoing self-reflection to understand biases and foster respectful relationships in diverse practice settings.
A nurse learns that Black Canadians experience higher rates of food insecurity compared to White Canadians. Which action should the nurse prioritize to address this disparity?
A. Limit discussions about food insecurity to community leaders.
B. Focus solely on providing nutritional counseling to individual patients.
C. Advocate for policies that increase food access in underserved communities
D. Ignore systemic factors contributing to food insecurity.
Answer: C
Rationale: Advocating for systemic changes to improve food access is essential to addressing the root causes of disparities.
A patient reports discrimination when accessing healthcare services. What is the nurse’s best response?
A. “Discrimination rarely occurs in healthcare settings.”
B. “Tell me more about your experience so we can address it.”
C. “Healthcare providers are trained to treat everyone equally.”
D. “It’s unlikely that discrimination affected your care.”
Answer: B
Rationale: Listening to and validating the patient’s experience is essential for providing culturally safe and equitable care.
Which principle aligns with an anti-racism approach in nursing?
A. Ignoring systemic biases to avoid conflict.
B. Actively identifying and addressing inequities in healthcare systems.
C. Avoiding discussions about race during patient interactions.
D. Treating all patients exactly the same, regardless of their background.
Answer: B
Rationale: An anti-racism approach involves actively addressing systemic inequities to improve health outcomes for marginalized groups
A nurse recognizes that intersectionality impacts patient care. Which scenario best reflects this concept?
A. A patient’s health is influenced by overlapping identities such as race and gender.
B. All patients receive identical care plans regardless of their background.
C. A patient’s cultural identity is irrelevant to their healthcare needs.
D. Healthcare disparities are solely due to socioeconomic status.
Answer: A
Rationale: Intersectionality acknowledges how multiple identities intersect to shape unique experiences of discrimination and privilege.
Which of the following actions aligns with the goal of cultural safety in healthcare?
A. Challenging institutional biases that disadvantage marginalized groups.
B. Assuming patients from the same culture have identical needs.
C. Prioritizing nurse-centered decision-making in care plans.
D. Limiting discussions about systemic barriers in healthcare.
Answer: A
Rationale: Cultural safety requires healthcare providers to critique institutional racism and address structural inequities affecting patient care.
A nurse recognizes that privilege impacts healthcare access. Which example demonstrates white privilege?
A. A patient receives care without worrying about being stereotyped based on race.
B. A patient struggles to access culturally relevant healthcare services.
C. A patient is denied equitable care due to systemic biases.
D. A patient’s cultural identity is dismissed during treatment planning.
Answer: A
Rationale: White privilege includes unearned advantages, such as accessing care without racial bias or stereotyping.
How can a nurse best advocate for equity in healthcare policies?
A. Support systemic changes to reduce racial health disparities.
B. Limit advocacy efforts to clinical practice settings.
C. Focus solely on patient education without addressing policy barriers.
D. Avoid discussions about healthcare inequities.
Answer: A
Rationale: Advocating for systemic changes addresses the root causes of inequities, improving access and outcomes for marginalized groups.
Which strategy best demonstrates a relational inquiry approach to seeing culture contextually?
A. Avoiding consideration of cultural influences in healthcare.
B. Assuming all patients share similar cultural beliefs.
C. Limiting care plans to standardized treatment protocols.
D. Examining how cultural and systemic factors intersect at the point of care.
Answer: D
Rationale: A relational inquiry approach involves understanding the dynamic interplay of culture and systemic influences on patient care.
Which of the following is an example of structural racism in healthcare?
A. Offering equal pay to healthcare providers of all racial backgrounds.
B. Public policies that reduce access to quality care for racialized groups.
C. Ensuring equitable representation of racialized groups in leadership positions.
D. Establishing programs that promote diversity in healthcare education.
E. Developing culturally sensitive care plans for marginalized populations.
Answer: B
Rationale: Structural racism refers to policies and practices that perpetuate inequities, such as limited access to quality care for racialized groups.
How can a nurse best support cultural humility in their practice?
A. Focusing solely on patients’ cultural characteristics during care.
B. Practicing self-reflection to address personal and systemic biases.
C. Ensuring care plans are identical for all patients regardless of culture.
D. Avoiding discussions about cultural differences with patients.
E. Relying on standardized treatment protocols without cultural adaptation.
Answer: B
Rationale: Cultural humility requires continuous self-reflection and awareness to build respectful relationships with patients from diverse backgrounds.
A patient experiences discrimination when accessing healthcare services. What is the most appropriate response from the nurse?
A. “Tell me more about your experience so we can address it.”
B. “Discrimination rarely occurs in healthcare settings.”
C. “It’s unlikely that discrimination impacted your care.”
D. “Healthcare providers are trained to treat everyone equally.”
E. “You should avoid seeking care from that provider in the future.”
Answer: A
Rationale: Validating the patient’s experience and addressing discrimination is essential for providing equitable and culturally safe care.
Which of the following describes the concept of intersectionality?
A. Avoiding consideration of systemic barriers in healthcare delivery.
B. Limiting healthcare discussions to patients’ primary health concerns.
C. Ignoring patients’ cultural backgrounds during treatment planning.
D. Treating all patients as if they share similar social experiences.
E. Addressing healthcare needs of patients with overlapping identities, such as race and gender.
Answer: E
Rationale: Intersectionality recognizes how multiple identities intersect to create unique experiences of privilege or oppression.
A nurse is working to reduce systemic racism in their healthcare organization. Which action is most effective?
A. Limiting anti-racism efforts to policy discussions
B. Assuming racism does not exist in their workplace.
C. Implementing anti-racism training for all staff members.
D. Focusing solely on patient care without addressing systemic issues.
E. Relying on existing protocols without making structural changes.
Implementing anti-racism training for all staff members.
Answer: C
Rationale: Anti-racism training equips healthcare staff to recognize and address systemic barriers, fostering an equitable care environment.
Which of the following best demonstrates a relational inquiry approach in nursing practice?
A. Critiquing systemic influences affecting patient care.
B. Assuming all patients have similar cultural needs.
C. Avoiding discussions about systemic factors during care planning.
D. Treating every patient with identical care plans.
E. Relying solely on standard treatment protocols without adaptation.
Answer: A
Rationale: A relational inquiry approach in nursing emphasizes understanding the systemic, cultural, and contextual influences on patient care. By critiquing these systemic factors, nurses can provide care that is both individualized and equitable, addressing the broader determinants of health rather than focusing solely on symptoms or standardized treatment protocols. This approach fosters a deeper understanding of how cultural and systemic dynamics shape health outcomes and patient experiences, enabling nurses to deliver more inclusive and responsive care.
A nurse is teaching colleagues about cultural safety. Which statement best reflects this concept?
A. “Cultural safety requires addressing institutional racism in healthcare systems.”
B. “Cultural safety focuses solely on understanding patients’ cultural traditions.”
C. “Cultural safety ensures patients adapt to healthcare provider practices.”
D. “Cultural safety prioritizes clinical efficiency over patient preferences.”
E. “Cultural safety disregards systemic barriers in favor of individual care plans.”
Answer: A
Rationale: Cultural safety challenges healthcare providers to address institutional racism and promote equitable care.
A nurse learns that racialized groups experience higher rates of food insecurity. Which intervention aligns with health equity principles?
A. Providing immediate food assistance to affected individuals.
B. Addressing systemic factors contributing to food insecurity.
C. Limiting interventions to nutrition education programs.
D. Encouraging racialized communities to rely on food banks.
E. Avoiding advocacy efforts related to food insecurity.
Answer: B
Rationale: Tackling systemic factors addresses the root causes of food insecurity, promoting sustainable improvements in health equity.
Which action by the nurse best supports an anti-racism approach?
A. Avoiding discussions about race in clinical settings.
B. Ignoring policies that perpetuate racial health disparities.
C. Assuming that racism is not present in their organization.
D. Focusing on individual patient care without addressing broader inequities.
E. Educating colleagues about systemic racism and its impact on health.
Answer: E
Rationale: Educating colleagues on systemic racism raises awareness and supports collective efforts to eliminate health inequities.
A nurse notices that Black Canadians experience higher rates of housing instability. What is the most appropriate response?
A. Provide resources to individual patients facing housing challenges.
B. Advocate for systemic changes to address housing inequities.
C. Focus solely on treating medical conditions caused by housing issues.
D. Reassure patients that housing disparities are improving.
E. Avoid discussions about housing during healthcare interactions.
Answer: B
Rationale: Addressing systemic factors, such as housing inequities, promotes long-term health equity and improved outcomes for marginalized populations.
How can a nurse best promote inclusion in a healthcare organization?
A. Assuming organizational policies are already equitable.
B. Limiting discussions about privilege to avoid conflict.
C. Encouraging diverse representation in leadership positions.
D. Standardizing care without cultural adaptations.
E. Prioritizing patients based on perceived cultural needs.
Answer: C
Rationale: Inclusion involves creating opportunities for diverse perspectives and ensuring representation in leadership to foster equity.
Which strategy should a nurse use to address intersectionality in patient care?
A. Ignoring systemic factors to focus solely on medical conditions.
B. Treating all patients as if they share similar social and cultural experiences.
C. Considering how overlapping identities influence the patient’s health experiences.
D. Avoiding discussions about the patient’s identity and background.
E. Limiting care plans to a single perspective of discrimination.
Answer: C
Rationale: Intersectionality recognizes how intersecting identities (e.g., race, gender) shape unique experiences of discrimination and privilege.
A nurse recognizes that privilege impacts healthcare delivery. Which of the following is an example of privilege?
A. Experiencing equitable access to healthcare regardless of socioeconomic status.
B. Facing systemic barriers when seeking culturally relevant care.
C. Being denied job opportunities due to racial discrimination.
D. Encountering stereotypes during healthcare interactions.
E. Experiencing housing instability due to systemic inequities.
Answer: A
Rationale: Privilege includes unearned advantages, such as equitable healthcare access, often granted to dominant social groups.
What is the nurse’s primary responsibility when practicing cultural humility?
A. Educating patients about the importance of cultural adaptation in healthcare.
B. Advocating for standardized care across all patient populations.
C. Reflecting on personal biases and systemic inequities to improve care.
D. Assuming patients from the same culture have identical needs.
E. Ignoring cultural differences to prioritize clinical guidelines.
Answer: C
Rationale: Cultural humility emphasizes ongoing self-reflection to identify biases and improve relationships with diverse patients.
