Deck 3: Cultural Competency, Cultural Sensitivity and Cultural Safety

Question 1

What are the advantages of cultural competency?

A) It is straightforward to learn and be certified in.
B) Most Indigenous patients recognise the value of cultural competency training.
C) It ensures that all patients are treated equally according to their individuality.
D) It developed in recent years with the growth of holistic nursing.

Answer 1

A

Question 2

Which organisations routinely use cultural competency for nursing practice?

A) The American military
B) The Canadian Government
C) Professional nursing associations in Canada
D) All of the above

Answer 2

C

Question 3

Which organisation is one of the major proponents of cultural competency?

A) The European Union
B) People's Republic of China
C) The Government of Nova Scotia
D) The United States Military

Answer 3

D

Question 4

Cultural safety borrows from what common practice?

A) sharps safety
B) patient-centred care
C) public health
D) homeopathy

Question 5

Where did cultural safety originate?

A) Canada
B) Australia
C) The United States
D) New Zealand

Question 6

What concept is cultural safety based on?

A) Sharps safety
B) Patient-centred care
C) Public health
D) Homeopathy

Question 7

Who is the focus of cultural safety?

A) The nurse, constantly evaluating his or her behaviour
B) The healthcare system, which benefits from greater efficiency
C) The patient, whose personal sense of security is the focus
D) All of the above

Question 8

According to the Canadian Nurses Association, cultural competence is

A) the application of knowledge, skill, attitudes and personal attributes required by nurses to provide appropriate care and services in relation to cultural characteristics of their clients.
B) the knowledge that cultural differences as well as similarities exist, without assigning values.
C) use of culturally based care and health knowledge in sensitive, creative and meaningful ways.
D) a manner which affirms respects and fosters the cultural expression of the recipient.

Question 9

The Kahnawake Schools Diabetes Prevention Project (KSDPP) is an example of

A) cultural imperialism.
B) cultural assimilation through education.
C) culturally safe health promotion.
D) application of cultural competency to diabetes education.

Question 10

The Inuulitsvik Maternities provide culturally safe care by

A) allowing family members to accompany expectant mothers when they are evacuated to Southern hospitals for birth.
B) having decisions on evacuation made by a community board, using medical advice.
C) giving pregnant women the option of natural childbirth techniques.
D) encouraging spouses to attend births at the clinic.

Question 11

How should we, as nurses, treat our Indigenous patients?

A) As Indigenous, with their own unique values and beliefs
B) No differently than any of our other patients
C) As individuals, according to how they want to be treated
D) a and c

Question 12

What are the disadvantages of cultural sensitivity?

A) It is very hard to put into practice.
B) It is not useful in the clinical setting.
C) It is not very well defined.
D) It is very hard to teach to students.

Question 13

Unintentional rudeness on the part of the nurse is an example of

A) assertiveness.
B) cultural blindness.
C) advanced competence.
D) cultural sensitivity.

Question 14

Which of the following statements best defines cultural sensitivity?

A) The process of passing on a culture from one generation to the next
B) A form of inclusion whereby an individual is given the opportunity to belong
C) The belief that one's culture is the norm, but other cultures have value too
D) A reality that a variety of injustices have been committed against different groups

Question 15

A culturally sensitive nurse would recognise that First Nations

A) are taught to suppress pain and not talk about self.
B) cry and mourn loudly with the death of a community member.
C) value assertiveness as a communication style.
D) vary widely in their reaction to pain and suffering.

Question 16

How does epistemological accommodation apply to the Canadian Nursing context?

A) It doesn't apply at all.
B) It allows both practitioners and patients to retain their own values while accommodating each other in the clinical setting.
C) It explicitly gives practitioners permission to compromise professional standards in order to provide patient oriented care.
D) None of the above.

Question 17

Professional standards are less important in nursing Indigenous patients than cultural safety and epistemological accommodation.

Question 18

Official multiculturalism policy sees Indigenous peoples as no different than any other ethnic minority in Canada.

Question 19

Indigenous people have the right to treatment that respects their cultural values.

Question 20

Nurses should apply the principles of cultural safety only to the Aboriginal population in Canada.

Question 21

Lack of culturally safe nursing care of Indigenous patient can be fatal.

Question 22

Provide THREE examples of how nurses can foster incorporation of epistemological accommodation of traditional Indigenous healing practices into the biomedical system.

Question 23

Briefly discuss the advantages and disadvantages of the three standard models of intercultural nursing care: cultural sensitivity, cultural competency and cultural safety.

Question 24

What nursing interventions promote the creation of supportive environments that will enhance the capacity of Indigenous individuals and communities to make healthy choices?