Question 1

A Syrian family has recently immigrated to Canada. Which of the following would provide an appropriate rationale when encouraging the family to send their child to school?&#10;A) The child will get a good education.&#10;B) According to law, all children must go to school.&#10;C) The child can get health care at school.&#10;D) Exposure to different cultures in school will enhance socialization.

Accepted Answer

Exposure to different cultures in school facilitates the adoption of other cultural beliefs and aids in the socialization of the child into a new environment.

Question 2

Which of the following was the fastest-growing international group migrating to Canada between 2016 and 2018?&#10;A) People from Asia and the Middle East&#10;B) People from England, Scotland, and Ireland&#10;C) People from South America&#10;D) People from the Philippines

Accepted Answer

Canada's population was estimated to be over 37 million in 2018, an increase of over half a million people from the previous year. Over much of Canada's history, population growth has occurred as a result of natural increase, the change in size of a population due to the difference between the number of births and deaths in a given period. However, over time, migratory increase has played an expanding role and now accounts for about two-thirds of Canada's population growth. International migration accounted for 79.6% of population growth in 2017?2018. The origin of the majority of international immigrants is now Asia including the Middle East. The proportion of immigrants from Africa is also growing.

Question 3

The interrelationship of poverty and health care dollars spent on visible minorities is affected greatly by:&#10;A) Lack of access to preventive health care services.&#10;B) Low numbers of minority health care providers.&#10;C) The practice of traditional medicine.&#10;D) Increased infant mortality rates in Indigenous populations.

Accepted Answer

A decrease in resources for preventive health care leads to the use of emergency departments and other more expensive health care services as resources when severe illness occurs.

Question 4

Which of the following population groups in Canada has a disproportionately high death rate from unintentional injuries and suicide?&#10;A) Indigenous people&#10;B) Seniors over the age of 79 years&#10;C) Immigrants from South Asia&#10;D) Visible minorities

Accepted Answer

Indigenous people have disproportionately high death rates from unintentional injuries and suicide. Inequities of the past that result from colonialism continue to influence the health status of First Nations, Inuit, and Métis people in Canada. The Truth and Reconciliation Commission of Canada (TRC) documented the attempted indoctrination of Indigenous people into the dominant culture through the residential school system and its effect on the health and well-being of the survivors and their families. This intergenerational trauma has contributed to the persisting disparities in health outcomes between Indigenous and non-Indigenous Canadians. Difficult life situations and stresses of daily life contribute to an array of problems, including feelings of hopelessness, desperation, family dissolution, and substance abuse.

Question 5

A health care provider is offering an educational session about providing culturally safe care. Which of the following information would be included the presentation?&#10;A) Cultural safety focuses on the knowledge, skills, and attitudes of the health care practitioner.&#10;B) Cultural safety is a process.&#10;C) Cultural safety is an outcome based on respectful engagement that results in people feeling safe when receiving health care.&#10;D) Cultural safety is grounded in being present.

Accepted Answer

Whereas cultural humility is a process, cultural safety is an outcome based on respectful engagement that results in people feeling safe when receiving health care. Cultural safety extends beyond cultural awareness and acknowledgement of difference to an understanding of the limitations of cultural competence, which is focused on the knowledge, skills, and attitudes of the health care practitioner. Cultural safety is action-oriented and allows unequal power relations to be exposed and managed. Providing cultural safety is historically grounded in the decolonization of health care spaces for Indigenous people, but also applies to other population groups facing discrimination, such as gender-diverse persons and ethnically diverse groups. Cultural safety means that the environment is a physically, emotionally, socially, and spiritually safe space, which can improve both the quality of health care services and access to care.

Question 6

What is a health inequality?&#10;A) Differences in health status between different groups&#10;B) Inconsistency in nationwide health promotion and disease prevention programs&#10;C) Inadequate protection of minority populations through development of health policies&#10;D) Lack of support for communities in addressing health disparities

Accepted Answer

Health inequalities refer to the differences in health status between different groups in society, which can be due to biological factors, individual choices, or chance; however, many health inequalities can be attributed to the unequal and unjust distribution of social and economic factors such as income and education, and exposure to social and environmental conditions that influence health.

Question 7

A community health nurse is planning a health clinic for a gender-diverse population. What are important issues to consider in the planning of services?&#10;A) Nurses and health care providers need to know about every gender identity possible.&#10;B) Gender equity means that service is provided equally to everyone.&#10;C) The clinic must be welcoming to all genders and expressions of sexual diversity.&#10;D) Services are already available for this population.

Accepted Answer

Gender diversity is an umbrella term used to describe a diversity of gender identities or expressions beyond masculine and feminine. These may include lesbian, gay, binary, transgender, queer, intersex, and two-spirit (LGBTQ2). Nurses and health care providers do not need to know about every gender identity possible, but must acknowledge that there are many ways to identify outside of the male/female binary. Gender equity refers to the fair treatment (not equal treatment) of all genders according to their respective needs. The term "gender and sexual diversity" is considered to be more inclusive than "LGBTQ2".

Deck 2: Diverse Populations and Health