Question 1

A community health screening is being held for residents at the local town hall.The nurse is alert to the biocultural history of patients and aware that which of the following individuals have a greater potential for and incidence of tuberculosis?

A) Black Canadians
B) Jewish persons
C) Southern Asians
D) First Nations and Inuit peoples

D

Accepted Answer

First Nations and Inuit peoples have a higher incidence of tuberculosis than other population groups in Canada. This may be related in part to factors such as poverty, overcrowding, and limited access to healthcare. It is important for healthcare providers to be aware of this biocultural history when screening and caring for individuals from these communities.

Question 2

An older Chinese woman refuses to perform the range-of-motion and breathing exercises required after a surgical procedure.She also is hesitant to undertake her own hygienic care and grooming.The nurse who is culturally aware recognizes that which of the following may be true for this patient?

A) She is dependent on health care providers.
B) She relies on family members to assist with her care.
C) She lacks motivation to participate in self-care.
D) She is in denial of traditional medical treatment.

B

Accepted Answer

In many traditional Chinese families, it is common for younger members to care for their elders. The patient may be hesitant to undertake her own care because she sees it as the responsibility of her family members. The nurse should assess her social support system and encourage family involvement in her care.

Question 3

The nurse is discussing with an Aboriginal patient long-term goals for a diet and exercise regimen to manage his diabetes.The nurse notices that he does not appear concerned about discussing his future needs.Which of the following is a possible reason for this behaviour?

A) His cultural time orientation is to the past.
B) He believes in living day by day.
C) He believes that there is no point in worrying about what has not yet happened.
D) His belief is that time will heal his condition.

B

Accepted Answer

Many Aboriginal cultures have a present-time orientation, focusing on living day by day rather than planning for the future.

Question 4

The nurse recognizes the terminology that applies to culture and ethnicity and its correct application.Which of the following would be true for a patient who goes through the process of assimilation?&#10;A) The patient will coexist with people of other cultures in society and maintain his or her own cultural differences.&#10;B) The patient will gradually adopt the attitudes and customs of the mainstream culture.&#10;C) The patient will socialize within his or her primary cultural group.&#10;D) The patient will treat people unfairly based on group membership.

Accepted Answer

Assimilation refers to when an individual adopts the attitudes, customs, and beliefs of the dominant culture. This means that the patient will gradually become more similar to the mainstream culture and may not maintain their own cultural differences.

Question 5

Regardless of which cultural assessment model the nurse uses,how would the nurse begin a cultural assessment?&#10;A) Identify the dominant culture.&#10;B) Become aware of the population demographic changes within the practice setting.&#10;C) Assess care expressions as well as patterns and practices of health.&#10;D) Ensure biocultural ecology and health risks of the dominant culture.

Accepted Answer

The nurse should first become aware of the population demographic changes within the practice setting in order to understand the cultural diversity of the patient population. This can help the nurse identify cultural factors that may impact patient care.

Question 6

What are the three major health issues presently afflicting Aboriginal communities in Canada?&#10;A) Diabetes, HIV/AIDS, suicide&#10;B) Depression, smoking, unprotected sexual practices&#10;C) Sexually transmitted infections, environmental pollution, malnutrition&#10;D) Sedentary lifestyle, teenage pregnancies, high-calorie diets

Accepted Answer

Diabetes, HIV/AIDS, and suicide are currently the three major health issues afflicting Aboriginal communities in Canada. According to Health Canada, Indigenous populations experience a disproportionately high burden of diabetes, with rates up to three times higher in some communities than the national average. HIV/AIDS prevalence rates are also significantly higher among Indigenous populations than other Canadians. Suicide rates in Indigenous communities are also among the highest in the world, with young people being particularly vulnerable.

Question 7

The nurse recognizes the terminology that applies to culture and ethnicity.Which one of the following selections defines ethnicity?&#10;A) An appreciation for differences within another group and the promotion of respect for those differences&#10;B) A common identity with members sharing social and cultural heritage&#10;C) Many cultures coexisting and maintaining cultural differences&#10;D) The belief that one's own race or culture is more valuable than those of others

Accepted Answer

Ethnicity refers to a shared identity based on social and cultural heritage, such as language, customs, beliefs, and values. It often involves a sense of belonging to a particular group and can be passed down through generations.

Question 8

The nurse wants to develop an awareness of the practices of different cultures within the community.One aspect of culture is invisible,or less observable to others.Which of the following is an example of this "invisible" component of culture?

A) Wearing cotton garments
B) Wearing an amulet or charm
C) Using prayer beads or candles
D) Spiritual connection

Accepted Answer

Spiritual connection is an example of an "invisible" component of culture as it is not something that can be observed externally. It is a belief or value that is held within an individual or community, and may influence behaviors and actions.

Question 9

The nurse is completing an assessment of a First Nations client.Recognizing the commonly seen health problems in Aboriginal peoples,the nurse observes for particular signs and symptoms of which one of the following conditions?

A) Hypertension
B) Parasitic infections
C) Tay-Sachs disease
D) Diabetes mellitus

Accepted Answer

Diabetes mellitus is a commonly seen health problem in Aboriginal peoples, with prevalence rates up to three times higher than in non-Aboriginal populations. The nurse should observe for signs and symptoms of diabetes mellitus during the assessment of a First Nations client. Hypertension and parasitic infections are also commonly seen health problems in Aboriginal peoples, but diabetes mellitus is more prevalent. Tay-Sachs disease is extremely rare in First Nations populations, so the nurse would not typically observe for signs and symptoms of this condition during an assessment.

Question 10

Time takes on different meanings from one culture to another.Understanding this,what should the nurse do when planning nursing interventions?&#10;A) Avoid using set times for procedures.&#10;B) Mutually negotiate time schedules with clients.&#10;C) Encourage patients to set their own times for care, regardless of the schedule.&#10;D) Maintain the set times for treatments and inform patients of the schedule.

Accepted Answer

Understanding the cultural meaning of time is important for effective communication and planning of nursing interventions. Rather than avoiding set times or maintaining predetermined schedules, the nurse should work with the client to create a mutually agreeable time schedule for treatments and care. This allows for respect of cultural differences and ensures that the client is receiving care that is comfortable and effective for their individual needs.

Question 11

The nurse recognizes that changes in demographics have an influence on health care delivery.According to the 2006 Canadian Census,what is the ratio of the total population that was born outside of Canada?

A) One in three
B) One in four
C) One in five
D) One in ten

Accepted Answer

The answer of The nurse recognizes that changes in demographics...

Question 12

Gender-appropriate care is an important factor in nursing practice.The nurse recognizes that patients of different cultures may react differently to health care providers of the opposite sex.Modesty is an especially important issue for women from which of the following backgrounds?

A) Black Canadian
B) Aboriginal
C) Egyptian Canadian
D) Filipino Canadian

Accepted Answer

The answer of Gender-appropriate care is an important factor in...

Question 13

A Chinese family that has been in Canada for five years has learned to speak English and has adopted certain Western characteristics,but has continued to adhere to their values,beliefs,and traditions.What is this process called?

A) Assimilation
B) Enculturation
C) Acculturation
D) Multiculturalism

Accepted Answer

The answer of A Chinese family that has been in...

Question 14

In which year was the Canadian Multiculturalism Act passed?&#10;A) 1969&#10;B) 1982&#10;C) 1988&#10;D) 1992

Accepted Answer

The answer of In which year was the Canadian Multiculturalism...

Question 15

The nurse may work with patients from many different cultural backgrounds.Nurses,unfortunately and inadvertently,may impose their own cultural beliefs on patients.Which of the following is an example of a nurse imposing personal perspectives on a patient?

A) Adapting the patient's room to accommodate extra family members who are visiting
B) Seeking information on gender-congruent care for an Egyptian patient
C) Directing an older Chinese patient to do rehabilitation exercises after she has refused to do them until her daughter arrives
D) Encouraging family members to assist with the patient's care when it is appropriate for them to do so

Accepted Answer

The answer of The nurse may work with patients from...

Question 16

Which of the following statements is true in regard to health inequity?&#10;A) Health differences are unavoidable.&#10;B) Poverty is not a root cause of health inequity.&#10;C) Health inequity is the absence of systematic disparities in health.&#10;D) Health inequity refers to unnecessary and unfair differences in health.

Accepted Answer

The answer of Which of the following statements is true...

Question 17

Which of the following domains of health seeks prevention programs for populations as its main focus?&#10;A) Global health&#10;B) Public health&#10;C) International health&#10;D) Transcultural health

Accepted Answer

The answer of Which of the following domains of health...

Question 18

Which of the following statements is true in regard to ethnocentrism?&#10;A) Ethnocentrism involves adopting the attitudes and customs of another culture.&#10;B) Ethnocentrism involves many cultures coexisting and maintaining differences.&#10;C) Ethnocentrism involves viewing one's own way of life as more valuable than other ways.&#10;D) Ethnocentrism involves an appreciation of cultural differences and rejects assumptions of superiority.

Accepted Answer

The answer of Which of the following statements is true...

Deck 9: Global Health, culture, and Diversity