Deck 9: Race, Culture, and Health

Question 1

Which Canadian Community Health Nursing Standard of Practice holds relevant expectations for the community health nurse working with racialized people?

A) Access and equity
B) Health promotion
C) Capacity building
D) Health protection

Answer 1

Access and equity

Question 2

Mr. and Mrs. Espinosa have immigrated to Canada from the Philippines. A community health nurse is visiting the Espinosa family following the birth of their first child. What is an appropriate comment for the nurse to make?

A) "I have some coupons for disposable diapers. Would you like them?"
B) "I will give you this book on baby care that you will find very helpful."
C) "I understand that women from the Philippines like to be waited on following childbirth."
D) "What would happen if you were in the Philippines after you had your first baby?"

Answer 2

"What would happen if you were in the Philippines after you had your first baby?"

Question 3

Which of the following statements is true about newcomer health?

A) Newcomers to Canada experience significant health challenges
B) Newcomers to Canada rate their health more highly than people born in Canadian
C) Newcomers to Canada are at risk for developing various communicable diseases
D) Newcomers to Canada rate their health lower than people born in Canada

Answer 3

Newcomers to Canada rate their health more highly than people born in Canadian

Question 4

Which term refers to those who are eligible for permanent residency?

A) Refugees
B) Immigrants
C) Transnationalists
D) Temporary workers

Question 5

Rosa is a community health nurse. She is open and flexible with others, accepts differences, and is willing to learn. What term describes Rosa's nursing practice?

A) Ethnocentrism
B) Cultural competence
C) Multiculturalism
D) Ethnic stereotyping

Question 6

What is a characteristic of culture?

A) Constant over time
B) Consistent across an ethnic group
C) Separate from language and traditions
D) Largely unconscious

Question 7

Which of the following terms are important for understanding culture in context? Select all that apply.

A) Ethnicity
B) Race
C) Religion
D) Safety

Question 8

What term is used to describe the dominance of white European ways of thinking and knowing?

A) Eurocentrism
B) Ethnocentrism
C) Racism
D) Racialization

Question 9

Strengths of using a cultural safety approach include drawing our attention more explicitly to addressing inequities. Which of the following statements align with the cultural safety approach? Select all that apply.

A) Exposing the social, political, and historical contexts of healthcare
B) Challenging unequal power relationships
C) Improving access to health care for individuals, communities, and populations
D) Acknowledging that cultural safety is determined by recipients of care
E) None of above

Question 10

According to Statistics Canada, what proportion of Canada's total population is foreign born?

A) 45%
B) 30%
C) 20%
D) 15%

Question 11

Yasmin is working with recent immigrants from Syria. She works with her clients to access community resources that will assist in developing a social support network. Why is this an important community health nursing intervention?

A) Because learning to be social will alleviate any post-traumatic stress
B) Because interpreters are scarce and this will help with language skills
C) Because social support can facilitate establishing economic stability
D) Because it's important for people from the same place to stick together

Question 12

Current conceptualizations of cultural safety include which of the following statements?

A) It involves understanding and naming power and privileges in the relationship
B) Making sure nurses understand details about various cultural practices
C) Being able to identify which culture your clients belong to
D) Showing that you understand cultural practices that impact health status

Question 13

Recent women immigrants have a lower probability of having their previous work experience recognized when compared to men. Jason is a community health nurse who is working to promote equity on this issue. Jason is demonstrating which community health nursing value?

A) Social justice
B) Cultural competence
C) Multiculturalism
D) Transnationalism

Question 14

White Euro-Canadian privilege in Canada is increasingly being linked to what is called settler privilege. Here, the term settler generally refers to people whose ancestors came to Canada from which region in the world?

A) Africa
B) Asia
C) South America
D) Europe

Question 15

Which of the following are characteristics of culture? Select all that apply.

A) Culture is a social construction
B) Culture is an integrated system embedded in everyday life
C) Culture is fluid and dynamic
D) Culture is expressed in intersects with other social constructs like race
E) None of above

Question 16

It is well documented that immigrants bring significant strength, determination, resilience, and diversity. They are also usually in good health. However, once they enter Canada, their health status starts to decline and has been associated with which of the following? Select all that apply.

A) Low income
B) Unemployment
C) Racism and discrimination
D) Barriers to accessing health care
E) None of above

Question 17

Which term is used to describe common language, culture, country of origin, and ancestry?

A) Racism
B) Transnationalism
C) Ecological
D) Ethnicity

Question 18

Giselle is a community health nurse working with temporary residents in Vancouver. Giselle recognizes that her clients would benefit from English classes. Giselle mobilizes local community members who are willing to teach English to offer free classes one evening a week. Why is Giselle exploring this community health nursing intervention?

A) Because the temporary residents are busy during the day
B) Because language acquisition is challenging and underlies many recent immigrants' lives
C) Because the temporary residents are embarrassed about their language skills
D) Because temporary residents have significant other commitments

Question 19

Which term is used to describe any action with diminishes, demeans, or disempowers the cultural identity and well-being of an individual?

A) Cultural competence
B) Group diversity
C) Unsafe cultural practice
D) Cultural care

Question 20

The majority of permanent residents across Canada come from which part of the world?

A) Asia
B) United States
C) Africa
D) South America

Question 21

Juan is working with an Indigenous community in a rural and remote location. Juan works to draw more attention through explicitly addressing inequities that have arisen from the political and historical events. Juan is likely working from which nursing practice?

A) Cultural sensitivity
B) Cultural safety
C) Cultural competence
D) Cultural knowledge

Question 22

Which of the following terms is defined by actions or inactions based on prejudice?

A) Stereotype
B) Oppression
C) Prejudice
D) Discrimination

Question 23

Gigi is a community health nurse who is completing a cultural assessment on a Chinese community she is working with. What is Gigi's intension for completing a cultural assessment?

A) To de-emphasize the relational process between the nurse and the community
B) To give people in the community a way to voice their concerns about health
C) To break down barriers so that racism, discrimination, and prejudice are abolished from society
D) To discover meanings and experiences of health and illness through a cultural lens

Question 24

Which of the following describes using a cultural safety approach?

A) Practitioners are unable to consider difficult concepts
B) Acknowledging that we are all the bearers of culture
C) Health care providers use their power to guide the relationship building process
D) Acknowledge that only people of color are bearers of culture

Question 25

Describe the concept of cultural safety.

Question 26

Which of the following terms refers to the process of self-reflection where health care providers make a commitment to understand their personal and systemic biases?

A) Cultural competence
B) Cultural understanding
C) Cultural safety
D) Cultural humility

Question 27

List and define the three dimensions of cultural competence