Deck 3: Cultural Competence: Cultural Care

Question 1

While working with an Indigenous patient, the nurse recalls that a call to action from the Truth and Reconciliation Committee (TRC) Report would be supported through:

A)Restricting visitors to only non-Indigenous individuals.
B)Ensuring that all Indigenous paraphernalia is removed from the patient's room.
C)Arranging for an elder to conduct a smudging ceremony at the patient's request.
D)Organizing the patient's room to reflect the hot and cold theory of health and illness.

Answer 1

Arranging for an elder to conduct a smudging ceremony at the patient's request.

Question 2

The nurse is meeting a new family that recently emigrated from Africa.What question might the nurse ask to gather the family's perspectives on ethnicity?

A)"Can you share about your current financial situation?"
B)"How was your journey from Africa?"
C)"How did you get to the clinic today?"
D)"Can you tell me about your religious practices in the country you are from?"

Answer 2

"Can you tell me about your religious practices in the country you are from?"

Question 3

Which question should the nurse ask to assess the patient's spiritual health?

A)"I see that you have a Jewish name.What rituals do you practise that I should know about in relation to your health?"
B)"Are there any beliefs or practices I should know about that are important to your health?"
C)"Do you attend a church on a regular basis?"
D)"I notice you wear a scarf.How often do you go to services at your mosque?"

Answer 3

"Are there any beliefs or practices I should know about that are important to your health?"

Question 4

The nurse is working with non-English-speaking Asian immigrants, who have been in Canada for 1 year.What might be a concern the nurse should assess the clients for?

A)Significant lack of physical exercise
B)Capability to access and use health care services
C)Limited use of seat belts and helmets
D)Constant overuse of emergency room services

Question 5

During a class on religion and spirituality, the nurse is asked to define spirituality.Which of the following descriptions is correct?

A)A personal search to discover a supreme being
B)An organized system of beliefs concerning the cause, nature, and purpose of the universe
C)A belief that each person exists forever in some form, such as a belief in reincarnation or the afterlife
D)Arises out of each person's unique life experience and his or her personal effort to find purpose in life

Question 6

When conducting a health assessment, the nurse should assess for:

A)Willingness to comply with recommended treatment
B)Participation in research trials
C)Use of alternative therapies
D)Allopathic medical treatment preferences

Question 7

A patient admitted to the hospital does not speak or understand English or French.What is this patient at risk for experiencing?

A)Racism
B)Deportation
C)Equity
D)Safety

Question 8

An older Indigenous woman with traditional beliefs has been admitted to an inpatient care unit.A culturally sensitive nurse would:

A)Contact the hospital administrator about the best course of action
B)Automatically get sweetgrass for her because the patient requesting one herself is not culturally appropriate
C)Further assess the patient's cultural beliefs and offer the patient assistance in contacting an elder, if she desires
D)Ask her family members what they would like to do because Indigenous peoples traditionally give control over decision making to their families.

Question 9

Patient care which incorporates the influence of social, economic, political, and historical contexts of the patient on health is:

A)Discriminatory
B)Culturally safe
C)Racially driven
D)Mutualistic

Question 10

The nurse is meeting a new Asian patient for the first time.The nurse recognizes that assuming the patient understands health to be a balance of hot and cold demonstrates:

A)Ethnicity
B)Dominance
C)Culturalism
D)Vulnerability

Question 11

The nurse working with a Métis patient recognizes that:

A)The patient should be able to easily attain dental services with the Non-Insured Health Benefits (NIHB) services.
B)The patient may not be eligible to receive Indigenous NIHB services.
C)The patient should have all his prescription medications covered because he is an Indigenous person.
D)The patient will have ample coverage for needed glasses through the NIHB plan.

Question 12

A young mother and her three young children are attending clinic today.During assessment, what information might cause the nurse to have concerns about the family's health?

A)The mother has a very supportive husband, who has a stable, high-paying job.
B)The mother is a lone parent and works as a waitress at a small diner.
C)The mother is very committed to a healthy lifestyle.
D)The mother enjoys preparing nutritious, well-balanced meals for her family.

Question 13

The nurse encounters a young male who is questioning his gender.The nurse is aware that this young person:

A)May be at increased risk for breast cancer because of population differences
B)May encounter increased job opportunities
C)May be at risk for poor health because of difficulty with health care accessibility as a result of stigmatization
D)May experience greater health equity

Question 14

The nurse manager is explaining culturally competent care during a staff meeting.Which of the following best describes the concept of culturally competent care?

A)Treating patients of different ethnicities with discrimination
B)Making assumptions about patients based on their race
C)Developing personal relationships with patients of the same culture
D)Maximizing respectful relationships with patients different from us

Question 15

Nursing students are discussing the inequities in the health status of the Indigenous peoples.What was one of the discriminatory practices implemented to assimilate Indigenous peoples into the dominant Canadian society?

A)Promoting voting rights for the Indigenous people
B)Outlawing land appropriation
C)Making the work of Indigenous traditional healers illegal.
D)Banning the use of residential schools

Question 16

The nurse would like to include cultural safe care when working with new immigrants from different countries.The nurse can:

A)Adapt personal clothing to the patients' style.
B)Focus on the causes for inequities within the health care system.
C)Focus on the problems caused by cultural differences.
D)Recognize that culturalism is prevalent and unchangeable in the health care system.

Question 17

Taking a critical cultural perspective when working with culturally diverse populations, the nurse is attentive to patients' culture and:

A)Significant cultural practices
B)The quality of patients' nutrition
C)The importance of patients' race
D)The influence of the social determinants of health

Question 18

What should the nurse be mindful of when working with Canada's culturally diverse population?

A)Culture reflects the ethnicity of the individual.
B)Culture is complex, influenced by multiple factors, and unique to the individual.
C)Culture is determined by one's religious beliefs.
D)Culture is biologically determined from physical characteristics.

Question 19

The nurse is meeting a patient for the first time.What question might the nurse ask to develop trust and demonstrate respect?

A)"Why are you here if you did not take the medication as prescribed?"
B)"How are you doing? What can I do to help you today?"
C)"How long have you been in Canada? Can you speak English by now?"
D)"Are you still taking the herbal medications you were told not to take?"

Question 20

When working with a family of Indigenous background, what is important for the nurse to be aware of?

A)There is no difference in the health of Indigenous or non-Indigenous peoples in Canada.
B)There is inequity in the health status of Indigenous peoples compared with that of most of the Canadian population.
C)The current state of health of Indigenous peoples is solely attributable to living off the reserves.
D)The average life expectancy of Indigenous peoples is greater than that of the Canadian population.

Question 21

As a nurse working with different people living in different situations, which of the following patients is the nurse concerned about being at increased risk for poor health? (Select all that apply.)

A)The 18-year-old from an average middle-class family.
B)The 10-year-old child of a mother who is unable to buy nutritious food.
C)The 40-year-old with steady employment.
D)The 85-year-old Asian immigrant who does not speak English.
E)The 25-year-old recently diagnosed with schizophrenia.

Question 22

When providing culturally competent care, nurses must incorporate cultural assessments into their health assessments.Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an older White patient?

A)"Are you of the Christian faith?"
B)"Do you want to see a priest?"
C)"How often do you seek help from medical providers?"
D)"What cultural or spiritual beliefs are important to you?"

Question 23

When planning a cultural assessment, the nurse should include which component?

A)Family history
B)Chief complaint
C)Medical history
D)Health-related beliefs

Question 24

The nurse is teaching nursing students about cultural competence.What knowledge will they need to develop? (Select all that apply.)

A)Awareness of the social, economic, and cultural contexts influencing care
B)Making decisions based on one's personal assumptions about different ethnicities
C)Understanding the culture of the health care system one is currently working in
D)Emphasizing perceived differences and discriminating against others
E)Understanding one's own personal ethnocultural and social background

Question 25

The nurse wants to take a culturally safe approach when meeting a new Indigenous patient who is comes from a different background.What are some factors the nurse should reflect on? (Select all that apply.)

A)"What are some of my biases or assumptions about Indigenous peoples?"
B)"How am I going to deal with the patient's addiction issues?"
C)"How are my behaviours influenced by my biases?"
D)"What am I too focused on so that I am overlooking something else of significance?"
E)"Other staff members think the patient is homeless, so I will need to deal with that, too!"
F)"How am I influenced by my colleagues' stereotypical views?"