Deck 2: Cultural Competence and Health Equity in Nursing Care

Question 1

Which of the following terms refer to characteristics of a group whose members share a common social, cultural, linguistic, or religious heritage?

A)Diversity
B)Ethnicity
C)Ethnocentrism
D)Cultural imposition

Answer 1

Ethnicity

Question 2

Equity in health care is concerned with creating equal opportunities for good health for everyone in which of the following ways? (Select all that apply.)

A)Decrease negative effect of social determinants of health.
B)Increase awareness of acute care programs.
C)Enhance access to services.
D)Reduce exclusion.
E)Decrease nonmodifiable risk factors.

Answer 2

Decrease negative effect of social determinants of health.
Enhance access to services.
Reduce exclusion.

Question 3

While talking with the nursing supervisor, a staff nurse expresses frustration that an Indigenous client always has several family members at the bedside. Which of the following actions is the most appropriate action for the nursing supervisor in this situation?

A)Remind the nurse that family support is important to this family and client.
B)Have the nurse explain to the family that too many visitors will tire the client.
C)Suggest that the nurse ask family members to leave the room during client care.
D)Ask about the nurse's personal beliefs about family support during hospitalization.

Answer 3

Ask about the nurse's personal beliefs about family support during hospitalization.

Question 4

Which of the following actions represent the best example of culturally appropriate nursing care when caring for a newly admitted client?

A)Have family members provide most of the client's personal care.
B)Maintain a personal space of at least 0.5 m when assessing the client.
C)Ask permission before touching a client during the physical assessment.
D)Consider the client's ethnicity as the most important factor in planning care.

Question 5

Which of the following characteristics represent the affective domain of the ABCs of cultural competence? (Select all that apply.)

A)Openness
B)Desire to learn
C)Respect for others
D)Promote health literacy
E)Support informed client choice

Question 6

The nurse is caring for Indigenous clients in a community clinic setting. Which of the following would the nurse include when developing strategies to decrease health care disparities?

A)Improve public transportation.
B)Obtain low-cost medications.
C)Update equipment and supplies for the clinic.
D)Educate staff about Indigenous health beliefs.

Question 7

Afamily member of an elderly Hispanic client admitted to the hospital tells the nurse that the client has traditional beliefs about health and illness. Which of the following actions is most appropriate for the nurse in this situation?

A)Avoid asking any questions unless the client initiates conversation.
B)Ask the client whether it is important that cultural healers are contacted.
C)Explain the usual hospital routines for meal times, care, and family visits.
D)Obtain further information about the client's cultural beliefs from the daughter.

Question 8

According to the ABC(DE)s of cultural competence, awareness of and sensitivity to cultural values is in which of the following domains?

A)Skills domain
B)Affective domain
C)Knowledge domain
D)Behavioural domain

Question 9

Which of the following statements is true related to immigrants to Canada?

A)Decreased risk of social exclusion related to Canada's multicultural population.
B)New immigrants tend to be in overall better health than the resident population.
C)Health status of immigrants is not related to length of time in Canada.
D)Unemployment is not associated with poorer health outcomes for immigrants.

Question 10

An elderly Asian Canadian client tells the nurse that she has lived in Canada for 50 years. The client speaks English but lives in a predominantly Asian neighbourhood. Which of the following actions is most appropriate for the nurse?

A)Arrange to have a folk healer available when planning the client's care.
B)Ask the client about any special cultural beliefs or practices.
C)Avoid making direct eye contact with the client during care.
D)Involve the client's oldest son in making health care decisions.

Question 11

The nurse is caring for a client who speaks a language different from the nurse's language and there is no interpreter available. Which of the following actions is the most appropriate for the nurse to implement?

A)Use specific medical terms in the Latin form.
B)Talk loudly and slowly so that each word is clearly heard.
C)Repeat important words so that the client recognizes their importance.
D)Use simple gestures to demonstrate meaning while talking to the client.

Question 12

Which of the following question formats is the most appropriate for the nurse to ask when communicating with a client that has limited English proficiency?

A)Are you tired and in discomfort?
B)You have taken your pills right?
C)Are you alright?
D)Are you in pain?

Question 13

An Indigenous client tells the nurse that he thinks his abdominal pain is caused by eating too much seal fat and that strong massage over the stomach will help it. Which of the following statements depicts what the client is describing to the nurse?

A)Evidence-informed national guidelines
B)Awareness and knowledge of his own culture
C)The explanatory model of health and health practices
D)Knowledge about the difference in modern and folk health practices

Question 14

Agraduate nurse is assessing a newly admitted non-English-speaking Chinese client who complains of severe headaches. Which of the following actions by the graduate nurse would cause the charge nurse to intervene during this assessment interview?

A)Sit down at the bedside.
B)Palpate the client's scalp.
C)Call for a medical interpreter.
D)Avoid eye contact with the client.

Question 15

When performing a cultural assessment with a client of a different culture, which of the following actions is the initial action to be taken by the nurse?

A)Wait until a cultural healer is available to help with the assessment.
B)Obtain a list of any cultural remedies that the client currently uses.
C)Ask the client about any affiliation with a particular cultural group.
D)Tell the client what the nurse already knows about the client's culture.

Question 16

When caring for an Indigenous client, which of the following actions is the best initial approach in relation to eye contact for the nurse to take?

A)Avoid all eye contact with the client.
B)Observe the client's use of eye contact.
C)Look directly at the client when interacting.
D)Ask the family about the client's cultural beliefs.

Question 17

Which of the following statements represents a health inequity currently experienced in Canada?

A)Indigenous adults are less likely to smoke tobacco than other adults in Canada.
B)Overall suicide rate among First Nation communities is about twice the rate of the general population.
C)Individuals from lower income neighbourhoods undergo preventive health screening more that their higher income counterparts.
D)Recent immigrants are more likely to have a primary care physician than Canadian-born individuals.