Chapter 11 Flashcards
According to Leininger (2002), “cultural imposition” is a major concern in nursing because nurses have a tendency to impose their values, beliefs, and practices on people of other cultures. The discussion topic most likely to be without cultural imposition would be:
Abortion.
Advance directives.
Blood transfusion.
Wound management
Wound management
New immigrants to Canada have a limited understanding of the Canadian health care system. Nurse leaders must ensure that staff use effective communication to ensure patients have the knowledge to understand their rights to health care. Good communication can be achieved through which of the following? (Select all that apply.)
Allowing time for interpreting and clarifying information.
Presuming openness exists between people of different cultures.
Understanding one’s own prejudices.
Recognizing providing care to diverse groups is a dynamic and complex experience
Allowing time for interpreting and clarifying information.
Understanding one’s own prejudices.
Recognizing providing care to diverse groups is a dynamic and complex experience
One of the staff nurses on your unit makes the comment, “All this time I thought Mary was Black. She says she is Jamaican.” The best response would be:
“We have never had a Jamaican on this unit before.”
“Why did you assume she was Black?”
“Who cares what she is?”
“What did you think when you learned she was Jamaican?”
“What did you think when you learned she was Jamaican?”
Maintaining a culturally diverse staff is an important function of a nurse manager who works in the hospital of a large medical centre. According to Health Canada (2008), which cultural group represents about 2% of registered nurses employed in Canada? The chapter states 3% p. 11.
French Canadian.
African Canadian.
Aboriginal.
Men.
Aboriginal.
As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following attributes of a nurse manager would assist you in addressing the cultural needs of your staff? (Select all that apply.)
Age bias.
Respect for others.
Positive reinforcement.
Disrespect for others.
Knowledge about your staff.
Stereotyping of others.
Respect for others.
Positive reinforcement. Knowledge about your staff.
Which principle of The Canada Health Act is frequently not upheld in rural and remote areas of the country?
Accessibility.
Portability.
Comprehensiveness.
Public administration
Accessibility.
When interviewing a candidate for a nursing position who has an Aboriginal background, a non-Aboriginal nurse recognizes that the candidate’s lack of eye contact reflects the candidate’s:
Professional behaviour.
Lack of confidence.
Cultural sensitivity.
Ethnicity
Cultural sensitivity.
The nurse manager for a unit’s culturally diverse staff creates a staff-development program so that the professional nursing staff members can enhance their understanding of cultures on the basis of published literature. The literature reveals that what characteristics are inherent in a culture?
It develops quickly.
It changes easily.
It maintains a strong work ethic.
It develops over time.
It develops over time.
Individuals living with asthma, who also live in poverty, are much less likely to seek early care than to go to emergency rooms for assistance. This example reflects:
Ethnocentricity.
Cultural diversity.
Stereotyping.
Transcultural care
Transcultural care
A constructivist perspective of culture recognizes which of the following influence an individual’s understanding of culture? (Select all that apply.)
Social context.
Is changeable.
Political understanding.
Economic status.
Social context.
Is changeable.
Economic status.
Recognizing that the Aboriginal candidate’s lack of eye contact is different from her own, the non-Aboriginal nurse is exhibiting
Acculturation.
Cultural sensitivity.
Ethnocentrism.
Transculturalism.
Cultural sensitivity.
Because an increasing number of Aboriginal patients are being admitted, a nurse manager designs a staff-development program for her staff to help them understand Aboriginal culture. A nurse should understand that culture is determined by which of the following?
Shared vision.
Rapid time passage.
Love for people.
Behaviour.
Behaviour.
During performance appraisal, you praise Xia for her attention and care to nursing details. You suggest that her care would be further enhanced by greater acknowledgement of patients’ feelings. Xia bursts into tears and leaves the office. Later, you learn that in Xia’s culture, criticism is perceived as akin to failure. You reflect on how you could modify your approach in the future to acknowledge different cultural interpretations of feedback. Your response is indicative of:
Cultural awareness.
Bias.
Ethnocentricity.
Cultural diversity.
Cultural awareness.
As a nurse manager, you notice that Sharon, an Aboriginal licenced practical nurse aide, is visibly upset. When you ask her if something is wrong, she becomes tearful and says, “Why is it that when Nick and I work together in giving patient care, he jokes about my being ‘a little fat Eskimo’?” The nurse manager’s best response is, “Do you think he
Is sensitive to your culture?”
Has been hurt and wants to hurt others?”
Wants to learn more about you?”
Is stereotyping you without thinking?
Is stereotyping you without thinking?
In coaching Monique to become more culturally sensitive when a patient has requested a smudge ceremony at the bedside, you suggest which of the following?
“Explain to Jim that there is no smoking in the hospital.”
“Insist that he give you his tobacco because it is unhealthy for him.”
“Inform Jim that fires are not allowed in the hospital.”
“Ask him what he means by a ‘smudge ceremony’ and what meaning it has for him.”
“Ask him what he means by a ‘smudge ceremony’ and what meaning it has for him.”
