LA 8-Stanhope Chapters 7,18 Flashcards
Which of the following practices applies to nursing care for clients with a foreign cultural background?
a. Altering nonverbal behaviour to reflect the cultural norms the client is used to
b. Keeping all behaviours culturally neutral to avoid misinterpretation
c. Relying on friendly gestures to communicate a caring attitude
d. Avoiding showing prejudice by using the same behaviour with all clients
Ans. A
A CHN often used to sit with his legs crossed at the knees when collecting a client’s history. However, he stopped doing this around his Iranian clients after being told that they were offended because this posture exposed the sole of his foot. In changing his behaviour, which culture-related response did the CHN exhibit?
a. Cultural sensitivity
b. Cultural awareness
c. Cultural knowledge
d. Cultural skill
Ans. D
A CHN states, “The best way to treat clients from other countries is to care for them the same way we would want to be cared for ourselves. After all, we are all human beings with the same expectations and needs.” Which culture-related response does this statement exemplify?
a. Cultural awareness
b. Cultural blindness
c. Cultural knowledge
d. Cultural preservation
Ans. B
A CHN rearranges the room and moves the bed of a bedridden Muslim client so that the client is facing toward Mecca for his daily prayers. What does the CHN’s culture-related response exemplify?
a. Cultural skill
b. Cultural awareness
c. Cultural brokering
d. Cultural imposition
Ans. A
Which one of the following is an example of “overt racism”?
a. Using traditional food and traditional dress
b. Restricting the burning of sweet grass
c. Participating in hate crimes
d. Making job positions available only to persons who are Canadian-born
Ans. C
A health care provider states, “I’m not going to change the way I practise medicine regardless of where the client is from, because research shows that Western medicine is the best.” Which of the following behaviours does this statement exemplify?
a. Ethnocentrism
b. Prejudice
c. Racism
d. Stereotyping
Ans. A
A health care worker tells the CHN, “It does no good to try to teach those Aboriginal clients about nutrition because they will just eat whatever they want to, no matter how much we teach them.” Which of the following behaviours does this statement exemplify?
a. Cultural imposition
b. Ethnocentrism
c. Racism
d. Stereotyping
Ans. D
Migrant workers tend to have high occupational mobility, are often poor, and have limited formal education. They may seek health care only when they are ill and unable to work. What does the CHN need to do whenever she has a chance to interact with migrant workers?
a. Advocate for emergency health care.
b. Teach prevention and health maintenance.
c. Ensure funding is available for adequate nutrition.
d. Contact the Workplace Safety and Insurance Board (WSIB).
Ans. B
A family from Mexico presents to the public health department. None of the family members speak English, and no one at the health department speaks Spanish. Which of the following will be the most appropriate action on the part of the CHN?
a. Attempting communication using an English–Spanish phrase book
b. Calling the local hospital and arranging a referral
c. Emphatically stating, “No hablo Español” (I don’t speak Spanish) and repeating as necessary
d. Finding an interpreter to translate
Ans. D
A 40-year-old Bosnian Muslim woman who does not speak English presents to a community health centre in obvious pain and requests a female health care provider. She indicates through gestures that the pain originates in either the pelvic or the genital region. Assuming several people are available to interpret, which of the following persons would be the most appropriate choice of interpreter?
a. A female who does not know the client
b. A female from the client’s community
c. A male who is certified as a medical interpreter
d. The client’s 20-year-old daughter
Ans. A
At a local hospital, postpartum care policy requires that nurses observe the mother to assess her ability to care for the new baby and to promote bonding. A new immigrant mother says that, in her country, all infant care is provided by family members so that the mother can rest and recover. In her home country, it is believed that if the mother does not recover sufficiently, she will be unable to provide the best care. Which of the following actions will the culturally competent nurse take?
a. Allow family members to provide care to the baby and assess the mother’s knowledge of child care through discussion.
b. Explain the importance of bonding and how all good mothers gladly assume these responsibilities.
c. Explain that the process of postpartum recovery does not require this much rest, but does require that she provide infant care.
d. Explain that the mother must abide by hospital policy because documentation of this ability is required for discharge.
Ans. A
The CHN who wishes to develop cultural competence can improve cultural awareness by doing which one of the following?
a. Completing a survey of all the ethnic groups in the CHN’s community
b. Considering how the CHN’s personal beliefs and decisions are reflective of his or her culture
c. Inviting a family from another cultural background to participate in an event with the CHN
d. Studying the beliefs and traditions of persons coming from other cultures
Ans. B
- The incidence of type 2 diabetes among Aboriginal peoples (First Nations, Inuit, and Métis) is three to five times higher than in the general population. When teaching a nutrition class to a group of students, of which a large percentage is Aboriginal, the CHN incorporates into the presentation such foods as bannock and other healthy dishes familiar to Aboriginal students. Which level of prevention does this culturally sensitive action represent?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Both primary and secondary prevention
Ans. A
A nurse practitioner (NP) has just found out that her immigrant client is not taking the penicillin prescribed because his illness is “hot” and he feels that penicillin, a “hot” medicine, will not provide balance. If the NP changes the penicillin to a different but equally effective antibiotic, which cultural attribute will the NP be demonstrating?
a. Cultural awareness
b. Cultural brokering
c. Cultural knowledge
d. Cultural skill
Ans. D
Which of the following represents a challenge when gathering background statistical population-based information on specific minority aggregates?
a. Cultural bias is always present.
b. There are many social and political impacts of colonization.
c. It is difficult to find comparative health information for small communities.
d. Statistics Canada does not collect data on specific minority aggregates.
Ans. C
