week 11: chapter 33

Question 1

What term best describes the statement “a constellation of processes by which nations, businesses, and people are becoming more connected and interdependent via increased economic integration, communication exchange, and cultural diffusion”?
a. World health
b. Globalization
c. World trade
d. Global village

Answer 1

b. globalization

Question 2

There is strong evidence indicating that most of the global burden of disease are caused by which of the following?
a. Political instability
b. Nurse migration
c. Social determinants of health
d. Global health diplomacy

Answer 2

c. social determinants of health

Question 3

A nurse is working for a non-profit health agency in Afghanistan. The nurse is working with a multidisciplinary team on the Sustainable Development Goals (MDG). What goal will be particularly difficult to achieve in the context of this country?
a. Improved communication
b. Recruitment of qualified nurses
c. Gender equality
d. Environmental sustainability

Answer 3

c. gender equality

Question 4

A nurse is working for a non-profit health agency in Afghanistan. What is a significant challenge for majority countries like Afghanistan in achieving “Health for All” as a result of globalization?
a. Partnerships with the West
b. Nurse migration
c. Use of traditional healers
d. Attaining peace

Answer 4

b, nurse migration

Question 5

A nursing instructor is teaching a class about global citizenship. What statement is consistent with the concept of narrative imagination?
a. Believing that all people have the same status
b. Having the ability to envision what it might be like to be a person different from
oneself
c. Having the ability to scrutinize one’s own beliefs and customs
d. Understanding that all persons are fellow citizens who have equal moral worth

Answer 5

b. Having the ability to envision what it might be like to be a person different from
oneself

Question 6

A group of nurses from Alberta are doing research on the effects of the 2010 tsunami in Indonesia. The nurses want to make sure their research is consistent with the principle of solidarity. What initiative would support this principle?
a. Invite a nurse from Indonesia to be a part of the research team
b. Vent the research proposal through an ethics committee
c. Seek direction from the host country in the development of the survey questions
d. Familiarize the research team with the political and human rights issues of
Indonesia

Answer 6

a. Invite a nurse from Indonesia to be a part of the research team

Question 7

A group of nurses from Alberta are doing research on the effects of the 2010 tsunami in Indonesia. The nurses are conscious of the principle of introspection.
Which question would best help the research team to consider this principle?
a. What is the motivation for doing this global health research?
b. How will the indigenous views of health be included in this research?
c. What sources of funding are available?
d. Which methodology would be appropriate for this research study?

Answer 7

a. What is the motivation for doing this global health research?

Question 8

A group of nurses from Alberta are doing research on the effects of the 2010 tsunami in Indonesia. The nurse researchers are concerned about the potential exploitation of the study participants while obtaining informed consent. What strategy would be best at addressing potential exploitation?
a. Have the research proposal approved by an in-country ethics committee
b. Review and renew consent prior to each interaction
c. Make sure that research outcomes are shared with the Indonesian community
d. Tie research to the achievement of the Millennium Development Goals
(MDG)

Answer 8

b. Review and renew consent prior to each interaction

Question 9

A group of nurses from Alberta are doing research on the effects of the 2010 tsunami in Indonesia. What theoretical perspective would the research team use to guide their research?
a. Postcolonial feminism
b. Critical gender
c. The nursing process
d. Neolibralism

Answer 9

a. Postcolonial feminism

Question 10

What is the identified percentage gap between research funding and the investigation done on health problems affecting the world’s population?
a. 60/40 b. 30/70 c. 90/10 d. 20/80

Answer 10

c. 90/10

Question 11

Which of the following statements is true about globalization?
a. Globalization does not result in advances in technology
b. Globalization has decreased disparities in access to resources
c. Globalization results in those with power having less
d. Globalization has increased disparities in health around the world

Answer 11

d. Globalization has increased disparities in health around the world

Question 12

Hasan is a community health nurse working in global health. What an important action for Hasan to take?
a. Give voice to vulnerable population
b. Discuss issues with experts in global health
c. Dominate discussions as he sees fit
d. assess the best way to help nurses migrate

Answer 12

a. Give voice to vulnerable population

Question 13

Which of the following is part of the five global factors that affect health according to the Bangkok Charter of the World Health Organization?
a. Increased political change
b. Global environmental change
c. Increased movement to rural areas
d. Decreasing inequality within countries

Answer 13

b. global environmental change

Question 14

Which of the following terms is used to describe an areas for study, research, and practice that places a priority on improving health and achieving equity for all people worldwide?
a. Political activism
b. Globalization
c. Global health
d. Global citizenship

Answer 14

c. global health

Question 15

Which document was the first to identify the need for urgent action for all governments, all health and development workers, and the world community to protect and promote the health of all people around the world?
a. The Millennium Development Goals
b. The Sustainable Development Goals
c. The Bangkok Charter for Health Promotion
d. The Declaration of Alma-Ata

Answer 15

d. The Declaration of Alma-Ata

Question 16

Which of the following is included as one of the Millennium Development Goals?
a. Improving maternal health
b. Increase child morbidity
c. Achieve universal primary globalization d. Eradicating prosperity in rich countries

Answer 16

a. improving maternal health

Question 17

Which of the following statements is true about the Sustainable Development Goals?
a. The 12 thematic groups are research oriented
b. The 12 thematic groups are solutions oriented
c. The 12 thematic groups are poverty oriented
d. The 12 thematic groups are environmentally oriented

Answer 17

b. The 12 thematic groups are solutions oriented

Question 18

Which of the following terms is used to describe the learned, shared, and transmitted values, beliefs, norms, and life ways of a particular culture that guides thinking, decisions, and actions in patterned and often in intergenerational ways?
a. Cultural relativism
b. Homogenization
c. Culture
d. Hybridization

Answer 18

c. culture

Question 19

.Shyma is a community health nurse who values and honors all cultures equally. Which of the following is important to Shyma?
a. Global health diplomacy
b. Cultural pluralism
c. Cultural hybridization
d. Global citizenship

Answer 19

b. cultural pluralism

Question 20

Sherry is working with nursing students to become sensitized to their own culturally established perspectives on healthcare. What is Sherry working towards?
a. Global health diplomacy
b. Globalization and health
c. Critical social reflection
d. Global citizenship

Answer 20

d. global citizenship

Question 21

Sherry is working with nursing students to develop their capacity for global citizenship. She is discussing the pros and cons of adopting the fundamental view of all people as fellow citizens who have equal moral worth and deserve equal moral consideration. What capacity is Sherry is developing in the students?
a. Moral reflexivity
b. Moral cosmopolitanism
c. Moral narrative imagination
d. Moral health diplomacy

Answer 21

b. moral cosmopolitanism

Question 22

Judith is a community health nurse who is teaching her students that when working in
global health, it is important to recognize one’s limitations and being open to learning
from all sources. Which ethical principles is Judith instilling in her students? a. Introspection
b. Solidarity
c. Equity
d. Humility

Answer 22

d, humility

Question 23

Judith is a community health nurse who is teaching students that when working with
people from other cultures, it is important to reject assumptions of superiority of one’s
culture. What term is used to describe this concept that Judith is teaching?
a. Cultural relativism
b. Cultural pluralism
c. Cultural homogenization
d. Cultural hybridization

Answer 23

a. cultural relativism

Question 24

Charlene is working with women from Somalia who have experienced female genital mutilation (FGM). Why might these Somali women experience stigmatization from people who do not understand their culture?
a. Because the long term consequences of FGM are not understood
b. Because Western discourse has identified FGM as harmful
c. Because Charlene needs to make all Canadians aware of the practice d. Because the Somali women did not protest this cultural practice

Answer 24

b. Because Western discourse has identified FGM as harmful

Question 25

Which of the following perspectives proposes that global cultures are becoming increasingly dichotomized around Western and non-Western ways of life?
a. Homogenization
b. Hybridization
c. Polarization
d. Global citizenship\

Answer 25

c. polarization

Question 26

Identify the health outcome indicators for the Millennium Development Goal of combating HIV/AIDS, malaria, and other diseases.

Answer 26

• A decrease in HIV prevalence among pregnant women aged 15-24 years
• Condom use at last high-risk sex
• Ratio of school attendance of orphans to school attendance of non-orphans aged 10-14
  years
• Decrease in prevalence and death rates associated with malaria
• Proportion of population in malaria-risk areas using effective malaria prevention and
  treatment measures
• Decrease in prevalence and death rates associated with tuberculosis

Question 27

Define the term global citizenship, describe the three necessary capacities, and provide an example of how a nursing student can enact these capacities.

Answer 27

• Global citizenship: calls for all persons across the globe to extend their thinking about moral responsibility and health beyond their local communities and national citizenship and to become citizens of the world.
• Reflexivity: the capacity to examine ourselves; involves scrutinizing our traditions, beliefs, and habits to ensure they are consistent and justifiable. e.g., A nursing student becomes more aware of own beliefs about health care and is better able to challenge underlying values and assumptions about their education, nursing practice, and the health care system.
• Moral cosmopolitanism: adopting a fundamental view of all persons as fellow citizens who have equal moral worth and deserve equal moral consideration.
  e.g., A nursing student going on an international field school will show respect and concern for the people of that country regardless of their economic, social, or political position in their society.
• Narrative imagination: the ability to imagine what it might be like to be a person different from oneself, and to allow such imagination to inform understanding of others’ experiences, emotions, desires, and life stories. e.g., A nursing student is exposed to another culture during a field school and is now better able to understand that cultural group’s experiences.

Question 28

The Bangkok Charter of the World Health Organization (2005) identifies five global factors that affect health. List these five factors

Answer 28

• Increasing inequalities within and between countries
• New patterns of consumption and communication
• Commercialization
• Global environmental change
• Urbanization

Question 29

List 5 of the 17 Sustainable Development Goals

Answer 29

• End poverty in all its forms everywhere
• Achieve gender equality and empower all women and girls
• Ensure sustainable consumption and production patterns
• Ensure availability and sustainable management of water and sanitation for all
• Ensure healthy lives and promote well-being for all, at all ages