week 6: chapter 9

Question 1

What is a characteristic of culture?
a. Constant over time
b. Consistent across an ethnic group
c. Separate from language and traditions
d. Largely unconscious

Answer 1

d. largely unconscious

Question 2

Which term refers to the variety and differences of attributes among, between, and within groups?
a. Ethnicity b. Diversity
c. Multiculturalism d. Race

Answer 2

b. diversity

Question 3

Which Canadian Community Health Nursing Standard of Practice holds relevant expectations for the
community health nurse providing cultural care?
a. Access and equity
b. Health promotion
c. Capacity building
d. Health protection

Answer 3

a. access and equity

Question 4

Which of the following statements is true about how culture is currently conceptualized?
a. It leads to tolerance, respect, and changes in discriminatory behaviours
b. It emphasizes the similarities of experiences and simplifies differences
c. It is a dynamic, power laden process created by people in relation to one another
d. It accentuates the culture of origin and discounts changes that occur through migration

Answer 4

c. It is a dynamic, power laden process created by people in relation to one another

Question 5

Which term is used to describe the belief that one’s own culture is the best of most desirable?
a. Racism
b. Transnationalism
c. Ecological
d. Ethnocentrism

Answer 5

d. Ethnocentrism

Question 6

In what year did the federal multiculturalism policy recognize and acknowledge cultural pluralism as an
essential and valued contribution to Canadian Culture?
a. 1891
b. 1971
c. 1941
d. 1991

Answer 6

b. 1971

Question 7

Which term refers to those who are eligible for permanent residency?
a. Refugees
b. Immigrants
c. Transnationalists
d. Temporary workers

Answer 7

b. immigrants

Question 8

Which of the following statements is true about immigrants to Canada?
a. Prior to 1971, more than 75% of immigrants were from Europe
b. After 1990, more than 80% of immigrants were from Africa
c. Prior to 1943, more than 50% of immigrants were from South America d. After 1967, more than 90% of immigrants were from the Middle East

Answer 8

a. Prior to 1971, more than 75% of immigrants were from Europe

Question 9

According to Statistics Canada (2013), what proportion of Canada’s total population is foreign born?
a. 45% b. 30% c. 20% d. 15%

Answer 9

c. 20%

Question 10

The majority of permanent residents across Canada come from which part of the world? a. Asia and Pacific
b. United States
c. Africa and Middle East
d. South and Central America

Answer 10

a. Asia and Pacific

Question 11

Most of the skilled and temporary workers entering Canada are from which part of the world?
a. United States and Africa
b. United States and Middle East
c. United States and Asia
d. United States and Europe

Answer 11

d. US and Europe

Question 12

Giselle is a community health nurse working with temporary residents in Vancouver. Giselle recognizes that her clients would benefit from English classes. Giselle mobilizes local community members who are willing to teach English to offer free classes one evening a week.
Why is Giselle exploring this community health nursing intervention?
a. Because the temporary residents are busy during the day
b. Because temporary residents are not eligible for government sponsored language classes
c. Because the temporary residents are embarrassed about their language skills
d. Because temporary residents have significant other commitments

Answer 12

b. Because temporary residents are not eligible for government sponsored language classes

Question 13

Which of the following statements is true about newcomer health?
a. Newcomers to Canada experience significant health challenges
b. Newcomers to Canada rate their health more highly than people born in Canadian
c. Newcomers to Canada are at risk for developing various communicable diseases
d. Newcomers to Canada rate their health lower than people born in Canada

Answer 13

b. Newcomers to Canada rate their health more highly than people born in Canadian

Question 14

Recent women immigrants have a lower probability of having their previous work experience recognized when compared to men. Jason is a community health nurse who is working to promote equity on this issue. Jason is demonstrating which community health nursing value?
a. Social justice
b. Cultural competence
c. Multiculturalism
d. Transnationalism

Answer 14

a. Social justice

Question 15

Yasmin is working with recent immigrants from Syria. She works with her clients to access community resources that will assist in developing a social support network. Why is this an important community health nursing intervention?
a. Because learning to be social will alleviate any post-traumatic stress
b. Because interpreters are scarce and this will help with language skills
c. Because social support can facilitate establishing economic stability
d. Because it’s important for people from the same place to stick together

Answer 15

c. Because social support can facilitate establishing economic stability

Question 16

Mr. and Mrs. Espinosa have immigrated to Canada from the Philippines. A community health nurse is visiting the Espinosa family following the birth of their first child. What is an appropriate comment for the nurse to make?
a. “I have some coupons for disposable diapers. Would you like them?”
b. “I will give you this book on baby care that you will find very helpful.”
c. “I understand that women from the Philippines like to be waited on following childbirth.”
d. “What would happen if you were in the Philippines after you had your first baby?”

Answer 16

d. “What would happen if you were in the Philippines after you had your first baby?”

Question 17

Rosa is a community health nurse. She is open and flexible with others, accepts differences, and is
willing to learn. What term describes Rosa’s nursing practice?
a. Ethnocentrism
b. Cultural competence
c. Multiculturalism
d. Ethnic stereotyping

Answer 17

b. cultural competence

Question 18

Current conceptualizations of cultural competence include which of the following statements?
a. It is a lifelong process of approaching relationships with openness and humility
b. Making sure nurses understand details about various cultural practices
c. Being able to identify which culture your clients belong to
d. Showing that you understand cultural practices that impact health status

Answer 18

a. It is a lifelong process of approaching relationships with openness and humility

Question 19

Which of the following are included in the five constructs that inform the process of cultural
competence:
a. Cultural sensitivity, self-reflection, and cultural skill
b. Cultural skill, cultural safety, and cultural sensitivity
c. Cultural knowledge, cultural desire, and cultural encounters
d. Cultural desire, cultural safety, and cultural awareness

Answer 19

c. Cultural knowledge, cultural desire, and cultural encounters

Question 20

Which term is used to describe any action with diminishes, demeans, or disempowers the cultural identity and well-being of an individual?
a. Cultural competence
b. Group diversity
c. Unsafe cultural practice
d. Cultural care

Answer 20

c. unsafe cultural practice

Question 21

Which of the following is a strength of using a cultural safety approach:
a. Disable practitioners to consider difficult concepts
b. Improve healthcare access for populations
c. Challenge equal power relations
d. Acknowledge that only people of color are bearers of culture

Answer 21

b. Improve healthcare access for populations

Question 22

The concept of cultural safety has been criticized for which of the following?
a. It is inadequately understood and utilized in practice
b. People use this too often and it skews other data that needs to be considered
c. It promotes racism, discrimination, and prejudice among health care providers
d. It acknowledges that cultural safety is determined by those receiving care

Answer 22

a. It is inadequately understood and utilized in practice

Question 23

Gigi is a community health nurse who is completing a cultural assessment on a Chinese community she
is working with. What is Gigi’s intension for completing a cultural assessment?
a. To de-emphasize the relational process between the nurse and the community
b. To give people in the community a way to voice their concerns about health
c. To break down barriers so that racism, discrimination, and prejudice are abolished from society
d. To discover meanings and experiences of health and illness through a cultural lens

Answer 23

d. To discover meanings and experiences of health and illness through a cultural lens

Question 24

Juan is working with an Aboriginal community in a rural and remote location. Juan works to draw more attention through explicitly addressing inequities that have arisen from the political and historical events. Juan is likely working from which nursing practice?
a. Cultural sensitivity
b. Cultural safety
c. Cultural competence
d. Cultural knowledge

Answer 24

b. cultural safety

Question 25

Sarah is working with a community to increase the immunization rates for influenza. At which level of
prevention is Sarah working at if she is advocating for changes to policies and service delivery?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Quaternary prevention

Answer 25

d. Quaternary prevention