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Exam 11: Cultural Diversity in Health Care

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Question 1

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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

A) Is sensitive to your culture?"
B) Wants to learn more about you?"
C) Has been hurt and wants to hurt others?"
D) Is stereotyping you without thinking?"

E) A) and B)
F) B) and C)

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Question 2

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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:

A) Bias.
B) Cultural awareness.
C) Cultural diversity.
D) Ethnocentricity.

E) B) and D)
F) B) and C)

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Question 3

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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?

In caring for a patient from an East Indian culture,staff members express frustration that many friends and family members are in the room at any one time,which interferes with care.As the nurse manager,you provide leadership in understanding that this behaviour of the family and friend network reflects:

To ensure cultural safety regarding the use of language it is essential to address which of the following? (Select all that apply.)

Monique,one of your registered nurses,tells you that she cannot understand why Jim,an Aboriginal patient,wants to have a smudge ceremony.Monique's response is based on her:

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:

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.

The nurse manager of a unit is asked by a family member of a dying Inuit patient if it is possible to for the patient's eight-member family to recite the rosary by the patient's bedside.The manager responds affirmatively.The nurse manager is most likely exhibiting behaviour related to:

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?

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:

A non-English-speaking patient arrives at the nursing unit.The nurse knows that when patient communication is hampered by the inability to communicate in the same language,it may lead to:

Serena,RN complains to you that a male nurse from a different culture sits very close during charting and leans toward her when speaking.In responding to Serena,you consider that differences across cultures that are relevant to this situation include:

Cultural diversity is the term used to describe a vast range of cultural differences.Events have symbolic meanings for the nurse manager and the staff.The event that would be most likely to provide symbolic meaning to a nurse manager and staff is:

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?

A constructivist perspective of culture recognizes which of the following influence an individual's understanding of culture? (Select all that apply.)

At Health Centre XYZ,staff members on the rehabilitation unit have a head nurse who is intolerant of error and publicly chides anyone who makes a mistake.Over time,the rules on the unit dictate that mistakes are hidden and that areas of concern related to the functioning of the unit are discussed in privacy and are never openly discussed during periodic meetings.New staff members are quickly made to realize that silence is expected.The situation described is an example of:

A new graduate registered nurse joins your unit.After a few weeks,she complains about some of her peers on the unit and compares their practices negatively to what she learned in her nursing program.She also is vocal about how she has learned so much here that she did not in her program.She is best described as:

Which principle of The Canada Health Act is frequently not upheld in rural and remote areas of the country?

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: