Question 1

The nurse is caring for an Indigenous patient who has had recent surgery.In the patient's culture,it is a sign of weakness to complain of pain.In the nurse's culture,people who are having pain ask for pain medicine.The nurse has assumed that the patient has not been having pain and does not need medication because he has not complained of pain.What is the nurse doing?

Accepted Answer

A)  Utilizing cultural imposition by not asking the patient about his pain.
B)  Striving to provide culturally congruent care by allowing the patient to suffer.
C)  Operating from an emic world view of the patient's cultural beliefs.
D)  Practising discrimination by not giving the patient pain medicine. A

Question 2

A nursing student is performing a cultural assessment of their patient.When the student asks,"Who makes the decisions for you or your family?" what is the nurse assessing?

Accepted Answer

A)  Language and communication.
B)  Caring beliefs and practices.
C)  Socioeconomic status.
D)  Social organization. D

Question 3

Prevention programs for populations is the main focus of which of the following?

Accepted Answer

A)  Global health.
B)  Public health.
C)  International health.
D)  Transcultural health. B

Question 4

Which of the following is considered a noncommunicable disease? (Select all that apply. )

Accepted Answer

A)  Diabetes.
B)  Cardiovascular diseases.
C)  Influenza.
D)  Chronic respiratory diseases.
E)  Cancer.

Question 5

When a cultural assessment is performed,knowledge of a patient's country of origin and its history and ecological contexts is known as what?

Accepted Answer

A)  Ethnohistory.
B)  Biocultural history.
C)  Social organization.
D)  Religious and spiritual beliefs.

Question 6

Members of a Chinese family that has been in Canada for 5 years have learned to speak English and have adopted certain Western customs but have continued to adhere to their values,beliefs,and traditions.What is this process referred to as?

Accepted Answer

A)  Assimilation.
B)  Enculturation.
C)  Acculturation.
D)  Multiculturalism.

Question 7

A nursing student is caring for a patient who has just immigrated to Canada from Ghana.The student just had a class on cultural safety and wants to practise doing a cultural assessment.What should the nursing student know?

Accepted Answer

A)  Patients who come from the same region or country share similar values,beliefs,attitudes,and experiences.
B)  Cultural assessment is a systematic and comprehensive examination of the cultural care values,beliefs,and practices of individuals,families,and communities.
C)  The patient should be discouraged from sharing personal stories because it will take up too much time.
D)  The student should ask only open-ended questions.

Question 8

In understanding health inequity,what does the nurse know?

Accepted Answer

A)  Health differences are unavoidable.
B)  Poverty is not a root cause of health inequity.
C)  Health inequity is the absence of systematic disparities in health.
D)  Health inequity refers to unnecessary and unfair differences in health.

Question 9

The nurse learns about cultural issues involved in the patient's health care belief system and enables patients and families to achieve meaningful and supportive care.Such care is known as what?

Accepted Answer

A)  Ethnocentrism.
B)  Culturally competent care.
C)  Cultural imposition.
D)  Culturally congruent care.

Question 10

When caring for a patient of a different culture,it is important for the nurse to understand which of the following?

Accepted Answer

A)  The nurse should protect the patient from family intrusion in her health care decisions.
B)  Working within the established family hierarchy produces better outcomes.
C)  Women as primary caregivers make independent health decisions.
D)  Gender is not a factor with regard to role expectations.

Question 11

When asked to describe the differences between ethnicity and race,what should the student nurse explain?

Accepted Answer

A)  Ethnicity refers to a shared identity,whereas race is limited to biological attributes.
B)  Ethnicity and race are actually the same and are based in cultural norms.
C)  Ethnicity can be understood only through an etic world view.
D)  Race refers to a shared identity,whereas ethnicity is limited to biological attributes.

Question 12

Which of the following are characteristics of the Sustainable Development Goals (SDGs)? (Select all that apply. )

Accepted Answer

A)  SDGs include 10 universal goals with targets planned for the next 12 years.
B)  The SDGs address the health and well-being of persons of all ages.
C)  SDGs represent an expectation that all countries must promote prosperity while providing protection to the planet.
D)  SDGs are legally binding.
E)  Governments globally are expected to establish national frameworks for achievement of SDGs.

Question 13

Time takes on different meanings from one culture to another.Understanding this,when planning nursing interventions,the nurse should

Accepted Answer

A)  Avoid using set times for procedures.
B)  Mutually negotiate time schedules with patients.
C)  Encourage patients to set their own times for care,regardless of the schedule.
D)  Maintain the set times for treatments and inform patients of the schedule.

Question 14

The nurse recognizes the terminology that applies to culture and ethnicity.Ethnicity is defined as what?

Accepted Answer

A)  An appreciation for differences within another group and the promotion of respect for those differences.
B)  A common identity with members sharing social and cultural heritage.
C)  Many cultures coexisting and maintaining cultural differences.
D)  The belief that one's own race or culture is more valuable than those of others.

Question 15

Which of the following is an outcome of nursing education that enables safe service to be defined by those who receive the service?

Accepted Answer

A)  Cultural awareness.
B)  Cultural safety.
C)  Cultural sensitivity.
D)  Self-awareness.

Question 16

The nurse is caring for a patient who has emigrated from another country.The patient needs abdominal surgery but seems reluctant to sign the surgical permits.What is one tactic that the nurse should use?

Accepted Answer

A)  Determine the family social hierarchy.
B)  Encourage the patient to sign the permits.
C)  Call the physician so that surgery can be cancelled.
D)  Impress on the patient that her life is in jeopardy.

Question 17

The nurse may work with patients from many different cultural backgrounds.Nurses,unfortunately and inadvertently,may impose their own cultural beliefs on patients.Which of the following is an example of a nurse imposing personal perspectives on a patient?

Accepted Answer

A)  Adapting the patient's room to accommodate extra family members who are visiting.
B)  Seeking information on gender-congruent care for an Egyptian patient.
C)  Directing an older Chinese patient to do rehabilitation exercises after she has refused to do them until her daughter arrives.
D)  Encouraging family members to assist with the patient's care when it is appropriate for them to do so.

Question 18

What characterizes culturally congruent care?

Accepted Answer

A)  It fits the patient's valued life patterns and set of meanings.
B)  It is based on meanings generated by predetermined criteria.
C)  It is the same as the values of the professional health care system.
D)  It is based on the assumption that a person's own way of life is superior to those of other people.

Exam 9: Global Health