Exam 7: Diversity and Relational Practice in Community Health Nursing

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. What actions will the culturally competent nurse take?

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." What behaviour does this statement exemplify?

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 nurse practitioner (NP) has just found out that her new immigrant client is not taking the penicillin prescribed because he believes his illness is "hot" and 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 client at a community health outpost who describes a culturally safe encounter describes which CHN practices?

What practice demonstrates cultural competency for the care of clients with a cultural background different to one's own?

The incidence of type 2 diabetes among Indigenous 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 mostly Indigenous students, the CHN incorporates into the presentation such foods as bannock and other healthy dishes familiar to Indigenous students. What level of prevention does this culturally sensitive action represent?

The CHN who wishes to develop cultural competence can improve cultural awareness by conducting which activity?

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, who would be the most appropriate choice of interpreter?

What would be an example of "overt racism"?

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." What response does this statement exemplify?

A family from Mexico presents to the community health centre. None of the family members speak English, and no one at the health centre speaks Spanish. What will be the most appropriate action on the part of the CHN?

A health care worker tells the CHN, "It does no good to try to teach those Indigenous clients about nutrition because they will just eat whatever they want to, no matter how much we teach them." What behaviour does this statement exemplify?