Deck 9: Global Health

Question 1

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?

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.

Answer 1

Determine the family social hierarchy.

Question 2

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?

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.

Answer 2

Cultural assessment is a systematic and comprehensive examination of the cultural care values,beliefs,and practices of individuals,families,and communities.

Question 3

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

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

Answer 3

Ethnohistory.

Question 4

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

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

Question 5

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?

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 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?

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

Question 7

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?

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.

Question 8

In understanding health inequity,what does the nurse know?

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

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?

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

Question 10

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

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 11

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

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 12

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

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 13

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?

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

Question 14

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

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 15

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

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 16

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

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

Question 17

What characterizes culturally congruent care?

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.

Question 18

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

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