CH.2 - Medical-Surgical Nursing in Canada (Fourth Edition): Lewis, S., Dirksen, S.R., Heitkemper, M.M.

This term focuses on the power imbalances that lead to a disregard for health and illness beliefs of the Indigenous people and to a privileging of the dominant cultural values. A. Cultural safety B. Cultural competence C. Diversity D. Ethnically competent - answerA. Cultural safety This notation is applied largely to health care for Indigenous people in Canada. Who established "culturally competent care"? A. Christy Thomas B. Madeleine Leininger C. Mme Hebert D. Jean Watson - answerB. Madeleine Leininger She advocated for the use of culturally based health knowledge and care to ensure appropriate and effective care for individuals with differences in values, beliefs and explanatory models of illness. "This is Canada, and this is how we do things around here. I'm not calling your Shaman/healer. It's not necessary." This statement from a nurse represents: A. Ethnocentrism B. Cultural imposition C. Acculturation D. Cultural invalidation - answerB. Cultural imposition This is when a person's own cultural beliefs and practices are imposed on another person. KEYWORD: "THIS is how we do things around here." Which is NOT a domain of cultural competence? A. Affective B. Behavioural C. Cognitive D. Definitive - answerD. Definitive The key domains are: affective (selects an awareness of and sensitivity to cultural values, needs, and beliefs), behavioural (skills needed to be effective in cross-cultural encounters), cognitive (involves cultural knowledge and cross-cultural approaches to care) The patient is engaging in blatant eye contact with the nurse. The patient is engaging in: A. Verbal communication B. Nonverbal communication C. Cultural expectations. Asian, Arab or Indigenous patients maintain blatant eye contact. D. Cultural normalizations - answerB. Nonverbal communication A nurse is caring for an elderly patient who cannot communicate in English. The nurse is pressed for time and knows that scheduling an in-person interpreter last minute is not feasible. What should the nurse do? A. Use only a few words in communicating. B. Speak loudly and look for head nodding to indicate the patient understands. C. Phone interpretation services and see if an interpreter would be available via telephone conference. D. Get a close family member to translate for the patient. - answerC. Phone interpretation services and see if an interpreter would be available via telephone conference. What must a nurse do during the interpretation session? A. Get to now the interpreter B. Speak in 1-2 sentence bursts C. Provide information on how the patient may request an interpreter's services in the future D. Remind the interpreter to interpret everything. - answerB. Speak in 1-2 setence bursts This allows for the interpreter to follow along and ensure easier translation. KEYWORD: "DURING the interpretation session" New immigrants tend to be in better overall health than the general resident population.