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Chapter 11: Equity, Diversity, Inclusion, Accessibility, and Decolonization: Responsive
Leading and Managing in Health Care
Waddell/Walton: Yoder-
Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
According to Leininger (2002), ―cultural imposition‖ is a major concern in nursing beca
u se nurses have a tendency to impose their values, beliefs, and practices on people of ot
h er cultures. The discussion topic most likely to be without cultural imposition would b
e:
Abortion.
Wound management.
Blood transfusion.
Advance directives.
ANS: B
Abortion, blood transfusion, and advance directives are heavily imbued with values, belief
s , and practices that may be different between patients and nurses.
DIF: Cognitive Level: Analyze REF:
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2.
Cultural diversity is the term used to describe a vast range of cultural differences.
Event s have symbolic meanings for the nurse manager and the staff. The event that wo
uld be most likely to provide symbolic meaning to a nurse manager and staff is:
a.
The formation of a task force to commemorate a New Year‘s celebration
in t he WesternN tradition.
R I G B. C M
b. A project to provide Ch rist mas gif ts to t he chi ldren in a daycare program.
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c. Celebration of National Nurses‘ Week with the focus on cultural care.
The formation of a task force to develop a poster for the unit depicting religion
s of the world.
ANS: C
Symbols define and reflect a culture. National Nurses‘ Week, with a focus on nursing in
t erests, reflects the culture of nursing.
DIF: Cognitive Level: Analyze REF:
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One of the staff nurses on your unit makes the comment, ―All this time I thought Ma
ry was Black. She says she is Jamaican.‖ The best response would be:
―Who cares what she is?‖
―What did you think when you learned she was Jamaican?‖
―Why did you assume she was Black?‖
―We have never had a Jamaican on this unit before.‖
ANS: B
,The response of the nurse manager invites cultural awareness, which involves
self-examination and in-
depth exploration of the nurse‘s own biases, prejudices, and assumptions.
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
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DIF: Cognitive Level: Understand REF:
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As a nurse manager, you notice that Sharon, an Aboriginal licenced practical nurse aide, i
s 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 m
y being ‗a little fat Eskimo‘?‖ The nurse manager‘s best response is, ―Do you think he
Is sensitive to your culture?‖
Wants to learn more about you?‖
Has been hurt and wants to hurt others?‖
Is stereotyping you without thinking?‖
ANS: D
Stereotyping and prejudice enable people to predict behaviours and make sense of situat
ions, but they constrain people‘s understanding and development of new insights.
DIF: Cognitive Level: Understand REF:
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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 affir
matively. The nurse manager is most likely exhibiting behaviour related to:
Acculturation.
Ethnocentricity.
Cultural diversity.
Cultural sensitivity. NURSINGTB.COM
ANS: D
Cultural sensitivity involves the capacity to feel or react to ideas, customs, and tradition
s unique to a group of people.
DIF: Cognitive Level: Understand REF:
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A 66-year-
old native Chinese patient, hospitalized for a myocardial infarction, asks the nurse
m anager about seeing his ―acupuncture doctor‖ for treatment of his migraine head
ach
e. The best response to this patient would be:
―How long have you been using acupuncture treatment?‖
―Do you think acupuncture relieves your pain satisfactorily?‖
―What have you told your heart specialist about your migraines and treatment?‖
―Have you tried nonprescription pain medication or been given a prescription
dr ug for your headaches?‖
ANS: A