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Chapter 04: Nursing Leadership in Indigenous Health
Waddell/Walton: Yoder-
Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
Which nursing leadership response is rooted in upholding social justice at the micro level?
Community.
Interpersonal.
Country.
System.
ANS: B
A nursing leadership response is rooted in upholding social justice at micro/interpersonal
, meso/community, and macro/system levels.
DIF: Cognitive Level: Understand REF:
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Nursing Process: Planning
In the first study on Indigenous peoples‘ health care experiences, findings from initial e
xploratory studies of Indigenous peoples‘ experiences in urban, inner city, and rural area
revealed:
Improved access experience for both the Indigenous client and health c
a re professionals.
A critical need to develop culturally safe comprehensive care strategies.
Reduced stigmatized and racialized care.
Communication barrierNs.URSINGTB.COM
ANS: B
Findings from initial exploratory studies of Indigenous peoples‘ experiences in urban, inne
r city, and rural areas revealed a critical need to develop culturally safe comprehensive car
e strategies. Other findings were from study‘s 2, 3, 4.
DIF: Cognitive Level: Analyze 6 REF: Pages 60–
1, Research Perspectives TOP: Nursing Process: Implementation
An interesting trend is that overall, Indigenous nurses are younger than the aver
a ge non-Indigenous nurses. What is the advantage of this trend?
The opportunity for this newest generation to influence change.
To increase awareness of Indigenous nursing.
To increase the number of Indigenous nurses.
For the Canadian Indigenous Nurses Association (CINA) to increase membership.
ANS: A
CINA believes in ―authentic Indigenous partnerships‖ with Indigenous rights holders a
n d non-
Indigenous stakeholders, which are inclusive of values grounded in diverse Indigenous p
h ilosophies that centre relationality, respect, and reciprocity at the core of self-
determination (2016). With the trend of Indigenous nurses being younger there is an op
p ortunity for this generation to influence change.
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
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DIF: Cognitive Level: Apply REF:
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Nursing Process: Implementation
What is a process of self-
reflection to understand personal and systemic biases and to develop and maintain respe
ctful processes and relationships based on mutual trust termed?
Cultural safety.
Cultural humility.
Cultural well-being.
Cultural understanding.
ANS: B
The First Nations Health Authority (2018) defines cultural humility as a process of
self-
reflection to understand personal and systemic biases and to develop and maintain r
e spectful processes and relationships based on mutual trust.
DIF: Cognitive Level: Understand REF: Pages 67–
68 TOP:
Nursing Process: Planning
An outcome based on respectful engagement that recognizes and strives to address pow
er imbalances inherent in the health care system results in an environment free of racis
and discrimination, where people feel safe when receiving health care. What is this t
ermed?
Cultural humility.
Cultural safety.
Cultural well-being.
Cultural understanding.
ANS: A NRIGB.CM
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Cultural safety originally coined by Mâori Nurses in New Zealand arose because of poor
health outcomes of Indigenous peoples who were subjected to unsuitable and unsafe heal
t h care services (Nursing Council of New Zealand 2005; Ramsden, 2002; Woods 2010).
DIF: Cognitive Level: Understand REF:
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Nursing Process: Planning
What is considered the cornerstone of progress toward improving health, economic, an
social conditions?
Self-determination.
Self-knowledge.
Self-reflection.
Self-analysis.
ANS: A
Self-
determination is considered the cornerstone of progress toward improving health, econom
ic, and social conditions. The importance of historically ground visions, autonomy of co
mmunity members, and community voice in decision-
making are essential for effective health leadership and governance.
DIF: Cognitive Level: Understand REF:
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
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Nursing Process: Implementation