Chapter 07: DIVERSITY

Community Health Nursing Canada 2nd Edition By Stanhope

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Chapter 07: DIVERSITY

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Which of the following practices applies to nursing care for clients with a foreign cultural background?
a. Altering nonverbal behaviour to reflect the cultural norms the client is used to
b. Keeping all behaviours culturally neutral to avoid misinterpretation
c. Relying on friendly gestures to communicate a caring attitude
d. Avoiding showing prejudice by using the same behaviour with all clients

 

 

ANS:  A

Cultural competence in community health nurses (CHNs) includes the adoption of culturally congruent behaviours. CHNs need to make sure their nonverbal communication techniques take into consideration the client’s use of eye contact, facial expressions, body language, touch, and space.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 203, Table 7-5

OBJ:   7                    TOP:   CRNE Competency: Nurse–Client Partnership

 

  1. 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. Cultural sensitivity
b. Cultural awareness
c. Cultural knowledge
d. Cultural skill

 

 

ANS:  D

Cultural skill refers to the effective integration of cultural awareness and cultural knowledge to obtain relevant cultural data and meet the needs of culturally diverse clients. The CHN’s use of cultural skill ensures that nonverbal communication techniques take into consideration the client’s use of eye contact, facial expressions, body language, touch, and space.

 

DIF:    Cognitive Level: Analysis                REF:   p. 203, Table 7-5

OBJ:   7                    TOP:   CRNE Competency: Nurse–Client Partnership

 

  1. 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.” Which culture-related response does this statement exemplify?
a. Cultural awareness
b. Cultural blindness
c. Cultural knowledge
d. Cultural preservation

 

 

ANS:  B

Cultural blindness is a denial of diversity and the inability to recognize the uniqueness of individual clients. An example is CHNs who, attempting to be culturally unbiased, treat all clients in the same manner by conducting their nursing assessments using the same questions, do not actively listen to the responses, and fail to modify their questioning to gain an understanding of client culture and client uniqueness.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 204             OBJ:   7

TOP:   CRNE Competency: Professional Practice

 

  1. A CHN rearranges the room and moves the bed of a bedridden Muslim client so that the client is facing toward Mecca for his daily prayers. What does the CHN’s culture-related response exemplify?
a. Cultural skill
b. Cultural awareness
c. Cultural brokering
d. Cultural imposition

 

 

ANS:  A

Cultural skill refers to the effective integration of cultural awareness and cultural knowledge to obtain relevant cultural data and meet the needs of clients from diverse cultural backgrounds. For this client, daily prayers in the tradition of Islam are important, possibly more important from the client’s perspective than medical treatment.

 

DIF:    Cognitive Level: Application           REF:   p. 203, Table 7-5

OBJ:   7                    TOP:   CRNE Competency: Nurse–Client Partnership

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