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Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

1. Define multiculturalism and describe three perspectives that influenced the development of Canadian
multiculturalism.

2. Explore three things that nurses need to do to practise as culturally competent nurses.

3. Describe the concept of cultural safety.

4. Which is an example of culturally sensitive nursing care?

a. Engaging in prescriptive practice
b. Recognizing that culture is static and constant
c. Respecting culturally based values
d. Valuing one way of knowing about culture

5. What is a characteristic of culture?

a. Constant over time
b. Consistent across an ethnic group
c. Separate from language and traditions
d. Largely unconscious

6. Which term refers to the "variety and differences of attributes among, between, and within groups"?
a. Ethnicity
b. Diversity
c. Multiculturalism
d. Race

7. In which city is a community health nurse most likely to work with a large number of newcomers to Canada?
a. Ottawa
b. Victoria
c. Montreal
d. Halifax

1
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

8. What is a major difficulty that new immigrants experience after they come to Canada?
a. Understanding Canadian money
b. Canadian climate
c. Accessing schools
d. Language acquisition

9. Which client is most likely to be newly arrived in Canada?

a. 30-year-old man from Romania
b. 60-year-old man from Pakistan
c. 25-year-old woman from Taiwan
d. 75-year-old woman from China

10. What statement is true about temporary migrant workers in Canada?

a. Most of the temporary workers come from the United States and Europe.
b. More men take low-skilled jobs than women.
c. Canada admits twice as many temporary workers as permanent workers every year.
d. The reliance on non-permanent workers is slowly decreasing.

11. What did Allendar et al. state was the most important determinant of community health?
a. Social support
b. Education
c. Culture
d. Income

12. A nurse is providing effective nursing practice with a client from another culture, from the perspective of the client.
What is the correct term for this practice?
a. Cultural safety
b. Cultural competence
c. Multiculturalism
d. Diversity

2
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

13. A nurse is open and flexible with others, accepts differences, and is willing to learn. What term describes the
nurse's practice?
a. Ethnocentrism
b. Cultural competence
c. Multiculturalism
d. Ethnic stereotyping

14. The Leung family wishes to immigrate to Montreal. What will they be required to prove?
a. That they have employment
b. That they intend to become citizens within five years
c. They can pay for health care for one year
d. They commit to living in a francophone society

15. Sheila is a nurse working with new Canadians in Vancouver. She believes that current recommendations for
healthy lifestyles are very important and tells all her clients how to eat and live well. What form of nursing practice is
this?
a. Ethnocentric
b. Based on cultural competencies
c. Openness and humility
d. Respect for clients' cultural values

16. A nurse is conducting a transcultural nursing assessment of the Ngyen family, newly arrived in Canada. Which
question would be useful to ask?
a. "Is family important in your culture?"
b. "What can you tell me about your views of parenting?"
c. "Do you belong to the new cultural centre?"
d. "How does your culture differ from Canadian culture?"

3
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

17. Chapter 8 - Case 1

Mr. and Mrs. Espinosa have immigrated to Canada from the Philippines. Mr. Espinosa is an architect and his wife is
a nurse.

(Refer to Case 1 above.) The Espinosa family has decided to settle in a city with a large immigrant population. What
city would they decide to live in?
a. Victoria
b. Edmonton
c. Calgary
d. Vancouver

18. Chapter 8 - Case 1

Mr. and Mrs. Espinosa have immigrated to Canada from the Philippines. Mr. Espinosa is an architect and his wife is
a nurse.

(Refer to Case 1 above.) What position is Mrs. Espinosa likely to get once she arrives in Canada?
a. Community health nurse
b. Acute care nurse
c. Non-regulated health care worker
d. Licensed practical nurse

4
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

19. Chapter 8 - Case 1

Mr. and Mrs. Espinosa have immigrated to Canada from the Philippines. Mr. Espinosa is an architect and his wife is
a nurse.

(Refer to Case 1 above.) A nurse assumes that Mrs. Espinosa will have similar beliefs and values to other
newcomers to Canada from the Philippines. What framework in the nurse practising in?
a. Stereotyping
b. Racism
c. Acculturation
d. Assimilating

20. Chapter 8 - Case 1

Mr. and Mrs. Espinosa have immigrated to Canada from the Philippines. Mr. Espinosa is an architect and his wife is
a nurse.

(Refer to Case 1 above.) A nurse is visiting the Espinosa family following the birth of their first child. What is an
appropriate comment for the nurse to make?
a. "I have some coupons for disposable diapers. Would you like them?"
b. "I will give you this book on baby care that you will find very helpful."
c. "I understand that Filipino women like to be waited on following childbirth."
d. "What would happen if you were in the Philippines after you had your first baby?"

5
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

Activity Name: Chapter 08

1. Multiculturalism: the notion that cultural diversity is a valuable resource that should be preserved, extended, and
strengthened.
- will benefit the entire population
- based on European, Christian, and colonial perspectives
- separation of people based on class, race, gender, ethnicity, formal education, and ability to speak English
- people who are non-white may always be considered visible minorities in Canada even when they make up a
greater proportion of the population, e.g., in areas of greater Vancouver
Learning Objective:
Chapter 8 Essay Questions
Feedback:

Hints:

2. - examine CHNs' personal and professional values and assumptions related to self, nursing, and work agency
- reflect on self and nursing practice.
- remain open to other cultures' values, assumptions, and world views
- demonstrate cultural interviewing and assessment skills
- check background information to avoid stereotyping
- recognize diversity within individuals as well as cultures
- be open to multiple ways of knowing and experiencing
Learning Objective:
Chapter 8 Essay Questions
Feedback:

Hints:

6
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

3. - It has much in common with cultural competence and makes explicit the issues of power.
- It is effective nursing practice with a client from another culture.
- The client determines whether the practice is effective or not.
- It focuses on the capacity of clients to shape and contribute to their health experiences.
Learning Objective:
Chapter 8 Essay Questions
Feedback:

Hints:

4. c. Respecting culturally based values

Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Correct: Culturally sensitive practice is based on openness, sensitivity, and recognition of culturally based practices
and values.
Incorrect: Culture is not static, but dynamic.
Incorrect: Valuing multiple ways of knowing and engaging in reflective practice would be culturally sensitive.
Incorrect: This does not consider the impact on the individual and cultural values.
Hints:

7
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

5. d. Largely unconscious
Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Incorrect: Culture is interpreted and shaped individually.
Correct: Culture is largely tacit and implicit. It is unconscious.
Incorrect: Culture is dynamic and changes over time.
Incorrect: Culture is expressed and intersects with race, language, ethnicity, and class.
Hints:

6. b. Diversity
Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Incorrect: Ethnicity is a way of describing social identity based on a shared history and social structure.
Incorrect: Race is a socially constructed way of judging and creating differences between people.
Correct: This is the definition for diversity.
Incorrect: Multiculturalism is the acceptance of diversity and respect for different cultures.
Hints:

7. c. Montreal
Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Correct: Toronto, Vancouver, and Montreal are home to over 68% of new immigrants to Canada.
Incorrect: Ottawa does not have as many new immigrants as Montreal.
Incorrect: Victoria is not home to large numbers of new immigrants.
Incorrect: Halifax does not have large numbers of new immigrants.
Hints:

8
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

8. d. Language acquisition
Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Incorrect: This is not a major concern, although a few immigrants have difficulty adjusting to Canadian winters.
Incorrect: This has not been identified as an area of concern.
Correct: Language classes may not be available or there may be a lack of child care. This makes learning either
English or French difficult. Without acquiring one of Canada's two official languages, new immigrants cannot access
other services or jobs.
Incorrect: This was not identified as a difficulty.
Hints:

9. c. 25-year-old woman from Taiwan

Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Correct: The majority of immigrants to Canada are currently coming from the People's Republic of China. The
immigrants are between 25 and 54 years old.
Incorrect: Immigrants from Pakistan are the fourth most common group.
Incorrect: Although Canada receives more immigrants from China, the average age is younger than 75.
Incorrect: Immigrants from Romania are currently the seventh most common group.
Hints:

9
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

10. c. Canada admits twice as many temporary workers as permanent workers every year.
Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Incorrect: Most skilled workers come from these two countries; unskilled workers come from the Caribbean, Mexico,
and the Philippines.
Incorrect: Women are more likely to be directed into low-skilled jobs than men.
Correct: The ratio of temporary to permanent workers admitted to Canada is 2:1.
Incorrect: The reliance on non-permanent workers is increasing in Canada.
Hints:

11. c. Culture
Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Incorrect: Social support was not identified as the most important.
Incorrect: Income is important, but not the most relevant.
Incorrect: Education will improve income but is not the most relevant determinant.
Correct: Culture was identified as the most relevant determinant.
Hints:

10
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

12. a. Cultural safety

Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Correct: This is the definition for cultural safety.
Incorrect: Cultural diversity is defined as the variety and differences of attributes among, between, and within
groups.
Incorrect: This is the acceptance of many cultures within a community.
Incorrect: This is the mechanism to address culturally specific health needs.
Hints:

13. b. Cultural competence

Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Incorrect: Ethnocentrism is viewing one's own culture as superior to other cultures.
Correct: The nurse is practising cultural competence.
Incorrect: This is acceptance of a number of different cultures.
Incorrect: Ethnic stereotyping states that individuals of a culture have the same beliefs and values.
Hints:

11
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

14. d. They commit to living in a francophone society

Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Incorrect: This is not a requirement. Many immigrants have difficulty obtaining employment when they come to
Canada.
Incorrect: This is not a requirement for any immigrant moving to Canada.
Correct: Immigrants wishing to move to Quebec are required to commit to living in a francophone society.
Incorrect: The Canada Health Act precludes having people pay for service.
Hints:

15. a. Ethnocentric
Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Correct: The nurse is working from an ethnocentric viewpoint, a belief that what is practised in Canada is better than
what is practised in other cultures.
Incorrect: This is not an example of the nurse being open to new ideas and cultures.
Incorrect: This does not demonstrate respect for the cultural values of others.
Incorrect: When the nurse is ethnocentric, the nurse is not giving culturally competent care.
Hints:

12
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

16. b. "What can you tell me about your views of parenting?"

Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Incorrect: This question implies that the family knows the Canadian culture.
Incorrect: This is a closed question and the nurse should ask open-ended questions.
Correct: This is looking at the aspect of parenting within the culture and specifically the family.
Incorrect: This is a generalization and does not imply acceptance of cultural differences. It is also a closed question.
Hints:

17. d. Vancouver
Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Correct: Toronto, Vancouver, and Montreal are home to over 68% of new immigrants to Canada.
Incorrect: Victoria is not home to large numbers of new immigrants.
Incorrect: Vancouver has a larger immigrant population than Calgary.
Incorrect: Edmonton does not have as many immigrants as other large urban centres.
Hints:

18. c. Non-regulated health care worker

Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Incorrect: It takes time to be registered as a nurse in Canada.
Incorrect: Mrs. Espinosa would need to be registered in Canada before she can work as a nurse.
Incorrect: Registration is required to work as an LPN in Canada.
Correct: Mrs. Espinosa can work as a non-regulated health care worker.
Hints:

13
Name: Date: Course: Stamler/Yiu: Test: Chapter 08
Community Health
Nursing: A
Canadian
Perspective, Third
Canadian Edition

19. a. Stereotyping
Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Correct: Stereotyping assumes that people of a specific culture have the same beliefs and values.
Incorrect: Racism is discrimination based on race.
Incorrect: Acculturation is the process of a group accepting the beliefs and culture of the host country.
Incorrect: Assimilation is the process of adopting the new culture and giving up one's own culture.
Hints:

20. d. "What would happen if you were in the Philippines after you had your first baby?"
Learning Objective:
Chapter 8 Multiple Choice Questions
Feedback:
Incorrect: This implies that the Espinosa family should be using disposable diapers and that they have the
resources to do so.
Correct: This open-ended question looks at aspects of the family's culture and the impact on childbearing.
Incorrect: This is stereotyping and unhelpful.
Incorrect: This is an ethnocentric comment and not appropriate.
Hints:

14
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