Culture and Community Health Nursing

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Questions and Answers

Which of the following best describes the role of culture in shaping a group's identity?

Culture involves only the artistic expressions and culinary practices of a community.
Culture primarily influences a group's political affiliations and economic status.
Culture is solely determined by ancestral heritage, irrespective of current social practices.
Culture defines values, influences social interactions, and shapes ways of formal and informal governance. (correct)

Why is it important for Community Health Nurses (CHNs) to understand how culture is defined and redefined?

To ensure all cultural groups assimilate into a dominant culture.
To promote a single, universal definition of culture.
To recognize the power dynamics and privilege associated with defining cultures. (correct)
To standardize cultural practices across different communities.

How does the biomedical Eurocentric foundation of nursing practice pose a barrier to cultural understanding?

It emphasizes the importance of traditional healing practices.
It encourages nurses to dismiss scientific evidence.
It promotes inclusivity by integrating diverse cultural practices.
It centres Western medical knowledge, potentially overlooking other cultural perspectives on health. (correct)

What does it mean to say that culture is a social construct?

Culture is created and maintained through social interactions and collective agreement. (A) Signup and view all the answers

In what ways does culture intersect with other social constructs?

Culture is influenced by race, gender, ethnicity, class, language, and disability. (D) Signup and view all the answers

According to Statistics Canada (2016), what can be expected regarding the First Nation, Métis, and Inuit (FNMI) populations in the coming decades?

A likely increase to exceed 2.5 million persons. (A) Signup and view all the answers

Which of the following statements is true regarding the health status of new immigrants in Canada?

Language barriers and racism, impact the social determinants of immigrant health. (D) Signup and view all the answers

What are some of the risk factors for post-traumatic stress among immigrants and refugees?

Experiences of refugee camps, multiple translocations related to war, and awareness of hardships of family members. (C) Signup and view all the answers

What are some challenges faced by New Canadians in accessing healthcare?

They often have health services limited to episodic treatment, and may face a waiting period to be eligible for provincial coverage. (B) Signup and view all the answers

What does it mean to say that race is a social construct?

Race is a social construction that serves the purpose of justifying racist notions of the supremacy of whiteness. (C) Signup and view all the answers

How is racism defined in the context of rights and resources?

The systematic practice of denying people access to rights, representation, or resources based on racial differences. (D) Signup and view all the answers

What is racialization, and how does it manifest?

Systematic profiling, which can create inaccurate assessment and profile of a client (D) Signup and view all the answers

Why is racialization considered dangerous to health and well-being?

Racialization is largely negative, derogatory, demeaning, and often dangerous to health and well-being. (A) Signup and view all the answers

What actions can Canadians take to dismantle racism?

Acknowledge and address systemic racism. (A) Signup and view all the answers

How does stereotyping contribute to the cycle of oppression?

It forms the basis for prejudice, which can lead to discrimination and systemic oppression. (B) Signup and view all the answers

How does prejudice manifest in our thinking?

Prejudice operates without our direct knowledge and is embedded in our thinking. (B) Signup and view all the answers

What is the relationship between discrimination and oppression?

Discrimination is action or inaction based on prejudice and backed up by systemic power. (D) Signup and view all the answers

What does cultural competence in nursing involve?

Planning interventions that address culturally specific health needs. (B) Signup and view all the answers

Which of the following statements best describes cultural safety??

Cultural safety is congruent with advocacy (A) Signup and view all the answers

What is cultural humility, and how does it relate to culturally safe care?

Cultural humility is a recent term that enhances and extends culturally safe care. (A) Signup and view all the answers

What does racism in nursing include? (Select all that apply)

Barrier to health equity and social justice. (A), Systematic racism toward nurses of colour and racial discourses in nursing. (B), Culture, values, and racism and their application to nursing. (C), Teaching about race, racism, and health in nursing. (D) Signup and view all the answers

How does settler privilege manifest in the Canadian healthcare system?

Settler privilege involves unearned, current, and historical advantages that settler Canadians rely on by virtue of the historical relationship to the original settlers (C) Signup and view all the answers

What are the key components of an anti-oppressive practice?

Understanding privilege, understanding how the cycle of oppression operates, and acting for social change are key components of anti-oppression practice, including anti-racism. (B) Signup and view all the answers

What does it mean for CHNs to actively 'see' stereotyping, prejudice, and discrimination??

Recognizing stereotyping, prejudice, and discrimination. (C) Signup and view all the answers

How are Indigenous perspectives on health and the environment characterized?

Indigenous perspectives on health and the environment can be seen in Indigenous people's relationships to the land; deep respect, humility, and responsibility (B) Signup and view all the answers

What is 'Two-Eyed Seeing', and how does it influence our relationship with the environment?

Two-Eyed Seeing, as a holistic concept, helps overcome the prevailing Western dualistic thinking; opens possibilities for our relationship with the environment (D) Signup and view all the answers

What is the primary focus of planetary health?

The unprecedented impact of human activity on Earth's ecological systems and its consequences for human health (B) Signup and view all the answers

How do intersectional ecological-feminist approaches reframe value thinking?

Intersectional ecological-feminist approaches, is refraining from two approaches: (a) value dualism, and (b) value-hierarchical thinking (B) Signup and view all the answers

Which populations are particularly vulnerable to environmental health inequities in Canada?

First Nation, Métis, and Inuit communities,. older adults, and children (D) Signup and view all the answers

In what way can inadequate housing expose Indigenous communities to environmental health risks?

Inadequate housing that can expose them to overcrowding, mould, or unsafe drinking water (C) Signup and view all the answers

How does geographic and geo-political location affect an individual's environmental health?

The environment affects people differently depending in part on geographic and geo- political location, and social location along axes of gender, race and ethnicity, socioeconomic status, occupation, and developmental stage. (B) Signup and view all the answers

What is a primary driver of climate change and its consequences on cardiovascular health?

Air Pollution, specifically the increase in CO2, is a major driver of climate change, at the same time causing respiratory and cardiovascular diseases (C) Signup and view all the answers

What is the relationship between ecotoxicity and biodiversity?

Ecotoxicity and loss of biodiversity are interconnected with pollution (D) Signup and view all the answers

Why are international and national policies significant in nursing practice at the primordial level of prevention?

International, national, provincial, and municipal policies that aim at protecting the environment are the focus of nursing practice at the primordial level. (A) Signup and view all the answers

What would primary prevention encompass?

Immunization, counselling about reducing exposures, and supporting policies (A) Signup and view all the answers

What is the goal of advocacy in a population health co-benefit approach?

Advocating with the client community on issues such as pesticide-free lawns and gardens (A) Signup and view all the answers

How does nursing practice address the health issues considering over-medicalization?

Nursing practice at the level of quaternary prevention would include advocating with patients for a prudent selection of only the most necessary drugs to be prescribed. (B) Signup and view all the answers

How does the concept of 'Two-Eyed Seeing' influence approaches to environmental health?

It integrates Indigenous knowledge and Western perspectives to foster a more comprehensive understanding. (B) Signup and view all the answers

Why is it important to recognize that race is a social construct when addressing health inequities?

Because it helps to dismantle racist ideologies that justify unequal access to rights and resources. (A) Signup and view all the answers

How can community health nurses apply an anti-oppressive lens in their practice?

By actively acknowledging and addressing power imbalances and systemic barriers. (C) Signup and view all the answers

What distinguishes 'settler privilege' from other forms of privilege in the Canadian healthcare system?

It specifically refers to advantages gained from the historical relationship to original settlers in Canada. (A) Signup and view all the answers

Which factor most significantly contributes to the declining health status observed in new immigrants after they arrive in Canada?

Social determinants, like language barriers and racism, affecting job attainment. (D) Signup and view all the answers

How does the concept of intersectionality inform ecological-feminist approaches to environmental health?

By refraining from value dualism and hierarchical thinking to promote equitable solutions. (A) Signup and view all the answers

What is the role of international and national policies in nursing practice at the primordial level of prevention regarding environmental health?

To promote policies that aim at protecting the environment. (D) Signup and view all the answers

Which of the following reflects a community health nurse acting at the level of quaternary prevention?

Collaborating with patients to make informed decisions about medication use. (B) Signup and view all the answers

A rise in carbon dioxide, released due to burning fossil fuels, is a major driver of climate change. How else does rising CO2 impact overall health?

By increasing the risk of respiratory and cardiovascular diseases. (C) Signup and view all the answers

Considering the cycle of oppression, how does discrimination differ from prejudice?

Discrimination is action based on prejudice, whereas prejudice is a preconceived opinion. (D) Signup and view all the answers

Flashcards

Culture

A broad concept including language, customs, and beliefs that define a group's values and interactions.

Ethnicity

Refers to common language, culture, origin, and ancestry but is often self-defined and intersects with other identities.