CVO JURISPRUDENCE EXAM
An individual's culture is ________________ by many factors, such as race,
gender, religion, ethnicity, socio-economic status, sexual orientation and life
experience. The extent to which particular factors influence a person will
______________. - ANSWERS-influenced
vary
Culture is _______________. It changes and evolves over time as individuals
change over time. - ANSWERS-dynamic
TRUE OR FALSE.
Reactions to cultural differences require a lot of thought and reflection. -
ANSWERS-They are automatic, and often subconscious and influence the
dynamics of the nurse-client relationship.
A nurse's culture is influenced by personal ______________ as well as by
nursing's professional ______________. The _____________ of the nursing
profession are upheld by all nurses. - ANSWERS-beliefs
values
values
The nurse is responsible for ________________ and _______________
appropriately to the client's cultural expectations and needs. - ANSWERS-
assessing
,responding
A nurse, working as a community case manager, visited the home of a toddler
with severe physical and developmental delays. She explained to the parents that
with their consent she would refer the child to a physiotherapy and occupational
therapy program that would help the child be more independent. The parents
refused, saying that it was their duty to care for their child because the child's
condition is punishment for having conceived before they were married. They
were not supportive of a program to increase independence. The nurse was upset
and felt the parents were not acting in the child's best interests. - ANSWERS-The
nurse did not understand the family's initial refusal of treatment. After reflection
and discussion with colleagues, she realized that her personal and professional
values of independence were causing her to feel upset with the parents' refusal.
She decided to explore with the family their goals for their child. In doing this, she
learned that the parents wanted their child to become stronger and have fewer
infections. When the same therapies were described as a means of meeting these
goals, the parents were quite willing to participate. The program was developed
to meet the goals that the family identified as important.
Clients differ in their ___________________ of health, well-being and quality of
life, as well as their ______________ for treatment and who they consider
appropriate providers of care. - ANSWERS-definitions
goals
The client is a woman who has developed a very good relationship with the nurse
in the community health clinic. On a visit, she asks the nurse how to arrange for
the excision of female genitalia for a member of her community. - ANSWERS-
Regardless of her personal feelings about female genital excision, the nurse needs
to understand the meaning of this custom for the client, which is linked to values
,about family purity and family honour. The nurse, however, also knows that the
practice is illegal in Canada. The nurse needs to inform the client, in a
nonjudgmental manner, of the potential risks and harm associated with the
practice and of the legal implications. By exploring the custom and providing
education and support to the woman, the nurse has a better chance of preventing
a practice that carries considerable risk of harm.
A client from a First Nations community requests that a sweetgrass ceremony be
performed in the hospital as part of the treatment. The ceremony involves
chanting and burning some substances, which will result in small amounts of
smoke (similar to that of burning an incense stick). The nurse's initial reaction is
that something like this has never been done, and that it is against hospital policy.
However, she also understands the significance of this ritual for the client. The
nurse raises the issue with the unit administration and, with the support of
colleagues, explores the potential impact on other clients. The nurse also reviews
relevant fire policies and consults with appropriate staff in other departments. It
is determined that any risk to other clients can be removed by transferring the
client to a private room. This is done, and the ceremony is performed. -
ANSWERS-The nurse's commitment to client-centred care prompts her to explore
ways of meeting the client's needs within the limits of the hospital setting. Lack of
experience and fear are two of the most common barriers to providing culturally
sensitive care. Through collaboration with other colleagues, the nurse is able to
address the assumption that it cannot be done and to determine ways of meeting
client needs without exposing other clients to discomfort or risk. The nurse
succeeds in meeting the needs of her client, not only because of her creativity,
but because she takes responsibility for influencing policies and procedures in the
practice setting.
________________ can be essential in situations in which a language barrier
exists between the nurse and
, the client - ANSWERS-Interpreters
TRUE OR FALSE.
A nurse must obtain consent before using an interpreter in the presence of a
language barrier between he/she and the client. - ANSWERS-TRUE
When using interpreters to communicate with clients, nurses need to obtain
client consent, be sensitive to the issues surrounding interpretation and ascertain
that the interpreter is appropriate for the particular client situation.
TRUE OR FALSE.
Rules of confidentiality do not apply to interpreters. - ANSWERS-FALSE.
Interpreters need to recognize that, by virtue of their role, they are gaining access
to personal health information that must be protected. To help the client feel
comfortable with the interpreter, the nurse should inform the client that
confidential information is shared only within the health care team. The
interpreter must not disclose client information to anyone. Family members and
friends, in particular, need to realize that the role they play as interpreter needs
to be separated from their personal role.
Explain to the interpreter the importance of ______________ everything that the
client and the health care provider say, without omissions, summary or
judgments. - ANSWERS-repeating
WHAT IS AN INTERPRETER'S ROLE? - ANSWERS-The interpreter's role is to be the
voice of the client.