,DOWNLOAD7THE7Test7Bank7for7Edelman7and7KudzmaÔÇÖs7Canadian7Health7Prom
otion7Throughout7the7Life7Span71st7Edition7Dames
Chapter72:7Diverse7Populations7and7Health
Dames,7Luctkar-
Flude7and7Tyerman:7Edelman7and7Kudzma’s7Canadian7Health7Promotion7Thro
ughout7the7Life7Span,71st7Edition
MULTIPLE7CHOICE
1. Which7of7the7following7statements7about7the7Canadian7population7is7accurate?
a. It7is7estimated7that7the7percentage7of7ethnic7minorities7will7decrease7during7the7ne
xt7307years.
b. It7is7estimated7that7by72024,7one7in7five7individuals7will7be7aged7657and7older.
c. The7increasing7population7of7refugees7has7been7a7significant7contributor7to7th
e7increase7in7visible7minorities.
d. The7increasing7population7of7visible7minorities7has7helped7decrease7the7healt
h7disparities7faced7by7this7population.
ANS:7 B
It7is7estimated7that7by72024,7one7in7five7individuals7in7Canada7will7be7aged7657and7older.7Th
e7increasing7population7of7immigrants7has7been7a7significant7contributor7to7the7increasing7p
opulations7of7major7visible7minority7groups.7The7increasing7population7of7visible7minorities7
is7one7factor7that7is7producing7disparities7in7health7status7and7access7to7the7health7care7syste
m.
DIF: Cognitive7Level:7Understand7(Comprehension)
REF:777Population7Statistics7and7Demographic7Trends
OBJ:747TOP:7 Assessment
MSC:7 Health7Promotion7and7Maintenance
2. A7person7states,7“My7grandmother7is7the7decision7maker7in7our7family.”7Which7of7t
he7following7is7being7described7by7the7person?
a. Culture
b. Race
c. Ethnicity
d. Values
ANS:7 A
Culture,7as7an7element7of7ethnicity,7refers7to7integrated7patterns7of7human7behaviour7th
at7include7the7language,7thoughts,7communications,7actions,7customs,7beliefs,7values,7an
d
institutions7of7racial,7ethnic,7religious,7or7social7groups.7The7term7“ethnicity”7encompasses7
more7than7a7cultural7practice,7which7is7what7the7person7is7describing;7it7focuses7on7differenc
es7in7meanings,7values,7and7ways7of7living.7The7term7“race”7is7associated7with7power7and
indicates7the7history7or7ongoing7imposition7of7one7group’s7authority7over7another.7In7Canad
a,7the7term7“race”7is7no7longer7used,7because7“racialization”7is7closely7linked7to7discriminati
on,7the7systemic7inequitable7treatment7of7individuals7or7groups7based7on7stratified7classificat
ions.7Values7are7beliefs7about7the7worth7of7something7and7serve7as7standards7that7influence7
behaviour7and7thinking.
DIF: Cognitive7Level:7Analyze7(Analysis)
REF:777Culture,7Values,7and7Value7Orientation
OBJ:727TOP:7 Assessment
MSC:7 Health7Promotion7and7Maintenance
mynursytest.store
,DOWNLOAD7THE7Test7Bank7for7Edelman7and7KudzmaÔÇÖs7Canadian7Health7Prom
otion7Throughout7the7Life7Span71st7Edition7Dames
3. The7nurse7recommended7to7a750-year-
old7woman7that7she7schedule7a7routine7mammogram.7Which7of7the7following7would7be7th
e7most7important7factor7in7this7woman’s7decision7to7schedule7this7exam?
a. Her7spirituality
b. Her7ethnicity
c. Her7cultural7values
d. Her7value7orientation
ANS:7 C
Cultural7values7guide7actions7and7decision7making7that7facilitates7self-worth7and7self-
esteem.7They7shape7human7behaviours7and7determine7what7individuals7will7do7to7maintain7th
eir7health7status,7how7they7will7care7for7themselves7and7others7who7become7ill,7and7where7an
d7from7whom7they7will7seek7health7care.7Spirituality7is7associated7with7a7person’s7spiritual7b
eliefs7and7practices.7Ethnicity7focuses7on7differences7in7meanings,7values,7and7ways7of7living.
7Value7orientations7reflect7the7personality7type7of7a7particular7society.
DIF: Cognitive7Level:7Apply7(Application)
REF:777Culture,7Values,7and7Value7Orientation OBJ:7 2
TOP:7 Implementation MSC:7 Health7Promotion7and7Maintenance
4. Which7of7the7following7actions7demonstrates7a7health7care7provider7who7is7providin
g7culturally7competent7care?
a. Encouraging7the7person7to7take7medications7as7prescribed
b. Asking7the7person7to7describe7his7traditional7healing7methods
c. Demonstrating7the7proper7way7to7administer7an7insulin7injection
d. Assisting7the7person7with7discussing7his7health7problems7with7the7family
ANS:7 B
It7is7very7important7for7health7care7providers7to7be7aware7of7how7people7interpret7their7heal
th7issues7or7illnesses7to7be7capable7of7providing7culturally7competent7care.7A7culturally7com
petent7health7care7provider7should7be7able7to7consistently7and7thoroughly7recognize7and7un
derstand7the7differences7in7their7own7culture7and7that7of7the7person7or7an7individual,7to7res
pect7the7person’s7values7and7beliefs,7and7adjust7the7approach7of7delivering7care7to7meet7eac
h7person’s7needs7and7expectations.7Asking7the7person7to7describe7his7traditional7healing7me
thods7is7the7only7action7from7the7options7presented7that7demonstrates7the7health7care7provi
der7seeking7input7from7the7person7into7the7care7that7is7received.
DIF: Cognitive7Level:7Analyze7(Analysis)
REF:777Cultural7Competency7and7Cultural7Humility
OBJ:737TOP:7 Assessment
MSC:7 Health7Promotion7and7Maintenance
5. Which7of7the7following7nurses7is7most7likely7to7provide7culturally7competent7care?
a. A7nurse7who7recognizes7and7accepts7cultural7diversity
b. A7nurse7who7is7knowledgeable7in7disease-
specific7epidemiology7and7treatment7efficacy7for7different7population7groups.
c. A7nurse7who7provides7ethnocentric7care7in7emergency7scenarios7where7tim
e7matters
d. A7nurse7who7assists7diverse7populations7to7integrate7into7the7mainstream7culture
ANS:7 B
mynursytest.store
, DOWNLOAD7THE7Test7Bank7for7Edelman7and7KudzmaÔÇÖs7Canadian7Health7Prom
otion7Throughout7the7Life7Span71st7Edition7Dames
It7is7very7important7for7health7care7providers7to7be7aware7of7how7persons7interpret7their7heal
th7issues7or7illnesses7and7to7be7capable7of7providing7culturally7competent7care.7Simply7recog
nizing7and7accepting7cultural7diversity7is7insufficient7to7attain7cultural7competency7in7health7
care.7Culturally7competent7health7care7providers7should7be7able7to7consistently7and7thorough
ly7recognize7and7understand7the7differences7in7their7culture7and7the7culture7of7others;7to7resp
ect7others’7values,7beliefs,7and7expectations;7to7understand7the7disease-
specific7epidemiology7and7treatment7efficacy7of7different7population7groups;7and7to7adjust7t
he7approach7of7delivering7care7to7meet7each7person’s7needs7and7expectations.7Cultural7comp
etency7is7usually7reflected7in7a7health7care7provider’s7attitude7and7his7or7her7communication7
style.7While7emergency7scenarios7may7call7for7swift7action7(at7the7expense7of7culturally7com
petent7care),7ethnocentric7care7is7not7consistent7with7culturally7competent7care.7Similarly,7a7g
oal7of7facilitating7an7individual7to7adopt7mainstream7values7does7not7speak7to7respect7for7cul
turally7diverse7values,7beliefs,7or7expectations.
DIF: Cognitive7Level:7Apply7(Application)
REF:777Cultural7Competency7and7Cultural7Humility OBJ:7 3
TOP:7 Implementation MSC:7 Health7Promotion7and7Maintenance
6. A7person7reports7that7she7has7been7seeking7care7from7an7acupuncturist7to7help7relieve7the7c
hronic7pain7that7she7has7been7experiencing.7Which7of7the7following7statements7would7be7th
e7most7appropriate7response7from7the7nurse?
a. You7should7have7told7me7that7the7current7treatments7were7helping7your7pain.
b. Tell7me7more7about7your7treatments7from7the7acupuncturist.
c. Tell7me7why7you7decided7not7to7continue7with7your7treatment7plan.
d. You7should7not7be7seeing7an7acupuncturist7while7receiving7professional7care.
ANS:7 B
Through7a7culturally7sensitive7assessment7process,7nurses7can7determine7what7specific7rem
edies7individuals7are7using7and7whether7their7continued7use7would7interfere7with7the7prescr
ibed7method.7The7nurse7asking7the7person7to7describe7the7treatments7from7the7acupuncturis
t7allows7the7nurse7to7learn7this7information.7The7other7responses7demonstrate7an7ethnocentri
c7perspective7by7the7nurse,7viewing7the7treatments7from7the7acupuncturist7as7inferior7to7pro
fessional7care.
DIF: Cognitive7Level:7Analyze7(Analysis)
REF:777Cultural7Competency7and7Cultural7Humility
OBJ:737TOP:7 Assessment
MSC:7 Health7Promotion7and7Maintenance
7. A7Syrian7family7has7recently7immigrated7to7Canada.7Which7of7the7following7would7provide7
an7appropriate7rationale7when7encouraging7the7family7to7send7their7child7to7school?
a. The7child7will7get7a7good7education.
b. According7to7law,7all7children7must7go7to7school.
c. The7child7can7get7health7care7at7school.
d. Exposure7to7different7cultures7in7school7will7enhance7socialization.
ANS:7 D
Exposure7to7different7cultures7in7school7facilitates7the7adoption7of7other7cultural7beliefs7an
d7aids7in7the7socialization7of7the7child7into7a7new7environment.
DIF: Cognitive7Level:7Apply7(Application)
REF:7Immigration7in7Canada7OBJ:777 4 TOP:7 Implementation
mynursytest.store
otion7Throughout7the7Life7Span71st7Edition7Dames
Chapter72:7Diverse7Populations7and7Health
Dames,7Luctkar-
Flude7and7Tyerman:7Edelman7and7Kudzma’s7Canadian7Health7Promotion7Thro
ughout7the7Life7Span,71st7Edition
MULTIPLE7CHOICE
1. Which7of7the7following7statements7about7the7Canadian7population7is7accurate?
a. It7is7estimated7that7the7percentage7of7ethnic7minorities7will7decrease7during7the7ne
xt7307years.
b. It7is7estimated7that7by72024,7one7in7five7individuals7will7be7aged7657and7older.
c. The7increasing7population7of7refugees7has7been7a7significant7contributor7to7th
e7increase7in7visible7minorities.
d. The7increasing7population7of7visible7minorities7has7helped7decrease7the7healt
h7disparities7faced7by7this7population.
ANS:7 B
It7is7estimated7that7by72024,7one7in7five7individuals7in7Canada7will7be7aged7657and7older.7Th
e7increasing7population7of7immigrants7has7been7a7significant7contributor7to7the7increasing7p
opulations7of7major7visible7minority7groups.7The7increasing7population7of7visible7minorities7
is7one7factor7that7is7producing7disparities7in7health7status7and7access7to7the7health7care7syste
m.
DIF: Cognitive7Level:7Understand7(Comprehension)
REF:777Population7Statistics7and7Demographic7Trends
OBJ:747TOP:7 Assessment
MSC:7 Health7Promotion7and7Maintenance
2. A7person7states,7“My7grandmother7is7the7decision7maker7in7our7family.”7Which7of7t
he7following7is7being7described7by7the7person?
a. Culture
b. Race
c. Ethnicity
d. Values
ANS:7 A
Culture,7as7an7element7of7ethnicity,7refers7to7integrated7patterns7of7human7behaviour7th
at7include7the7language,7thoughts,7communications,7actions,7customs,7beliefs,7values,7an
d
institutions7of7racial,7ethnic,7religious,7or7social7groups.7The7term7“ethnicity”7encompasses7
more7than7a7cultural7practice,7which7is7what7the7person7is7describing;7it7focuses7on7differenc
es7in7meanings,7values,7and7ways7of7living.7The7term7“race”7is7associated7with7power7and
indicates7the7history7or7ongoing7imposition7of7one7group’s7authority7over7another.7In7Canad
a,7the7term7“race”7is7no7longer7used,7because7“racialization”7is7closely7linked7to7discriminati
on,7the7systemic7inequitable7treatment7of7individuals7or7groups7based7on7stratified7classificat
ions.7Values7are7beliefs7about7the7worth7of7something7and7serve7as7standards7that7influence7
behaviour7and7thinking.
DIF: Cognitive7Level:7Analyze7(Analysis)
REF:777Culture,7Values,7and7Value7Orientation
OBJ:727TOP:7 Assessment
MSC:7 Health7Promotion7and7Maintenance
mynursytest.store
,DOWNLOAD7THE7Test7Bank7for7Edelman7and7KudzmaÔÇÖs7Canadian7Health7Prom
otion7Throughout7the7Life7Span71st7Edition7Dames
3. The7nurse7recommended7to7a750-year-
old7woman7that7she7schedule7a7routine7mammogram.7Which7of7the7following7would7be7th
e7most7important7factor7in7this7woman’s7decision7to7schedule7this7exam?
a. Her7spirituality
b. Her7ethnicity
c. Her7cultural7values
d. Her7value7orientation
ANS:7 C
Cultural7values7guide7actions7and7decision7making7that7facilitates7self-worth7and7self-
esteem.7They7shape7human7behaviours7and7determine7what7individuals7will7do7to7maintain7th
eir7health7status,7how7they7will7care7for7themselves7and7others7who7become7ill,7and7where7an
d7from7whom7they7will7seek7health7care.7Spirituality7is7associated7with7a7person’s7spiritual7b
eliefs7and7practices.7Ethnicity7focuses7on7differences7in7meanings,7values,7and7ways7of7living.
7Value7orientations7reflect7the7personality7type7of7a7particular7society.
DIF: Cognitive7Level:7Apply7(Application)
REF:777Culture,7Values,7and7Value7Orientation OBJ:7 2
TOP:7 Implementation MSC:7 Health7Promotion7and7Maintenance
4. Which7of7the7following7actions7demonstrates7a7health7care7provider7who7is7providin
g7culturally7competent7care?
a. Encouraging7the7person7to7take7medications7as7prescribed
b. Asking7the7person7to7describe7his7traditional7healing7methods
c. Demonstrating7the7proper7way7to7administer7an7insulin7injection
d. Assisting7the7person7with7discussing7his7health7problems7with7the7family
ANS:7 B
It7is7very7important7for7health7care7providers7to7be7aware7of7how7people7interpret7their7heal
th7issues7or7illnesses7to7be7capable7of7providing7culturally7competent7care.7A7culturally7com
petent7health7care7provider7should7be7able7to7consistently7and7thoroughly7recognize7and7un
derstand7the7differences7in7their7own7culture7and7that7of7the7person7or7an7individual,7to7res
pect7the7person’s7values7and7beliefs,7and7adjust7the7approach7of7delivering7care7to7meet7eac
h7person’s7needs7and7expectations.7Asking7the7person7to7describe7his7traditional7healing7me
thods7is7the7only7action7from7the7options7presented7that7demonstrates7the7health7care7provi
der7seeking7input7from7the7person7into7the7care7that7is7received.
DIF: Cognitive7Level:7Analyze7(Analysis)
REF:777Cultural7Competency7and7Cultural7Humility
OBJ:737TOP:7 Assessment
MSC:7 Health7Promotion7and7Maintenance
5. Which7of7the7following7nurses7is7most7likely7to7provide7culturally7competent7care?
a. A7nurse7who7recognizes7and7accepts7cultural7diversity
b. A7nurse7who7is7knowledgeable7in7disease-
specific7epidemiology7and7treatment7efficacy7for7different7population7groups.
c. A7nurse7who7provides7ethnocentric7care7in7emergency7scenarios7where7tim
e7matters
d. A7nurse7who7assists7diverse7populations7to7integrate7into7the7mainstream7culture
ANS:7 B
mynursytest.store
, DOWNLOAD7THE7Test7Bank7for7Edelman7and7KudzmaÔÇÖs7Canadian7Health7Prom
otion7Throughout7the7Life7Span71st7Edition7Dames
It7is7very7important7for7health7care7providers7to7be7aware7of7how7persons7interpret7their7heal
th7issues7or7illnesses7and7to7be7capable7of7providing7culturally7competent7care.7Simply7recog
nizing7and7accepting7cultural7diversity7is7insufficient7to7attain7cultural7competency7in7health7
care.7Culturally7competent7health7care7providers7should7be7able7to7consistently7and7thorough
ly7recognize7and7understand7the7differences7in7their7culture7and7the7culture7of7others;7to7resp
ect7others’7values,7beliefs,7and7expectations;7to7understand7the7disease-
specific7epidemiology7and7treatment7efficacy7of7different7population7groups;7and7to7adjust7t
he7approach7of7delivering7care7to7meet7each7person’s7needs7and7expectations.7Cultural7comp
etency7is7usually7reflected7in7a7health7care7provider’s7attitude7and7his7or7her7communication7
style.7While7emergency7scenarios7may7call7for7swift7action7(at7the7expense7of7culturally7com
petent7care),7ethnocentric7care7is7not7consistent7with7culturally7competent7care.7Similarly,7a7g
oal7of7facilitating7an7individual7to7adopt7mainstream7values7does7not7speak7to7respect7for7cul
turally7diverse7values,7beliefs,7or7expectations.
DIF: Cognitive7Level:7Apply7(Application)
REF:777Cultural7Competency7and7Cultural7Humility OBJ:7 3
TOP:7 Implementation MSC:7 Health7Promotion7and7Maintenance
6. A7person7reports7that7she7has7been7seeking7care7from7an7acupuncturist7to7help7relieve7the7c
hronic7pain7that7she7has7been7experiencing.7Which7of7the7following7statements7would7be7th
e7most7appropriate7response7from7the7nurse?
a. You7should7have7told7me7that7the7current7treatments7were7helping7your7pain.
b. Tell7me7more7about7your7treatments7from7the7acupuncturist.
c. Tell7me7why7you7decided7not7to7continue7with7your7treatment7plan.
d. You7should7not7be7seeing7an7acupuncturist7while7receiving7professional7care.
ANS:7 B
Through7a7culturally7sensitive7assessment7process,7nurses7can7determine7what7specific7rem
edies7individuals7are7using7and7whether7their7continued7use7would7interfere7with7the7prescr
ibed7method.7The7nurse7asking7the7person7to7describe7the7treatments7from7the7acupuncturis
t7allows7the7nurse7to7learn7this7information.7The7other7responses7demonstrate7an7ethnocentri
c7perspective7by7the7nurse,7viewing7the7treatments7from7the7acupuncturist7as7inferior7to7pro
fessional7care.
DIF: Cognitive7Level:7Analyze7(Analysis)
REF:777Cultural7Competency7and7Cultural7Humility
OBJ:737TOP:7 Assessment
MSC:7 Health7Promotion7and7Maintenance
7. A7Syrian7family7has7recently7immigrated7to7Canada.7Which7of7the7following7would7provide7
an7appropriate7rationale7when7encouraging7the7family7to7send7their7child7to7school?
a. The7child7will7get7a7good7education.
b. According7to7law,7all7children7must7go7to7school.
c. The7child7can7get7health7care7at7school.
d. Exposure7to7different7cultures7in7school7will7enhance7socialization.
ANS:7 D
Exposure7to7different7cultures7in7school7facilitates7the7adoption7of7other7cultural7beliefs7an
d7aids7in7the7socialization7of7the7child7into7a7new7environment.
DIF: Cognitive7Level:7Apply7(Application)
REF:7Immigration7in7Canada7OBJ:777 4 TOP:7 Implementation
mynursytest.store
