NCNZ Cultural Safety & Māori Health in Nursing 2

Question 1

When the NCNZ refers to 'culturally safe practice' in its competencies, what is the key requirement of the nurse?

Accepted Answer

Reflect on own cultural identity and biases, and ensure practice does not diminish or disempower the patient's cultural identity

Answer

The NCNZ defines cultural safety as requiring nurses to examine their own cultural values and assumptions, recognise the power differential in the nurse-patient relationship, and ensure their practice does not marginalise or disempower patients.

Question 2

A nurse is providing discharge education to a Māori patient about managing diabetes. Which approach is most consistent with culturally safe practice?

Accepted Answer

Ask the patient what they already know, explore their cultural context and food practices, involve whānau if appropriate, and tailor education accordingly

Answer

Culturally safe diabetes education explores the patient's existing knowledge, cultural food practices, and involves whānau. Information is delivered in a culturally relevant context, building on the patient's strengths and respecting their values.

Question 3

A nurse is caring for a patient who has died. The whānau requests that the body not be moved until karakia has been performed and all whānau have gathered. What should the nurse do?

Accepted Answer

Facilitate the whānau's request as much as operationally possible — tikanga around death is a key cultural safety obligation

Answer

Tikanga Māori around mate (death) includes karakia, keeping whānau present, and specific handling practices. Facilitating these practices is a cultural safety requirement. Nurses should liaise with the Māori health team and work flexibly within hospital constraints.

Question 4

Which Māori health model uses the metaphor of a canoe to describe the journey to health?

Accepted Answer

Te Pae Māhutonga

Answer

Te Pae Māhutonga uses the metaphor of the Southern Cross star constellation and a voyaging waka (canoe) as a health promotion framework for Māori. It emphasises community participation, cultural identity, and leadership in health.

Question 5

A Māori patient refuses a proposed surgery citing whānau not yet consulted. How should the nurse respond?

Accepted Answer

Support the patient's decision, provide written information, and schedule a follow-up appointment that accommodates whānau involvement

Answer

Whānau-centred decision making is fundamental to Māori health values. Facilitating whānau involvement before major decisions respects autonomy, tikanga, and the NZ Code of Rights. The nurse advocates for a process that enables this.

NCNZ Practice Test

NCNZ Practice Test

NCNZ Cultural Safety & Māori Health in Nursing 2