NZREX Cultural Safety & Māori Health 2

Question 1

Which of the following best describes 'institutional racism' in the NZ health system?

Accepted Answer

Policies and practices within health organisations that produce inequitable outcomes for Māori without necessarily involving individual racist intent

Answer

Institutional racism refers to systemic policies, practices, and norms within organisations that result in worse outcomes for racialised groups — often without individual prejudice. In NZ health, this manifests as inequitable access, quality, and outcomes for Māori.

Question 2

The principle of 'equity' in Te Tiriti o Waitangi is associated with which article?

Accepted Answer

Article 3 — equal rights and citizenship for all New Zealanders

Answer

Article 3 of Te Tiriti guarantees Māori the same rights and privileges as all New Zealand citizens (ōritetanga/equity). In health, this underpins the obligation to ensure Māori achieve health outcomes equivalent to non-Māori.

Question 3

A Māori patient presents with chronic pain. Which approach is most consistent with culturally safe practice?

Accepted Answer

Explore the patient's own understanding of the pain including any spiritual or cultural dimensions, and involve whānau if appropriate

Answer

Culturally safe practice involves exploring the patient's own health beliefs, including spiritual dimensions, and integrating this with biomedical care. Whānau involvement and the patient's preferences should guide the approach.

Question 4

Which of the following is an example of a social determinant of Māori health inequity?

Accepted Answer

Disproportionate Māori representation in lower socioeconomic groups, leading to reduced access to healthcare

Answer

Social determinants including poverty, housing insecurity, unemployment, and reduced educational opportunity — all of which disproportionately affect Māori — are major drivers of Māori health inequity. These are the result of historical colonisation and ongoing systemic disadvantage.

Question 5

In the context of Māori health, what does 'taha wairua' refer to and why is it clinically relevant?

Accepted Answer

Spiritual health — relevant because spiritual wellbeing affects overall health and may influence treatment decisions and recovery

Answer

Taha wairua (spiritual health) is one of the four walls of Te Whare Tapa Whā. For many Māori patients, spiritual wellbeing is integral to overall health. Ignoring this dimension results in incomplete, culturally unsafe care.

NZREX Practice Test

NZREX Practice Test

NZREX Cultural Safety & Māori Health 2