BNWH600 Study Guide Exam and
Actual Answers 2025-2026 Updated.
Part A introduction - Answer Intro: Under the Health Practitioners Competence Assurance Act
2003, the Nursing Council of New Zealand governs the practice of nurses by setting and
monitoring standards and competencies for registration to ensure the public receive safe and
competent care. The effective nursing practice of a person or whānau from another culture, as
detailed in the Code of Health and Disability Services Consumer Rights (2009) is determined by
that person or family. Nurses therefore, must incorporate the principles of Cultural Safety into
their nursing practice.
Cultural safety principle one - Answer Principle 1: Cultural safety aims to improve the health
status of New Zealanders and applies to all relationships
What is principle ones indicator - Answer this is demonstrated through nurses acknowledging
the beliefs and practices of those who differ from them. For example this may be by: religious or
spiritual belief, ethnic origin or migrant experience.
What component of the meihana model does the indicator link to? - Answer This indicator
links with the Meihana model component Wairua which is defined as Maori beliefs regarding
connectedness and spirituality. Wairua identifies Maori beliefs, values and priorities, it is
important for nurses to be self-aware of those who differ from them so that nurses can enhance
Maori engagement within the health system.
Provide an example for principle one - Answer If I were to have worked with a Maori patient I
would have obtained a psychosocial assessment and had a conversation about their spiritual-
religious beliefs, their attachments to people, places like the land or sea and taonga like
greenstone. Establishing the Maori patients beliefs helps me to develop an understanding of
how I can proceed with their care in a way that honours their beliefs
Cultural safety principle two - Answer Principle 2: cultural safety aims to enhance the delivery
of health and disability services through a culturally safe nursing workforce
What is principle two's indicator - Answer This is demonstrated by empowering the users of
the service. People should be able to express degrees of perceived risk or safety. For example,
someone who feels unsafe may not be able to take full advantage of a primary health care
service offered and may subsequently require expensive and possibly dramatic secondary or
tertiary intervention.
, Maori patient and whanau physical environment as this may influence the likelihood of Maori
attending services.
Provide an example for principle two - Answer If I had a Maori patient I would have enquired
them specific questions about their home environment, their job and workplace health and
safety to gather an understanding of their physical environment. I would also ask questions
regarding any barriers for accessing healthcare like carparking or if the health environment had
adequate seating for support networks and if not, I would inform the RN and facilitate this so
that Maori felt safe within a health setting and Maori are encouraged to utilise health services
Cultural safety principle three - Answer Principle 3: Cultural safety is broad in its application
What is principle three's indicator - Answer this is demonstrated by nurses addressing the
cause and effect relationship of history, political, social, and employment status, housing,
education, gender and personal experience upon people who use nursing services
What component of the meihana model does the indicator link to? - Answer This indicator
links to the Meihana component Tinana which is defined as physical health and functioning of
the patient. Tinana incorporates the assessment of a standard medical history and determinants
of health to produce an accurate profile of the patients physical status.
Provide an example for principle three - Answer If I had a Maori patient I would have enquired
about if they obtain a healthy diet or not and if this correlates with their income. I would
enquire if they exercise, if they engage in substance use or take any medications. I would discuss
with them their physical symptoms and then obtain a physical examination under the
supervision of an RN. These questions would help determine whether the Maori's physical
environment and socioeconomic factors were impacting on their physical health and
functioning and enable me to provide nursing interventions that would promote positive health
outcomes for the Maori.
Cultural safety principle four - Answer principle 4: Cultural safety has a close focus on
What is principle four's indicator - Answer this is demonstrated by balancing the power
relationships in the practice of nursing so that every consumer receives an effective service
What component of the meihana model does the indicator link to? - Answer This indicator
links to the Meihana component Hinengaro which is defined as psychological and emotional
wellbeing of the patient. Nurses need to explore Maori patients psychological wellbeing to
Actual Answers 2025-2026 Updated.
Part A introduction - Answer Intro: Under the Health Practitioners Competence Assurance Act
2003, the Nursing Council of New Zealand governs the practice of nurses by setting and
monitoring standards and competencies for registration to ensure the public receive safe and
competent care. The effective nursing practice of a person or whānau from another culture, as
detailed in the Code of Health and Disability Services Consumer Rights (2009) is determined by
that person or family. Nurses therefore, must incorporate the principles of Cultural Safety into
their nursing practice.
Cultural safety principle one - Answer Principle 1: Cultural safety aims to improve the health
status of New Zealanders and applies to all relationships
What is principle ones indicator - Answer this is demonstrated through nurses acknowledging
the beliefs and practices of those who differ from them. For example this may be by: religious or
spiritual belief, ethnic origin or migrant experience.
What component of the meihana model does the indicator link to? - Answer This indicator
links with the Meihana model component Wairua which is defined as Maori beliefs regarding
connectedness and spirituality. Wairua identifies Maori beliefs, values and priorities, it is
important for nurses to be self-aware of those who differ from them so that nurses can enhance
Maori engagement within the health system.
Provide an example for principle one - Answer If I were to have worked with a Maori patient I
would have obtained a psychosocial assessment and had a conversation about their spiritual-
religious beliefs, their attachments to people, places like the land or sea and taonga like
greenstone. Establishing the Maori patients beliefs helps me to develop an understanding of
how I can proceed with their care in a way that honours their beliefs
Cultural safety principle two - Answer Principle 2: cultural safety aims to enhance the delivery
of health and disability services through a culturally safe nursing workforce
What is principle two's indicator - Answer This is demonstrated by empowering the users of
the service. People should be able to express degrees of perceived risk or safety. For example,
someone who feels unsafe may not be able to take full advantage of a primary health care
service offered and may subsequently require expensive and possibly dramatic secondary or
tertiary intervention.
, Maori patient and whanau physical environment as this may influence the likelihood of Maori
attending services.
Provide an example for principle two - Answer If I had a Maori patient I would have enquired
them specific questions about their home environment, their job and workplace health and
safety to gather an understanding of their physical environment. I would also ask questions
regarding any barriers for accessing healthcare like carparking or if the health environment had
adequate seating for support networks and if not, I would inform the RN and facilitate this so
that Maori felt safe within a health setting and Maori are encouraged to utilise health services
Cultural safety principle three - Answer Principle 3: Cultural safety is broad in its application
What is principle three's indicator - Answer this is demonstrated by nurses addressing the
cause and effect relationship of history, political, social, and employment status, housing,
education, gender and personal experience upon people who use nursing services
What component of the meihana model does the indicator link to? - Answer This indicator
links to the Meihana component Tinana which is defined as physical health and functioning of
the patient. Tinana incorporates the assessment of a standard medical history and determinants
of health to produce an accurate profile of the patients physical status.
Provide an example for principle three - Answer If I had a Maori patient I would have enquired
about if they obtain a healthy diet or not and if this correlates with their income. I would
enquire if they exercise, if they engage in substance use or take any medications. I would discuss
with them their physical symptoms and then obtain a physical examination under the
supervision of an RN. These questions would help determine whether the Maori's physical
environment and socioeconomic factors were impacting on their physical health and
functioning and enable me to provide nursing interventions that would promote positive health
outcomes for the Maori.
Cultural safety principle four - Answer principle 4: Cultural safety has a close focus on
What is principle four's indicator - Answer this is demonstrated by balancing the power
relationships in the practice of nursing so that every consumer receives an effective service
What component of the meihana model does the indicator link to? - Answer This indicator
links to the Meihana component Hinengaro which is defined as psychological and emotional
wellbeing of the patient. Nurses need to explore Maori patients psychological wellbeing to
