ATI RN
Cultural Diversity and Competence in Nursing Questions
Question 1 of 5
A health care worker tells a nurse, "It does no good to try to teach those Medicaid clients about nutrition because they will just eat what they want to no matter how much we teach them." Which of the following is being demonstrated by this statement?
Correct Answer: D
Rationale: The correct answer is D: Stereotyping. Stereotyping refers to making assumptions about a group of people based on limited information or characteristics. In this scenario, the health care worker is assuming that all Medicaid clients will not change their eating habits regardless of education, which is a stereotype. This statement overlooks the individuality and diversity within the Medicaid client population. A: Cultural imposition is the belief that one's own culture is superior and should be imposed on others. B: Ethnocentrism is the belief that one's own ethnic group or culture is superior to others. C: Racism involves discrimination or prejudice based on someone's race or ethnicity, which is not explicitly demonstrated in the scenario.
Question 2 of 5
A nurse who is explaining to an immigrant client why it is important to take medication states, "The medication takes a couple of
Correct Answer: D
Rationale: The correct answer is D because it addresses a key aspect of the scenario - the client's understanding of the medication's importance. The nurse's statement implies that there may be a lack of understanding on the client's part. Options A, B, and C do not directly address the client's comprehension of the medication's importance. Option A is a generic question, not a likely explanation. Option B assumes the client prioritized immediate relief over long-term benefits. Option C focuses on logistical issues, not the client's understanding. In summary, option D is correct as it aligns with the context of the nurse's explanation and addresses the root cause of the issue.
Question 3 of 5
At a local hospital, the postpartum care policy requires that nurses observe the mother during infant care to assess the mother's ability to care for the new baby and to promote bonding. A new mother expresses concern that in her country, all infant care is provided by other family members so that the mother can rest and recover. Which of the following actions would be taken by a culturally competent nurse?
Correct Answer: A
Rationale: Step 1: Acknowledge and respect the mother's cultural background and practices. Step 2: Allow family members to provide care to respect the mother's tradition. Step 3: Assess the mother's knowledge through discussion to ensure the baby's well-being. Step 4: By doing so, the nurse promotes culturally competent care and acknowledges the importance of family dynamics in the mother's culture. Summary: Choice A is correct as it respects the mother's cultural beliefs and involves her family in infant care. Choice B is incorrect as it imposes Western beliefs on the mother. Choice C is incorrect as it dismisses the mother's cultural practices.
Question 4 of 5
A nurse gives detailed information on how to apply for Medicaid to a new mother who moved to the United States from Russia about 10 years ago. The nurse's next client is an African-American mother of newborn twins who worked until the children were born. The nurse knows the woman is eligible to maintain her insurance after her employment was lost and does not discuss insurance options at all. Which of the following errors is being made by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Overt unintentional prejudice. The nurse's action of not discussing insurance options with the African-American mother implies a bias or assumption that the mother may not need or qualify for assistance, which is a form of prejudice. The prejudice is overt because it is evident in the nurse's behavior, but it is unintentional because the nurse may not be consciously aware of their bias. This error highlights the importance of cultural competence and avoiding assumptions based on race or ethnicity. A: Covert intentional prejudice - This choice does not apply as the nurse's actions are not intentionally discriminatory. B: Covert unintentional prejudice - This choice does not apply as the nurse's bias is evident in their behavior. C: Overt intentional prejudice - This choice does not apply as the nurse's actions are not intentional acts of discrimination.
Question 5 of 5
When teaching a nutrition class to a student group with a large Latino population, the school nurse incorporates foods such as salsa and other healthy dishes familiar to students into the presentation. Which of the following best describes the action taken by the nurse?
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. The nurse is engaging in primary prevention by promoting healthy eating habits and educating students about nutrition to prevent the development of health issues in the future. By incorporating familiar healthy foods like salsa, the nurse is proactively addressing potential health risks. B: Secondary prevention involves early detection and intervention to prevent the progression of existing health problems, which is not the case here. C: Tertiary prevention focuses on managing and treating existing health conditions to prevent complications, not relevant in this scenario. D: Both primary and secondary preventions do not apply as the nurse is solely focusing on preventing health issues through education and promotion of healthy eating habits.