ATI RN
Cultural Competence and Diversity in Nursing Questions
Question 1 of 5
A male nurse had a habit of sitting with the lower part of one leg resting over the knee of his opposite leg when collecting a client's history. He stopped doing this around specific clients after being told that they were offended when he exposed the sole of his foot
Correct Answer: C
Rationale: The correct answer is C: Cultural accommodation. The male nurse changed his behavior to accommodate the cultural beliefs of the offended clients. By refraining from exposing the sole of his foot, he showed respect for the cultural norms and values of those clients. This action aligns with the concept of cultural accommodation, which involves adjusting one's behavior to be sensitive and respectful towards the cultural practices of others. Choice A is incorrect because it does not address the specific behavior change related to cultural accommodation. Choice B is incorrect as it focuses on identifying a behavioral trait rather than understanding the concept of cultural accommodation. Choice D is also incorrect as it refers to imposing one's own cultural norms on others, which is the opposite of what the nurse did by accommodating the clients' cultural sensitivity.
Question 2 of 5
An American nurse says, "I'm not going to change the way I practice nursing based on where the client is from because research shows that Western health care technology and research is best." Which of the following is being demonstrated by the nurse's statement?
Correct Answer: A
Rationale: The correct answer is A: Ethnocentrism. The nurse's statement reflects the belief that their own cultural or social group is superior to others. This is evident from the nurse's refusal to adapt care based on the client's background. Prejudice (B) is a preconceived opinion not necessarily based on reason. Racism (C) involves discrimination based on race, which is not explicitly mentioned in the statement. Stereotyping (D) involves oversimplified beliefs about a particular group, which is not explicitly present in the nurse's statement. Therefore, the best fit is ethnocentrism as it aligns with the nurse's assertion of Western superiority in healthcare.
Question 3 of 5
A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Obtain an interpreter to translate. This is the best option because using an interpreter ensures accurate communication and understanding between the nurse and the Spanish-speaking family. This approach promotes effective healthcare delivery, respects the family's language and cultural needs, and upholds patient confidentiality. A: Attempting to use an English-Spanish phrase book may lead to miscommunication and misunderstandings. B: Calling the local hospital and arranging a referral is unnecessary and does not address the immediate communication barrier. C: Emphatically stating "No hablo Español" is unprofessional and does not address the need for effective communication.
Question 4 of 5
A client is crying softly and saying, "What did I do to deserve this punishment, Lord?" Which of the following responses by the nurse would be the most appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and support for the client's emotional distress. By offering to call the hospital chaplain, the nurse acknowledges the client's spiritual concerns and provides an opportunity for the client to discuss their feelings in a safe and supportive environment. This response shows cultural competence and respect for the client's beliefs. Option A is incorrect because it dismisses the client's spiritual beliefs and may come across as insensitive. Option B is incorrect as it minimizes the client's emotions and attributes their illness to luck, which is unhelpful and lacks empathy. Option D is also incorrect as it doesn't directly address the client's distress and emotional needs, focusing more on practical assistance.
Question 5 of 5
For a bedridden Muslim patient, the nurse rearranges the room and moves the bed so that it faces toward Mecca for the patient's daily prayers. Which of the following is the nurse demonstrating through these actions?
Correct Answer: A
Rationale: The correct answer is A: Accommodation. The nurse is accommodating the religious and cultural needs of the Muslim patient by rearranging the room to ensure the bed faces Mecca for daily prayers. This action shows respect for the patient's beliefs and practices, promoting cultural sensitivity and inclusivity in care. Incorrect choices: B: Awareness - Though awareness is important in understanding the patient's needs, the nurse's actions go beyond mere awareness to actively accommodating the patient's religious practices. C: Brokering - Brokering involves facilitating communication or negotiation between parties, which is not the case in this scenario. D: Imposition - Imposition would involve forcing one's beliefs or practices onto the patient, which is not what the nurse is doing here. The nurse is respecting the patient's autonomy and accommodating their religious practices.