ATI RN
Cultural Diversity and Competence in Nursing Questions
Question 1 of 5
A Mexican American mother insists on using special candles to help her daughter's ear infection. The nurse asks the mother if she would also give her daughter antibiotics. Which of the following best describes the action of the nurse?
Correct Answer: C
Rationale: The correct answer is C: Culture brokering. Culture brokering involves a healthcare provider helping bridge the gap between a patient's cultural beliefs/practices and evidence-based healthcare. In this scenario, the nurse is respectfully addressing the mother's cultural beliefs (using special candles) while also providing medical advice (antibiotics). This approach fosters communication and understanding, ultimately leading to better healthcare outcomes. Explanation for other choices: A: Cultural accommodation typically involves adapting healthcare practices to align with a patient's cultural beliefs without necessarily addressing conflicting medical advice. B: Cultural repatterning involves encouraging a patient to change cultural practices that may be detrimental to their health, which is not evident in the scenario. D: Cultural awareness refers to understanding and respecting diverse cultural backgrounds but does not involve actively facilitating communication or addressing conflicting beliefs as seen in culture brokering.
Question 2 of 5
A nurse advocates and intervenes between the health care system and the client's cultural beliefs on behalf of the client. Which term best describes the nurse's action?
Correct Answer: B
Rationale: The correct answer is B: Culture brokering. This term best describes the nurse's action of advocating and intervening between the health care system and the client's cultural beliefs. Culture brokering involves facilitating communication and understanding between different cultural perspectives to ensure the client's needs are met. A: Cultural accommodation refers to adapting one's own behavior to align with the client's cultural beliefs, not necessarily intervening between the health care system and the client. C: Cultural preservation involves maintaining and safeguarding cultural practices and beliefs, which is not the primary role of the nurse in this scenario. D: Cultural repatterning involves changing or modifying a client's cultural beliefs or practices, which is not the nurse's role in this context. Therefore, the best term to describe the nurse's action in this scenario is culture brokering because it involves actively mediating and advocating for the client's cultural beliefs within the health care system.
Question 3 of 5
The tendency to ignore all differences between cultures and to act as though the differences do not exist is identified by what term?
Correct Answer: D
Rationale: Cultural blindness refers to the tendency to ignore cultural differences. This is the correct answer as it specifically addresses the act of disregarding cultural distinctions. Choice A, cultural conflict, involves recognizing differences. Choice B is not a valid term. Choice C, culture shock, refers to the disorientation when encountering a new culture, not the ignorance of cultural differences. Thus, D is the best answer.
Question 4 of 5
A client comes into the clinic and reports visiting an acupuncturist for pain. The nurse
Correct Answer: D
Rationale: The correct answer is D: Cultural relativism. This is because cultural relativism is the concept of understanding and respecting different cultures without judgment, recognizing that each culture has its own values and beliefs. In this scenario, the nurse should acknowledge and respect the client's decision to seek treatment from an acupuncturist, understanding that it may be a part of the client's cultural beliefs or practices. Explanation of other choices: A: This is not the best answer as it does not directly address the nurse's approach to understanding the client's cultural perspective. B: Cultural conflict implies a clash between different cultures, which may not be the case in this scenario. C: Cultural blindness refers to ignoring or being unaware of cultural differences, which is not the appropriate response for the nurse in this situation.
Question 5 of 5
In the Vietnamese culture, individuals may focus on wishes and memories of their ancestors and look to them to provide direction for current situations. Which of the following types of cultural variations is being demonstrated?
Correct Answer: C
Rationale: The correct answer is C: Social organization. This cultural practice of focusing on ancestors for guidance reflects the social organization aspect of Vietnamese culture, where relationships, hierarchy, and familial ties are highly valued. This practice emphasizes the importance of interconnectedness within the family and community, guiding current decisions based on ancestral wisdom. A: Communication focuses on language, verbal/nonverbal cues. B: Personal space relates to spatial boundaries and comfort levels. D: Perception of time pertains to attitudes towards punctuality and scheduling. These choices do not directly align with the cultural practice described, making them incorrect in this context.