ATI RN
Cultural Competence and Diversity in Nursing Questions
Question 1 of 5
A newly admitted client from a Hispanic background is hesitant to communicate her symptoms and concerns to the health care team. Which of the following best describes the nurse's aim of conducting a cultural assessment for this client?
Correct Answer: B
Rationale: The correct answer is B: To promote cultural sensitivity and understanding of the client's needs in the health care setting. Conducting a cultural assessment helps the nurse understand the client's unique cultural background, beliefs, and preferences. This understanding allows the nurse to provide care that respects and aligns with the client's cultural values, leading to better communication, trust, and outcomes. Option A only focuses on language barriers, which is a limited aspect of cultural assessment. Option C is dismissive of the client's feelings and does not promote a therapeutic relationship. Option D, while important, is a step beyond the initial aim of cultural assessment, which is to establish a foundation of understanding and respect for the client's cultural context.
Question 2 of 5
A client with a visual impairment requires information about his medication regimen in accessible formats such as braille or audio recordings. According to the Campinha-Bacote model, which component of the model should the nurse consider when providing information about the medication regimen to the client?
Correct Answer: C
Rationale: The correct answer is C: Cultural skill. According to the Campinha-Bacote model, cultural skill involves the ability to collect relevant cultural data and perform a culturally based physical assessment to provide culturally congruent care. In this scenario, the nurse needs to have the skill to understand the client's need for accessible formats due to visual impairment. Cultural competence (A) involves valuing diversity and respecting cultural differences, but it doesn't directly address the specific skill needed to provide information in accessible formats. Cultural awareness (B) focuses on self-examination of one's own biases and beliefs, which is important but not the primary consideration in this case. Cultural desire (D) refers to the motivation to engage in the process of becoming culturally aware and competent, which is important but doesn't directly address the skill needed to provide information in accessible formats.
Question 3 of 5
Which is an example of a nurse practicing culturally congruent care?
Correct Answer: B
Rationale: The correct answer is B because practicing nursing according to the nurse's beliefs shows respect for the patient's cultural values and beliefs. This approach promotes culturally congruent care by incorporating the patient's cultural background into the care plan. Choice A focuses on clinical guidelines rather than cultural considerations. Choice C is culturally insensitive as it dismisses traditional healing practices. Choice D implies a one-size-fits-all approach, disregarding individual cultural needs. Practicing according to the nurse's beliefs acknowledges and respects the patient's cultural context, making it the most appropriate choice for culturally congruent care.
Question 4 of 5
Which concept does the nurse identify as an organizational barrier to culturally competent health care in a community?
Correct Answer: B
Rationale: The correct answer is B: A lack of medical interpreters. This is because effective communication is essential for culturally competent care. Medical interpreters bridge language barriers, ensuring accurate understanding between healthcare providers and patients from diverse cultural backgrounds. Not enough primary care providers (A) is a workforce issue, not an organizational barrier. Absence of health care insurance (C) and inability to afford health care (D) are financial barriers, not specific to organizational challenges in providing culturally competent care.
Question 5 of 5
Which actions by the nurse demonstrate that the nurse values cultural diversity?
Correct Answer: A
Rationale: The correct answer is A because discussing cultural diversity with people from their own culture demonstrates an appreciation and respect for different backgrounds. This action promotes understanding and inclusivity within the community. Choice B is incorrect because it does not involve active engagement with cultural diversity. Choice C is incorrect as it implies a hierarchy or comparison between cultures, which can be disrespectful. Choice D is incorrect as it does not involve any action related to valuing cultural diversity.