ATI RN
Cultural Competence and Diversity in Nursing Questions
Question 1 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 does not discuss insurance options at all. Which of the following errors is being made by the nurse?
Correct Answer: C
Rationale: The nurse intentionally provided resources to one client while withholding information from another based on assumptions. This is an act of overt intentional prejudice.
Question 2 of 5
Which of the following best describes most Americans' attitude toward immigrants?
Correct Answer: D
Rationale: The correct answer is D because it accurately reflects the general positive attitude most Americans have towards immigrants due to their perceived contributions to the economy and society. This is supported by data showing that immigrants fill job gaps, boost innovation, and enrich cultural diversity. Choice A is incorrect because it implies uncertainty rather than a positive sentiment. Choice B is incorrect as it presents a biased and negative view unsupported by research. Choice C is incomplete and lacks specificity compared to the detailed reasoning provided in choice D.
Question 3 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 4 of 5
An immigrant who takes metamizole (banned in the United States) for pain may experience life-threatening agranulocytosis. Which of the following actions would be taken by a nurse who employs cultural re-patterning?
Correct Answer: C
Rationale: Step-by-step rationale for why Answer C is correct: 1. Explanation: By explaining the harmful effects of metamizole to the immigrant, the nurse educates the client on the risks associated with the medication. 2. Recommendation of alternative medication: By recommending an alternative medication for pain, the nurse ensures the client's safety and well-being. 3. Patient-centered care: This approach respects the client's cultural beliefs while prioritizing their health. 4. Cultural re-patterning: This action aligns with the concept of cultural re-patterning by providing culturally sensitive education and promoting safe healthcare practices. Summary of why other choices are incorrect: A. Completing a cultural assessment is important, but in this case, the immediate focus should be on educating the client about the harmful effects of the medication. B. Putting it into perspective does not address the immediate risk of agranulocytosis and may downplay the seriousness of the situation. D. Accepting the use of metamizole as
Question 5 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.