ATI RN
Cultural Diversity and Competence in Nursing Questions
Question 1 of 5
A nurse is caring for a client from a different cultural background who is experiencing chronic pain. The nurse asks the client, "Mr. Smith, I would like to understand how you generally manage pain or if you have any preferences for pain management. Could you please share with me any cultural practices or approaches that you or your family find helpful in managing pain?" The nurse's approach is most closely aligned with which of the following models?
Correct Answer: A
Rationale: The correct answer is A: Giger and Davidhizar transcultural assessment model. This model emphasizes the importance of understanding a client's cultural beliefs and practices to provide culturally competent care. In this scenario, the nurse's approach of asking about the client's cultural practices aligns with this model. The nurse is showing respect for the client's cultural background and seeking to incorporate cultural preferences into pain management, which is a key component of the Giger and Davidhizar model. Choices B, C, and D are incorrect: B: Leininger's culture care diversity and universality theory focuses on the importance of culture in healthcare but does not specifically address transcultural assessment. C: Purnell model for cultural competence provides a framework for cultural assessment but does not emphasize the same level of personalized approach as the Giger and Davidhizar model. D: Peplau's interpersonal relations theory is a nursing theory that focuses on therapeutic relationships between nurses and clients, but it does not specifically address
Question 2 of 5
A nurse is providing care to a client from a different cultural background and notices that the client seems reluctant to ask questions or express concerns. Which of the following strategies should the nurse implement to ensure culturally sensitive care?
Correct Answer: C
Rationale: Rationale: Option C is the correct answer because creating a safe and open environment for the client to ask questions respects the client's cultural norms and values. It promotes trust and encourages communication. Providing translation services (Option A) may help with language barriers but does not address the underlying issue of reluctance. Using plain language and visual aids (Option B) is helpful but may not fully address cultural differences. Involving the client's family or community (Option D) may not be appropriate if the client prefers privacy or autonomy.
Question 3 of 5
A client from an Asian background prefers a holistic approach to health care and believes that physical and
Correct Answer: C
Rationale: Step 1: The Giger and Davidhizar model focuses on cultural competence in nursing care. Step 2: Social organization in the model emphasizes understanding the client's cultural beliefs and practices. Step 3: The client's preference for a holistic approach aligns with social organization, which considers cultural values and norms. Step 4: By acknowledging the client's holistic beliefs, the nurse can provide culturally sensitive care. Step 5: Therefore, choice C is correct as it directly relates to the client's cultural perspective. Summary: Choice A (Biological variation) and D (Communication) are incorrect as they do not specifically address the client's preference for a holistic approach and cultural beliefs. Choice B (Social organization) is the correct answer as it aligns with the client's cultural background and holistic health care preference.
Question 4 of 5
The nurse is assessing a client who lives in an area described as a food desert. The nurse identifies that the client is therefore at risk for which disorder?
Correct Answer: A
Rationale: The correct answer is A: Obesity. Living in a food desert means limited access to affordable and nutritious food, resulting in a higher likelihood of consuming unhealthy, calorie-dense options. This can lead to weight gain and obesity. Choice B, Parkinson's disease, has no direct correlation to living in a food desert. Choice C, Multiple sclerosis, is an autoimmune disorder not directly linked to food access. Choice D, Chronic obstructive pulmonary disease, is more associated with smoking and environmental factors than with food availability. Thus, choice A is the most appropriate answer based on the risk factors posed by living in a food desert.
Question 5 of 5
Which term describes the actions of a nurse who orders a kosher diet for a Jewish client based on previous experience with other Jewish clients?
Correct Answer: A
Rationale: The correct answer is A: Stereotyping. Stereotyping involves making assumptions about individuals based on characteristics of a group they belong to. In this scenario, the nurse is assuming that all Jewish clients have the same dietary preferences, which is a form of stereotyping. Bias refers to a preference or prejudice for or against a group. Othering involves perceiving individuals as fundamentally different or inferior. Ethnocentrism is the belief in the superiority of one's own cultural group. In this case, the nurse's action aligns most closely with stereotyping as it involves making assumptions based on the client's religious affiliation.