ATI RN
Cultural Competence and Diversity in Nursing Questions
Question 1 of 5
A nurse recognizes that although a patient speaks English, the patient is from a culture with which the nurse is unfamiliar.
Correct Answer: A
Rationale: The correct answer is A because it allows the nurse to gather information about the patient's cultural background without making assumptions. By asking open-ended questions such as those listed in choice A, the nurse can gain insight into the patient's beliefs, values, and customs. This approach fosters cultural competence and helps the nurse provide patient-centered care. Choice B is incorrect because it assumes the patient's cultural background is solely based on their family's origin. Choice C is also incorrect as not all individuals from a particular culture practice the same religion. Choice D is incorrect because it focuses on the patient's past residences rather than their current cultural beliefs and practices.
Question 2 of 5
Which level of the cultural environment is being assessed when the nurse asks a client about family rituals and traditions?
Correct Answer: A
Rationale: The correct answer is A: Microsystem. The microsystem level of the cultural environment refers to the immediate environment in which the individual interacts directly, such as family, friends, and community. When a nurse asks a client about family rituals and traditions, they are exploring the cultural influences that directly impact the client's daily life and personal experiences. This helps the nurse understand the client's values, beliefs, and social context. The other choices (B: Mesosystem, C: Exosystem, D: Macrosystem) do not directly involve the client's immediate cultural environment or personal experiences, making them less relevant in this context.
Question 3 of 5
The nurse is caring for a client who is reluctant to take pain medication, fearing that if they do so others will see them as weak. Which of the following statements best describes how the nurse should initially respond?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates cultural competence and patient-centered care. By acknowledging the client's cultural influences and listening to their concerns, the nurse can build trust and rapport. This approach shows respect for the client's beliefs and values, empowering them to be an active participant in their care. Providing additional education (choice B) may not address the underlying issue of the client's fear of being perceived as weak. Encouraging the client to prioritize personal health (choice C) or physical needs over others' opinions (choice D) may overlook the client's emotional and psychological well-being. Overall, choice A aligns best with holistic and patient-centered care principles.
Question 4 of 5
The nurse is discussing risk factor modification with a client diagnosed with hypertension. Which client statement does the nurse recognize as representing an external locus of control?
Correct Answer: C
Rationale: The correct answer is C because the statement reflects an external locus of control, where the client believes that their fate is predetermined by external factors rather than being under their control. This mindset can hinder motivation to make positive changes. Choice A focuses on the consequences of hypertension, not control. Choices B and D are incomplete and do not indicate a locus of control. Therefore, C is the correct answer as it demonstrates a lack of belief in personal control over health outcomes.
Question 5 of 5
A nurse is caring for a client from a different cultural background who refuses a certain medication. How can understanding transcultural models and frameworks help the nurse in this situation?
Correct Answer: B
Rationale: The correct answer is B because understanding transcultural models and frameworks helps the nurse respect the client's cultural beliefs. By respecting the client's beliefs, the nurse can work collaboratively to find an alternative medication that aligns with the client's cultural values. This approach promotes cultural competence and patient-centered care. Disregarding the client's beliefs (A) goes against cultural sensitivity. Consulting with the healthcare team to override the client's choice (C) does not prioritize the client's autonomy. Educating and convincing the client (D) may not be effective if it disregards the cultural context. Respecting the client's beliefs and finding an alternative medication is the most appropriate and respectful approach in this situation.