ATI RN
Cultural Diversity and Competence in Nursing Questions
Question 1 of 5
A nurse states, "The best way to treat a client from another country is to care for them the same way we would want to be cared for. After all, we are all humans with the same wants and needs." What does this statement reflect in relation to culture?
Correct Answer: A
Rationale: Rationale for Correct Answer (A - Awareness): 1. Awareness acknowledges and respects cultural differences, promoting individualized care. 2. Recognizing cultural diversity enhances communication and builds trust with clients. 3. By being aware, the nurse can adapt care practices to align with the client's beliefs and values. Summary of Incorrect Choices: B: Blindness - Ignoring cultural differences can lead to misunderstandings and ineffective care. C: Knowledge - While knowledge is important, without awareness, it may not translate into culturally competent care. D: Preservation - This choice does not reflect the importance of adapting care based on individual cultural needs.
Question 2 of 5
At a local hospital, the postpartum care policy requires that nurses observe the mother during infant care to assess the mother's ability to care for the new baby and to promote bonding. A new mother expresses concern that in her country, all infant care is provided by other family members so that the mother can rest and recover. Which of the following actions would be taken by a culturally competent nurse?
Correct Answer: A
Rationale: Step 1: Acknowledge and respect the mother's cultural background and practices. Step 2: Allow family members to provide care to respect the mother's tradition. Step 3: Assess the mother's knowledge through discussion to ensure the baby's well-being. Step 4: By doing so, the nurse promotes culturally competent care and acknowledges the importance of family dynamics in the mother's culture. Summary: Choice A is correct as it respects the mother's cultural beliefs and involves her family in infant care. Choice B is incorrect as it imposes Western beliefs on the mother. Choice C is incorrect as it dismisses the mother's cultural practices.
Question 3 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 knows the woman is eligible to maintain her insurance after her employment was lost and does not discuss insurance options at all. Which of the following errors is being made by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Overt unintentional prejudice. The nurse's action of not discussing insurance options with the African-American mother implies a bias or assumption that the mother may not need or qualify for assistance, which is a form of prejudice. The prejudice is overt because it is evident in the nurse's behavior, but it is unintentional because the nurse may not be consciously aware of their bias. This error highlights the importance of cultural competence and avoiding assumptions based on race or ethnicity. A: Covert intentional prejudice - This choice does not apply as the nurse's actions are not intentionally discriminatory. B: Covert unintentional prejudice - This choice does not apply as the nurse's bias is evident in their behavior. C: Overt intentional prejudice - This choice does not apply as the nurse's actions are not intentional acts of discrimination.
Question 4 of 5
When teaching a nutrition class to a student group with a large Latino population, the school nurse incorporates foods such as salsa and other healthy dishes familiar to students into the presentation. Which of the following best describes the action taken by the nurse?
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. The nurse is engaging in primary prevention by promoting healthy eating habits and educating students about nutrition to prevent the development of health issues in the future. By incorporating familiar healthy foods like salsa, the nurse is proactively addressing potential health risks. B: Secondary prevention involves early detection and intervention to prevent the progression of existing health problems, which is not the case here. C: Tertiary prevention focuses on managing and treating existing health conditions to prevent complications, not relevant in this scenario. D: Both primary and secondary preventions do not apply as the nurse is solely focusing on preventing health issues through education and promotion of healthy eating habits.
Question 5 of 5
Which action should the nurse take to meet the nutritional needs of a Jewish client?
Correct Answer: A
Rationale: The correct answer is A: Order a kosher meal for the client. This is because kosher dietary laws dictate specific guidelines for food preparation and consumption in Judaism. By ordering a kosher meal, the nurse ensures that the client's nutritional needs are met in accordance with their religious beliefs. B: Asking the client about their dietary preferences is not specific to meeting the nutritional needs of a Jewish client who follows kosher dietary laws. C: Having the meal served on paper plates does not address the specific dietary requirements of a Jewish client who follows kosher laws. D: Consulting with the dietitian may be helpful for general nutritional guidance, but specific knowledge of kosher dietary laws is required to meet the needs of a Jewish client.