ATI RN
Cultural Competence and Diversity in Nursing Questions
Question 1 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.
Question 2 of 5
A client is crying softly and saying, "What did I do to deserve this punishment, Lord?" Which of the following responses by the nurse would be the most appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and support for the client's emotional distress. By offering to call the hospital chaplain, the nurse acknowledges the client's spiritual concerns and provides an opportunity for the client to discuss their feelings in a safe and supportive environment. This response shows cultural competence and respect for the client's beliefs. Option A is incorrect because it dismisses the client's spiritual beliefs and may come across as insensitive. Option B is incorrect as it minimizes the client's emotions and attributes their illness to luck, which is unhelpful and lacks empathy. Option D is also incorrect as it doesn't directly address the client's distress and emotional needs, focusing more on practical assistance.
Question 3 of 5
For a bedridden Muslim patient, the nurse rearranges the room and moves the bed so that it faces toward Mecca for the patient's daily prayers. Which of the following is the nurse demonstrating through these actions?
Correct Answer: A
Rationale: The correct answer is A: Accommodation. The nurse is accommodating the religious and cultural needs of the Muslim patient by rearranging the room to ensure the bed faces Mecca for daily prayers. This action shows respect for the patient's beliefs and practices, promoting cultural sensitivity and inclusivity in care. Incorrect choices: B: Awareness - Though awareness is important in understanding the patient's needs, the nurse's actions go beyond mere awareness to actively accommodating the patient's religious practices. C: Brokering - Brokering involves facilitating communication or negotiation between parties, which is not the case in this scenario. D: Imposition - Imposition would involve forcing one's beliefs or practices onto the patient, which is not what the nurse is doing here. The nurse is respecting the patient's autonomy and accommodating their religious practices.
Question 4 of 5
A 40-year-old Bosnian, Muslim woman who does not speak English presents to a community health center in obvious pain. She requests a female health care provider. Through physical gestures, the woman indicates that the pain is originating in either the pelvic or genital region. Which of the following interpreters would be the most appropriate in this situation?
Correct Answer: B
Rationale: The correct answer is B: A female from the client's community. In this situation, cultural sensitivity and comfort are crucial for effective communication. A female from the client's community would likely understand the patient's cultural background, language, and potential sensitivities better. This would facilitate better communication and trust-building, especially when discussing sensitive topics like pelvic or genital pain. A certified male medical interpreter (Choice A) might not fully understand the cultural nuances or may not be as sensitive to the patient's needs. A female who does not know the client (Choice C) may lack the cultural understanding necessary for effective communication. The client's daughter (Choice D) may not have the professional training required to interpret accurately and impartially in a healthcare setting.
Question 5 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.