ATI RN
Cultural Competence and Diversity in Nursing Questions
Question 1 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 2 of 5
A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Obtain an interpreter to translate. This is the best option because using an interpreter ensures accurate communication and understanding between the nurse and the Spanish-speaking family. This approach promotes effective healthcare delivery, respects the family's language and cultural needs, and upholds patient confidentiality. A: Attempting to use an English-Spanish phrase book may lead to miscommunication and misunderstandings. B: Calling the local hospital and arranging a referral is unnecessary and does not address the immediate communication barrier. C: Emphatically stating "No hablo Español" is unprofessional and does not address the need for effective communication.
Question 3 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 4 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 5 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.