ATI RN
Cultural Diversity and Competence in Nursing Questions
Question 1 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 2 of 5
Which construct do nurses exhibit when they engage in self-reflection about their own cultural beliefs and biases?
Correct Answer: C
Rationale: The correct answer is C: Cultural awareness. Nurses demonstrate cultural awareness when they reflect on their own cultural beliefs and biases. This involves recognizing and understanding how their own background influences their interactions with patients. Option A, cultural skill, refers to the ability to conduct a cultural assessment. Option B, cultural desire, pertains to the motivation to understand and engage with diverse cultures. Option D, cultural knowledge, focuses on acquiring factual information about different cultures. However, cultural awareness is the foundational step that underpins the development of cultural competence in nursing practice.
Question 3 of 5
Which action should the nurse take when a client of a different culture than the nurse stares out the window while the nurse is providing preoperative instruction?
Correct Answer: D
Rationale: The correct answer is D because the nurse should respect the client's cultural norms and preferences. By stopping the instruction and returning later, the nurse acknowledges the client's need for space and time to process information. This approach shows cultural sensitivity and allows for effective communication. Choice A is incorrect as mimicking the client's behavior may not be respectful or appropriate. Choice B is incorrect as it may invade the client's personal space and could be perceived as confrontational. Choice C is incorrect as focusing on eye contact ignores the broader cultural context and individual preferences of the client.
Question 4 of 5
Which is the best action for the nurse to take when communicating with a client who speaks a language the nurse does not understand?
Correct Answer: A
Rationale: The correct answer is A: Arrange for a medical interpreter. This is the best action as it ensures accurate communication and respects the client's right to understand their healthcare. Using a professional interpreter maintains confidentiality and avoids potential misunderstandings. Asking a family member (B) may result in biased or incomplete translations. Asking a clerical staff member (D) may breach confidentiality and lacks professionalism. Option C is blank, so it is not a valid choice.
Question 5 of 5
Which action should the nurse perform when teaching a client with LEP and who is from a culture different than their own?
Correct Answer: C
Rationale: The correct answer is C: Perform a health literacy assessment. When teaching a client with Limited English Proficiency (LEP) from a different culture, it is crucial to assess their health literacy level to ensure effective communication. This assessment helps determine the client's understanding of health information and their ability to navigate the healthcare system. By understanding their health literacy level, the nurse can tailor the teaching strategies appropriately to meet the client's needs. Summary: A: Using accurate medical terms may confuse the client with LEP from a different culture. B: Assuming the client has basic math skills is not relevant to effective communication in healthcare education. D: Researching practices of the client's culture online is important for cultural competence but not directly related to assessing health literacy for effective teaching.