ATI RN
Cultural Diversity and Competence in Nursing Questions
Question 1 of 5
The nurse practitioner (NP) discovered that an immigrant client is not taking the penicillin prescribed because his illness is "hot"
Correct Answer: C
Rationale: The correct answer is C: Cultural brokering. Cultural brokering involves mediating between the healthcare provider's understanding and the patient's cultural beliefs to ensure effective communication and treatment adherence. In this scenario, the NP recognized the client's belief about the "hot" nature of his illness and changed the prescription accordingly. Option A focuses on the action taken rather than the cultural aspect. Option B refers to being mindful of cultural differences but does not involve actively mediating. Option D pertains to understanding cultural backgrounds but does not involve the necessary intervention in this case. Thus, the most appropriate choice is C as it directly addresses the need for cultural negotiation in healthcare interactions.
Question 2 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 3 of 5
A nurse who is explaining to an immigrant client why it is important to take medication states, "The medication takes a couple of
Correct Answer: D
Rationale: The correct answer is D because it addresses a key aspect of the scenario - the client's understanding of the medication's importance. The nurse's statement implies that there may be a lack of understanding on the client's part. Options A, B, and C do not directly address the client's comprehension of the medication's importance. Option A is a generic question, not a likely explanation. Option B assumes the client prioritized immediate relief over long-term benefits. Option C focuses on logistical issues, not the client's understanding. In summary, option D is correct as it aligns with the context of the nurse's explanation and addresses the root cause of the issue.
Question 4 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 5 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.