ATI RN
Cultural Diversity and Competence in Nursing Questions
Question 1 of 5
Which action should the nurse take to communicate with a client from a culture that is different from their own?
Correct Answer: C
Rationale: The correct answer is C: Pay attention to the client's nonverbal cues. This is essential when communicating with someone from a different culture as nonverbal cues can vary widely across cultures. By observing the client's body language, facial expressions, and gestures, the nurse can better understand their feelings and intentions. This helps in building rapport and showing respect for the client's communication style. Choice A (Using touch as a therapeutic tool) can be inappropriate in some cultures where touch may not be welcomed or may have different meanings. Choice B (Sit close to the client) may invade personal space depending on the cultural norms. Choice D (Maintain eye contact even if the client does not) can be misinterpreted as aggressive or disrespectful in some cultures where avoiding eye contact is a sign of respect.
Question 2 of 5
The nurse is assessing a migrant worker who has abdominal pain. Which of the following questions should the nurse include as part of a culturally sensitive assessment?
Correct Answer: B
Rationale: The correct answer is B because it is the most culturally sensitive and inclusive question. By asking about medications, herbs, and home treatments, the nurse acknowledges and respects the individual's cultural beliefs and practices regarding healthcare. This approach promotes open communication and understanding. A: This question assumes the individual has used over-the-counter medications, which may not align with their cultural practices. C: This question may come off as accusatory or judgmental, potentially leading to a breakdown in communication. D: This question is not relevant to the individual's healthcare needs and focuses on their work environment rather than their health.
Question 3 of 5
The nurse anticipates that a client from a culture that values collectivism will utilize which concept when making a health care decision?
Correct Answer: B
Rationale: The correct answer, B, is seeking input from the community. In a collectivist culture, decisions are often made based on group consensus rather than individual autonomy. Seeking input from the community aligns with this cultural value. Option A is incorrect as making an independent decision goes against collectivist values. Option C is incorrect because prioritizing mental health needs does not directly relate to collectivism. Option D is incorrect as considering all available options does not necessarily involve community input, which is essential in a collectivist culture.
Question 4 of 5
A nurse is caring for a client from a different cultural background who is experiencing chronic pain. The nurse asks the client, "Mr. Smith, I would like to understand how you generally manage pain or if you have any preferences for pain management. Could you please share with me any cultural practices or approaches that you or your family find helpful in managing pain?" The nurse's approach is most closely aligned with which of the following models?
Correct Answer: A
Rationale: The correct answer is A: Giger and Davidhizar transcultural assessment model. This model emphasizes the importance of understanding a client's cultural beliefs and practices to provide culturally competent care. In this scenario, the nurse's approach of asking about the client's cultural practices aligns with this model. The nurse is showing respect for the client's cultural background and seeking to incorporate cultural preferences into pain management, which is a key component of the Giger and Davidhizar model. Choices B, C, and D are incorrect: B: Leininger's culture care diversity and universality theory focuses on the importance of culture in healthcare but does not specifically address transcultural assessment. C: Purnell model for cultural competence provides a framework for cultural assessment but does not emphasize the same level of personalized approach as the Giger and Davidhizar model. D: Peplau's interpersonal relations theory is a nursing theory that focuses on therapeutic relationships between nurses and clients, but it does not specifically address
Question 5 of 5
A client who is pregnant and from a Middle Eastern background expresses discomfort with receiving prenatal care from health care providers who are men. To provide culturally responsive care for the client, the nurse should:
Correct Answer: D
Rationale: The correct answer is D because it promotes client-centered care and cultural competence. By discussing the client's concerns and collaborating to find a solution, the nurse respects the client's cultural preferences while also addressing their healthcare needs. This approach builds trust, enhances communication, and promotes positive health outcomes. Choice A is incorrect because it disregards the client's cultural preferences, which may lead to the client feeling uncomfortable and potentially avoiding prenatal care. Choice B is incorrect as it may not address the client's discomfort with male healthcare providers and could overlook the importance of addressing the client's concerns collaboratively. Choice C is incorrect because it dismisses the client's concerns, which goes against providing culturally responsive care and may result in the client feeling unheard and disrespected.