ATI RN
Cultural Diversity and Competence in Nursing Questions
Question 1 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 2 of 5
Which action by a health care organization is an example of a leadership commitment to cultural competence?
Correct Answer: A
Rationale: The correct answer is A: Developing a policy for use of trained interpreters. This action demonstrates leadership commitment to cultural competence by ensuring effective communication with diverse populations, promoting understanding of different languages and cultures, and respecting individuals' linguistic needs. The other choices, enhancing client satisfaction, improving health care outcomes, and increasing health care access to all individuals, are important goals but do not directly address the core principle of cultural competence through language accessibility and understanding.
Question 3 of 5
Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
Correct Answer: B
Rationale: The correct answer is B because developing the plan of care with the client aligns with the ACCESS model, which emphasizes partnership and collaboration with the client. This approach ensures cultural considerations are taken into account and respects the client's values and beliefs. A: Utilizing a standardized plan of care may not consider individual cultural needs. C: Using a plan developed for a specific cultural group may not address the unique needs of the individual client. D: Collaborating with other nurses is important but does not specifically address the client's involvement in care planning.
Question 4 of 5
A nurse is evaluating the effectiveness of a cultural competence training program. Which outcome is the nurse most likely to measure?
Correct Answer: C
Rationale: The nurse is most likely to measure client satisfaction scores to evaluate the effectiveness of a cultural competence training program. This is because cultural competence aims to provide care that respects and values the cultural beliefs and practices of clients, leading to improved satisfaction. Increasing client acuity levels (A) is not directly related to cultural competence training. Reduction in health care costs (B) may not directly reflect the impact of cultural competence. Decrease in client wait times (D) is important but may not specifically measure the impact of cultural competence on client experiences.
Question 5 of 5
Using the National CLAS as a guide, which service should be offered to clients who have LEP?
Correct Answer: B
Rationale: The correct answer is B: Language assistance in the client's preferred language. According to the National CLAS standards, providing language assistance in the client's preferred language is crucial for individuals with Limited English Proficiency (LEP) to ensure effective communication and quality care. Offering interpreter services at no cost in the client's preferred language aligns with the principles of cultural and linguistic competence. Choice A is incorrect because charging a minimal fee for interpreter services may create barriers to access for clients with LEP. Choice C is incorrect as using family members as interpreters can compromise confidentiality and accuracy of communication. Choice D is incorrect as timely interpretation services should be provided immediately when needed, not within a specific timeframe like 48 hours.