ATI RN
Cultural Competence and Diversity in Nursing Questions
Question 1 of 5
Which of the following best describes most Americans' attitude toward immigrants?
Correct Answer: D
Rationale: The correct answer is D because it accurately reflects the general positive attitude most Americans have towards immigrants due to their perceived contributions to the economy and society. This is supported by data showing that immigrants fill job gaps, boost innovation, and enrich cultural diversity. Choice A is incorrect because it implies uncertainty rather than a positive sentiment. Choice B is incorrect as it presents a biased and negative view unsupported by research. Choice C is incomplete and lacks specificity compared to the detailed reasoning provided in choice D.
Question 2 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 3 of 5
An American nurse says, "I'm not going to change the way I practice nursing based on where the client is from because research shows that Western health care technology and research is best." Which of the following is being demonstrated by the nurse's statement?
Correct Answer: A
Rationale: The correct answer is A: Ethnocentrism. The nurse's statement reflects the belief that their own cultural or social group is superior to others. This is evident from the nurse's refusal to adapt care based on the client's background. Prejudice (B) is a preconceived opinion not necessarily based on reason. Racism (C) involves discrimination based on race, which is not explicitly mentioned in the statement. Stereotyping (D) involves oversimplified beliefs about a particular group, which is not explicitly present in the nurse's statement. Therefore, the best fit is ethnocentrism as it aligns with the nurse's assertion of Western superiority in healthcare.
Question 4 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 5 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.