Individual Influences

A nurse is documenting a cultural assessment of a client. Which of the following information should the nurse include?

Primary language

A nurse is discussing the AACN's five Core Competencies of Cultural Competence with a newly licensed nurse. Which of the following should the nurse identify as one of these competencies?

Promote achievement of safe and quality outcomes

A community health nurse is teaching a group of newly licensed nurses about the concept of culture. Which of the following statements should the nurse use to define culture?

"A culture is the beliefs, values, traditions, and customs that are shared by a group of people."

A nurse in a community clinic is assessing a client who is from a different culture than the nurse and reports having painful urination and a fever for 7 days. Which of the following comments should the nurse make when caring for the client? (Select all that apply.)

"How can I help you today?" "What seems to make your symptoms better?" "What have you done about your problem?"

A nurse is discussing transcultural nursing with a newly licensed nurse. Which of the following statements should the nurse make when discussing the Religious and Philosophical dimension of Leininger's Sunrise Model?

"This dimension includes spiritual practices and beliefs."

A charge nurse is teaching a group of newly licensed nurses about ways to increase quality of care for diverse populations based on the AACN's Core Competencies of Cultural Competence. Which of the following actions should the nurse include in the teaching?

Advocate for social justice on behalf of vulnerable populations

A nurse is working in a community health clinic that serves a culturally diverse population. The nurse should recognize that which of the following cultures is most likely to have a distrust of the health care system based on past abuses?

Black American

A nurse is discussing cultural competence theories with another nurse. Which of the following models should the nurse identify as having a five-step process?

Campinha-Bucote's Model

A charge nurse changes nursing assignments to accommodate the request for a female nurse from a Muslim client who is female. Which of the following qualities does this action by the charge nurse demonstrate?

Cultural awareness

A community health nurse is preparing an in-service about transcultural nursing for a group of staff nurses. The nurse should identify which of the following phases as part of Leininger's Sunrise Model? (Select all that apply.)

Culture care maintenance/preservation Culture care negotiation/accommodation Culture care restructuring/repatterning

In a rural community setting, a health care organization is attempting to create an institutional framework in their approach to eliminate health disparities. Which of the following policies should the facility institute to reduce health disparities? (Select all that apply.)

Demonstrate culturally competent practices and protocols Maintain a diverse workforce Cultivate cross-cultural communication and awareness

A nurse is discussing cultural competency with a newly licensed nurse. The nurse should include that nurses should have the ability to communicate with clients across which of the following sociocultural barriers to be culturally competent?

Different sexual orientation

A case management nurse is using the Purnell Model for Cultural Competence as an assessment tool to evaluate variations of cultural practices. Which of the following cultural domains should the nurse include from this model?

Family roles and organization

A nurse in a community health clinic is reviewing statistics of recent population growth in the United States. Which of the following racial and ethnic populations should the nurse identify as having the largest recent growth rate?

Hispanic and Latino

A nurse executive is incorporating the National Standards for Culturally and Linguistically Appropriate Services (CLAS) to achieve better outcomes for clients of the facility. The nurse executive should identify that which of the following is a function of CLAS?

Increasing awareness of diverse cultural identities

A nurse is discussing cultural competence with a group of newly licensed nurses. Which of the following can occur when there is a lack of cultural understanding?

Ineffective communication

A nurse manager at a public health clinic is working to expand the diversity of the clinic's nursing staff. Which of the following factors should the nurse identify as a barrier to creating a diverse workforce?

Nurses of color making up less than 28% of the national workforce.

A nurse manager in a community clinic is using Healthy People 2030 to plan care for clients. Using the Healthy People 2030 guidelines, which of the following interventions should the nurse use to reduce health disparities?

Provide access to language services to clients

A nurse manager of a public clinic is evaluating health disparities among diverse groups in the community. The nurse should identify that which of the following factors has an impact on health disparities? (Select all that apply.)

Race Ethnicity Residential location Income

A nurse is assigned to debrief a group of nursing students after a clinical rotation at a community center. One of the students asks how racism impacts public health. Which of the following responses should the nurse make?

Racism can negatively impact the mental and physical health of communities

A nurse manager is preparing a presentation on components of cultural competence. Which of the following definitions should the manager provide for the concept of cultural diversity?

Recognition of differences in race, color, ethnicity, or nationality that exist among individuals

A nurse manager in a community health clinic is teaching about the practice of cultural humility among staff members. Which of the following principles of cultural humility should the nurse include in the teaching? (Select all that apply.)

Self-awareness Openness

A nurse manager is preparing a presentation on components of cultural competence. Which of the following definitions should the manager provide for the concept of cultural safety?

Self-reflection and critique of power imbalances that allow health inequities

A nurse manager of a home health agency overhears an employee referring to some of the facility's clients by saying, "You know how all those people are, so noncompliant in their health care." The manager should identify the employee is exhibiting which of the following concepts of cultural competence?

Stereotyping

A nurse is preparing a cultural assessment for a client who is from a different racial and ethnic background than the nurse. In completing the cultural assessment, which of the following pieces of data should the nurse collect about the client's cultural practices? (Select all that apply.)

Values Beliefs Lifestyle behaviors Language