RN Individual Influences Assessment
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 a group of people that consists of the same age, race, ethnicity, and language." "A culture is the beliefs, values, traditions, and customs that are shared by a group of people." "A culture is the marital status, religion, and spiritual preferences of a group." "A culture is the socioeconomic status, age, sexual orientation, and occupation of a group."
"A culture is the beliefs, values, traditions, and customs that are shared by a group of people." The nurse should explain that a culture is defined as the values, beliefs, traditions, practices, and lifestyle behaviors 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.) "Why did you wait so long to come to the clinic?" "How can I help you today?" "In the future, you need to come in sooner when you get sick." "What seems to make your symptoms better?" "What have you done about your problem?"
"How can I help you today?" is correct. The nurse should be respectful when interacting with clients. This question is recommended by the Agency for Health Care Research and Quality to build cultural competency skills and is a form of therapeutic communication. "What seems to make your symptoms better?" is correct. The nurse should be respectful when interacting with clients. This question is recommended by the Agency for Health Care Research and Quality to build cultural competency skills and is a form of therapeutic communication. "What have you done about your problem?" is correct. The nurse should be respectful when interacting with clients. This question is recommended by the Agency for Health Care Research and Quality to build cultural competency skills and is a form of therapeutic communication.
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." "This dimension includes language and facial expressions." "This dimension includes social participation in the community." "This dimension includes literacy level and access to education."
"This dimension includes spiritual practices and beliefs." The nurse should identify that the Religious and Philosophical dimension includes religious beliefs and practices, spirituality, and the use of traditional healers within a cultural system.
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. Move to an ethnically diverse neighborhood. Develop friendships with people from other countries. Attend religious services of other cultural groups.
Advocate for social justice on behalf of vulnerable populations. The nurse should inform the newly licensed nurses that a way to increase their quality of care to diverse populations is to advocate for social justice, including making a commitment to the health of vulnerable populations and the elimination of health disparities.
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? Muslim Non-Hispanic White Black American Jewish lity.
Black American The nurse should recognize that clients from the Black American community often hold a general distrust of the health care system because of historical abuses from the medical community.
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? Purnell's Model Campinha-Bucote's Model Giger and Davidhizar's Model Madeline Leininger's Sunrise Model
Campinha-Bucote's Model Campinha-Bucote's Model of Cultural Competence describes the development of cultural competence as a five-prong continuous process. As the client's needs evolve, the nurse will need to adapt and change how cultural diversity is addressed.
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 humility Cultural awareness Cultural diversity Cultural safety
Cultural awareness The nurse should understand that this action is an example of cultural awareness, which is being knowledgeable about one's own thoughts and feelings and having an appreciation of the diversity of others for their culture.
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 impact/effects Culture care negotiation/accommodation Culture care influences Culture care restructuring/repatterning Culture care sensitivity
Culture care maintenance/preservation is correct. The nurse should identify that culture care maintenance/preservation is the first phase of the Sunrise Model. Culture care negotiation/accommodation is correct. The nurse should identify that culture care negotiation/accommodation is the second phase of the Sunrise Model. Culture care restructuring/repatterning is correct. The nurse should identify that culture care restructuring/repatterning is the third phase of the Sunrise Model.
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. Encourage holistic care that includes all cultures. Develop rules and policies that are congruent with the community.
Demonstrate culturally competent practices and protocols is correct. The nurse should be aware that demonstrating culturally competent practices and protocols is a continuous process that promotes health equity and reduces health disparities. Maintain a diverse workforce is correct. The nurse should be aware that it is critical for health care organizations and systems to create an environment that supports principles and essentials of cultural competence. Maintaining a diverse workforce is one way to enhance the cultural competence of the staff, decreasing health disparities. Cultivate cross-cultural communication and awareness is correct. The nurse should be aware that it is critical for health care organizations and systems to create an environment that supports principles and essentials of cultural competence. Cross-cultural communication and awareness increase cultural competence and decrease health disparities.
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 orientations Different social statuses Different professional roles Different religious beliefs
Different sexual orientations Nurses must be able to communicate with clients across different races, ethnicities, ages, sexual orientations, and abilities to provide culturally competent care.
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 this model? Family roles and organization Birth rituals Low-risk behaviors Socioeconomic status
Family roles and organization The Purnell Model for Cultural Competence introduces 12 cultural domains including overview or heritage, spirituality, family roles and organization, bio-cultural ecology, nutrition, pregnancy, death rituals, workforce issues, communication, high-risk behaviors, health care practices, and health care professionals.
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? Black Non-Hispanic White Hispanic and Latino Asian
Hispanic and Latino The nurse should recognize that the Hispanic and Latino population has doubled in size over the last decade contributing greatly to the population growth in the United States.
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? Teaching leadership skills to promote culturally diverse nursing care Providing memberships to nursing associations that promote cultural competence Increasing awareness of diverse cultural identities Offering linguistic services to improve outcomes
Increasing awareness of diverse cultural identities The nurse should identify that the functions of CLAS are a way to assist all health care professionals to increase awareness of diverse cultural identities, which leads to better client outcomes.
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? Adherence to interventions Ineffective communication Decreased health care costs Improved outcomes
Ineffective communication A lack of cultural competence can contribute to ineffective communication, nonadherence to interventions, and client dissatisfaction. Effective communication can only occur when the nurse is culturally competent in the communication and language of that culture.
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? Distrust of the health care system Nurses of color making up less than 28% of the national workforce Male nurses making up approximately 40% of the national workforce Decrease in diverse populations
Nurses of color making up less than 28% of the national workforce The nurse manager should identify that less than 28% of the national workforce consists of nurses of color. This underrepresentation is a barrier to creating a racially and ethnically diverse workforce.
A nurse is documenting a cultural assessment of a client. Which of the following information should the nurse include? Allergies Home medications Family history Primary language
Primary language A client's primary language is an important factor of a client's culture. Therefore, the nurse should document the client's primary language as part of the cultural assessment.
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. Participate in a variety of diverse activities. Acquire knowledge and skills about different cultures. Collect relevant cultural data.
Promote achievement of safe and quality outcomes. Promoting achievement of safe and quality outcomes for diverse populations is one of the AACN's five Core Competencies of Cultural Competence.
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 cultural competence education to clients that use the clinic. Consider the provider's personal values when planning care. Provide access to language services to clients. Promote the creation of physical environments that support good health.
Provide access to language services to clients. The nurse should identify that Healthy People 2030 extends the national agenda for health and well-being to outline specific objectives for individuals of various cultures. Achievement of these objectives requires that clients' language and literacy be considered.
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 Gender Ethnicity Residential location Income
Race is correct. The nurse should identify that disparity due to race continues whether or not the individual has access to dental and health insurance. Ethnicity is correct. The nurse should identify that disparity due to ethnicity continues whether or not the individual has access to dental and health insurance. Residential location is correct. The nurse should identify that disparity due to residential location continues whether or not the individual has access to dental and health insurance. Income is correct. The nurse should identify that disparity due to income continues whether or not the individual has access to dental and health insurance.
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 leads to decreases in health disparities among underrepresented populations. Racism is the result of health illiteracy which negatively impacts health outcomes. Racism's impact on health is limited to areas that have a lack of access to healthy foods and safe housing. Racism can negatively impact the mental and physical health of communities.
Racism can negatively impact the mental and physical health of communities. The nurse needs to be aware that racism contributes to the presence of health disparities. According to the CDC, racism can have lasting effects on mental and physical health of diverse communities, families, and nations.
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? Knowledge of one's own thoughts and feelings about diversity Knowledge that allows one to appreciate other cultures Recognition of differences in race, color, ethnicity, or nationality that exist among individuals Self-reflection and critique of power imbalances that allow health inequities
Recognition of differences in race, color, ethnicity, or nationality that exist among individuals The nurse should explain that cultural diversity is the range of human variation that exists among individuals. Cultural diversity includes such differences as race, color, ethnicity, or nationality.
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.) Bias Reinforcement Self-awareness Openness Ego
Self-awareness is correct. The nurse manager should identify that cultural humility is exhibited when nurses show self-awareness, openness, lack of ego, self-reflection, critique, and supportive interactions during an encounter. Cultural humility reflects a lifelong process of learning and self-reflection that allows the nurse to appreciate and partner with individuals from cultures not their own. Openness is correct. The nurse manager should identify that cultural humility is exhibited when nurses show self-awareness, openness, lack of ego, self-reflection, critique, and supportive interactions during an encounter. Cultural humility reflects a lifelong process of learning and self-reflection that allows the nurse to appreciate and partner with individuals from cultures not their own.
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? Awareness of one's own thoughts and feelings about diversity Knowledge that allows one to appreciate other cultures Recognition of differences in race, color, ethnicity, or nationality that exist among individuals Self-reflection and critique of power imbalances that allow health inequities
Self-reflection and critique of power imbalances that allow health inequities The nurse should explain that cultural safety requires the nurse to conduct a critical self-reflection and critique of power imbalances that facilitate health inequities.
A nurse manager of a home health agency overhears an employee referring to some 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? Implicit bias Color discrimination Cultural humility Stereotyping
Stereotyping The nurse manager should identify that stereotyping is having a simplified belief about a person or group and failing to recognize individuality. The employee's comment exhibits stereotyping by assuming all members of a particular group are noncompliant in their health care practices.
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 Housing preference Language
Values is correct. In assisting with the preparation of a cultural assessment, the nurse should collect data about the client's values, beliefs, lifestyle behaviors, and language to describe the client's culture. Culture includes the shared values, beliefs, traditions, practices, and languages that are integrated throughout lifestyles and transmitted among families and communities. Beliefs is correct. In assisting with the preparation of a cultural assessment, the nurse should collect data about the client's values, beliefs, lifestyle behaviors, and language to describe the client's culture. Culture includes the shared values, beliefs, traditions, practices, and languages that are integrated throughout lifestyles and transmitted among families and communities. Lifestyle behaviors is correct. In assisting with the preparation of a cultural assessment, the nurse should collect data about the client's values, beliefs, lifestyle behaviors, and language to describe the client's culture. Culture includes the shared values, beliefs, traditions, practices, and languages that are integrated throughout lifestyles and transmitted among families and communities. Language is correct. In assisting with the preparation of a cultural assessment, the nurse should collect data about the client's values, beliefs, lifestyle behaviors, and language to describe the client's culture. Culture includes the shared values, beliefs, traditions, practices, and languages that are integrated throughout lifestyles and transmitted among families and communities.
