PD1: Ch. 7 Cultural Diversity in Healthcare Sherpath

Which definition would be consistent with the term diversity?

Professional and organizational system values

Variations among and across groups

A social concept consisting of customs, beliefs, and values

Having a knowledgeable and accepting attitude

Variations among and across groups

Correct answer

Diversity refers to the variations that occur among and across groups in relation to race, ethnicity, gender, etc.

Which description would be consistent with the process of assimilation?

Passing down social customs, expected behaviors, beliefs, values, and language from one generation to another

Embracing new social, hierarchal, and kinship relationships consistent with an unfamiliar culture

Full adaptation of the behaviors, customs, and values of the mainstream culture over time

Adapting to a new culture’s behavior and norms with different expectations

Full adaptation of the behaviors, customs, and values of the mainstream culture over time

Correct answer

Assimilation is a gradual process where an individual from another culture fully adopts the practices of the new culture as their own social identity.

Which concept would be consistent with Purnell’s Model of Cultural Competence?

Select all that apply. One, some, or all responses may be correct.

Analyzes cultural competence from the macrolevel to the microlevel

Defines intercultural communication as an interactive process

Examines culture from the patient’s point of view

Includes domains of assessment utilized when a patient is from a different culture

Encourages “culture care restructuring”

Analyzes cultural competence from the macrolevel to the microlevel

Correct answer

Purnell’s model analyzes cultural competence from a macrolevel starting with global, societal, community, family, and finally the microlevel of the individual.

Includes domains of assessment utilized when a patient is from a different culture

Correct answer

Purnell’s domains of cultural assessment allow for a comprehensive understanding of differences and leads to individualized culturally competent care.

Which fact would be true regarding culturally competent care?

Family-centered decision making prevails over self-determination in most cultures.

Nurses would consider that some genetic diseases, such as sickle cell disease, are more prevalent in those of European descent.

After the nation’s health agenda, Healthy People 2030, was released, access to care issues for minorities were resolved.

Culturally competent care has an impact on treatment plan adherence.

Culturally competent care has an impact on treatment plan adherence.

Correct answer

Culturally competent care results in higher levels of patient satisfaction, perception of equality, better adherence to the treatment plan, and improved health outcomes.

Which factor would be a social determinant of health?

Select all that apply. One, some, or all responses may be correct.

Insurance status

Economic status

Housing instability

Educational status

Sexual orientation

Racism

Insurance status

Correct answer

Lack of insurance coverage impedes use of healthcare and is a social determinant of health.

Economic status

Correct answer

Economic status, including inability to afford care and unstable housing, is a social determinant of health.

Housing instability

Correct answer

Housing instability is a social determinant that presents challenges to delivering healthcare in the community.

Educational status

Correct answer

Low literacy level is a social determinant of health that contributes to challenges navigating the system and incorporating health teaching.

Which term would describe a belief that one’s own culture is superior to others?

Ethnicity

Ethnocentrism

Cultural relativism

World View

Ethnocentrism

Correct answer

This term refers to the belief that one’s own culture is superior, which can foster the belief that one’s culture has the right to impose its standards and values on another culture.

Which intervention would the nurse perform to provide the most culturally competent care to a patient who is part of a culture different from the nurse’s culture?

Assessing the patient to see if there are any cultural practices or beliefs that may impact care

Assigning the patient to a different nurse who is from the same cultural group

Researching cultural practices common to that group on the internet

Providing care consistent with their own culture’s values and beliefs

Assessing the patient to see if there are any cultural practices or beliefs that may impact care

Correct answer

Assessment is the first step of the nursing process and allows to the nurse to determine how to individualize the plan to care to the patient’s needs.

When caring for immigrants, which patient would the nurse anticipate as most likely to be assimilated?

A third-generation immigrant

An elderly adult who has recently immigrated

A patient who speaks fluent English

A patient whose parents were immigrants

A third-generation immigrant

Correct answer

A third-generation immigrant may have minimal understanding of their traditional culture and instead be assimilated into the new culture.

Which action by the nursing staff would show that further education regarding cultural diversity and its impact on communication is required?

Frequently sharing information

Asking patients about dietary limitations

Including the family’s decision maker in patient teaching

Ensuring sustained eye contact with all patients

Ensuring sustained eye contact with all patients

Correct answer

Some cultures have prohibitions regarding touch and eye contact, so the nurse would abide by these restrictions.

The nurse is concerned that a patient from a minority culture may be experiencing health disparities. Which action would the nurse take initially?

Determining what resources the patient has

Providing instructions in an easily understandable format

Consulting with a social worker to determine available resources

Discussing available resources in an open and accepting manner

Determining what resources the patient has

Correct answer

The first step in the nursing process is assessment, and this is the nurse’s initial action. The nurse would assess the patient to determine if disparities are present to assist with relevant resources.

Which action by the nurse would show an understanding of effective intercultural communication?

Illustrating a point by using an idiom

Adding nonverbal behaviors to assist with communicating meaning

Using more complex vocabulary if the patient speaks English well

Utilizing frequent understanding checks

Utilizing frequent understanding checks

Correct answer

Frequent checks for understanding facilitate communication with culturally diverse patients.

Which action would demonstrate that the nurse is effectively applying evidence-based practice regarding preventive care?

Encouraging screenings because all patients have health coverage under the Affordable Care Act.

Preparing educational information to be distributed at primary care providers’ offices.

Facilitating community engagement by enlisting social organizations such as churches.

Participating in providing mail and phone reminders to patients regarding preventive care.

Facilitating community engagement by enlisting social organizations such as churches.

Correct answer

Extra outreach efforts are necessary to reach healthcare populations adversely affected by disparities. Enlisting professional and social organizations such as churches can assist with extending reach.