ATI Inclusion, Equity, and Diversity Assessment

A nurse in a community clinic sees clients experiencing health disparities within vulnerable populations. The nurse should consider which of the following clients as belonging to a vulnerable population? (Select all that apply.)

a. A white male who has no chronic illness

b. An African American adolescent who is pregnant

c. A low-income family

d. A female who is Latina and has type 2 diabetes mellitus

e. A middle class male who lives in a large city

b c d

A nurse is reviewing a client's medical record for factors that could impact accessibility to health care services. For which of the following factors should the nurse monitor?

a. Cultural diversity

b. Health disparities

c. Health equity

d. Cultural competence

b

A nurse is reviewing the medial record of an adolescent who is a lesbian. The nurse should identify that which of the following findings are likely caused by the client being marginalized by others? (Select all that apply.)

a. Having a large group of close friends

b. Being bullied at school

c. Depression

d. Using illicit drugs

e. Working an after-school job

b c d

A nurse is reviewing information about culture with a group of newly hired nurses. Which of the following statements by a newly hired nurse should the nurse identify as an understanding of culture?

a. "Inclusion means each client is treated in the same manner, regardless of their culture."

b. "Cultural preferences do not include beliefs about health promotion and disease treatment."

c. "Not every individual has cultural preferences."

d. "Culture can include language and communication practices."

d

A nurse is interviewing a client who states that they are transgender. Their records indicate they were assigned male at birth. Which of the following information should the nurse plan to incorporate when assisting with the client's plan of care?

a. The client will prefer to have caregivers who are female.

b. The client has changed the way they view sexuality.

c. The client will not want to be addressed by the use of pronouns such as "him" or "her."

d. The client associates their identity to something different from their sex assigned at birth.

d

A nurse is caring for a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

a. Use a certified medical interpreter.

b. Use a family member as an interpreter.

c. Repeat important words so the client recognizes their importance.

d. Talk slowly so that each word is heard clearly.

a

A nurse is planning care for a client who uses culturally based folk- care for medical treatments. Which of the following actions should the nurse take?

a. Encourage the client to stop the use of folk care treatments.

b. Coordinate folk care treatments with modern medical treatments.

c. Educate the client that folk care treatments cannot be used within the facility.

d. Avoid the use of modern medical treatments administered by the provider.

b

A nurse is talking with a group of clients in a community setting. Which of the following statements by the nurse describes how culture affects a client's definition of health and illness?

a. "Health and illness can be defined differently by individual clients."

b. "Health and illness are similarly defined for all clients."

c. "Health is similarly defined for all clients, but illness can be viewed differently."

d. "Health and illness only need to be defined if a client has a chronic health condition."

a

A nurse is conducting a cultural assessment. Which of the following factors are incorporated in Leininger's Sunrise Enabler? (Select all that apply.)

a. Kinship and social factors

b. Biological factors

c. Health disparity factors

d. Economic factors

e. Political and legal factors

a b d e

A nurse helping to develop an in-service about cultural competence is reviewing a list of health beliefs provided by members of a local cultural group. The nurse should recognize that this list provides which of the following types of information?

a. Health disparity data

b. Emic knowledge

c. Etic knowledge

d. Objective data

b

(viewpoint of individual within cultural group)

A nurse is planning care for a client who is a veteran. Which of the following information should the nurse consider?

a. The client is at an increased risk for poor health outcomes.

b. The client will require a social services consult.

c. The client is guaranteed veterans health benefits.

d. The client will not be affected by socioeconomic factors.

a

A nurse is caring for a client who was born in India but has lived in the U.S. for 30 years. The client speaks English and has family members at the bedside. Which of the following actions should the nurse take?

a. Assume that the client has special cultural practices that will need accommodation.

b. Obtain use of a certified medical interpreter at the beginning of providing care.

c. Ask the family to leave the room while the nurse is present.

d. Inquire about any special cultural beliefs or practices.

d

A nurse is caring for a newly admitted client. Which of the following actions should the nurse take first?

a. Implement nursing interventions.

b. Plan nursing interventions.

c. Perform a cultural health assessment.

d. Evaluate the care plan.

c

A nurse is caring for a client who is from a different culture. To provide the best possible client care, which of the following actions should the nurse take first?

a. Obtain a cultural health assessment.

b. Develop cultural competence.

c. Conduct a self-assessment.

d. Create an individualized plan of care.

c

A nurse is reviewing information to enhance their own cultural awareness. The nurse should identify the need to examine which of the following?

a. The nursing process

b. Self-bias

c. Health disparities

d. Cultural diversity

b