NR 222 Week 3 Questions

Student Name

Chamberlain University

NR-222 Health & Wellness

Prof. Name

Date

Chapter 9: Cultural Awareness

Question 1: Marie finds Carla surrounded by extended family in her hospital room and asks them to leave so Carla can rest. What type of care is this?

The correct answer is A. Culturally incongruent care.

This situation demonstrates culturally incongruent care because it fails to acknowledge Carla’s cultural practices that emphasize the healing power of family presence. In many cultures, extended family members are viewed as essential for emotional, spiritual, and physical healing. Asking them to leave disregards these cultural values and replaces them with a biomedical perspective focused only on individual rest. A more culturally congruent approach would balance Carla’s medical need for rest with her cultural expectation of strong family support, perhaps by scheduling visiting hours or encouraging quiet presence at the bedside (Andrews & Boyle, 2019).

Question 2: Carla refuses to ambulate without an abdominal binder. What belief does this reflect?

The correct answer is D. Cultural belief that air would enter the uterus.

This belief is rooted in traditional health practices within some Hispanic communities. According to cultural understanding, postpartum women must protect their bodies from exposure to “bad air” (mal aire), which is thought to cause illness or complications, particularly through the uterus. The abdominal binder is used as a protective measure to prevent such exposure and to support physical healing after childbirth. Respecting these beliefs is vital for building trust and ensuring compliance with postpartum care (Leininger & McFarland, 2006).

Question 3: Important aspects of conducting a cultural assessment on Carla include:

The correct answers are A, B, C, and D.

Each of these questions focuses on critical aspects of cultural assessment: health beliefs, family involvement, values, and expectations. These considerations guide the nurse in creating care plans that are culturally respectful and patient-centered (Purnell, 2013).

Case Study: Ms. Jackson and Social Determinants of Health

Question 1: What are some of the social determinants of health that Sam most likely discovered while conducting a cultural assessment with Ms. Jackson?

Sam most likely identified barriers related to the following social determinants of health:

• Housing Instability: Reliance on shelters or temporary accommodations.

• Unemployment: Lack of a steady job, leading to financial strain.

• Lack of Health Insurance: Limited ability to pay for prescribed medications or follow-up care.

• Food Insecurity: Inconsistent access to nutritious meals, affecting diabetes control.

• Limited Health Literacy: Repeated emergency department visits despite verbal acknowledgment of diabetes education.

These barriers collectively increase the difficulty of managing Ms. Jackson’s chronic condition (Healthy People 2030, 2022).

Question 2: Based on a cultural assessment, Sam discovers Ms. Jackson believes she may die from diabetes. Use the C-LARA mnemonic to help Ms. Jackson.

Using the C-LARA mnemonic fosters trust, acknowledges emotional needs, and provides culturally responsive support to the patient (Campinha-Bacote, 2011).

Question 3: How can biases and assumptions affect the quality of care provided to Ms. Jackson? How can self-awareness help reduce bias?

Biases and assumptions can negatively impact care by labeling Ms. Jackson as “noncompliant” due to repeated hospital visits. Such assumptions may lead to less empathetic, rushed, or judgmental interactions. By practicing self-awareness, nurses can recognize their own biases, reflect on their personal attitudes, and approach Ms. Jackson as an individual with unique challenges. This promotes equitable care, reduces stereotyping, and fosters dignity in patient interactions (Boyle, 2021).

NR 222 Week 3 Questions

Question 4: What are the steps for a nurse to develop culturally competent care?

Steps toward culturally competent care include:

1. Conducting a self-assessment of cultural competence to identify personal biases.

2. Seeking formal education and training in transcultural nursing.

3. Addressing language and communication barriers through interpreters or translated materials.

4. Engaging in cross-cultural experiences to broaden awareness.

5. Participating in professional forums that discuss cultural issues in healthcare.

These steps enable nurses to provide inclusive, respectful, and effective care across diverse populations.

Chapter 10: Caring for Families

Question 1: What type of family is represented by Ted and Sheri Wall and their grandchildren?

The correct answer is D. Alternative family.

This family is categorized as alternative because the grandparents are serving as primary caregivers to their grandchildren due to parental incarceration. This arrangement reflects a growing trend where non-parental relatives assume primary care roles.

Question 2 & 3: Which factor should Sarah assess when determining the health of the Wall family?

The correct answer is A. Economic stability.

Economic stability is a vital determinant of family health. In this case, Sheri faces unemployment while also managing her partner’s chronic illness. The family’s ability to meet healthcare costs, food needs, and housing stability depends heavily on financial security and benefits such as Social Security or Medicaid.

Question 4: Sheri now also takes care of her elderly mother. What is this phenomenon called?

The correct answer is Sandwiched caregiver.

This term describes individuals who simultaneously care for aging parents while supporting their own children or grandchildren. This dual responsibility often leads to stress, fatigue, and financial strain, impacting both the caregiver’s and family’s well-being (National Alliance for Caregiving, 2020).

Additional Questions

Question 5: List the five emerging populations in the United States and potential health concerns.

Question 6: Describe family types and their compositions and needs.

References

• Andrews, M. M., & Boyle, J. S. (2019). Transcultural concepts in nursing care (8th ed.). Wolters Kluwer.

• Boyle, D. P. (2021). Cultural competence in health care: A practical guide (2nd ed.). Springer Publishing.

• Campinha-Bacote, J. (2011). Delivering patient-centered care in the midst of a cultural conflict: The role of cultural competence. Online Journal of Issues in Nursing, 16(2).

NR 222 Week 3 Questions

• Healthy People 2030. (2022). Social determinants of health. U.S. Department of Health and Human Services. https://health.gov/healthypeople

• Leininger, M., & McFarland, M. R. (2006). Culture care diversity and universality: A worldwide nursing theory. Jones & Bartlett.

• National Alliance for Caregiving. (2020). Caregiving in the U.S. https://www.caregiving.org

• Purnell, L. D. (2013). Transcultural health care: A culturally competent approach (4th ed.). F.A. Davis.