Name
Chamberlain University
NR-222 Health & Wellness
Prof. Name
Date
The correct answer is A. Culturally incongruent care.
This is considered culturally incongruent care because it disregards Carla’s cultural norms, which may emphasize the importance of extended family presence during the healing process. A culturally congruent approach would ensure Carla’s rest while also respecting her cultural expectation of having family support (Andrews & Boyle, 2019).
The correct answer is D. Cultural belief that air would enter the uterus.
This belief is common in some Hispanic communities, where it is thought that postpartum women must protect their bodies from harmful “bad air” entering, particularly through the uterus. The use of an abdominal binder reflects adherence to this cultural tradition (Leininger & McFarland, 2006).
The correct answers are A, B, C, D.
| Options | Assessment Focus |
|---|---|
| A. | How does your culture view breastfeeding? |
| B. | How much do you want Juan to be involved in the care? |
| C. | What do you value from the health care providers here? |
| D. | What do you expect from me today in providing care? |
All of these questions address essential aspects of a cultural assessment, such as patient beliefs, expectations, values, and involvement preferences. These guide culturally appropriate nursing care (Purnell, 2013).
Sam most likely identified several barriers related to social determinants of health:
Housing Instability: Homelessness or reliance on temporary housing.
Unemployment: Lack of stable employment.
Lack of Health Insurance: Difficulty affording prescribed medications.
Food Insecurity: Limited access to nutritious food.
Limited Health Literacy: Repeated emergency visits despite reported understanding of diabetes care.
These challenges make it harder for Ms. Jackson to effectively manage her diabetes (Healthy People 2030, 2022).
| C-LARA Component | Sample Dialogue |
|---|---|
| Calm | “Ms. Jackson, I see in your chart that you have a history of diabetes.” |
| Listen | “You said your mother had diabetes. Did she pass away from it?” |
| Affirm | “I’m really sorry to hear about your mother. That must have been hard.” |
| Respond | “Many people live long, full lives with diabetes when it is well-managed.” |
| Add | “There are resources, like a community health center nearby, that can help you with care and support. Let me introduce you to our diabetes educator.” |
This approach fosters trust while addressing both emotional needs and practical support (Campinha-Bacote, 2011).
Biases, such as assuming Ms. Jackson is careless or noncompliant, may result in less empathetic care. These assumptions could arise from repeated emergency visits or perceived lifestyle choices. By practicing self-awareness, nurses can identify their own biases and consciously work to provide dignified, individualized care. This reduces prejudice and improves patient outcomes (Boyle, 2021).
Steps to develop culturally competent care include:
Conduct a cultural competence self-assessment.
Pursue formal education or certification in cultural competence.
Address communication and language barriers effectively.
Engage in cross-cultural experiences with diverse populations.
Participate in professional forums or communities on cultural care.
The correct answer is D. Alternative family.
This describes an alternative family structure, as grandparents are raising their grandchildren due to the parents’ incarceration.
The correct answer is A. Economic stability.
Economic stability plays a central role in health, especially when one partner is chronically ill and the other is unemployed while raising children. Access to income and benefits, such as Social Security, affects the family’s ability to obtain care and resources.
The correct term is Sandwiched caregiver.
This term describes individuals who simultaneously care for aging parents and children or grandchildren. Such responsibilities often create emotional, physical, and financial strain (National Alliance for Caregiving, 2020).
| Emerging Population | Potential Health Problems |
|---|---|
| Arab Americans | Diabetes, coronary artery disease, mental health issues, acculturation stress, teenage smoking |
| African Americans | High cancer mortality, HIV, hypertension, obesity, mental health concerns |
| Hispanic/Latino Americans | Stomach cancer, diabetes, heart disease, HIV |
| Native Americans | Substance abuse, accidental injuries, cirrhosis, suicide, diabetes, pneumonia |
| Asian Americans/Pacific Islanders | TB, COPD, mental health concerns related to cultural adjustment, low rates of obesity and hypertension |
| Family Type | Description | Unique Needs |
|---|---|---|
| Blended Family | Family where one or both parents have children from prior relationships | Emotional adjustment, discipline consistency, bonding among step-siblings |
| Alternative Family | Includes LGBT parents, foster/adoptive parents, co-parenting, or single parenting | Legal support, societal acceptance, flexible caregiving roles |
| Extended Family | Family includes additional relatives such as grandparents, aunts, uncles | Shared responsibilities, resource management, multigenerational support |
| Nuclear Family | Two parents with biological or adopted children | Stable caregiving, financial planning, structured routine |
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).
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.
