NR 222 Week 3 Questions

Grace J.
August 6, 2025August 6, 2025
CU BSN, NR-222

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 action reflects culturally incongruent care because it fails to consider Carla’s cultural norms, which may value the presence of extended family as an essential part of the healing process. A culturally sensitive approach would balance Carla’s rest needs with respect for her cultural expectations of familial support (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 reflects a cultural belief common in some Hispanic communities that postpartum women must protect their bodies from “bad air” entering, especially through the uterus. The use of an abdominal binder aligns with this traditional postpartum practice (Leininger & McFarland, 2006).

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

Correct answers: A, B, C, D

All of these options are relevant:

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?

A cultural assessment must address patients’ beliefs, expectations, values, and involvement preferences to guide culturally appropriate nursing care (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 likely discovered that Ms. Jackson experiences significant barriers related to social determinants of health, such as:

Housing Instability: Homelessness or living temporarily with others.
Unemployment: Inability to secure full-time work.
Lack of Health Insurance: Inability to afford prescribed medications.
Food Insecurity: Limited access to healthy food options.
Limited Health Literacy: Repeated ED visits despite claimed understanding of diabetes management.

These factors compound Ms. Jackson’s difficulty managing her diabetes effectively (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.

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 conversation helps build trust and provides emotional and practical support (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 such as assuming Ms. Jackson is noncompliant or careless could hinder empathetic and effective care. These assumptions may stem from repeated ED visits or perceived lifestyle choices. Developing self-awareness allows the nurse to recognize personal biases and make a conscious effort to treat each patient with dignity and individualized care, thus improving care quality (Boyle, 2021).

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

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 patient populations
Participate in professional forums or online communities that explore cultural care

Chapter 10: Caring for Families

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

Correct answer: D. Alternative family

This scenario exemplifies an alternative family structure, where grandparents are raising grandchildren due to the incarceration of the parents.

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

Correct answer: A. Economic stability

Economic stability is a significant factor, especially when one partner is chronically ill, and the other is unemployed but raising young children. Income and benefits (e.g., Social Security) determine access to care and resources.

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

The correct term is: Sandwiched caregiver

This term refers to individuals caring simultaneously for aging parents and children or grandchildren, often leading to emotional and physical strain (National Alliance for Caregiving, 2020).

Additional Questions

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

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 issues due to cultural adjustment, low rates of obesity and hypertension

Question 6: Describe family types and their compositions and needs

NR 222 Week 3 Questions

Family Type	Description	Unique Needs
Blended Family	A family unit where one or both parents have children from previous relationships	Emotional adjustment, cohesion, consistent discipline, and bonding among step-siblings
Alternative Family	Includes LGBT parents, foster/adoptive parents, co-parenting, or single parenting by choice	Legal support, societal acceptance, flexible caregiving roles
Extended Family	Comprises additional relatives like grandparents, aunts, uncles living with or supporting the nuclear unit	Shared responsibilities, multigenerational support, resource management
Nuclear Family	Traditional unit with two parents and their biological/adopted children	Stable caregiving, financial planning, routine-based lifestyle

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).

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