course material

1. May 2012, Alice Randall wrote an article for The New
May 2012, Alice Randall wrote an article for The New York Times on the cultural factors
that encouraged black women to maintain a weight above what is considered healthy.
Randall explained—from her observations and her personal experience as a black woman—
that many African-American communities and cultures consider women who are
overweight to be more beautiful and desirable than women at a healthier weight. As she put
it, “Many black women are fat because we want to be” (Randall, 2012).Randall’s statements
sparked a great deal of controversy and debate; however, they emphasize an underlying
reality in the healthcare field: different populations, cultures, and groups have diverse
beliefs and practices that impact their health. Nurses and healthcare professionals should
be aware of this reality and adapt their health assessment techniques and recommendations
to accommodate diversity.In this Discussion, you will consider different socioeconomic,
spiritual, lifestyle, and other cultural factors that should be taken into considerations when
building a health history for patients with diverse backgrounds. Your Instructor will assign
a case study to you for this Discussion.RESOURCESBe sure to review the Learning
Resources before completing this activity.Click the weekly resources link to access the
resources. WEEKLY RESOURCES Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart,
R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th
ed.). St. Louis, MO: Elsevier Mosby.Chapter 2, “Cultural Competency”This chapter highlights
the importance of cultural awareness when conducting health assessments. The authors
explore the impact of culture on health beliefs and practices.Dains, J. E., Baumann, L. C., &
Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th
ed.). St. Louis, MO: Elsevier Mosby.Credit Line: Advanced Health Assessment and Clinical
Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright
2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance
Center.Centers for Disease Control and Prevention. (2020, October 21). Cultural
competence in health and human services Links to an external site.. Retrieved from
https://npin.cdc.gov/pages/cultural-competenceThis website discusses cultural
competence as defined by the Centers for Disease Control and Prevention (CDC).
Understanding the difference between cultural competence, awareness, and sensitivity can
be obtained on this website.United States Department of Human & Health Services. Office of
Minority Health. (n.d.). A physician’s practical guide to culturally competent care Links to an
external site.. Retrieved June 10, 2019, from https://cccm.thinkculturalhealth.hhs.gov/From
the Office of Minority Health, this website offers CME and CEU credit and equips healthcare

2. professionals with awareness, knowledge, and skills to better treat the increasingly diverse
U.S. population they serve.Coleman, D. E. (2019). Evidence based nursing practice: The
challenges of health care and cultural diversity Links to an external site.. Journal of Hospital
Librarianship, 19(4), 330–338. https://doi.org/10.1080/15323269.2019.1661734Young,
S., & Guo, K. L. (2016). Cultural diversity training Links to an external site.. The Health Care
Manager, 35(2), 94–102. https://doi.org/10.1097/hcm.0000000000000100To
prepare:Reflect on your experiences as a nurse and on the information provided in this
week’s Learning Resources on diversity issues in health assessments.By Day 1 of this week,
you will be assigned a case study by your Instructor. Note: Please see the “Course
Announcements” section of the classroom for your case study assignment.Reflect on the
specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of
the patient assigned to you.Consider how you would build a health history for the patient.
What questions would you ask, and how would you frame them to be sensitive to the
patient’s background, lifestyle, and culture? Develop five targeted questions you would ask
the patient to build his or her health history and to assess his or her health risks.Think
about the challenges associated with communicating with patients from a variety of specific
populations. What strategies can you as a nurse employ to be sensitive to different cultural
factors while gathering the pertinent information?BY DAY 3 OF WEEK 2Post an explanation
of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with
the patient you were assigned. Explain the issues that you would need to be sensitive to
when interacting with the patient, and why. Provide at least five targeted questions you
would ask the patient to build his or her health history and to assess his or her health
risks.Note: For this Discussion, you are required to complete your initial post before you
will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post
to Discussion Question” link, and then select “Create Thread” to complete your initial post.
Remember, once you click on Submit, you cannot delete or edit your own posts, and you
cannot post anonymously. Please check your post carefully before clicking on Submit!Read a
selection of your colleagues’ responses.BY DAY 6 OF WEEK 2Respond on or before Day 6 on
2 different days to at least two of your colleagues who were assigned a different patient
than you. Critique your colleague’s targeted questions, and explain how the patient might
interpret these questions. Explain whether any of the questions would apply to your
patient, and why.