TEACH FOR NURSES LESSON PLAN
Chapter 2: Cultural Assessment
CHAPTER OBJECTIVES
1. Describe the basic characteristics of culture and the steps to cultural competence.
2. Describe the concept of heritage consistency.
3. Explain the concept of ethnicity.
STUDENT RESOURCES
understand
• Textbook Chapter 2
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
2-2
apply
• Case Studies (Evolve)
synthesize
• SimChart*
• Simulation Learning System*
INSTRUCTOR RESOURCES
before class
• Nursing Curriculum Standards (below)
in class
• PowerPoint Presentations (Evolve)
after class
• Test Bank (Evolve)
• HESI Practice Tests*
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
DEMOGRAPHIC PROFILE
OF THE UNITED STATES
IMMIGRATION
In comparison with the
population of the United
States, show the
• Activity: Have the students take a walk through the health care facility, noting the different cultures
represented.
• Online Activity: Search for the statistics on the demographics in your area.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
their impact on the health
care field.
DETERMINANTS OF
HEALTH AND HEALTH
National Cultural and
Linguistic Standards
with and without
interpreters
Review Healthy People
2020 for the determinants
Recommend reading
material for health care
workers that explains what
diseases are more
frequent in certain
cultures and ethnic groups.
• Activity: Ask students to visit two different types of health care facilities and determine their policies
and procedures about serving culturally diverse populations.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
RELIGION AND
SPIRITUALITY
involvement in his or her
culture influences the
individual’s medical
treatment.
Discuss how certain
religious beliefs may
influence decisions about
medical care.
Explain to the students
that knowing,
understanding, and
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
and Folk Healers
immigrant to speak to the
order to begin life anew in
effect of a person’s
Find a documentary about
the yin–yang theory to
have the students watch in
class. Ask several Asian
students who are not
normally in the class to
attend this period, watch
the documentary with the
class, and respond to both
the documentary and class
sure several students are given the same problem. The problem can be psychological, emotional, or
• Online Activity: Investigate the website for the National Center for Complementary and Alternative
Medicine at www.nccam.nih.gov. Consider the information on clinical trials about alternative
therapies.
TRANSCULTURAL
EXPRESSION OF PAIN
Discuss your experience
with patients and the way
they express pain. Give an
example of a misdiagnosis
of pain because of an
unfamiliar pain expression.
• Activity: In the clinical area, have students complete a pain assessment of an assigned patient.
Include in the data collected the patient’s cultural group and its influence on health behavior and
perception of pain.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Give examples of home
remedies or alternative
remedies used in various
cultures.
BECOMING A CULTURALLY
COMPETENT
PRACTITIONER
Learning the various steps
and gaining cultural
experience help the
practitioner understand
• Activity: Have students look into their community for various community groups that serve as
resources for specific cultural groups. Invite representatives to share their organization’s goals with
the class.
CULTURAL ASSESSMENT
Spiritual Assessment
Review the questions
necessary to determine an
individual’s background.
Discuss what other
questions or concerns
might arise from the
answers obtained from the
• Activity: Ask students to use the Heritage Assessment tool in Figure 2.8 to interview a person on
campus who is from a different cultural group than they are. Have students report back to the class.
• Small Group Activity: Divide the class into small groups. Have each group develop questions that may
be used during a heritage assessment. Major topics that may be considered include the following:
o Self-reported race and ethnicity
o Religious beliefs and practices
o Roles in the family or significant others
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
o Beliefs and practices regarding health and illness
o Attitudes toward pain and the expression of pain
IN-CLASS/ONLINE CASE STUDY
The home care nurse is seeing a 68-year-old Vietnamese woman for an initial visit. The patient was discharged from the hospital with a diagnosis
of congestive heart failure (CHF). The home health nurse notices the patient’s blood pressure is elevated, and the patient has a productive
cough. The patient speaks very little English. However, the patient’s daughter is present and able to interpret. The nurse completes a full health
assessment, including a review of medications, and notes that the patient was prescribed a diuretic and a beta-blocker to regulate blood
1. Based on the information presented by the patient’s daughter, what is the most likely cause of the elevated blood pressure, edema, and
rhonchi?
2. What interventions should the nurse incorporate into the plan of care for this patient?
2-8
3. What steps does the nurse need to take to become culturally competent?
4. What interventions can the nurse include to provide care that reflects an acceptance of the patient’s health and illness beliefs and practices?
NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
• Patient-Centered Care/Human Flourishing
2-9
o Table 2.1 Dimensions of Acculturative Stress
o Transcultural Expressions of Pain
NURSING CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
A full Concept-Based Curriculum Map covering the entire book can be found in the “Download by Resource Type” folder on Evolve.
THEME: Personal Preferences
• Concept: Culture
BSN ESSENTIALS
• Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice
o Immigration
o Health-Related Beliefs and Practices
• Essential V: Healthcare Policy, Finance, and Regulatory Environments
2-10
o Immigration
• Essential VII: Clinical Prevention and Population Health
o Immigration
ANSWERS TO QUESTIONS IN THE STUDY GUIDE
Note: Answers to these questions can be found on Evolve site. Click here.