Diversity and Health Assessments NURS 6512

Diversity and Health Assessments NURS 6512


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.

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To prepare for Diversity and Health Assessments NURS 6512:

  • 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?


Post 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 Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!   

Read a selection of your colleagues’ responses.


Respond 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.


  • Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). St. Louis, MO: Elsevier Mosby.
    • Chapter 1, “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.

    • Chapter 2, “Evidenced-Based Clinical Practice Guidelines”
  • Centers for Disease Control and Prevention. (2020, October 21). Cultural competence in health and human servicesLinks to an external site.. Retrieved from https://npin.cdc.gov/pages/cultural-competence
    This 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 careLinks 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 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 diversityLinks to an external site.. Journal of Hospital Librarianship, 19(4), 330–338. https://doi.org/10.1080/15323269.2019.1661734
  • Young, S., & Guo, K. L. (2016). Cultural diversity trainingLinks to an external site.. The Health Care Manager, 35(2), 94–102. https://doi.org/10.1097/hcm.0000000000000100

Module 2 Introduction
Dr. Tara Harris reviews the overall expectations for Module 2. Consider how you will manage your time as you review your media and Learning Resources for your Discussion, Case Study Lab Assignment, and your DCE Assignment (3m).

TARA HARRIS: Hello. This is Dr. Harris. I’m your coordinator for
Advanced Health Assessment. Today we will discuss
Module 2, which includes both week 2 and 3. During these two weeks, we will
discuss functional assessments and assessment diagnostic tools. You have several required
readings and articles within this module. You also have a
required media video, which will assist
you in learning how to take a health history.

Your first Shadow
Health overview should be conducted
during this time. You will also be able to
complete the lab components within Shadow Health. During week 2, your
discussion board initial post is due by day 3, and your final
responses are due by day 6. You should also began working on
your overview of Shadow Health Clinical Experience. During week 3, you have
several assignments.

Assignment 1 is a
case study assignment that will be assigned
by your instructor. You will need to write
three to four pages within this assignment,
and this does not include your title and
your reference page. This assignment is due for
submission by day 6 of week 3.

Your assignment 2 during week
3 will be your first Shadow Health history assessment. Please review the guidelines
for this assignment. Please review your
grade and rubric. Please start reviewing
Shadow Health so that you are familiar
with what you need to do to pass the assignment. So during week 4, this is when
your health history is due. Please complete the orientation
and all the requirements for this assignment.

As mentioned earlier, please
review your grade and rubric. Remember, you must also
document within Shadow Health as part of your grade. We are requiring
that you document your information or
your provider note on a Word document
and submit that. Please also remember that
your digital clinical score that you submit via the lab
pass is not your final score. Your final grade
will be composed of two components, your
digital clinical score, as well as your documentation.

You must pass this
assignment with a total score of 80% or more in order
to pass this course. You will not be allowed any
more attempts after day 7. The late policy will apply
for any late submissions. Please reach out
to your instructor if you need any
clarity, concerns, or further discussion. Thank you.

Functional Assessments and Cultural and Diversity Awareness in Health Assessment – Week 2 (10m)

Hello, everyone, and welcome to Advance
Health Assessment. I’m Dr. LaChanda Brown, and I’m
one of the contributing faculty members in the course. For week two, we will focus
on functional assessments with cultural
diversity awareness. By the end of the
week, you should be able to analyze diversity
considerations in health assessments and apply concept
theories and principles as it relates to cultural diversity
in health assessment.

So what is diversity
in health care and why is it so important? As a health care
provider, we should be diverse, if not more
diverse than the patient’s base they are treating. This helps to ensure
that no matter what, no matter who
walks in that door, we can effectively
communicate with them and better serve their needs. We can do this be being
cultural sensitive. So what is cultural sensitivity
and why is it important?

Cultural sensitivity is
being aware that there are cultural differences and
similarities between people without assigning them a value. There’s no right or wrong,
there is no better or worse, and there is no
positive or negative. Again, this allows us to be able
to function in other cultures, being able to understand or try
to relate to being able to be that detective as previously
mentioned in week one to find the correct answers,
to try to solve their health problem, or help to
treat their problem.

Also being culturally diverse. Cultural diversity
is about appreciating that the individuals
and society are made up of different groups. That have different
interests, skills, talents. It also means that
being culturally diverse is being aware that there are
different religious beliefs other than yourself. You may not accept those. Different sexual orientations
other than yourself, but you respect that. You may not have the same
belief, but you respect that, and you are non-biased for us
with treatment of that patient.

So with that being said, there
is always some risk of problems if there is not
diversity in healthcare. And one of the issues is
communication breakdown. Oftentimes, we may
have individuals that may come into our practice
that may have a language barrier, a different philosophy,
or different cultural norms. Trying to be able
to communicate, to fully communicate the needs
or the issues of that patient is very important.

Also being aware
of sometimes people can have lack of
healthcare diversity, or you can have
limited perspectives. You may have never
been around someone that may speak a
different language or may have a different
sexual preference or a different religious belief. And again, being able
to be aware that even though this is something that
you’re not familiar with, being able to try and
come up with the best plan for that patient
and being non-biased.

By being culturally
sensitive, it provides patient-desired
care, provides empowerment of the patient. The patient is
aware that you are sensitive to their needs,
which gives them the ability to be able to
communicate and relate what is going on with them to
provide better health care. I’ve also attached a video,
Understanding Cultural Diversity in Healthcare–
the four C’s.

Please take a look
at this video. It has some very important
tips on how to understand cultural diversity. So again, for this
week’s assignment, you will have a case study. With that case
study, you’re going to reflect on your experience as
a nurse on the information that was provided in this
week’s learning resource on diversity in health issues.

Please be aware of the
socioeconomic, spiritual lifestyles and other cultural
factors that may be considered. Consider how you will
build a health history. Again, like we discussed
previously in week one, what other concepts
that you need to build a good health history? What type of questions
you would ask? Think about challenges, sparse
with communication, and ways that you can help to relieve
those communication barriers.

So again, I want
to still reiterate Shadow Health assignment. Shadow health– please
purchase as soon as possible. You do not have an
assignment due this week for Shadow Health,
but I would suggest to go ahead and practice
on Shadow Health. Please get familiar with
the areas in Shadow Health. If you haven’t purchased
it, like I said before, you can purchase it through
Walden bookstore only. You will receive an email– a confirmation
email with a code.

You do not need a PIN
number from your instructor for access in Shadow Health. There is also a
Shadow Health video. Just information about
Shadow Health and navigation. Also attached is the
Shadow Health IT. If you ever have any issues
with logging in or not being able to access
Shadow Health, you can click on this link
and it should connect you to Shadow Health. There’s a number as well as a
website to be able to contact. And then just tips for us
with Shadow Health success, starting on day one and getting
familiar with Shadow Health accessing it, and just
getting in the mode of Shadow Health practicing.

I cannot stress that enough. Practice, practice,
practice on Shadow Health. You must have at least
an 80% on Shadow Health, on all your Shadow
Health, which is a combination of your DCE score
as well as your documentation notes. And on those links, it will
tell you about how to document. You want to be aware of
the documentation that is essential. What is subjective
versus objective data? Subjective is what
the patient states, what is going on with them.

Objective data is what
you see or what you hear, your physical examination. So you want to
make sure that you know what is going
on with your patient as far as with Shadow
Health and as far as how to document
Shadow Health. Again, you must have
a 80% total combined score in Shadow Health, which is
a combination of your DC score list where’s your
documentation notes. And there is a link on
here that can tell you how to document in your
notes in Shadow Health. Again, you will start working
in Shadow Health in week three.

Your first assignment is
not due until week four for Shadow Health, Tina Jones. But, like I stated
previously, get started with Shadow Health
as soon as possible. Do not wait till
the last minute. You can practice in Shadow
Health as many times as you like on up
until day seven. After day seven, you will
not be able to access and it would be counted off as
late, unless you have an excuse and you previously discussed
it with your instructor. But please get started on
Shadow Health and get familiar. Watch the video, be aware
of the IT, successful tips, and documentation tutorial. Thank you.

  • Walden University. (n.d.). Instructor feedbackLinks to an external site.. https://cdn-media.waldenu.edu/2dett4d/Walden/WWOW/1001/pulse_check/instructor_feedback/index.html#/

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