Question 1:

1. a) What was the most important learning from Douglas, et al Chapter 10 text (written material prior to Appendices)? Why? How will this new learning influence your APRN (or other graduate level prepared health professional) competency development today and in the future?
2. b) Answer and reflect upon all questions in Chapter 10 Appendix 1. What question evoked the most feelings, learning, insight, contemplation, or further reflection. Why? Discuss.
3. c) Answer and reflect upon all questions in Chapter 10 Appendix 2. What question evoked the most feelings, learning, insight, contemplation, or further reflection. Why? Discuss.
4. d) Answer and reflect upon all questions in Chapter 10 Appendix 3. What question evoked the most feelings, learning, insight, contemplation, or further reflection. Why? Discuss.
5. e) Reflect upon Dr. King’s “I Have a Dream” keynote address. Choose to answer one:

• Does it have relevance to issues discussed in Douglas, et al Chapter 10 (text and all appendices)? Discuss.

OR

• Is there one particular sentence in his speech that corresponds well to a section,

topic, or sentence in Chapter 10? Identify and Discuss.

Question 2

Compare and contrast Chapter 21 (McFarland & Wehbe-Alamah) with one of the listed journal articles. (Be sure to identify which article you select).

1. a) Identify and discuss at least 3 similarities
2. b) Identify and discuss at least 3 differences

c-1) Identify 2 NP or CNS competencies that have been further developed after reading Chapter 21 and your selected article. Discuss. (Students enrolled in the CSI CNS or NP program must choose C-1).

OR

c-2) Identify 2 Cultural Competence Guidelines (Douglas, et al, 2014) that have been further developed after reading Chapter 21 and your selected article. Discuss.

Question 3:

1. a) Select one of the following to discuss. (Be sure to begin your response by stating the choice you select).

• Health literacy and e-health literacy impact social determinants of health, health care disparities, health disparities, racism, and social justice
• Social determinants of health, health disparities, health care disparities, and racism impact health literacy and e-health literacy.

Provide examples from this week’s assigned readings and at least 2 of the listed articles to substantiate your response.

2. b) As an APRN (or other graduate-level prepared health care professional) in collaborative practice, how would you use concepts and information from one of this week’s journal articles to create a culturally congruent teaching plan? (Be sure to choose a different article for this question than what you selected for Question 2.) Discuss.

Question 4: Spend 15 minutes uninterrupted time to explore the website Https://library.csi.cuny.edu/racematters/ . (Do not use a phone or other small screen device). First, read the home page of Race Matters and Social Justice – “About this Guide”. Then explore the left sidebar tabs. Select one area of the website headings to click on and further explore. Complete the following sentence:

1. a) I explored _______________. The most valuable discovery relevant to this week’s readings and topics was_____________________ Elaborate and explain what and why in 3-8 sentences.
2. b) Right now, one way I can be a positive change agent is __________________________________. Elaborate and discuss in 3-8 sentences.

Certification Exam Prep – (Synthesized Learning Application)

For your discussion board post:

– Write the rationale for each why an answer is correct or incorrect beneath the response option. Begin your response with “this option is correct because…. Or this option is incorrect because…..”

– Discuss any feelings you experienced as you worked through the process of answering the question. (See sample list of feelings).

– Discuss any thoughts you had as you worked through the process of answering the question.

When caring for female patients of African-American (AA) heritage, the CNS and NP should be aware that:

1. a) AA women may have varying experiences of bias, discrimination, and access to quality health care that necessitate individualized appraisal for trust-building.
2. b) APRNs provide better quality, more individualized culturally congruent care for AA women therefore all admission histories and physicals should be assigned to APRNs.
3. c) negotiating and/or repatterning health behaviors, values, and practices is in conflict with self-determination theory, the US Constitution, and culture care theory.
4. d) pain assessment must be conducted in the same way as for white women to assure equality and prevent opioid dependency or overdose.