As a community health nurse, LW is responsible for promoting health, preventing diseases, and providing medical treatment and rehabilitation. LW practices in an urban community where individuals have different values and beliefs. Thus, she must show cultural sensitivity and respect when delivering care to build trust. Kaihlanen et al. (2019) mentioned that nurses must appropriately respond to attitudes or feelings of a group of individuals sharing similar cultural and religious values and beliefs.
Emerging Populations in the United States and their Cultural Characteristics that Might Interfere with their Healthcare
            Emerging populations in the United States include African Americans and Asian Americans. Cultural characteristics specific to African Americans include beliefs that religion is a powerful force and preserved ethnic identity. Shepherd et al. (2018) mentioned that African Americans generally mistrust Caucasians and believe they are undervalued and not respected. African Americans may not recognize medical care because they believe that religion is a powerful force and that prayer is crucial for preventing diseases and healing the sick. Therefore, since African Americans do not trust Caucasians, they do not trust western medicine and treatment procedures. They also feel that they are undervalued and disrespected in the community. Consequently, they believe healthcare providers, including community health nurses, do not value and respect them. It means the community health nurse must understand the cultural characteristics of their patients to build trust. Religious beliefs are the foundation of cultural characteristics of Asian Americans. They believe that prayers are fundamental to preventing diseases and religious spirits help people stay healthy.
 
Roles and Responsibilities of the Nurse
            Community health nurses deliver care at individual, family, and community levels. They enable learning in the community to promote positive health behaviors. Community health nurses play a crucial role in effective healthy lifestyle behaviors in the community to facilitate health promotion and preventative care (Nissanholtz-Gannot et al., 2017). They advocate for the marginalized groups in the community by addressing issues affecting their health care, such as health disparities. They manage healthcare services at the community level by overseeing populations’ health needs and conducting community health needs.
Challenges that One Can Anticipate when Fulfilling Various Roles as a Nurse Practitioner
            Challenges that one can anticipate as a community health nurse practitioner include, , limited trust from patients since they often preferred to be attended by medical doctors. Therefore, it is imperative to be confident and demonstrate that nurse practitioners have the ability to diagnose and treat patient as well. Moreover, community nurse practitioners interact with individuals with different cultural values and belief




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