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When talking to a womens group at the senior citizens center, the nurse reminded them that the
- A. Ensure that the women did not expect the nurse to solve their problem
- B. Demonstrate that the nurse understood the womens concerns and needs
- C. Express empathy, support, and concern
- D. Help the women engage in political action
Correct Answer: A
Rationale: The correct answer is A because the nurse is setting appropriate boundaries by reminding the women not to expect her to solve their problems. This empowers the women to take control of their own situations and seek appropriate resources. Option B is incorrect as it focuses on the nurse's understanding rather than empowering the women. Option C is incorrect because while empathy is important, it does not address the issue of setting boundaries. Option D is incorrect as it introduces a new concept of political action which is not relevant to the situation.
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Which of the following best defines aggregate?
- A. A large group of persons
- B. A collection of individuals and families
- C. A group of persons who share one or more characteristics
- D. Another name for demographic group
Correct Answer: C
Rationale: The correct answer is C because aggregate refers to a group of persons who share one or more characteristics. This definition specifically highlights the commonality among individuals within the group. Choice A is too vague as it does not specify the shared characteristics. Choice B is similar but lacks the emphasis on shared characteristics. Choice D is incorrect as aggregate does not necessarily equate to a demographic group. Choices E, F, and G are not applicable. In summary, choice C is the best definition as it precisely captures the essence of an aggregate group.
Which is the best action for the nurse to take when communicating with a client who speaks a language the nurse does not understand?
- A. Arrange for a medical interpreter.
- B. Ask a family member to translat
- D. Ask a clerical staff member who speaks the language to translat
Correct Answer: A
Rationale: The correct answer is A: Arrange for a medical interpreter. This is the best action because using a professional interpreter ensures accurate communication, maintains confidentiality, and avoids misunderstandings. Family members or clerical staff may not have the necessary medical terminology skills or impartiality. It is essential to prioritize effective communication for safe and quality care.
The nurse often has to make resource allocation decisions. Which of the following best describes the
- A. The specific moral or ethical principle related to the situation
- B. The cheapest, most economical approach
- C. The most rational probable outcome
- D. The needs of the aggregate rather than a few individuals
Correct Answer: A
Rationale: The correct answer is A: The specific moral or ethical principle related to the situation. In resource allocation decisions, nurses must consider ethical principles such as beneficence, justice, autonomy, and nonmaleficence. By applying these principles, nurses can ensure fair and ethical distribution of resources. Choice B (The cheapest, most economical approach) may not always align with ethical principles and could compromise quality of care. Choice C (The most rational probable outcome) may not necessarily consider ethical implications. Choice D (The needs of the aggregate rather than a few individuals) could lead to neglecting individual patient needs.
A woman is sitting in a corner of the clinical waiting room, crying audibly. The nurse asks, Whats
- A. The negative predictive value of mammography
- B. The positive predictive value of mammography
- C. The reliability of mammography
- D. The validity of mammography
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value of mammography. The nurse's question is related to predicting the likelihood of a negative outcome, which aligns with the concept of negative predictive value in the context of mammography. Negative predictive value assesses the probability that a negative test result is truly negative. The nurse's question does not pertain to positive predictive value (B), reliability (C), or validity (D) of mammography. These options are not relevant to the situation described and do not address the nurse's inquiry. Therefore, A is the correct choice as it directly corresponds to the nurse's query about the likelihood of a negative outcome in the given scenario.
Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
- A. Utilizing a standardized plan of care
- B. Developing the plan of care with the client
- C. Using a plan of care developed for a specific cultural group
- D. Collaborating with other nurses to develop the plan of care
Correct Answer: B
Rationale: The correct answer is B: Developing the plan of care with the client. This aligns with the ACCESS model of transcultural care, which emphasizes collaboration between the healthcare provider and the client to develop a culturally sensitive and individualized plan of care. This approach recognizes the client as an active participant in their healthcare, promotes cultural competence, and ensures that the care provided is respectful of the client's beliefs and values.
Choice A is incorrect because utilizing a standardized plan of care may not take into account the client's unique cultural background. Choice C is incorrect as using a plan developed for a specific cultural group may not be applicable or relevant to the individual client. Choice D is incorrect as collaborating with other nurses, while important, does not specifically address the client's input in the care plan.