A community health nurse has taken the Promoting Cultural and Linguistic Competency Self- Assessment Checklist for Personnel Providing Primary Health Care Services and is reviewing the results. Which action describes how the results of this self-assessment checklist should be utilized?
- A. To identify areas for self-improvement
- B. To determine readiness for job advancement
- C. To rate job performance
- D. To discipline an employee
Correct Answer: A
Rationale: The correct answer is A: To identify areas for self-improvement. The self-assessment checklist is designed to help individuals reflect on their cultural and linguistic competency in providing healthcare services. By reviewing the results, the nurse can identify strengths and areas needing improvement in their practice. This allows for targeted professional development and training to enhance their skills and better meet the needs of diverse patient populations. Choices B, C, and D are incorrect because the checklist is not meant for determining job advancement readiness, rating job performance, or disciplining employees. It is primarily a tool for self-reflection and continuous learning.
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A visitor from Japan comes to the United States for a 2-week vacation. Which of the following best describes this person?
- A. Non-immigrant
- B. Refugee
- C. Legal immigrant
- D. Lawful permanent resident
Correct Answer: A
Rationale: The correct answer is A: Non-immigrant. This person is visiting the US temporarily for vacation, making them a non-immigrant. Non-immigrants are individuals who enter a country for a specific purpose and period, such as tourism. Choice B, refugee, refers to someone fleeing persecution, not a visitor. Choice C, legal immigrant, implies permanent residency, which is not the case for a visitor. Choice D, lawful permanent resident, indicates someone with permanent residency status, not a visitor. Choices E, F, and G are not applicable in this context.
A teacher recommends that surveys to obtain data on drug use be given to high school students
- A. Americans are fearful of terrorists using biological agents.
- B. Awareness of human susceptibility to animal diseases has been publicized.
- C. Drug-resistant strains of old diseases have evolved.
- D. Media coverage exaggerates the dangers of exposure to crowds.
Correct Answer: A
Rationale: The correct answer is A because the teacher's recommendation for surveys on drug use is likely related to concerns about potential drug abuse among high school students. This choice directly addresses the context of the question by highlighting the relevance of gathering data on drug use. Choices B, C, and D are unrelated to the topic of drug use among high school students, making them incorrect. Therefore, the correct answer is A as it aligns with the context and purpose of the teacher's recommendation.
Making sure that essential community-oriented health services are available defines which of the
- A. Policy development
- B. Assessment
- C. Assurance
- D. Scientific knowledge-based care
Correct Answer: A
Rationale: The correct answer is A: Policy development. Policy development involves creating guidelines and regulations to ensure essential community-oriented health services are available. This process outlines the necessary services and standards to meet community health needs. Assessment (B) involves collecting data to understand health issues, but doesn't ensure service availability. Assurance (C) focuses on enforcing policies and ensuring services are provided. Scientific knowledge-based care (D) pertains to evidence-based treatment, not service availability. Therefore, policy development is the most appropriate choice to define ensuring essential health services are available in the community.
A nurse is using analytic epidemiology when conducting a research project. Which of the following projects is the nurse most likely completing?
- A. Reviewing communicable disease statistics
- B. Determining factors contributing to childhood obesity
- C. Analyzing locations where family violence is increasing
- D. Documenting population characteristics for healthy older citizens
Correct Answer: B
Rationale: The correct answer is B: Determining factors contributing to childhood obesity. Analytic epidemiology involves investigating the causes of health outcomes in a population. In this case, studying factors contributing to childhood obesity falls under analytic epidemiology as it aims to identify the determinants of a specific health issue. Reviewing communicable disease statistics (A) is descriptive epidemiology, analyzing locations of family violence (C) is also descriptive, and documenting population characteristics for healthy older citizens (D) is more related to preventive medicine rather than analytic epidemiology.
What action by a nurse demonstrates cultural humility in client-centered care?
- A. Using complex medical terminology to show expertise
- B. Assuming that the nurse's cultural practices are universally applicable
- C. Adapting care practices to align with the client's cultural preferences
- D. Disregarding the client's input and family's opinions in decision making
Correct Answer: C
Rationale: The correct answer is C because cultural humility in client-centered care involves acknowledging and respecting the client's cultural background and preferences. By adapting care practices to align with the client's cultural preferences, the nurse demonstrates an understanding and appreciation for the client's unique needs and values. This approach fosters trust, communication, and promotes better health outcomes.
Incorrect choices:
A: Using complex medical terminology may alienate the client and hinder effective communication.
B: Assuming universality of cultural practices can lead to misunderstandings and may not meet the client's individual needs.
D: Disregarding client and family input goes against client-centered care principles and can result in suboptimal outcomes.