Nokea
According to Campinha-Bacote's "Process of Cultural Competemility in the Delivery of Healthcare Services" model, which question by a nurse represents the "E" in the mnemonic "A-S-K-E-D" for self-examination?
- A. "Am I aware of my prejudices and biases and the presence of racism and other ‘isms'?"
- B. "Do I know how to conduct a culturally specific history, physical, mental health, medication, and spiritual assessment in a culturally sensitive manner?"
- C. "Do I have knowledge regarding different cultures' worldviews, the field of biocultural ecology, and the importance of addressing social determinants of health?"
- D. "Do I have sacred and unremitting encounters with people from cultures different from mine, and am I committed to resolving cross-cultural conflicts?"
Correct Answer: A
Rationale: The correct answer is A because it aligns with the "E" component in Campinha-Bacote's model, which stands for "Examination of your own cultural beliefs and attitudes towards health care practices." This question prompts self-reflection on prejudices, biases, and racism, crucial for providing culturally competent care. Option B focuses on assessment skills, not self-examination. Option C emphasizes knowledge, not self-awareness. Option D pertains to resolving conflicts, not self-examination. Thus, A is the correct choice for reflecting on personal biases and attitudes.
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The nurse labels a patient an alcoholic because of his or her ethnicity. Which of the following best describes this action by the nurse?
- A. Stereotyping
- B. Prejudice
- C. Racism
- D. Ethnocentrism
Correct Answer: A
Rationale: The correct answer is A: Stereotyping. Stereotyping is the act of categorizing individuals based on certain characteristics or traits, such as ethnicity, without considering individual differences. In this case, the nurse is assuming the patient is an alcoholic solely based on their ethnicity, which is a form of stereotyping. Prejudice (B) involves holding negative attitudes or beliefs about a particular group, which is not explicitly stated in the scenario. Racism (C) involves discrimination or prejudice based on race, not necessarily ethnicity. Ethnocentrism (D) is the belief in the superiority of one's own ethnic group, which is not directly applicable in this situation.
A registered nurse was just employed as a public health nurse. Which question would be the most
- A. Which groups are at the greatest risk for problems?
- B. Which patients should I see first as I begin my day?
- C. With which physicians will I be most closely collaborating?
- D. With which nursing assistants will I partner the most?
Correct Answer: A
Rationale: The correct answer is A: "Which groups are at the greatest risk for problems?" as it aligns with the primary focus of public health nursing, which is to prevent and address health issues within communities. By identifying high-risk groups, the nurse can prioritize interventions and allocate resources effectively.
Choice B is incorrect because public health nursing typically involves a population-based approach rather than individual patient care. Choice C is incorrect as it pertains more to hospital settings rather than public health. Choice D is incorrect as public health nurses typically work independently or with a team of public health professionals rather than nursing assistants.
A nurse is developing a plan to decrease the number of premature deaths in the community. Which of
- A. Increase the communitys knowledge about hospice care.
- B. Promote healthy lifestyle behavior choices among the community members.
- C. Encourage employers to have wellness centers at each industrial site.
- D. Ensure timely and effective medical intervention and treatment for community members. - CORRECT
Correct Answer: A
Rationale: I'm sorry, but there seems to be a mistake in the question as the correct answer is not A. The most appropriate choice for decreasing premature deaths in the community is B: Promote healthy lifestyle behavior choices among the community members. This is because healthy lifestyle behaviors such as regular exercise, balanced diet, avoiding smoking, and limiting alcohol intake are proven to reduce the risk of chronic diseases that can lead to premature death. Option A, increasing knowledge about hospice care, is not directly related to preventing premature deaths but rather focuses on end-of-life care. Choices C and D are also important but do not address the root causes of premature deaths.
A nurse is administering a tuberculosis skin test to a client who has AIDS. Which of the following results should the nurse anticipate when using this screening test?
- A. Decreased positive predictive value
- B. Decreased reliability
- C. Decreased sensitivity
- D. Decreased specificity
Correct Answer: C
Rationale: The correct answer is C: Decreased sensitivity. In clients with AIDS, the immune system is compromised, leading to a decreased ability to mount a response to antigens, such as the one in the tuberculosis skin test. This results in a higher likelihood of false-negative results, as the client may have tuberculosis but not have a strong enough immune response to produce a positive result. Therefore, the nurse should anticipate a decreased sensitivity in this population.
A: Decreased positive predictive value is not directly impacted by the client's immune status but rather by the prevalence of the disease in the population.
B: Decreased reliability is a vague term and not specific to the immune status of the client.
D: Decreased specificity is not typically affected by the client's immune status but rather by the test's ability to correctly identify those without the disease.
Which action by a health care organization is an example of a leadership commitment to cultural competence?
- A. Developing a policy for use of trained interpreters
- B. Enhancing client satisfaction
- C. Improving health care outcomes
- D. Increasing health care access to all individuals
Correct Answer: A
Rationale: The correct answer is A: Developing a policy for use of trained interpreters. This demonstrates leadership commitment to cultural competence by ensuring effective communication with patients of diverse backgrounds, promoting inclusivity, and respecting linguistic diversity. Providing trained interpreters helps overcome language barriers, enhances patient-provider communication, and fosters trust. Choices B, C, and D are important goals in healthcare, but they do not directly address the need for cultural competence through language access. Enhancing client satisfaction, improving health outcomes, and increasing access to healthcare are valuable outcomes but do not necessarily indicate a specific commitment to cultural competence.