Nokea
A 35-year-old from Russia comes to the United States seeking asylum because of religious persecution in the native country. Which of the following best describes this type of immigrant?
- A. Legal immigrant
- B. Lawful permanent resident
- C. Refugee
- D. Unauthorized immigrant
Correct Answer: C
Rationale: The correct answer is C: Refugee. A refugee is someone who has fled their home country due to well-founded fear of persecution based on race, religion, nationality, political opinion, or membership in a particular social group. In this case, the individual from Russia seeking asylum due to religious persecution fits the definition of a refugee. A legal immigrant is a broad term encompassing various types of individuals who have legally migrated to another country but does not specifically address the circumstances of persecution like in this scenario. Lawful permanent residents have been granted permission to live and work in the U.S. indefinitely, which is not the case for this individual seeking asylum. An unauthorized immigrant is someone who enters a country without legal permission, which is not applicable to someone seeking asylum through legal channels.
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Persons in an auditorium may have been exposed to a disease. If they are infected, it is crucial that they receive immediate treatment and not take the disease home to their families. Which of the following characteristics would be most important to consider when selecting the screening test to be used?
- A. The negative predictive value
- B. The positive predictive value
- C. The sensitivity of the test
- D. The specificity of the test
Correct Answer: C
Rationale: The correct answer is C: The sensitivity of the test. Sensitivity measures the ability of a test to correctly identify individuals who have the disease (true positives). In this scenario, selecting a screening test with high sensitivity is crucial to ensure that infected individuals are accurately identified and receive immediate treatment to prevent spreading the disease to their families.
A: The negative predictive value - This measures the probability that individuals with a negative test result truly do not have the disease and is not as important in this case where immediate treatment is vital.
B: The positive predictive value - This measures the probability that individuals with a positive test result truly have the disease and is not as critical as sensitivity in this context.
D: The specificity of the test - This measures the ability of a test to correctly identify individuals who do not have the disease (true negatives) and is not the most important consideration when the goal is to identify infected individuals for immediate treatment.
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.
A nurse supports the use of traditional home remedies in conjunction with Western medicine to promote healthy behaviors. Which of the following is being demonstrated by the nurse?
- A. Cultural accommodation
- B. Cultural awareness
- C. Cultural preservation
- D. Cultural repatterning
Correct Answer: A
Rationale: Correct Answer: A - Cultural accommodation
Rationale:
1. Cultural accommodation involves adapting healthcare practices to align with patients' cultural beliefs.
2. The nurse is respecting and incorporating traditional home remedies alongside Western medicine, demonstrating cultural accommodation.
3. This approach promotes patient trust, engagement, and improved health outcomes.
4. Cultural awareness (B) refers to understanding different cultures, while cultural preservation (C) involves maintaining cultural traditions. Cultural repatterning (D) refers to changing cultural behaviors, not accommodating them.
Which of the following actions best represents public health nursing?
- A. Assessing the effectiveness of the large high school health clinic
- B. Caring for clients in their home following their outpatient surgeries
- C. Providing care to children and their families at the school clinic
- D. Administering follow-up care for pediatric clients at an outpatient clinic
Correct Answer: A
Rationale: The correct answer is A because assessing the effectiveness of the large high school health clinic aligns with the core principles of public health nursing. This action involves evaluating the impact of healthcare services on a population, addressing public health needs, and promoting health at a community level. Option B focuses on individual client care post-surgery, which is more aligned with home health nursing. Option C involves providing care at a school clinic, which is more focused on primary care nursing. Option D involves administering follow-up care for pediatric clients at an outpatient clinic, which is more related to pediatric nursing. Therefore, option A is the best representation of public health nursing as it involves a broader perspective on population health and healthcare services.
Which action should the nurse take when teaching a client with a low health literacy level?
- A. Use the correct medical terminology.
- B. Speak in a loud voic
- D. Choose terms that the client uses.
Correct Answer: D
Rationale: The correct answer is D: Choose terms that the client uses. This is the most appropriate action when teaching a client with low health literacy because it helps ensure effective communication and understanding. By using language that the client is familiar with, the nurse can enhance comprehension and retention of important health information. Using medical terminology (A) may confuse the client further. Speaking loudly (B) is not necessary and can be perceived as disrespectful. Choices C, E, F, and G are not applicable in this context.