Nokea
A city council discusses how former city laws promoted segregation in the community years ago. Which of the following was being demonstrated when segregation occurred?
- A. Prejudice
- B. Cultural imposition
- C. Racism
- D. Stereotyping
Correct Answer: C
Rationale: The correct answer is C: Racism. When segregation occurred due to city laws, it was a demonstration of racism, which involves systemic discrimination and prejudice against individuals based on their race or ethnicity. Racism was institutionalized through these laws, leading to unequal treatment and opportunities for different racial groups. Prejudice (A) refers to preconceived opinions that are not necessarily institutionalized like racism. Cultural imposition (B) is the act of imposing one's cultural values on others and is not the primary factor in segregation. Stereotyping (D) involves generalizations about a group of people but does not necessarily lead to segregation on its own.
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A woman is sitting in a corner of the clinical waiting room, crying audibly. The nurse asks, "What's wrong? Can I help?" The woman responds, "They just told me I have a positive mammogram and I need to see my doctor for follow-up tests. I know I'm going to die of cancer. How can I tell my family?" Which of the following information does the nurse need to know in order to help the woman cope with this finding?
- 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 needs this information to help the woman cope because it indicates the probability that a negative mammogram truly indicates the absence of breast cancer. Knowing this value can provide reassurance to the woman that a positive mammogram doesn't definitively mean she has cancer. The other choices are incorrect because: B (Positive predictive value) focuses on the likelihood of cancer if the test is positive, which may increase the woman's anxiety. C (Reliability) refers to the consistency of results, but it doesn't directly address the woman's concerns about her health. D (Validity) assesses how well a test measures what it is supposed to measure, but it doesn't offer immediate reassurance to the woman in this emotional moment.
Which action by a nurse demonstrates conscious impermeability in the continuum of developing cultural humility?
- A. The nurse spontaneously operates from a place of cultural humility.
- B. The nurse is aware of social inequities but struggles to demonstrate cultural humility in practic
- D. The nurse performs a mindful act of learning how to become culturally humbl
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Spontaneously operating from a place of cultural humility indicates deep internalization and consistent practice.
2. This action shows a genuine understanding and respect for diverse cultures without conscious effort.
3. It signifies a high level of self-awareness and ongoing commitment to cultural competence.
4. Other choices lack the same level of fluidity and authenticity in embodying cultural humility.
5. Choice B suggests a struggle, choice D implies a deliberate effort, and choices C, E, F, and G are not specific or relevant to conscious impermeability.
A nurse is striving to be culturally competent. Which of the following actions would most likely be taken by the nurse?
- A. Respect individuals from different cultures and value diversity.
- B. Immerse himself or herself in different cultures.
- C. Design care for special ethnic groups.
- D. Give explicit instructions to avoid client decision making.
Correct Answer: A
Rationale: The correct answer is A: Respect individuals from different cultures and value diversity. This is because cultural competence involves understanding and respecting the beliefs, values, and practices of individuals from diverse backgrounds. By respecting individuals from different cultures and valuing diversity, the nurse can provide more culturally sensitive and effective care.
Choice B is incorrect because simply immersing oneself in different cultures does not guarantee cultural competence. Choice C is incorrect as designing care specifically for special ethnic groups may lead to stereotyping and overlooking individual differences within those groups. Choice D is incorrect as giving explicit instructions to avoid client decision making goes against the principles of autonomy and patient-centered care.
Statistics clearly demonstrate that there are significantly more cases of a disease in one particular
- A. A cultural or ethnic concentration in the neighborhood
- B. The geographical location of the neighborhood within the city
- C. A statistical fluke without meaning
- D. The time of year the different statistics were collected throughout the city
Correct Answer: A
Rationale: The correct answer is A: A cultural or ethnic concentration in the neighborhood. This is because cultural or ethnic factors can influence health behaviors, access to healthcare, genetic predispositions, and environmental exposures, all of which can impact disease prevalence. Geographical location (B) may play a role in some cases but is not as directly linked to disease patterns as cultural factors. Choice C suggests randomness, which is unlikely given the clear statistical demonstration mentioned in the question. The time of year (D) is not a significant factor unless it is directly related to cultural or ethnic practices affecting disease spread.
A nurse implements nursing interventions considering the uniqueness of the person's
- A. Which of the following best describes this action?
- B. Cultural diversity
- C. Cultural knowledge
- D. Cultural competence
Correct Answer: D
Rationale: The correct answer is D: Cultural competence. Cultural competence involves acknowledging and respecting the individual differences and uniqueness of each person. This includes understanding and integrating cultural beliefs, values, and practices into nursing care. By implementing nursing interventions considering the uniqueness of the person, the nurse demonstrates cultural competence by tailoring care to meet the specific needs of the individual.
Incorrect answers:
A: This choice does not specifically address the consideration of uniqueness in nursing interventions.
B: Cultural diversity refers to the variety of cultures present in a given environment but does not directly address tailoring care to individual uniqueness.
C: Cultural knowledge is important but does not fully encompass the holistic approach of considering the uniqueness of the person in nursing care.