A nurse reports that in comparison to all the children in a particular school, the children who are members of the Cub Scouts have 0.3 risk for obesity before entering the sixth grade. Which of the following recommendations would the nurse make to the new parents of two boys who had just moved into this school's neighborhood?
- A. Discourage the parents from enrolling their sons in Cub Scouts because of the risk.
- B. Don't say anything about Cub Scouts, because it isn't relevant to nursing care.
- C. Encourage the parents to enroll their sons in Cub Scouts.
- D. Share the finding and let the parents draw whatever conclusions they feel appropriate.
Correct Answer: A
Rationale: The correct answer is A: Discourage the parents from enrolling their sons in Cub Scouts because of the risk. This recommendation is based on the nurse's report that children who are members of the Cub Scouts have a higher risk (0.3) for obesity compared to all children in the school. By discouraging enrollment, the nurse is aiming to potentially reduce the boys' risk for obesity. Other choices are incorrect because: B is irrelevant as the nurse has specific information about Cub Scouts and obesity risk. C is incorrect as it goes against the reported risk. D is not the best option as the nurse should provide guidance based on the information available rather than leaving it up to the parents to interpret.
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What action can a nurse take to reduce biases in nurse-client interactions?
- A. Providing care based on past encounters with individuals of the same background
- B. Explaining the nurse's values and beliefs to the client
- C. Reflecting on how their background influences their perception of others
- D. Limiting interactions with individuals from certain social identity groups
Correct Answer: C
Rationale: The correct answer is C because reflecting on how their background influences their perception of others helps nurses become aware of their biases and work towards reducing them. This self-awareness enables nurses to provide unbiased care and build better relationships with clients. Choice A is incorrect as it promotes stereotyping based on past encounters. Choice B is not effective as imposing the nurse's values may not align with the client's beliefs. Choice D is discriminatory and limits the nurse's ability to provide holistic care.
A nurse, concerned that unconscious bias might hinder their cultural humility in providing care to clients with backgrounds different from their own, completes the Social Identity Wheel. Which statement describes the nurse's purpose for using this assessment tool?
- A. To learn about the client's cultural identity
- B. To learn to ignore biases and focus on client care
- C. To assess how the nurse's identity influences client care
- D. To confirm that the nurse is culturally sensitive
Correct Answer: C
Rationale: The correct answer is C: To assess how the nurse's identity influences client care. The purpose of the Social Identity Wheel is for the nurse to reflect on their own identity factors (e.g., race, gender, religion) and how these aspects may impact their interactions and care delivery to clients. This self-awareness helps the nurse recognize and address any biases or assumptions that may affect their ability to provide culturally competent care.
A: To learn about the client's cultural identity - This choice focuses on the client's identity, not the nurse's, so it is not the purpose of using the Social Identity Wheel.
B: To learn to ignore biases and focus on client care - Ignoring biases is not the goal; instead, the goal is to acknowledge and address biases to improve client care.
D: To confirm that the nurse is culturally sensitive - The goal is not confirmation but self-assessment and reflection on how one's identity may impact client care.
A nurse has only a regular blood pressure cuff when conducting a health screening for all of the
- A. Reliability
- B. Sensitivity
- C. Specificity
- D. Validity
Correct Answer: C
Rationale: The correct answer is C: Specificity. Specificity refers to the ability of a test to correctly identify those without a certain condition as negative. In this scenario, using a regular blood pressure cuff may not be specific enough to accurately identify individuals who do not have high blood pressure. The cuff may give false positive results, leading to unnecessary concern or further testing. The other choices are incorrect because: A - Reliability refers to the consistency of results, not the accuracy of identifying those without a condition. B - Sensitivity is the ability to correctly identify those with a certain condition as positive, not those without it. D - Validity is the overall accuracy of a test, which includes both sensitivity and specificity, but in this case, specificity is more relevant.
Two women seem to agree on almost everything from favorite music to favorite media stars to the best way to prepare a meal. Which of the following best explains this similarity in the two women?
- A. They are both members of the same birth cohort.
- B. They are close friends.
- C. They attended the same school.
- D. They both go the same church.
Correct Answer: A
Rationale: The correct answer is A: They are both members of the same birth cohort. This is correct because individuals who belong to the same birth cohort are likely to share similar values, attitudes, and preferences due to experiencing similar societal events and influences during their formative years. This shared background can lead to similarities in tastes and opinions, such as favorite music and media stars.
Choice B: They are close friends, does not adequately explain the similarity as close friends may have different preferences. Choice C: They attended the same school, is not a strong enough factor to explain the wide range of similarities mentioned. Choice D: They both go to the same church, does not necessarily imply shared preferences in music or media.
The Refugee Act of 1980 had what effect on refugees who were immigrating into the United States?
- A. Allowed specific provisions for refugees from Southern and Eastern Europ
- C. C M U S N T O
- D. Provided a uniform procedure for refugees to be admitted into the United States.
Correct Answer: D
Rationale: The Refugee Act of 1980 established a uniform procedure for admitting refugees into the US. This means that it created a standardized process for evaluating refugee applications and determining eligibility, ensuring fairness and consistency. This is crucial in managing the influx of refugees and providing them with necessary support. The other choices are incorrect because A is not accurate as the Act applied to refugees from all regions, not just Southern and Eastern Europe. Choices B, C, E, F, and G are not valid options and do not relate to the impact of the Refugee Act of 1980 on refugees immigrating to the US.