Nokea
A community health nurse (CHN) states, "The best way to treat clients from other countries is to care for them the same way we would want to be cared for ourselves. After all, we are all human beings with the same expectations and needs." What response does this statement exemplify?
- A. Cultural awareness
- B. Cultural blindness
- C. Cultural knowledge
- D. Cultural preservation
Correct Answer: B
Rationale: The correct answer is B: Cultural blindness. This statement exemplifies cultural blindness because it ignores the importance of cultural differences and assumes that everyone has the same expectations and needs. Cultural awareness (A) involves recognizing and respecting cultural differences. Cultural knowledge (C) involves understanding different cultures. Cultural preservation (D) involves protecting and maintaining cultural traditions. In this case, the statement demonstrates a lack of awareness and sensitivity to cultural diversity, making it an example of cultural blindness.
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What is the primary role of the forensic nurse in Canada?
- A. Health promoter
- B. Disaster planner
- C. Sexual assault nurse examiner (SANE)
- D. Outreach worker
Correct Answer: C
Rationale: The correct answer is C: Sexual assault nurse examiner (SANE). In Canada, forensic nurses specialize in providing care to victims of sexual assault and collecting evidence for legal proceedings. They play a crucial role in ensuring proper documentation and preservation of evidence, providing support to victims, and collaborating with law enforcement. Choice A is incorrect as the primary role of a forensic nurse is not solely focused on health promotion. Choice B is incorrect as disaster planning is not the primary function of a forensic nurse. Choice D is incorrect as outreach work is not the main responsibility of a forensic nurse in Canada.
A committee of health care professionals would like to establish a district-wide program to improve access to culturally competent health care services for Vietnamese immigrants. Who would be the best person to select as a key informant about this community's needs?
- A. The hospital administrator
- B. A Vietnamese community leader
- C. A national expert on cultural competency
- D. A provincial/territorial or municipal government official
Correct Answer: B
Rationale: The correct answer is B: A Vietnamese community leader. This individual is the best choice as a key informant because they have firsthand knowledge and understanding of the needs, preferences, and challenges faced by Vietnamese immigrants in the district. They can provide valuable insights into the cultural nuances, barriers to accessing health care services, and specific needs of the community. The hospital administrator may have general knowledge but lacks specific insights into the Vietnamese immigrant community. The national expert on cultural competency may have theoretical knowledge but may not understand the local context. The government official may have a broader perspective but lacks the community-specific knowledge necessary for this program.
What outcome needs to occur in order to claim that advocacy has been truly successful or effective?
- A. Audiences agree with a CHN who is advocating a change.
- B. Legislators discuss appropriate legislation to better allocate resources.
- C. People demand that the disenfranchised be better treated.
- D. Systematic social changes are made to improve quality of life.
Correct Answer: D
Rationale: The correct answer is D because advocacy is truly successful when systematic social changes are made to improve quality of life. This is because advocacy aims to address underlying structural issues and create sustainable, long-term improvements. Choices A, B, and C focus on initial responses or actions, but they do not necessarily lead to lasting impact or systemic change. Audiences agreeing with the CHN, legislators discussing legislation, and people demanding better treatment are important steps in advocacy, but the ultimate goal should be to bring about tangible changes at the systemic level to achieve lasting improvements in quality of life for the community.
Which public health service best represents primary prevention?
- A. Administering the influenza vaccine to a group of seniors
- B. Initiating an infant car seat safety screening program for parents in low-income housing
- C. Starting a rehabilitation clinic for middle-aged adults who reside in low-income housing
- D. Setting up a blood pressure screening clinic at the local mall
Correct Answer: B
Rationale: The correct answer is B because initiating an infant car seat safety screening program for parents in low-income housing best represents primary prevention. Primary prevention aims to prevent the occurrence of a disease or injury before it occurs. In this case, educating parents on proper car seat safety practices helps prevent injuries to infants in the first place. Administering the influenza vaccine (A) is an example of secondary prevention as it aims to detect and treat existing conditions. Starting a rehabilitation clinic (C) and setting up a blood pressure screening clinic (D) are also examples of secondary prevention as they focus on managing existing health conditions rather than preventing them.
A community health nurse (CHN) is demonstrating the use of a peak flow meter to help children with chronic asthma recognize when they need to use a rescue inhaler. What is the level of prevention represented by this activity?
- A. Primary
- B. Secondary
- C. Tertiary
- D. Both primary and secondary
Correct Answer: B
Rationale: The correct answer is B: Secondary prevention. Secondary prevention focuses on early detection and intervention to prevent the progression of a disease. In this case, the CHN is helping children with asthma recognize early signs of worsening symptoms through peak flow meter use, enabling them to take action with a rescue inhaler. This intervention aims to prevent exacerbation of asthma symptoms, making it a secondary prevention strategy.
A: Primary prevention focuses on preventing the onset of a disease through health promotion and education before it occurs.
C: Tertiary prevention involves managing and reducing the impact of a disease that has already occurred to prevent complications.
D: Both primary and secondary prevention do not apply in this scenario as it specifically targets early detection and intervention for those with an existing condition.