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 most common symptom of testicular cancer?
- A. Low back pain
- B. Fatigue
- C. Painless, firm scrotal mass or swelling
- D. Mild to moderate pressure to the scrotum
Correct Answer: C
Rationale: The correct answer is C: Painless, firm scrotal mass or swelling. This is the most common symptom of testicular cancer because it often presents as a painless lump or swelling in the testicle. Other choices are incorrect because low back pain (A) is not a common symptom of testicular cancer, fatigue (B) is a non-specific symptom that can occur in many conditions, and mild to moderate pressure to the scrotum (D) is not a typical symptom of testicular cancer.
While screening for diabetes at a community clinic, a community health nurse (CHN) found out that a new client had type 2 diabetes. The CHN then provided counselling, referred the client to an endocrinologist for initial assessment and treatment, helped with arrangements for financial assistance, arranged transportation, and booked a follow-up appointment. What role does this type of service exemplify?
- A. Case management
- B. Client advocacy
- C. Holistic care
- D. Wrap-around services
Correct Answer: A
Rationale: The correct answer is A: Case management. Case management involves coordinating and organizing services for individuals to ensure they receive comprehensive care. In this scenario, the CHN assessed the client's needs, referred them to an endocrinologist, assisted with financial aid, arranged transportation, and scheduled a follow-up appointment, all of which are key components of case management. This approach focuses on individualized care and continuity of services to address the client's needs effectively.
Choice B: Client advocacy involves supporting and promoting the rights and interests of the client. While the CHN did advocate for the client by providing assistance, the primary focus was on coordinating services, making A a more fitting option.
Choice C: Holistic care considers the physical, mental, emotional, social, and spiritual aspects of an individual's health. While the services provided were comprehensive, the focus was more on coordinating and managing the client's care rather than addressing all aspects of holistic care.
Choice D: Wrap-around services involve providing a range of
The ability to access, comprehend, evaluate, and communicate information as a way to promote, maintain and improve health in a variety of settings across the life-course is defined as:
- A. Health promotion
- B. Health literacy
- C. Health advocacy
- D. Health maintenance
Correct Answer: B
Rationale: The correct answer is B: Health literacy. Health literacy involves the skills needed to access, understand, evaluate, and communicate health information to make informed decisions and promote health. This definition aligns with the ability to comprehend and utilize health information effectively. Health promotion (A) focuses on strategies to improve health outcomes, health advocacy (C) involves promoting health policies and practices, and health maintenance (D) refers to activities that sustain health, but these choices do not encompass the comprehensive definition provided in the question.
What is the ultimate goal of program planning?
- A. Avoiding unanticipated conflicts in the program development phase
- B. Ensuring adequate funding to meet the program's resource requirements
- C. Ensuring that health care services are satisfactory, comparable, effective, and beneficial
- D. Preventing unnecessary duplication of services
Correct Answer: C
Rationale: The ultimate goal of program planning is to ensure that health care services are satisfactory, comparable, effective, and beneficial. This is because the primary focus of program planning in healthcare is to improve patient outcomes and overall health system performance. By ensuring that services are of high quality and meet the needs of the population, the goal of enhancing health outcomes is achieved.
Avoiding unanticipated conflicts in the program development phase (Choice A) is important but not the ultimate goal. Ensuring adequate funding (Choice B) is crucial for program sustainability but not the primary objective. Preventing unnecessary duplication of services (Choice D) is a key consideration but not the ultimate goal, which is to deliver effective and beneficial healthcare services.
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.