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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.
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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 states that the client has exhibited an explicit cultural behavior. Which of the following has the nurse most likely observed?
- A. Verbal communication
- B. Body language
- C. Use of titles
- D. Perception of health and illness
Correct Answer: C
Rationale: The correct answer is C: Use of titles. When a client uses specific titles such as "Doctor" or "Nurse" to address healthcare providers, it reflects their cultural behavior and beliefs. This demonstrates respect and hierarchy within their culture. Verbal communication (A) and body language (B) are important aspects of cultural behavior but may not always be explicit. Perception of health and illness (D) is more related to beliefs rather than explicit cultural behavior.
A community health nurse critically examines their practice to decrease the influence of privilege when providing healthcare.Which statement does the nurse understand to be a critical aspect of privilege in nursing?
- A. Acknowledging one's privilege is critical to addressing unjust systems.
- B. The nursing profession is not influenced by privileg
- D. Privilege is solely determined by socioeconomic status.
Correct Answer: A
Rationale: The correct answer is A because acknowledging one's privilege is crucial in addressing unjust systems within nursing practice. By recognizing one's privilege, the nurse can better understand how it impacts their interactions with patients and colleagues, allowing for more equitable and culturally sensitive care. This awareness helps in challenging biases and advocating for marginalized groups. Choice B is incorrect as nursing, like any profession, is influenced by privilege. Choice D is incorrect because privilege encompasses various factors beyond just socioeconomic status, such as race, gender, and education.
Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
- A. Utilizing a standardized plan of care
- B. Developing the plan of care with the client
- C. Using a plan of care developed for a specific cultural group
- D. Collaborating with other nurses to develop the plan of care
Correct Answer: B
Rationale: The correct answer is B: Developing the plan of care with the client. This aligns with the ACCESS model of transcultural care, which emphasizes collaboration between the healthcare provider and the client to develop a culturally sensitive and individualized plan of care. This approach recognizes the client as an active participant in their healthcare, promotes cultural competence, and ensures that the care provided is respectful of the client's beliefs and values.
Choice A is incorrect because utilizing a standardized plan of care may not take into account the client's unique cultural background. Choice C is incorrect as using a plan developed for a specific cultural group may not be applicable or relevant to the individual client. Choice D is incorrect as collaborating with other nurses, while important, does not specifically address the client's input in the care plan.
A nurse reports that in comparison to all the children in a particular school, the children who are
- A. Discourage the parents from enrolling their sons in Cub Scouts because of the risk.
- B. Dont say anything about Cub Scouts, because it isnt 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
Correct Answer: A
Rationale: The correct answer is D: Share the finding and let the parents draw whatever conclusions they feel appropriate. This choice is correct because it aligns with the principle of providing unbiased information to parents and allowing them to make their own decisions based on the facts presented. By sharing the findings without any personal bias or influence, the nurse respects the autonomy of the parents and empowers them to make informed choices for their children.
Choice A is incorrect because it suggests that the nurse should discourage parents from enrolling their sons in Cub Scouts based on the risk, which goes against the principle of providing neutral information without influencing the decision-making process. Choices B and C are incorrect because they either dismiss the relevance of the information or impose a specific recommendation on the parents without considering their autonomy and preferences.