Nokea
A Mexican American mother insists on using special candles to help her daughter's ear infection. The nurse asks the mother if she would also give her daughter antibiotics. Which of the following best describes the action of the nurse?
- A. Cultural accommodation
- B. Cultural repatterning
- C. Culture brokering
- D. Cultural awareness
Correct Answer: C
Rationale: The correct answer is C: Culture brokering. Culture brokering involves a healthcare provider facilitating communication and negotiation between a patient's culture and the biomedical healthcare system. In this scenario, the nurse is trying to bridge the gap between the mother's cultural belief in using special candles and the biomedical treatment of antibiotics for the daughter's ear infection. By discussing the use of antibiotics with the mother, the nurse is acting as a mediator to ensure the best possible care for the patient. Cultural accommodation (A) would involve simply accepting the mother's cultural practice without question. Cultural repatterning (B) would involve trying to change the mother's cultural beliefs. Cultural awareness (D) is important but does not capture the active role the nurse is taking in this situation.
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Which of the following best describes community-based nursing?
- A. A philosophy that guides family-centered illness care
- B. Providing care with a focus on the groups needs
- C. Giving care with a focus on the aggregates needs
- D. A value system in which all clients receive optimal care
Correct Answer: A
Rationale: The correct answer is A: A philosophy that guides family-centered illness care. Community-based nursing emphasizes providing care within the context of the family unit, recognizing the influence of family dynamics on health outcomes. Choice B is incorrect because it focuses on groups rather than families. Choice C is incorrect as it refers to aggregate needs of populations, not individual families. Choice D is incorrect as it is a broad statement about optimal care for all clients, not specific to community-based nursing.
A 35-year-old from Russia comes to the United States seeking asylum because of religious persecution in the native country. Which of the following best describes this type of immigrant?
- A. Legal immigrant
- B. Lawful permanent resident
- C. Refugee
- D. Unauthorized immigrant
Correct Answer: C
Rationale: The correct answer is C: Refugee. A refugee is someone who has fled their home country due to well-founded fear of persecution based on race, religion, nationality, political opinion, or membership in a particular social group. In this case, the individual from Russia seeking asylum due to religious persecution fits the definition of a refugee. A legal immigrant is a broad term encompassing various types of individuals who have legally migrated to another country but does not specifically address the circumstances of persecution like in this scenario. Lawful permanent residents have been granted permission to live and work in the U.S. indefinitely, which is not the case for this individual seeking asylum. An unauthorized immigrant is someone who enters a country without legal permission, which is not applicable to someone seeking asylum through legal channels.
Which is the best action for the nurse to take when communicating with a client who speaks a language the nurse does not understand?
- A. Arrange for a medical interpreter.
- B. Ask a family member to translat
- D. Ask a clerical staff member who speaks the language to translat
Correct Answer: A
Rationale: The correct answer is A: Arrange for a medical interpreter. This is the best action because using a professional interpreter ensures accurate communication, maintains confidentiality, and avoids misunderstandings. Family members or clerical staff may not have the necessary medical terminology skills or impartiality. It is essential to prioritize effective communication for safe and quality care.
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.
A nurse wants to obtain information on the alternative methods of health care used by a 45-year-old female Hispanic client. Who would be the best person to ask about this?
- A. The husband of the client
- B. A community leader of the ethnic group
- C. The client herself
- D. The religious leader of the ethnic group
Correct Answer: C
Rationale: The correct answer is C: The client herself. The client is the best person to provide information on her own health practices as she is the one directly involved. Asking her ensures accuracy and respect for her autonomy. The other choices may not have accurate or relevant information about the client's health practices. The husband (A) may not be aware of all the client's health practices. A community leader (B) may not have personal knowledge of the client's specific health practices. The religious leader (D) may only provide information on religious practices, not alternative health methods.