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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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.
A nurse is employed as a nurse epidemiologist. Which of the following activities would most likely be completed by the nurse?
- A. Eliciting the health history of a client presenting with an illness
- B. Evaluating the number of clients presenting with similar diseases
- C. Performing a physical examination of an ill client
- D. Providing treatment and health education to a client with a disease
Correct Answer: A
Rationale: The correct answer is A: Eliciting the health history of a client presenting with an illness. As a nurse epidemiologist, the nurse's primary role is to investigate and analyze patterns of disease occurrence. By eliciting the health history of a client presenting with an illness, the nurse can gather essential data to identify potential sources of infection, risk factors, and patterns of disease spread within a population. This activity aligns with the epidemiological approach of understanding the distribution and determinants of health-related states.
Incorrect choices:
B: Evaluating the number of clients presenting with similar diseases - While this may be part of the nurse epidemiologist's duties, it does not directly involve gathering individual health histories to track disease patterns.
C: Performing a physical examination of an ill client - This task is more aligned with clinical nursing practice rather than epidemiological investigation.
D: Providing treatment and health education to a client with a disease - This is within the scope of direct patient care and does not focus on population
Which action by a community health center demonstrates its commitment to providing a welcoming environment for LGBTQIA+ individuals?
- A. Clearly marking restrooms for men and women
- B. Including options other than male/female on intake forms
- C. Using pronouns consistent with outward appearance
- D. Avoiding asking about sexual orientation
Correct Answer: B
Rationale: The correct answer is B because including options other than male/female on intake forms demonstrates inclusivity and respect for diverse gender identities within the LGBTQIA+ community. This action acknowledges and validates individuals who do not identify strictly as male or female. It helps to create a safe and welcoming environment by showing that the health center recognizes and respects the diversity of gender identities.
Choice A is incorrect because simply marking restrooms for men and women does not address the needs of individuals who do not fit into these binary categories. Choice C is incorrect as using pronouns based on outward appearance may misgender individuals and create discomfort. Choice D is incorrect as avoiding asking about sexual orientation may prevent providing appropriate care and support tailored to LGBTQIA+ individuals' needs.
Which action can a nurse take to cultivate mindful awareness in interactions with clients?
- A. Practicing active listening and seeking to understand the speaker's perspective without interruptions
- B. Making quick judgments and forming opinions based on automatic biases and assumptions
- C. Avoiding reflection and self-awareness to maintain a detached approach in client care
- D. Embracing a fixed mindset and resisting new information or diverse experiences
Correct Answer: A
Rationale: The correct answer is A because active listening and seeking to understand the speaker's perspective without interruptions are key components of cultivating mindful awareness. By actively listening, the nurse can fully engage with the client, demonstrate empathy, and foster a deeper connection. This approach allows the nurse to be present in the moment, reduce distractions, and avoid making assumptions or quick judgments. It promotes a non-judgmental attitude and helps the nurse to be more attuned to the client's needs and emotions. In contrast, choices B, C, and D are incorrect as they all involve behaviors that hinder mindful awareness, such as making quick judgments, avoiding reflection, and resisting new information. These actions do not promote a mindful and empathetic interaction with clients.
Which action should the nurse take when teaching a client with a low health literacy level?
- A. Use the correct medical terminology.
- B. Speak in a loud voic
- D. Choose terms that the client uses.
Correct Answer: D
Rationale: The correct answer is D: Choose terms that the client uses. This is the most appropriate action when teaching a client with low health literacy because it helps ensure effective communication and understanding. By using language that the client is familiar with, the nurse can enhance comprehension and retention of important health information. Using medical terminology (A) may confuse the client further. Speaking loudly (B) is not necessary and can be perceived as disrespectful. Choices C, E, F, and G are not applicable in this context.