Nokea
A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing. Which of the following best describes what has happened?
- A. Ethnocentrism
- B. Cultural imposition
- C. Racism
- D. Stereotyping
Correct Answer: A
Rationale: Correct Answer: A: Ethnocentrism
Rationale:
1. Ethnocentrism is the belief in the superiority of one's own culture over others.
2. The nurse's belief in Western medicine as superior demonstrates ethnocentrism.
3. Alternative therapies are dismissed without consideration, reflecting a biased view.
4. This attitude can lead to a lack of respect for diverse cultural healing practices.
Summary of Other Choices:
B: Cultural imposition - This term refers to forcing one's own cultural beliefs onto others, which is not explicitly demonstrated in this scenario.
C: Racism - While the nurse's view may be biased, it is not based on racial discrimination as racism implies.
D: Stereotyping - The nurse's view is a generalization about the effectiveness of different healing methods, but not necessarily based on stereotypes.
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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.
A nurse is administering a tuberculosis skin test to a client who has AIDS. Which of the following
- A. Decreased positive predictive value
- B. Decreased reliability
- C. Decreased sensitivity
- D. Decreased specificity
Correct Answer: A
Rationale: The correct answer is A: Decreased positive predictive value. In clients with AIDS, their compromised immune system can lead to false-negative results on the tuberculosis skin test. This decreases the test's ability to accurately predict the presence of tuberculosis if the result is positive. Choice B, decreased reliability, is not specific to the client's condition in this scenario. Choices C and D, decreased sensitivity and specificity, respectively, are not directly impacted by the client having AIDS and are more related to the test's overall performance characteristics.
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.
When talking to a womens group at the senior citizens center, the nurse reminded them that the
- A. Ensure that the women did not expect the nurse to solve their problem
- B. Demonstrate that the nurse understood the womens concerns and needs
- C. Express empathy, support, and concern
- D. Help the women engage in political action
Correct Answer: A
Rationale: The correct answer is A because the nurse is setting appropriate boundaries by reminding the women not to expect her to solve their problems. This empowers the women to take control of their own situations and seek appropriate resources. Option B is incorrect as it focuses on the nurse's understanding rather than empowering the women. Option C is incorrect because while empathy is important, it does not address the issue of setting boundaries. Option D is incorrect as it introduces a new concept of political action which is not relevant to the situation.
Persons in an auditorium may have been exposed to a disease. If they are infected, it is crucial that
- A. The negative predictive value
- B. The positive predictive value
- C. The sensitivity of the test
- D. The specificity of the test
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value. In this scenario, it is crucial to know the likelihood of a person not being infected if the test result is negative. Negative predictive value assesses the probability of a person truly being disease-free when the test result is negative. This is important for determining the risk of spreading the disease within the auditorium.
Explanation for other choices:
B: The positive predictive value - While important in clinical settings, in this case, determining the accuracy of positive test results is not as critical as ruling out disease transmission.
C: The sensitivity of the test - Sensitivity measures the ability of the test to correctly identify those with the disease, not necessarily ruling out disease transmission among those with negative results.
D: The specificity of the test - Specificity measures the ability of the test to correctly identify those without the disease, which is not directly related to preventing disease spread in this context.