Nokea
A nurse is striving to be culturally competent. Which of the following actions would most likely be taken by the nurse?
- A. Respect individuals from different cultures and value diversity.
- B. Immerse himself or herself in different cultures.
- C. Design care for special ethnic groups.
- D. Give explicit instructions to avoid client decision making.
Correct Answer: A
Rationale: The correct answer is A: Respect individuals from different cultures and value diversity. This is because cultural competence involves understanding and respecting the beliefs, values, and practices of individuals from diverse backgrounds. By respecting individuals from different cultures and valuing diversity, the nurse can provide more culturally sensitive and effective care.
Choice B is incorrect because simply immersing oneself in different cultures does not guarantee cultural competence. Choice C is incorrect as designing care specifically for special ethnic groups may lead to stereotyping and overlooking individual differences within those groups. Choice D is incorrect as giving explicit instructions to avoid client decision making goes against the principles of autonomy and patient-centered care.
You may also like to solve these questions
Using the National CLAS as a guide, which service should be offered to clients who have LEP?
- A. Availability of interpreter services at a minimal fee
- B. Language assistance in the client's preferred language
- C. Interpretation services using family members
- D. Trained interpretation within 48 hours of hospital admission
Correct Answer: B
Rationale: The correct answer is B: Language assistance in the client's preferred language. According to the National CLAS Standards, offering language assistance in the client's preferred language ensures effective communication and understanding of healthcare services. This approach respects the client's linguistic and cultural needs, promoting patient-centered care and reducing the risk of errors due to language barriers. Availability of interpreter services at a minimal fee (A) may still pose financial barriers for clients with LEP. Using family members for interpretation services (C) can compromise confidentiality, accuracy, and impartiality. Trained interpretation within 48 hours of hospital admission (D) is not timely enough for immediate healthcare needs.
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.
A nurse is a member of an interdisciplinary committee whose goal is to develop a culturally and linguistically competent organization. Which action by the committee would help to meet this goal?
- A. Develop an organizational mission statement for cultural competence
- B. Encourage each department to develop a cultural competency plan
- C. Encourage employees to find ways to develop their cultural competence
- D. Hire individuals with the most work experience
Correct Answer: A
Rationale: The correct answer is A, developing an organizational mission statement for cultural competence. This is crucial as it sets the tone and direction for the entire organization's commitment to cultural and linguistic competence. It provides a clear framework and guiding principles for all activities and decisions related to this goal. Choices B and C are not sufficient on their own as they lack a cohesive and overarching strategy. Choice D is irrelevant to the goal of cultural competence. It is important to have a clear, shared vision through the mission statement to ensure alignment and accountability across all departments and individuals.
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.
A nurse is developing a plan to decrease the number of premature deaths in the community. Which of the following interventions would most likely be implemented by the nurse?
- A. Increase the communitys knowledge about hospice care.
- B. Promote healthy lifestyle behavior choices among the community members.
- C. Encourage employers to have wellness centers at each industrial site.
- D. Ensure timely and effective medical intervention and treatment for community members.
Correct Answer: A
Rationale: The correct answer is A, increasing community's knowledge about hospice care. This intervention addresses end-of-life care, which can reduce premature deaths by ensuring appropriate care for terminally ill individuals. Choice B promotes general health but may not directly impact premature deaths. Choice C focuses on workplace wellness, not community-wide health. Choice D addresses medical treatment but may not prevent premature deaths. Overall, choice A is the most relevant intervention to address premature deaths by improving end-of-life care knowledge in the community.