Nokea
A nurse is unable to provide culturally competent care to a population within the community. Which of the following is an effect of this type of care?
- A. Enhanced communication
- B. C M
- C. Increased cost of health cUare S N T O
- D. Achievement of health indicators
Correct Answer: C
Rationale: The correct answer is C: Increased cost of health care. When a nurse is unable to provide culturally competent care, it can lead to misunderstandings, lack of trust, and ineffective treatments, resulting in increased healthcare costs. Culturally competent care helps improve patient outcomes and reduces unnecessary procedures. Choices A, B, and D are incorrect because they do not directly address the negative impact of providing culturally incompetent care on healthcare costs.
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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.
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.
The public health nurse has a clear vision of what needs to be done and where to begin to improve
- A. To increase the groups self-esteem
- B. To maintain communication links with the groups
- C. To make the groups feel good about their contribution
- D. To work with the groups, not for the groups
Correct Answer: A
Rationale: The correct answer is A: To increase the group's self-esteem. This is important because when individuals have higher self-esteem, they are more likely to engage in positive health behaviors and take ownership of their well-being. By focusing on increasing the group's self-esteem, the public health nurse can empower them to make healthier choices and be more proactive in addressing health issues.
Choice B is incorrect because while maintaining communication links is important, it is not the primary focus for improving public health outcomes. Choice C is incorrect as making the group feel good about their contribution may be beneficial, but it does not address the core issue of self-esteem. Choice D is incorrect as working with the groups, not for the groups, is a good practice but does not directly address the need to boost self-esteem.
Which of the following is responsible for the dramatic increase in life expectancy during the twentieth
- A. Technology increases in the field of medical laboratory research
- B. Advances in surgical techniques and procedures
- C. Sanitation and other public health activities
- D. Use of antibiotics to fight infections
Correct Answer: C
Rationale: The correct answer is C: Sanitation and other public health activities. Sanitation measures such as clean water supply, waste disposal, and public health initiatives like vaccination programs have played a crucial role in the increase in life expectancy. Improvements in sanitation reduce the spread of diseases, leading to a significant decline in mortality rates. This is supported by historical data showing that countries with better sanitation systems have higher life expectancies. Technology advances in medical laboratory research (A) may have contributed to specific treatments, but overall sanitation has a broader impact on population health. Advances in surgical techniques (B) and the use of antibiotics (D) have been important in treating illnesses but do not have the same population-level impact as sanitation.
Which of the following actions would most likely be performed by a public health nurse?
- A. Asking community leaders what interventions should be chosen
- B. Assessing the community and deciding on appropriate interventions
- C. Using data from the main health care institutions in the community to determine needed health
- D. Working with community groups to create policies to improve the environment
Correct Answer: A
Rationale: The correct answer is A because public health nurses collaborate with community leaders to understand community needs and preferences. They rely on community input for effective interventions. Option B is incorrect because assessing and deciding interventions should involve a multidisciplinary team, not a sole decision by the nurse. Option C is incorrect as it focuses on institutional data rather than community input. Option D is incorrect because creating policies is typically a collaborative effort involving various stakeholders.