A nurse states that the client has exhibited an explicit cultural behavior. Which of the following has the nurse most likely observed?
- A. Verbal communication
- B. Body language
- C. Use of titles
- D. Perception of health and illness
Correct Answer: C
Rationale: The correct answer is C: Use of titles. When a client uses specific titles such as "Doctor" or "Nurse" to address healthcare providers, it reflects their cultural behavior and beliefs. This demonstrates respect and hierarchy within their culture. Verbal communication (A) and body language (B) are important aspects of cultural behavior but may not always be explicit. Perception of health and illness (D) is more related to beliefs rather than explicit cultural behavior.
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A nurse reports that in comparison to all the children in a particular school, the children who are members of the Cub Scouts have 0.3 risk for obesity before entering the sixth grade. Which of the following recommendations would the nurse make to the new parents of two boys who had just moved into this school's neighborhood?
- A. Discourage the parents from enrolling their sons in Cub Scouts because of the risk.
- B. Don't say anything about Cub Scouts, because it isn't 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 Answer: A
Rationale: The correct answer is A: Discourage the parents from enrolling their sons in Cub Scouts because of the risk. This recommendation is based on the nurse's report that children who are members of the Cub Scouts have a higher risk (0.3) for obesity compared to all children in the school. By discouraging enrollment, the nurse is aiming to potentially reduce the boys' risk for obesity. Other choices are incorrect because: B is irrelevant as the nurse has specific information about Cub Scouts and obesity risk. C is incorrect as it goes against the reported risk. D is not the best option as the nurse should provide guidance based on the information available rather than leaving it up to the parents to interpret.
The tendency to ignore all differences between cultures and to act as though the differences do not exist is identified by what term?
- A. Cultural conflict
- B. C M
- C. Culture shock U S N T O
- D. Cultural blindness
Correct Answer: D
Rationale: The correct answer is D: Cultural blindness. Cultural blindness refers to the tendency to ignore cultural differences and act as though they do not exist. This term highlights the lack of awareness or recognition of the diversity and nuances of various cultures. It can lead to misunderstandings, miscommunication, and insensitivity towards individuals from different cultural backgrounds.
A: Cultural conflict involves disagreements or tensions arising from cultural differences, which is not the same as ignoring differences.
B: C M, C: Culture shock U S N T O, E:, F:, G: do not provide relevant options.
In summary, cultural blindness is the correct term as it specifically addresses the act of disregarding cultural differences, while the other choices either address different concepts or are irrelevant.
Which statement accurately describes a large portion of foreign-born residents of the United States?
- A. They tend to live in major metropolitan areas.
- B. Most reside in rural areas.
- C. Few have a high school education.
- D. They are refugees and non-immigrants.
Correct Answer: A
Rationale: The correct answer is A: They tend to live in major metropolitan areas. This is because major metropolitan areas offer more job opportunities, cultural diversity, and support services for foreign-born residents. Rural areas typically have fewer resources and job opportunities. Choice B is incorrect because most foreign-born residents do not reside in rural areas. Choice C is incorrect as many foreign-born residents do have a high school education or higher. Choice D is incorrect because foreign-born residents include a diverse group of individuals, not just refugees and non-immigrants.
Persons in an auditorium may have been exposed to a disease. If they are infected, it is crucial that they receive immediate treatment and not take the disease home to their families. Which of the following characteristics would be most important to consider when selecting the screening test to be used?
- A. The negative predictive value
- B. The positive predictive value
- C. The sensitivity of the test
- D. The specificity of the test
Correct Answer: C
Rationale: The correct answer is C: The sensitivity of the test. Sensitivity measures the ability of a test to correctly identify individuals who have the disease (true positives). In this scenario, selecting a screening test with high sensitivity is crucial to ensure that infected individuals are accurately identified and receive immediate treatment to prevent spreading the disease to their families.
A: The negative predictive value - This measures the probability that individuals with a negative test result truly do not have the disease and is not as important in this case where immediate treatment is vital.
B: The positive predictive value - This measures the probability that individuals with a positive test result truly have the disease and is not as critical as sensitivity in this context.
D: The specificity of the test - This measures the ability of a test to correctly identify individuals who do not have the disease (true negatives) and is not the most important consideration when the goal is to identify infected individuals for immediate treatment.
A community health nurse has taken the Promoting Cultural and Linguistic Competency Self- Assessment Checklist for Personnel Providing Primary Health Care Services and is reviewing the results. Which action describes how the results of this self-assessment checklist should be utilized?
- A. To identify areas for self-improvement
- B. To determine readiness for job advancement
- C. To rate job performance
- D. To discipline an employee
Correct Answer: A
Rationale: The correct answer is A: To identify areas for self-improvement. The self-assessment checklist is designed to help individuals reflect on their cultural and linguistic competency in providing healthcare services. By reviewing the results, the nurse can identify strengths and areas needing improvement in their practice. This allows for targeted professional development and training to enhance their skills and better meet the needs of diverse patient populations. Choices B, C, and D are incorrect because the checklist is not meant for determining job advancement readiness, rating job performance, or disciplining employees. It is primarily a tool for self-reflection and continuous learning.