Nokea
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, concerned that unconscious bias might hinder their cultural humility in providing care to clients with backgrounds different from their own, completes the Social Identity Wheel. Which statement describes the nurse's purpose for using this assessment tool?
- A. To learn about the client's cultural identity
- B. To learn to ignore biases and focus on client care
- C. To assess how the nurse's identity influences client care
- D. To confirm that the nurse is culturally sensitive
Correct Answer: C
Rationale: The correct answer is C: To assess how the nurse's identity influences client care. The purpose of the Social Identity Wheel is for the nurse to reflect on their own identity factors (e.g., race, gender, religion) and how these aspects may impact their interactions and care delivery to clients. This self-awareness helps the nurse recognize and address any biases or assumptions that may affect their ability to provide culturally competent care.
A: To learn about the client's cultural identity - This choice focuses on the client's identity, not the nurse's, so it is not the purpose of using the Social Identity Wheel.
B: To learn to ignore biases and focus on client care - Ignoring biases is not the goal; instead, the goal is to acknowledge and address biases to improve client care.
D: To confirm that the nurse is culturally sensitive - The goal is not confirmation but self-assessment and reflection on how one's identity may impact client care.
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.
A 35-year-old from Russia comes to the United States seeking asylum because of religious persecution in the native country. Which of the following best describes this type of immigrant?
- A. Legal immigrant
- B. Lawful permanent resident
- C. Refugee
- D. Unauthorized immigrant
Correct Answer: C
Rationale: The correct answer is C: Refugee. A refugee is someone who has fled their home country due to well-founded fear of persecution based on race, religion, nationality, political opinion, or membership in a particular social group. In this case, the individual from Russia seeking asylum due to religious persecution fits the definition of a refugee. A legal immigrant is a broad term encompassing various types of individuals who have legally migrated to another country but does not specifically address the circumstances of persecution like in this scenario. Lawful permanent residents have been granted permission to live and work in the U.S. indefinitely, which is not the case for this individual seeking asylum. An unauthorized immigrant is someone who enters a country without legal permission, which is not applicable to someone seeking asylum through legal channels.
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.
A nurse implements nursing interventions considering the uniqueness of the person's
- A. Which of the following best describes this action?
- B. Cultural diversity
- C. Cultural knowledge
- D. Cultural competence
Correct Answer: D
Rationale: The correct answer is D: Cultural competence. Cultural competence involves acknowledging and respecting the individual differences and uniqueness of each person. This includes understanding and integrating cultural beliefs, values, and practices into nursing care. By implementing nursing interventions considering the uniqueness of the person, the nurse demonstrates cultural competence by tailoring care to meet the specific needs of the individual.
Incorrect answers:
A: This choice does not specifically address the consideration of uniqueness in nursing interventions.
B: Cultural diversity refers to the variety of cultures present in a given environment but does not directly address tailoring care to individual uniqueness.
C: Cultural knowledge is important but does not fully encompass the holistic approach of considering the uniqueness of the person in nursing care.