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According to Campinha-Bacote's "Process of Cultural Competemility in the Delivery of Healthcare Services" model, which question by a nurse represents the "E" in the mnemonic "A-S-K-E-D" for self-examination?
- A. "Am I aware of my prejudices and biases and the presence of racism and other ‘isms'?"
- B. "Do I know how to conduct a culturally specific history, physical, mental health, medication, and spiritual assessment in a culturally sensitive manner?"
- C. "Do I have knowledge regarding different cultures' worldviews, the field of biocultural ecology, and the importance of addressing social determinants of health?"
- D. "Do I have sacred and unremitting encounters with people from cultures different from mine, and am I committed to resolving cross-cultural conflicts?"
Correct Answer: A
Rationale: The correct answer is A because it aligns with the "E" component in Campinha-Bacote's model, which stands for "Examination of your own cultural beliefs and attitudes towards health care practices." This question prompts self-reflection on prejudices, biases, and racism, crucial for providing culturally competent care. Option B focuses on assessment skills, not self-examination. Option C emphasizes knowledge, not self-awareness. Option D pertains to resolving conflicts, not self-examination. Thus, A is the correct choice for reflecting on personal biases and attitudes.
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Which of the following types of study should the nurse researcher choose if the goal is to identify the
- A. Cross-sectional study
- B. Ecologic study
- C. Clinical trial
- D. Retrospective analysis
Correct Answer: A
Rationale: The correct answer is A: Cross-sectional study. This type of study is best suited for identifying the current prevalence of a condition or characteristic within a population at a specific point in time. It provides a snapshot of the population, allowing for quick and efficient data collection. Cross-sectional studies are ideal for determining associations between variables but cannot establish causality. The other choices are incorrect because: B: Ecologic study examines population-level data rather than individual-level data, making it less suitable for identifying specific characteristics within a population. C: Clinical trial focuses on testing interventions and treatments rather than identifying characteristics. D: Retrospective analysis looks back at past data and may not provide a current snapshot of the population.
Which action by a health care organization is an example of a leadership commitment to cultural competence?
- A. Developing a policy for use of trained interpreters
- B. Enhancing client satisfaction
- C. Improving health care outcomes
- D. Increasing health care access to all individuals
Correct Answer: A
Rationale: The correct answer is A: Developing a policy for use of trained interpreters. This demonstrates leadership commitment to cultural competence by ensuring effective communication with patients of diverse backgrounds, promoting inclusivity, and respecting linguistic diversity. Providing trained interpreters helps overcome language barriers, enhances patient-provider communication, and fosters trust. Choices B, C, and D are important goals in healthcare, but they do not directly address the need for cultural competence through language access. Enhancing client satisfaction, improving health outcomes, and increasing access to healthcare are valuable outcomes but do not necessarily indicate a specific commitment to cultural competence.
Which of the following is a basic assumption of public health efforts?
- A. Health disparities among any groups are morally and legally wrong.
- B. Health care is the most important priority in government planning and funding.
- C. The health of individuals cannot be separated from the health of the community.
- D. The government is responsible for lengthening the life span of Americans.
Correct Answer: C
Rationale: The correct answer is C: The health of individuals cannot be separated from the health of the community. This assumption is fundamental in public health efforts because it emphasizes the interconnectedness of individual and community health. Public health focuses on improving overall community well-being by addressing factors that influence health outcomes for individuals. This approach recognizes that individual health is influenced by social, environmental, and economic factors, and that community-level interventions are crucial for promoting health and preventing disease.
Incorrect answers:
A: Health disparities among any groups are morally and legally wrong. While addressing health disparities is important in public health, it is not a basic assumption.
B: Health care is the most important priority in government planning and funding. This choice prioritizes healthcare over public health efforts, which focus on prevention and community health.
D: The government is responsible for lengthening the life span of Americans. This choice is too narrow and does not capture the holistic approach of public health in promoting overall well-being.
A teacher recommends that surveys to obtain data on drug use be given to high school students
- A. Americans are fearful of terrorists using biological agents.
- B. Awareness of human susceptibility to animal diseases has been publicized.
- C. Drug-resistant strains of old diseases have evolved.
- D. Media coverage exaggerates the dangers of exposure to crowds.
Correct Answer: A
Rationale: The correct answer is A because the teacher's recommendation for surveys on drug use is likely related to concerns about potential drug abuse among high school students. This choice directly addresses the context of the question by highlighting the relevance of gathering data on drug use. Choices B, C, and D are unrelated to the topic of drug use among high school students, making them incorrect. Therefore, the correct answer is A as it aligns with the context and purpose of the teacher's recommendation.
A nurse supports the use of traditional home remedies in conjunction with Western medicine to promote healthy behaviors. Which of the following is being demonstrated by the nurse?
- A. Cultural accommodation
- B. Cultural awareness
- C. Cultural preservation
- D. Cultural repatterning
Correct Answer: A
Rationale: Correct Answer: A - Cultural accommodation
Rationale:
1. Cultural accommodation involves adapting healthcare practices to align with patients' cultural beliefs.
2. The nurse is respecting and incorporating traditional home remedies alongside Western medicine, demonstrating cultural accommodation.
3. This approach promotes patient trust, engagement, and improved health outcomes.
4. Cultural awareness (B) refers to understanding different cultures, while cultural preservation (C) involves maintaining cultural traditions. Cultural repatterning (D) refers to changing cultural behaviors, not accommodating them.