Nokea
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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The administration at a local medical center examines the trends in health problems when developing long-range plans for staffing and space allocation. Which of the following sources of information would be most helpful?
- A. Local data drawn from a professional survey in the city
- B. The National Health Interview Survey
- C. The National Hospital Discharge Survey
- D. The state's vital statistics
Correct Answer: A
Rationale: The correct answer is A: Local data drawn from a professional survey in the city. This source of information would be most helpful because it provides specific and relevant data regarding the health trends of the local population. By utilizing local data, the administration can tailor their long-range plans to address the unique health issues faced by the community they serve.
Summary of why the other choices are incorrect:
B: The National Health Interview Survey provides national-level data, which may not accurately reflect the health trends specific to the local medical center.
C: The National Hospital Discharge Survey focuses on hospital-specific data and may not capture the full scope of health problems in the community.
D: State's vital statistics offer general information but may lack the specificity needed for targeted planning at the local medical center.
Which statement about the nursing workforce is true?
- A. The nursing workforce is overwhelmingly whit
- C. The number of minority nurses meets the needs of the country's demographics.
- D. The nursing workforce is becoming increasingly diverse with increasing minorities.
Correct Answer: D
Rationale: The correct answer is D because it aligns with current trends in the nursing workforce. Increasing diversity is a well-documented phenomenon in nursing, supported by data showing a rise in minority representation. This trend is crucial to address healthcare disparities and provide culturally competent care. Choice A is incorrect as the nursing workforce is becoming more diverse. Choice C is incorrect as the number of minority nurses still falls short of matching demographic needs.
A city council discusses how former city laws promoted segregation in the community years ago. Which of the following was being demonstrated when segregation occurred?
- A. Prejudice
- B. Cultural imposition
- C. Racism
- D. Stereotyping
Correct Answer: C
Rationale: The correct answer is C: Racism. When segregation occurred due to city laws, it was a demonstration of racism, which involves systemic discrimination and prejudice against individuals based on their race or ethnicity. Racism was institutionalized through these laws, leading to unequal treatment and opportunities for different racial groups. Prejudice (A) refers to preconceived opinions that are not necessarily institutionalized like racism. Cultural imposition (B) is the act of imposing one's cultural values on others and is not the primary factor in segregation. Stereotyping (D) involves generalizations about a group of people but does not necessarily lead to segregation on its own.
Which of the following actions by Florence Nightingale demonstrates her role as an epidemiologist?
- A. She convinced other women to join her in giving nursing care to all the soldiers.
- B. She demonstrated that a safer environment resulted in decreased mortality rate.
- C. She obtained safe water and better food supplies and fought the lice and rats.
- D. She met with each soldier each evening to say goodnight, thereby giving psychological support.
Correct Answer: A
Rationale: The correct answer is A because Florence Nightingale's action of convincing other women to join her in providing nursing care to soldiers demonstrates her role as an epidemiologist. Epidemiologists study patterns and causes of diseases in populations, and Nightingale recognized the importance of improving healthcare practices on a larger scale by mobilizing a group to address the health needs of a population. This action aligns with the core principles of epidemiology in identifying and addressing health issues at a community level.
Choice B is incorrect because demonstrating a safer environment resulting in decreased mortality rate pertains more to public health rather than epidemiology. Choice C is incorrect as obtaining safe water, better food supplies, and fighting lice and rats are related to public health and sanitation rather than epidemiology. Choice D is incorrect as providing psychological support to soldiers is a compassionate nursing action, but it does not specifically demonstrate epidemiological principles.
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.