Making sure that essential community-oriented health services are available defines which of the
- A. Policy development
- B. Assessment
- C. Assurance
- D. Scientific knowledge-based care
Correct Answer: A
Rationale: The correct answer is A: Policy development. Policy development involves creating guidelines and regulations to ensure essential community-oriented health services are available. This process outlines the necessary services and standards to meet community health needs. Assessment (B) involves collecting data to understand health issues, but doesn't ensure service availability. Assurance (C) focuses on enforcing policies and ensuring services are provided. Scientific knowledge-based care (D) pertains to evidence-based treatment, not service availability. Therefore, policy development is the most appropriate choice to define ensuring essential health services are available in the community.
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A nurse is striving to be culturally competent. Which of the following actions would most likely be taken by the nurse?
- A. Respect individuals from different cultures and value diversity.
- B. Immerse himself or herself in different cultures.
- C. Design care for special ethnic groups.
- D. Give explicit instructions to avoid client decision making.
Correct Answer: A
Rationale: The correct answer is A: Respect individuals from different cultures and value diversity. This is because cultural competence involves understanding and respecting the beliefs, values, and practices of individuals from diverse backgrounds. By respecting individuals from different cultures and valuing diversity, the nurse can provide more culturally sensitive and effective care.
Choice B is incorrect because simply immersing oneself in different cultures does not guarantee cultural competence. Choice C is incorrect as designing care specifically for special ethnic groups may lead to stereotyping and overlooking individual differences within those groups. Choice D is incorrect as giving explicit instructions to avoid client decision making goes against the principles of autonomy and patient-centered care.
Which of the following actions best represents public health nursing?
- A. Assessing the effectiveness of the large high school health clinic
- B. Caring for clients in their home following their outpatient surgeries
- C. Providing care to children and their families at the school clinic
- D. Administering follow-up care for pediatric clients at an outpatient clinic
Correct Answer: A
Rationale: The correct answer is A because assessing the effectiveness of the large high school health clinic aligns with the core principles of public health nursing. This action involves evaluating the impact of healthcare services on a population, addressing public health needs, and promoting health at a community level. Option B focuses on individual client care post-surgery, which is more aligned with home health nursing. Option C involves providing care at a school clinic, which is more focused on primary care nursing. Option D involves administering follow-up care for pediatric clients at an outpatient clinic, which is more related to pediatric nursing. Therefore, option A is the best representation of public health nursing as it involves a broader perspective on population health and healthcare services.
A nurse has only a regular blood pressure cuff when conducting a health screening for all of the
- A. Reliability
- B. Sensitivity
- C. Specificity
- D. Validity
Correct Answer: C
Rationale: The correct answer is C: Specificity. Specificity refers to the ability of a test to correctly identify those without a certain condition as negative. In this scenario, using a regular blood pressure cuff may not be specific enough to accurately identify individuals who do not have high blood pressure. The cuff may give false positive results, leading to unnecessary concern or further testing. The other choices are incorrect because: A - Reliability refers to the consistency of results, not the accuracy of identifying those without a condition. B - Sensitivity is the ability to correctly identify those with a certain condition as positive, not those without it. D - Validity is the overall accuracy of a test, which includes both sensitivity and specificity, but in this case, specificity is more relevant.
Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
- A. Utilizing a standardized plan of care
- B. Developing the plan of care with the client
- C. Using a plan of care developed for a specific cultural group
- D. Collaborating with other nurses to develop the plan of care
Correct Answer: B
Rationale: The correct answer is B: Developing the plan of care with the client. This aligns with the ACCESS model of transcultural care, which emphasizes collaboration between the healthcare provider and the client to develop a culturally sensitive and individualized plan of care. This approach recognizes the client as an active participant in their healthcare, promotes cultural competence, and ensures that the care provided is respectful of the client's beliefs and values.
Choice A is incorrect because utilizing a standardized plan of care may not take into account the client's unique cultural background. Choice C is incorrect as using a plan developed for a specific cultural group may not be applicable or relevant to the individual client. Choice D is incorrect as collaborating with other nurses, while important, does not specifically address the client's input in the care plan.
A nurse is working with an immigrant population. Which of the following should be the first action taken by the nurse?
- A. Be aware of one's own cultur
- C. Become familiar with traditional practices of the immigrants.
- D. Try to see things from the immigrant's viewpoint.
Correct Answer: A
Rationale: The correct answer is A: Be aware of one's own culture. This is the first action because self-awareness of one's own cultural beliefs, biases, and values is essential in promoting cultural competence. Understanding one's own culture helps prevent misunderstandings and conflicts with individuals from different cultural backgrounds. It also allows the nurse to approach care with an open mind and respect for diversity.
Choice C is incorrect as it only focuses on understanding the immigrants' culture without considering the nurse's own cultural influences. Choice D is not the first action to be taken as understanding the immigrant's viewpoint comes after acknowledging one's own cultural perspectives. Choices B, E, F, and G are irrelevant to the initial step of addressing cultural competence.
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