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The administration at a local medical center examines the trends in health problems when
- 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 states vital statistics
Correct Answer: A
Rationale: The correct answer is A because using local data from a professional survey in the city allows the medical center to understand specific health trends within their community. This data is most relevant and directly applicable to their patient population. Choice B, the National Health Interview Survey, provides broader national data, which may not reflect local health issues accurately. Choice C, the National Hospital Discharge Survey, focuses on hospitalized patients, not community-wide health trends. Choice D, state vital statistics, may offer general health information but lacks the specificity needed for the medical center's analysis.
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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.
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, 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.
Which of the following is the primary focus of public health nursing?
- A. Families and groups
- B. Illness-oriented care
- C. Individuals within the family unit
- D. Promotion of quality of life
Correct Answer: D
Rationale: The correct answer is D: Promotion of quality of life. Public health nursing primarily focuses on improving the overall health and well-being of communities by promoting healthy lifestyles, preventing diseases, and enhancing quality of life. This includes addressing social determinants of health and advocating for policies that support health equity. Choices A, B, and C are more focused on individual or group care rather than population health. Choice A emphasizes families and groups, while choice B centers on illness rather than prevention. Choice C focuses on individuals within the family unit rather than the broader community. Thus, the correct answer, D, aligns best with the core principles of public health nursing.
Which action by a nurse represents the practice of decolonization?
- A. Enforcing Eurocentric ideologies to maintain cultural uniformity
- B. Prioritizing certain cultural perspectives over others
- C. Recognizing and challenging dominating colonial influences
- D. Eliminating all traditional healing practices to standardize care
Correct Answer: C
Rationale: The correct answer is C: Recognizing and challenging dominating colonial influences. Decolonization in nursing involves acknowledging and addressing historical power imbalances and colonial legacies in healthcare. By recognizing and challenging dominating colonial influences, nurses advocate for culturally safe care and work towards dismantling systemic inequalities. Enforcing Eurocentric ideologies (choice A) and prioritizing certain cultural perspectives (choice B) can perpetuate colonization rather than decolonization. Eliminating traditional healing practices (choice D) disregards cultural diversity and goes against the principles of decolonization.