A woman is sitting in a corner of the clinical waiting room, crying audibly. The nurse asks, Whats
- A. The negative predictive value of mammography
- B. The positive predictive value of mammography
- C. The reliability of mammography
- D. The validity of mammography
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value of mammography. The nurse's question is related to predicting the likelihood of a negative outcome, which aligns with the concept of negative predictive value in the context of mammography. Negative predictive value assesses the probability that a negative test result is truly negative. The nurse's question does not pertain to positive predictive value (B), reliability (C), or validity (D) of mammography. These options are not relevant to the situation described and do not address the nurse's inquiry. Therefore, A is the correct choice as it directly corresponds to the nurse's query about the likelihood of a negative outcome in the given scenario.
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Which action should the nurse perform when teaching a client with LEP and who is from a culture different than their own?
- A. Use accurate medical terms
- B. Assume the client has basic math skills
- C. Perform a health literacy assessment
- D. Research practices of the client's culture online
Correct Answer: C
Rationale: The correct answer is C: Perform a health literacy assessment. This is important because it helps the nurse understand the client's ability to comprehend health information. This step ensures that the teaching materials and methods are appropriate for the client's understanding level.
A: Using accurate medical terms may not be effective if the client is not familiar with them.
B: Assuming the client has basic math skills is not relevant to teaching health information.
D: Researching practices of the client's culture online is helpful but not as crucial as assessing health literacy directly.
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.
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.
Statistics clearly demonstrate that there are significantly more cases of a disease in one particular
- A. A cultural or ethnic concentration in the neighborhood
- B. The geographical location of the neighborhood within the city
- C. A statistical fluke without meaning
- D. The time of year the different statistics were collected throughout the city
Correct Answer: A
Rationale: The correct answer is A: A cultural or ethnic concentration in the neighborhood. This is because cultural or ethnic factors can influence health behaviors, access to healthcare, genetic predispositions, and environmental exposures, all of which can impact disease prevalence. Geographical location (B) may play a role in some cases but is not as directly linked to disease patterns as cultural factors. Choice C suggests randomness, which is unlikely given the clear statistical demonstration mentioned in the question. The time of year (D) is not a significant factor unless it is directly related to cultural or ethnic practices affecting disease spread.
Which action by a health care organization demonstrates the development of a culturally and linguistically competent plan to meet the needs of diverse populations of the community?
- A. Informing the community about their cultural needs
- B. Collaborating with community leaders
- C. Developing strategies that have worked at other health care organizations
- D. Developing consistent strategies that will not change over time
Correct Answer: B
Rationale: The correct answer is B: Collaborating with community leaders. This action is essential for developing a culturally and linguistically competent plan as community leaders possess valuable insights into the specific needs and preferences of diverse populations. By collaborating with them, the health care organization can tailor its services effectively. Informing the community about their cultural needs (A) is important but insufficient without direct collaboration. Developing strategies based on other organizations' success (C) may not account for the unique needs of the local community. Developing consistent strategies (D) is rigid and may not adapt to evolving community needs.