The Refugee Act of 1980 had what effect on refugees who were immigrating into the United States?
- A. Allowed specific provisions for refugees from Southern and Eastern Europ
- C. C M U S N T O
- D. Provided a uniform procedure for refugees to be admitted into the United States.
Correct Answer: D
Rationale: The Refugee Act of 1980 established a uniform procedure for admitting refugees into the US. This means that it created a standardized process for evaluating refugee applications and determining eligibility, ensuring fairness and consistency. This is crucial in managing the influx of refugees and providing them with necessary support. The other choices are incorrect because A is not accurate as the Act applied to refugees from all regions, not just Southern and Eastern Europe. Choices B, C, E, F, and G are not valid options and do not relate to the impact of the Refugee Act of 1980 on refugees immigrating to the US.
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A nurse is administering a tuberculosis skin test to a client who has AIDS. Which of the following results should the nurse anticipate when using this screening test?
- A. Decreased positive predictive value
- B. Decreased reliability
- C. Decreased sensitivity
- D. Decreased specificity
Correct Answer: C
Rationale: The correct answer is C: Decreased sensitivity. In clients with AIDS, the immune system is compromised, leading to a decreased ability to mount a response to antigens, such as the one in the tuberculosis skin test. This results in a higher likelihood of false-negative results, as the client may have tuberculosis but not have a strong enough immune response to produce a positive result. Therefore, the nurse should anticipate a decreased sensitivity in this population.
A: Decreased positive predictive value is not directly impacted by the client's immune status but rather by the prevalence of the disease in the population.
B: Decreased reliability is a vague term and not specific to the immune status of the client.
D: Decreased specificity is not typically affected by the client's immune status but rather by the test's ability to correctly identify those without the disease.
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.
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 promotes a welcoming environment for culturally diverse clients?
- A. Calling the client by the name on their birth certificate
- B. Using a family member to interpret for a client with LEP
- C. Displaying brochures and posters that represent diversity
- D. Providing a client's bill of rights in languages other than English
Correct Answer: C
Rationale: The correct answer is C because displaying brochures and posters that represent diversity promotes a welcoming environment for culturally diverse clients by showing inclusivity and respect for different backgrounds. This visual representation can help clients feel understood and valued. Calling a client by the name on their birth certificate (A) may not align with their preferred name and cultural identity. Using a family member to interpret (B) can lead to inaccuracies, breaches confidentiality, and hinders effective communication. Providing a client's bill of rights in different languages (D) is important but may not directly promote a welcoming environment as effectively as visual representation of diversity.
A nurse is a member of an interdisciplinary committee whose goal is to develop a culturally and linguistically competent organization. Which action by the committee would help to meet this goal?
- A. Develop an organizational mission statement for cultural competence
- B. Encourage each department to develop a cultural competency plan
- C. Encourage employees to find ways to develop their cultural competence
- D. Hire individuals with the most work experience
Correct Answer: A
Rationale: The correct answer is A, developing an organizational mission statement for cultural competence. This is crucial as it sets the tone and direction for the entire organization's commitment to cultural and linguistic competence. It provides a clear framework and guiding principles for all activities and decisions related to this goal. Choices B and C are not sufficient on their own as they lack a cohesive and overarching strategy. Choice D is irrelevant to the goal of cultural competence. It is important to have a clear, shared vision through the mission statement to ensure alignment and accountability across all departments and individuals.