To meet a client's needs, it is sometimes necessary to integrate into the client's care a culturally relevant practice that lacks scientific utility. Which term describes this action?
- A. Cultural accommodation
- B. Cultural awareness
- C. Cultural preservation
- D. Cultural repatterning
Correct Answer: A
Rationale: The correct answer is A: Cultural accommodation. This term refers to the adaptation of healthcare practices to align with a client's cultural beliefs and practices, even if they may not have scientific evidence. It recognizes the importance of respecting and incorporating diverse cultural perspectives to provide effective care.
Choice B, Cultural awareness, focuses on understanding different cultures but does not necessarily involve modifying practices. Choice C, Cultural preservation, refers to maintaining traditional cultural practices without adaptation. Choice D, Cultural repatterning, involves changing cultural practices to align with evidence-based approaches, which is opposite to the scenario described in the question.
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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 advises a client with osteoporosis to have three servings of milk or dairy products daily.
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Treatment, but not prevention
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. This recommendation aims to prevent osteoporosis from developing in the first place by promoting adequate calcium intake. Primary prevention focuses on reducing the risk factors and promoting healthy behaviors to prevent the onset of a disease. Choices B, C, and D are incorrect because they are related to different stages of disease prevention and management. Secondary prevention involves early detection and treatment to prevent complications, tertiary prevention focuses on managing the complications of a disease, and treatment without prevention (choice D) implies addressing the disease after it has already developed.
Which action is the nurse performing when they show a preference for members of their social identity group, leading to a more positive evaluation of individuals within their own group?
- A. Out-Group Homogeneity
- B. Confirmation Bias
- C. In-Group Favoritism
- D. Limited Interactions
Correct Answer: C
Rationale: The correct answer is C: In-Group Favoritism. This refers to the bias where a nurse favors individuals within their own social identity group, leading to a more positive evaluation of them. This behavior stems from a sense of loyalty, similarity, and shared identity with one's own group. In-group favoritism can influence decision-making, patient care, and teamwork within healthcare settings.
A: Out-Group Homogeneity is the tendency to perceive members of the out-group as more similar to each other than they really are.
B: Confirmation Bias is the tendency to search for, interpret, favor, and recall information that confirms one's pre-existing beliefs.
D: Limited Interactions do not directly describe the behavior of preferring individuals within one's social identity group.
Two women seem to agree on almost everything from favorite music to favorite media stars to the best way to prepare a meal. Which of the following best explains this similarity in the two women?
- A. They are both members of the same birth cohort.
- B. They are close friends.
- C. They attended the same school.
- D. They both go the same church.
Correct Answer: A
Rationale: The correct answer is A: They are both members of the same birth cohort. This is correct because individuals who belong to the same birth cohort are likely to share similar values, attitudes, and preferences due to experiencing similar societal events and influences during their formative years. This shared background can lead to similarities in tastes and opinions, such as favorite music and media stars.
Choice B: They are close friends, does not adequately explain the similarity as close friends may have different preferences. Choice C: They attended the same school, is not a strong enough factor to explain the wide range of similarities mentioned. Choice D: They both go to the same church, does not necessarily imply shared preferences in music or media.
The nurse labels a patient an alcoholic because of his or her ethnicity. Which of the following best describes this action by the nurse?
- A. Stereotyping
- B. Prejudice
- C. Racism
- D. Ethnocentrism
Correct Answer: A
Rationale: The correct answer is A: Stereotyping. Stereotyping is the act of categorizing individuals based on certain characteristics or traits, such as ethnicity, without considering individual differences. In this case, the nurse is assuming the patient is an alcoholic solely based on their ethnicity, which is a form of stereotyping. Prejudice (B) involves holding negative attitudes or beliefs about a particular group, which is not explicitly stated in the scenario. Racism (C) involves discrimination or prejudice based on race, not necessarily ethnicity. Ethnocentrism (D) is the belief in the superiority of one's own ethnic group, which is not directly applicable in this situation.