Nokea
Two nurses plan to walk under a huge downtown bridge where various homeless persons live. Why
- A. Introduction of a heart-healthy curriculum beginning in the first grade, presentations on diet and
- B. Provision of online activities related to prevention of cardiac disease, smoking reduction programs,
- C. Distribution of handouts, including age-appropriate games, self-assessments, and education on heart-
- D. Enrollment of clients with CAD into cardiac rehabilitation programs, routine evaluation of
Correct Answer: A
Rationale: The correct answer is A because introducing a heart-healthy curriculum in first grade lays a strong foundation for promoting heart health early on. By educating children about diet and exercise at a young age, it instills healthy habits that can prevent cardiac disease in the future. Choice B focuses on online activities and smoking reduction programs, which may not have as significant an impact as starting heart-healthy education at a young age. Choice C mentions handouts and games, which may not be as effective as a structured curriculum. Choice D focuses on enrolling clients with CAD into rehabilitation programs, which is more reactive than proactive in preventing cardiac diseases.
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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.
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.
A client shares with the nurse that her grandparents immigrated to the United States from Germany. Which of the following best describes what she has disclosed?
- A. Multiculturalism
- B. Ethnicity
- C. Race
- D. Culture
Correct Answer: B
Rationale: The correct answer is B: Ethnicity. Ethnicity refers to shared cultural practices, perspectives, and identity based on a common ancestry or heritage. In this scenario, the client's disclosure of her grandparents immigrating from Germany indicates a connection to a specific cultural background and heritage. This information aligns with the concept of ethnicity.
Explanation for why other choices are incorrect:
A: Multiculturalism - Multiculturalism refers to the coexistence of diverse cultural groups within a society, not the individual's specific cultural background.
C: Race - Race is based on physical characteristics such as skin color, not on the country of origin or cultural background.
D: Culture - While closely related, culture refers to the shared beliefs, values, and practices of a group, whereas ethnicity specifically focuses on shared ancestry or heritage.
A nurse is using analytic epidemiology when conducting a research project. Which of the following projects is the nurse most likely completing?
- A. Reviewing communicable disease statistics
- B. Determining factors contributing to childhood obesity
- C. Analyzing locations where family violence is increasing
- D. Documenting population characteristics for healthy older citizens
Correct Answer: B
Rationale: The correct answer is B: Determining factors contributing to childhood obesity. Analytic epidemiology involves investigating the causes of health outcomes in a population. In this case, studying factors contributing to childhood obesity falls under analytic epidemiology as it aims to identify the determinants of a specific health issue. Reviewing communicable disease statistics (A) is descriptive epidemiology, analyzing locations of family violence (C) is also descriptive, and documenting population characteristics for healthy older citizens (D) is more related to preventive medicine rather than analytic epidemiology.
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.