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Using the National CLAS as a guide, which service should be offered to clients who have LEP?
- A. Availability of interpreter services at a minimal fee
- B. Language assistance in the client's preferred language
- C. Interpretation services using family members
- D. Trained interpretation within 48 hours of hospital admission
Correct Answer: B
Rationale: The correct answer is B: Language assistance in the client's preferred language. According to the National CLAS Standards, offering language assistance in the client's preferred language ensures effective communication and understanding of healthcare services. This approach respects the client's linguistic and cultural needs, promoting patient-centered care and reducing the risk of errors due to language barriers. Availability of interpreter services at a minimal fee (A) may still pose financial barriers for clients with LEP. Using family members for interpretation services (C) can compromise confidentiality, accuracy, and impartiality. Trained interpretation within 48 hours of hospital admission (D) is not timely enough for immediate healthcare needs.
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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.
A Mexican American mother insists on using special candles to help her daughter's ear infection. The nurse asks the mother if she would also give her daughter antibiotics. Which of the following best describes the action of the nurse?
- A. Cultural accommodation
- B. Cultural repatterning
- C. Culture brokering
- D. Cultural awareness
Correct Answer: C
Rationale: The correct answer is C: Culture brokering. Culture brokering involves a healthcare provider facilitating communication and negotiation between a patient's culture and the biomedical healthcare system. In this scenario, the nurse is trying to bridge the gap between the mother's cultural belief in using special candles and the biomedical treatment of antibiotics for the daughter's ear infection. By discussing the use of antibiotics with the mother, the nurse is acting as a mediator to ensure the best possible care for the patient. Cultural accommodation (A) would involve simply accepting the mother's cultural practice without question. Cultural repatterning (B) would involve trying to change the mother's cultural beliefs. Cultural awareness (D) is important but does not capture the active role the nurse is taking in this situation.
A community health nurse critically examines their practice to decrease the influence of privilege when providing healthcare.Which statement does the nurse understand to be a critical aspect of privilege in nursing?
- A. Acknowledging one's privilege is critical to addressing unjust systems.
- B. The nursing profession is not influenced by privileg
- D. Privilege is solely determined by socioeconomic status.
Correct Answer: A
Rationale: The correct answer is A because acknowledging one's privilege is crucial in addressing unjust systems within nursing practice. By recognizing one's privilege, the nurse can better understand how it impacts their interactions with patients and colleagues, allowing for more equitable and culturally sensitive care. This awareness helps in challenging biases and advocating for marginalized groups. Choice B is incorrect as nursing, like any profession, is influenced by privilege. Choice D is incorrect because privilege encompasses various factors beyond just socioeconomic status, such as race, gender, and education.
Which of the following statements about race is true?
- A. In the United States, children of biracial parents are usually assigned the race of the father.
- B. Ethnicity and race are synonymous terms.
- C. Individuals may be of the same race but of different cultures.
- D. No social significance is usually placed on rac
Correct Answer: C
Rationale: The correct answer is C because individuals may indeed belong to the same race but have different cultures. Race refers to physical characteristics shared by a group, while culture encompasses beliefs, customs, and behaviors. For example, two individuals can both be of Asian descent (same race) but have different cultural backgrounds such as Chinese and Japanese. This statement highlights the distinction between race and culture.
Choice A is incorrect as the assignment of race to biracial children varies. Choice B is incorrect as ethnicity and race are distinct concepts - ethnicity relates to cultural factors like nationality and language. Choice D is incorrect as race carries social implications like discrimination.
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.