Nokea
What action can a nurse take to reduce biases in nurse-client interactions?
- A. Providing care based on past encounters with individuals of the same background
- B. Explaining the nurse's values and beliefs to the client
- C. Reflecting on how their background influences their perception of others
- D. Limiting interactions with individuals from certain social identity groups
Correct Answer: C
Rationale: The correct answer is C because reflecting on how their background influences their perception of others helps nurses become aware of their biases and work towards reducing them. This self-awareness enables nurses to provide unbiased care and build better relationships with clients. Choice A is incorrect as it promotes stereotyping based on past encounters. Choice B is not effective as imposing the nurse's values may not align with the client's beliefs. Choice D is discriminatory and limits the nurse's ability to provide holistic care.
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A 35-year-old from Russia comes to the United States seeking asylum because of religious persecution in the native country. Which of the following best describes this type of immigrant?
- A. Legal immigrant
- B. Lawful permanent resident
- C. Refugee
- D. Unauthorized immigrant
Correct Answer: C
Rationale: The correct answer is C: Refugee. A refugee is someone who has fled their home country due to well-founded fear of persecution based on race, religion, nationality, political opinion, or membership in a particular social group. In this case, the individual from Russia seeking asylum due to religious persecution fits the definition of a refugee. A legal immigrant is a broad term encompassing various types of individuals who have legally migrated to another country but does not specifically address the circumstances of persecution like in this scenario. Lawful permanent residents have been granted permission to live and work in the U.S. indefinitely, which is not the case for this individual seeking asylum. An unauthorized immigrant is someone who enters a country without legal permission, which is not applicable to someone seeking asylum through legal channels.
Persons in an auditorium may have been exposed to a disease. If they are infected, it is crucial that
- A. The negative predictive value
- B. The positive predictive value
- C. The sensitivity of the test
- D. The specificity of the test
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value. In this scenario, it is crucial to know the likelihood of a person not being infected if the test result is negative. Negative predictive value assesses the probability of a person truly being disease-free when the test result is negative. This is important for determining the risk of spreading the disease within the auditorium.
Explanation for other choices:
B: The positive predictive value - While important in clinical settings, in this case, determining the accuracy of positive test results is not as critical as ruling out disease transmission.
C: The sensitivity of the test - Sensitivity measures the ability of the test to correctly identify those with the disease, not necessarily ruling out disease transmission among those with negative results.
D: The specificity of the test - Specificity measures the ability of the test to correctly identify those without the disease, which is not directly related to preventing disease spread in this context.
A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing. Which of the following best describes what has happened?
- A. Ethnocentrism
- B. Cultural imposition
- C. Racism
- D. Stereotyping
Correct Answer: A
Rationale: Correct Answer: A: Ethnocentrism
Rationale:
1. Ethnocentrism is the belief in the superiority of one's own culture over others.
2. The nurse's belief in Western medicine as superior demonstrates ethnocentrism.
3. Alternative therapies are dismissed without consideration, reflecting a biased view.
4. This attitude can lead to a lack of respect for diverse cultural healing practices.
Summary of Other Choices:
B: Cultural imposition - This term refers to forcing one's own cultural beliefs onto others, which is not explicitly demonstrated in this scenario.
C: Racism - While the nurse's view may be biased, it is not based on racial discrimination as racism implies.
D: Stereotyping - The nurse's view is a generalization about the effectiveness of different healing methods, but not necessarily based on stereotypes.
A nurse is unable to provide culturally competent care to a population within the community. Which of the following is an effect of this type of care?
- A. Enhanced communication
- B. C M
- C. Increased cost of health cUare S N T O
- D. Achievement of health indicators
Correct Answer: C
Rationale: The correct answer is C: Increased cost of health care. When a nurse is unable to provide culturally competent care, it can lead to misunderstandings, lack of trust, and ineffective treatments, resulting in increased healthcare costs. Culturally competent care helps improve patient outcomes and reduces unnecessary procedures. Choices A, B, and D are incorrect because they do not directly address the negative impact of providing culturally incompetent care on healthcare costs.
A nurse is working with a population that exhibits a large amount of diversity. The nurse recognizes that skin color of individuals within this population is an example of what?
- A. Multiculturalism
- B. Ethnicity
- C. Race
- D. Culture
Correct Answer: C
Rationale: The correct answer is C: Race. Skin color is a physical characteristic that is used to categorize individuals into different racial groups based on common physical traits. This is different from ethnicity (choice B), which refers to shared cultural practices and beliefs. Multiculturalism (choice A) and culture (choice D) are broader concepts that encompass various aspects beyond just physical characteristics like skin color. Therefore, the correct answer is race as it specifically relates to the observable physical differences among individuals within a population.