Nokea
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.
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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 woman is sitting in a corner of the clinical waiting room, crying audibly. The nurse asks, Whats
- A. The negative predictive value of mammography
- B. The positive predictive value of mammography
- C. The reliability of mammography
- D. The validity of mammography
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value of mammography. The nurse's question is related to predicting the likelihood of a negative outcome, which aligns with the concept of negative predictive value in the context of mammography. Negative predictive value assesses the probability that a negative test result is truly negative. The nurse's question does not pertain to positive predictive value (B), reliability (C), or validity (D) of mammography. These options are not relevant to the situation described and do not address the nurse's inquiry. Therefore, A is the correct choice as it directly corresponds to the nurse's query about the likelihood of a negative outcome in the given scenario.
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.
What action by a nurse demonstrates cultural humility in client-centered care?
- A. Using complex medical terminology to show expertise
- B. Assuming that the nurse's cultural practices are universally applicable
- C. Adapting care practices to align with the client's cultural preferences
- D. Disregarding the client's input and family's opinions in decision making
Correct Answer: C
Rationale: The correct answer is C because cultural humility in client-centered care involves acknowledging and respecting the client's cultural background and preferences. By adapting care practices to align with the client's cultural preferences, the nurse demonstrates an understanding and appreciation for the client's unique needs and values. This approach fosters trust, communication, and promotes better health outcomes.
Incorrect choices:
A: Using complex medical terminology may alienate the client and hinder effective communication.
B: Assuming universality of cultural practices can lead to misunderstandings and may not meet the client's individual needs.
D: Disregarding client and family input goes against client-centered care principles and can result in suboptimal outcomes.
A nurse implements nursing interventions considering the uniqueness of the person's
- A. Which of the following best describes this action?
- B. Cultural diversity
- C. Cultural knowledge
- D. Cultural competence
Correct Answer: D
Rationale: The correct answer is D: Cultural competence. Cultural competence involves acknowledging and respecting the individual differences and uniqueness of each person. This includes understanding and integrating cultural beliefs, values, and practices into nursing care. By implementing nursing interventions considering the uniqueness of the person, the nurse demonstrates cultural competence by tailoring care to meet the specific needs of the individual.
Incorrect answers:
A: This choice does not specifically address the consideration of uniqueness in nursing interventions.
B: Cultural diversity refers to the variety of cultures present in a given environment but does not directly address tailoring care to individual uniqueness.
C: Cultural knowledge is important but does not fully encompass the holistic approach of considering the uniqueness of the person in nursing care.