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Which action by a nurse promotes a welcoming environment for culturally diverse clients?
- A. Calling the client by the name on their birth certificate
- B. Using a family member to interpret for a client with LEP
- C. Displaying brochures and posters that represent diversity
- D. Providing a client's bill of rights in languages other than English
Correct Answer: C
Rationale: The correct answer is C because displaying brochures and posters that represent diversity promotes a welcoming environment for culturally diverse clients by showing inclusivity and respect for different backgrounds. This visual representation can help clients feel understood and valued. Calling a client by the name on their birth certificate (A) may not align with their preferred name and cultural identity. Using a family member to interpret (B) can lead to inaccuracies, breaches confidentiality, and hinders effective communication. Providing a client's bill of rights in different languages (D) is important but may not directly promote a welcoming environment as effectively as visual representation of diversity.
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Which action can a nurse take to cultivate mindful awareness in interactions with clients?
- A. Practicing active listening and seeking to understand the speaker's perspective without interruptions
- B. Making quick judgments and forming opinions based on automatic biases and assumptions
- C. Avoiding reflection and self-awareness to maintain a detached approach in client care
- D. Embracing a fixed mindset and resisting new information or diverse experiences
Correct Answer: A
Rationale: The correct answer is A because active listening and seeking to understand the speaker's perspective without interruptions are key components of cultivating mindful awareness. By actively listening, the nurse can fully engage with the client, demonstrate empathy, and foster a deeper connection. This approach allows the nurse to be present in the moment, reduce distractions, and avoid making assumptions or quick judgments. It promotes a non-judgmental attitude and helps the nurse to be more attuned to the client's needs and emotions. In contrast, choices B, C, and D are incorrect as they all involve behaviors that hinder mindful awareness, such as making quick judgments, avoiding reflection, and resisting new information. These actions do not promote a mindful and empathetic interaction with clients.
A school nurse wants to decrease the incidence of obesity in elementary school children. Which of
- A. Giving a presentation on the importance of exercise and physical fitness
- B. Designing a game in which students select healthy food choices
- C. Weighing students to identify those who are overweight
- D. Putting students on a diet if they weigh greater than 20% of their ideal weight
Correct Answer: A
Rationale: The correct answer is A because educating students on the importance of exercise and physical fitness promotes long-term healthy habits. This approach focuses on prevention rather than intervention, empowering children to make informed choices. Choice B may help students make healthy food choices but doesn't address the importance of physical activity. Choice C may lead to stigma and doesn't promote positive behavior change. Choice D is not recommended as putting students on a diet without proper guidance can be harmful.
A nurse is administering a tuberculosis skin test to a client who has AIDS. Which of the following
- A. Decreased positive predictive value
- B. Decreased reliability
- C. Decreased sensitivity
- D. Decreased specificity
Correct Answer: A
Rationale: The correct answer is A: Decreased positive predictive value. In clients with AIDS, their compromised immune system can lead to false-negative results on the tuberculosis skin test. This decreases the test's ability to accurately predict the presence of tuberculosis if the result is positive. Choice B, decreased reliability, is not specific to the client's condition in this scenario. Choices C and D, decreased sensitivity and specificity, respectively, are not directly impacted by the client having AIDS and are more related to the test's overall performance characteristics.
Which of the following public health nurses most clearly fulfills the responsibilities of this role?
- A. The nurse who met with several groups to discuss community recreation issues
- B. The nurse who spent the day attending meetings of various health agencies
- C. The nurse who talked to several people about their particular health concerns
- D. The nurse who watched the city council meeting on local cable television
Correct Answer: A
Rationale: The correct answer is A because meeting with community groups to discuss recreation issues aligns with the role of a public health nurse, promoting community health and well-being. This involves proactive engagement with the community to address health concerns at a broader level. Choice B, attending meetings, is important but does not directly fulfill the role of engaging with the community. Choice C, talking to individuals about health concerns, is more focused on individual health rather than community health. Choice D, watching a city council meeting, provides information but lacks active engagement with the community.
A nurse is working with an immigrant population. Which of the following should be the first action taken by the nurse?
- A. Be aware of one's own cultur
- C. Become familiar with traditional practices of the immigrants.
- D. Try to see things from the immigrant's viewpoint.
Correct Answer: A
Rationale: The correct answer is A: Be aware of one's own culture. This is the first action because self-awareness of one's own cultural beliefs, biases, and values is essential in promoting cultural competence. Understanding one's own culture helps prevent misunderstandings and conflicts with individuals from different cultural backgrounds. It also allows the nurse to approach care with an open mind and respect for diversity.
Choice C is incorrect as it only focuses on understanding the immigrants' culture without considering the nurse's own cultural influences. Choice D is not the first action to be taken as understanding the immigrant's viewpoint comes after acknowledging one's own cultural perspectives. Choices B, E, F, and G are irrelevant to the initial step of addressing cultural competence.