Nokea
Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
- A. Utilizing a standardized plan of care
- B. Developing the plan of care with the client
- C. Using a plan of care developed for a specific cultural group
- D. Collaborating with other nurses to develop the plan of care
Correct Answer: B
Rationale: The correct answer is B: Developing the plan of care with the client. This aligns with the ACCESS model of transcultural care, which emphasizes collaboration between the healthcare provider and the client to develop a culturally sensitive and individualized plan of care. This approach recognizes the client as an active participant in their healthcare, promotes cultural competence, and ensures that the care provided is respectful of the client's beliefs and values.
Choice A is incorrect because utilizing a standardized plan of care may not take into account the client's unique cultural background. Choice C is incorrect as using a plan developed for a specific cultural group may not be applicable or relevant to the individual client. Choice D is incorrect as collaborating with other nurses, while important, does not specifically address the client's input in the care plan.
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A nurse reports that in comparison to all the children in a particular school, the children who are members of the Cub Scouts have 0.3 risk for obesity before entering the sixth grade. Which of the following recommendations would the nurse make to the new parents of two boys who had just moved into this school's neighborhood?
- A. Discourage the parents from enrolling their sons in Cub Scouts because of the risk.
- B. Don't say anything about Cub Scouts, because it isn't relevant to nursing care.
- C. Encourage the parents to enroll their sons in Cub Scouts.
- D. Share the finding and let the parents draw whatever conclusions they feel appropriate.
Correct Answer: A
Rationale: The correct answer is A: Discourage the parents from enrolling their sons in Cub Scouts because of the risk. This recommendation is based on the nurse's report that children who are members of the Cub Scouts have a higher risk (0.3) for obesity compared to all children in the school. By discouraging enrollment, the nurse is aiming to potentially reduce the boys' risk for obesity. Other choices are incorrect because: B is irrelevant as the nurse has specific information about Cub Scouts and obesity risk. C is incorrect as it goes against the reported risk. D is not the best option as the nurse should provide guidance based on the information available rather than leaving it up to the parents to interpret.
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.
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.
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.
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.