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Which action should the nurse take when teaching a client with a low health literacy level?
- A. Use the correct medical terminology.
- B. Speak in a loud voic
- D. Choose terms that the client uses.
Correct Answer: D
Rationale: The correct answer is D: Choose terms that the client uses. This is the most appropriate action when teaching a client with low health literacy because it helps ensure effective communication and understanding. By using language that the client is familiar with, the nurse can enhance comprehension and retention of important health information. Using medical terminology (A) may confuse the client further. Speaking loudly (B) is not necessary and can be perceived as disrespectful. Choices C, E, F, and G are not applicable in this context.
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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.
Which action should the nurse perform when teaching a client with LEP and who is from a culture different than their own?
- A. Use accurate medical terms
- B. Assume the client has basic math skills
- C. Perform a health literacy assessment
- D. Research practices of the client's culture online
Correct Answer: C
Rationale: The correct answer is C: Perform a health literacy assessment. This is important because it helps the nurse understand the client's ability to comprehend health information. This step ensures that the teaching materials and methods are appropriate for the client's understanding level.
A: Using accurate medical terms may not be effective if the client is not familiar with them.
B: Assuming the client has basic math skills is not relevant to teaching health information.
D: Researching practices of the client's culture online is helpful but not as crucial as assessing health literacy directly.
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 nurse is striving to be culturally competent. Which of the following actions would most likely be taken by the nurse?
- A. Respect individuals from different cultures and value diversity.
- B. Immerse himself or herself in different cultures.
- C. Design care for special ethnic groups.
- D. Give explicit instructions to avoid client decision making.
Correct Answer: A
Rationale: The correct answer is A: Respect individuals from different cultures and value diversity. This is because cultural competence involves understanding and respecting the beliefs, values, and practices of individuals from diverse backgrounds. By respecting individuals from different cultures and valuing diversity, the nurse can provide more culturally sensitive and effective care.
Choice B is incorrect because simply immersing oneself in different cultures does not guarantee cultural competence. Choice C is incorrect as designing care specifically for special ethnic groups may lead to stereotyping and overlooking individual differences within those groups. Choice D is incorrect as giving explicit instructions to avoid client decision making goes against the principles of autonomy and patient-centered care.
The administration at a local medical center examines the trends in health problems when
- A. Local data drawn from a professional survey in the city
- B. The National Health Interview Survey
- C. The National Hospital Discharge Survey
- D. The states vital statistics
Correct Answer: A
Rationale: The correct answer is A because using local data from a professional survey in the city allows the medical center to understand specific health trends within their community. This data is most relevant and directly applicable to their patient population. Choice B, the National Health Interview Survey, provides broader national data, which may not reflect local health issues accurately. Choice C, the National Hospital Discharge Survey, focuses on hospitalized patients, not community-wide health trends. Choice D, state vital statistics, may offer general health information but lacks the specificity needed for the medical center's analysis.