Nokea
Which is the best action for the nurse to take when communicating with a client who speaks a language the nurse does not understand?
- A. Arrange for a medical interpreter.
- B. Ask a family member to translat
- D. Ask a clerical staff member who speaks the language to translat
Correct Answer: A
Rationale: The correct answer is A: Arrange for a medical interpreter. This is the best action because using a professional interpreter ensures accurate communication, maintains confidentiality, and avoids misunderstandings. Family members or clerical staff may not have the necessary medical terminology skills or impartiality. It is essential to prioritize effective communication for safe and quality care.
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A Mexican American mother insists on using special candles to help her daughter's ear infection. The nurse asks the mother if she would also give her daughter antibiotics. Which of the following best describes the action of the nurse?
- A. Cultural accommodation
- B. Cultural repatterning
- C. Culture brokering
- D. Cultural awareness
Correct Answer: C
Rationale: The correct answer is C: Culture brokering. Culture brokering involves a healthcare provider facilitating communication and negotiation between a patient's culture and the biomedical healthcare system. In this scenario, the nurse is trying to bridge the gap between the mother's cultural belief in using special candles and the biomedical treatment of antibiotics for the daughter's ear infection. By discussing the use of antibiotics with the mother, the nurse is acting as a mediator to ensure the best possible care for the patient. Cultural accommodation (A) would involve simply accepting the mother's cultural practice without question. Cultural repatterning (B) would involve trying to change the mother's cultural beliefs. Cultural awareness (D) is important but does not capture the active role the nurse is taking in this situation.
The nurse labels a patient an alcoholic because of his or her ethnicity. Which of the following best describes this action by the nurse?
- A. Stereotyping
- B. Prejudice
- C. Racism
- D. Ethnocentrism
Correct Answer: A
Rationale: The correct answer is A: Stereotyping. Stereotyping is the act of categorizing individuals based on certain characteristics or traits, such as ethnicity, without considering individual differences. In this case, the nurse is assuming the patient is an alcoholic solely based on their ethnicity, which is a form of stereotyping. Prejudice (B) involves holding negative attitudes or beliefs about a particular group, which is not explicitly stated in the scenario. Racism (C) involves discrimination or prejudice based on race, not necessarily ethnicity. Ethnocentrism (D) is the belief in the superiority of one's own ethnic group, which is not directly applicable in this situation.
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.
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.
A nurse is developing a plan to decrease the number of premature deaths in the community. Which of
- A. Increase the communitys knowledge about hospice care.
- B. Promote healthy lifestyle behavior choices among the community members.
- C. Encourage employers to have wellness centers at each industrial site.
- D. Ensure timely and effective medical intervention and treatment for community members. - CORRECT
Correct Answer: A
Rationale: I'm sorry, but there seems to be a mistake in the question as the correct answer is not A. The most appropriate choice for decreasing premature deaths in the community is B: Promote healthy lifestyle behavior choices among the community members. This is because healthy lifestyle behaviors such as regular exercise, balanced diet, avoiding smoking, and limiting alcohol intake are proven to reduce the risk of chronic diseases that can lead to premature death. Option A, increasing knowledge about hospice care, is not directly related to preventing premature deaths but rather focuses on end-of-life care. Choices C and D are also important but do not address the root causes of premature deaths.