Which of the following statements describes how nursing in the community is more challenging than nursing in an acute care setting?
- A. There is limited access to information useful to the nurse in giving care in the community.
- B. More paperwork and forms are required when giving care in the home.
- C. It is more challenging to control the environment in the community.
- D. Specialization isn't possible in the community setting.
Correct Answer: A
Rationale: The correct answer is A because limited access to information in the community setting hinders the nurse's ability to provide comprehensive care. In acute care settings, information such as patient history, lab results, and vital signs are readily available. In the community, nurses may have to rely on incomplete records or lack real-time data. This impacts treatment decisions and coordination with other healthcare providers. Choice B is incorrect as paperwork is a common challenge in both settings. Choice C is incorrect because controlling the environment in the community is different but not necessarily more challenging. Choice D is incorrect as specialization can still occur in the community through advanced training and collaboration.
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A nurse advocates and intervenes between the health care system and the client's cultural beliefs on behalf of the client. Which term best describes the nurse's action?
- A. Cultural accommodation
- B. Culture brokering
- C. Cultural preservation
- D. Cultural repatterning
Correct Answer: B
Rationale: The correct answer is B: Culture brokering. This term best describes the nurse's action of advocating and intervening between the health care system and the client's cultural beliefs. Culture brokering involves facilitating communication, negotiation, and mediation between different cultural groups. The nurse acts as a bridge to ensure the client's cultural values are respected and incorporated into their healthcare.
A: Cultural accommodation refers to adapting healthcare practices to meet the client's cultural beliefs, but it does not involve advocating or intervening on behalf of the client like culture brokering.
C: Cultural preservation focuses on maintaining and safeguarding cultural traditions, which is not the primary action described in the question.
D: Cultural repatterning involves changing or modifying cultural beliefs, which is not the nurse's role in this scenario.
Two women seem to agree on almost everything from favorite music to favorite media stars to the best way to prepare a meal. Which of the following best explains this similarity in the two women?
- A. They are both members of the same birth cohort.
- B. They are close friends.
- C. They attended the same school.
- D. They both go the same church.
Correct Answer: A
Rationale: The correct answer is A: They are both members of the same birth cohort. This is correct because individuals who belong to the same birth cohort are likely to share similar values, attitudes, and preferences due to experiencing similar societal events and influences during their formative years. This shared background can lead to similarities in tastes and opinions, such as favorite music and media stars.
Choice B: They are close friends, does not adequately explain the similarity as close friends may have different preferences. Choice C: They attended the same school, is not a strong enough factor to explain the wide range of similarities mentioned. Choice D: They both go to the same church, does not necessarily imply shared preferences in music or media.
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.
Which of the following best describes community-oriented nursing?
- A. Focusing on the provision of care to individuals and families
- B. Providing care to manage acute or chronic conditions
- C. Giving direct care to ill individuals within their family setting
- D. Having the goal of health promotion and disease prevention
Correct Answer: D
Rationale: The correct answer is D: Having the goal of health promotion and disease prevention. Community-oriented nursing focuses on improving the overall health of a population by promoting wellness and preventing illnesses. This approach involves working collaboratively with communities to identify health needs, develop strategies for prevention, and implement interventions to enhance health outcomes. Choices A, B, and C focus more on individualized care and treatment, whereas community-oriented nursing emphasizes a population-based approach. Therefore, D is the best description as it aligns with the core principles of community health nursing.
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.