Nokea
Which statement about the nursing workforce is true?
- A. The nursing workforce is overwhelmingly whit
- C. The number of minority nurses meets the needs of the country's demographics.
- D. The nursing workforce is becoming increasingly diverse with increasing minorities.
Correct Answer: D
Rationale: The correct answer is D because it aligns with current trends in the nursing workforce. Increasing diversity is a well-documented phenomenon in nursing, supported by data showing a rise in minority representation. This trend is crucial to address healthcare disparities and provide culturally competent care. Choice A is incorrect as the nursing workforce is becoming more diverse. Choice C is incorrect as the number of minority nurses still falls short of matching demographic needs.
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A principal comments to the school nurse that it seems there are a lot more problems with asthma
- A. Descriptive epidemiological study
- B. Ecological study
- C. Prospective cohort study
- D. Retrospective cohort study
Correct Answer: A
Rationale: The correct answer is A: Descriptive epidemiological study. This type of study focuses on describing and analyzing patterns of disease occurrence in a population without examining causal relationships. In this scenario, the principal is simply observing an increase in asthma cases without investigating potential causes or risk factors. Choices B, C, and D involve more specific research designs that require a more in-depth analysis of individuals over time to establish causal relationships, which is not the case here.
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.
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.
According to Campinha-Bacote's "Process of Cultural Competemility in the Delivery of Healthcare Services" model, which question by a nurse represents the "E" in the mnemonic "A-S-K-E-D" for self-examination?
- A. "Am I aware of my prejudices and biases and the presence of racism and other ‘isms'?"
- B. "Do I know how to conduct a culturally specific history, physical, mental health, medication, and spiritual assessment in a culturally sensitive manner?"
- C. "Do I have knowledge regarding different cultures' worldviews, the field of biocultural ecology, and the importance of addressing social determinants of health?"
- D. "Do I have sacred and unremitting encounters with people from cultures different from mine, and am I committed to resolving cross-cultural conflicts?"
Correct Answer: A
Rationale: The correct answer is A because it aligns with the "E" component in Campinha-Bacote's model, which stands for "Examination of your own cultural beliefs and attitudes towards health care practices." This question prompts self-reflection on prejudices, biases, and racism, crucial for providing culturally competent care. Option B focuses on assessment skills, not self-examination. Option C emphasizes knowledge, not self-awareness. Option D pertains to resolving conflicts, not self-examination. Thus, A is the correct choice for reflecting on personal biases and attitudes.
Which action by a nurse represents the practice of decolonization?
- A. Enforcing Eurocentric ideologies to maintain cultural uniformity
- B. Prioritizing certain cultural perspectives over others
- C. Recognizing and challenging dominating colonial influences
- D. Eliminating all traditional healing practices to standardize care
Correct Answer: C
Rationale: The correct answer is C: Recognizing and challenging dominating colonial influences. Decolonization in nursing involves acknowledging and addressing historical power imbalances and colonial legacies in healthcare. By recognizing and challenging dominating colonial influences, nurses advocate for culturally safe care and work towards dismantling systemic inequalities. Enforcing Eurocentric ideologies (choice A) and prioritizing certain cultural perspectives (choice B) can perpetuate colonization rather than decolonization. Eliminating traditional healing practices (choice D) disregards cultural diversity and goes against the principles of decolonization.