ATI RN
Community Health Verified Questions and Answers Test Bank Questions
Question 1 of 5
Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural 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.
Question 2 of 5
A woman is sitting in a corner of the clinical waiting room, crying audibly. The nurse asks, "What's wrong? Can I help?" The woman responds, "They just told me I have a positive mammogram and I need to see my doctor for follow-up tests. I know I'm going to die of cancer. How can I tell my family?" Which of the following information does the nurse need to know in order to help the woman cope with this finding?
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value of mammography. The nurse needs this information to help the woman cope because it indicates the probability that a negative mammogram truly indicates the absence of breast cancer. Knowing this value can provide reassurance to the woman that a positive mammogram doesn't definitively mean she has cancer. The other choices are incorrect because: B (Positive predictive value) focuses on the likelihood of cancer if the test is positive, which may increase the woman's anxiety. C (Reliability) refers to the consistency of results, but it doesn't directly address the woman's concerns about her health. D (Validity) assesses how well a test measures what it is supposed to measure, but it doesn't offer immediate reassurance to the woman in this emotional moment.
Question 3 of 5
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?
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.
Question 4 of 5
Persons in an auditorium may have been exposed to a disease. If they are infected, it is crucial that
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value. In this scenario, it is crucial to know the likelihood of a person not being infected if the test result is negative. Negative predictive value assesses the probability of a person truly being disease-free when the test result is negative. This is important for determining the risk of spreading the disease within the auditorium.
Explanation for other choices:
B: The positive predictive value - While important in clinical settings, in this case, determining the accuracy of positive test results is not as critical as ruling out disease transmission.
C: The sensitivity of the test - Sensitivity measures the ability of the test to correctly identify those with the disease, not necessarily ruling out disease transmission among those with negative results.
D: The specificity of the test - Specificity measures the ability of the test to correctly identify those without the disease, which is not directly related to preventing disease spread in this context.
Question 5 of 5
A nurse is administering a tuberculosis skin test to a client who has AIDS. Which of the following
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.