A 35-year-old from Russia comes to the United States seeking asylum because of religious persecution in the native country. Which of the following best describes this type of immigrant?

Correct Answer: C

Rationale: The correct answer is C: Refugee. This individual fits the definition of a refugee as someone who is outside their country of nationality and is unable or unwilling to return due to a well-founded fear of persecution based on race, religion, nationality, political opinion, or membership in a particular social group. Seeking asylum due to religious persecution aligns with the criteria for refugee status. Choice A (Legal immigrant) and B (Lawful permanent resident) do not specifically address the circumstances of persecution. Choice D (Unauthorized immigrant) refers to individuals who enter a country without proper legal authorization, which does not apply in this scenario.

Correct Answer: C

Rationale: The correct answer is C: Individuals may be of the same race but of different cultures. This is true because race refers to physical characteristics shared by a group, while culture encompasses shared beliefs, behaviors, and customs. Therefore, individuals can belong to the same racial group but have different cultural backgrounds. A is incorrect because the assignment of race to children of biracial parents can vary and is not solely based on the father's race. B is incorrect as ethnicity and race are distinct concepts - race refers to physical characteristics while ethnicity refers to shared cultural characteristics. D is incorrect as race holds social significance and impacts individuals' experiences and opportunities in society.

Correct Answer: B

Rationale: The correct answer is B: Ethnicity. Ethnicity refers to shared cultural practices, perspectives, and distinctions that set apart one group of people from another. In this scenario, the client's disclosure about her grandparents' immigration from Germany indicates a shared cultural background and heritage. This information pertains to her family's cultural practices and traditions, which align with the concept of ethnicity. Summary: A: Multiculturalism is the coexistence of multiple cultures in a society, not specifically related to the client's family background. C: Race refers to physical characteristics such as skin color, which is not directly relevant to the client's disclosure about her grandparents' immigration. D: Culture is a broader concept encompassing beliefs, customs, and behaviors shared by a group of people, but ethnicity specifically focuses on cultural heritage and background, making it the most appropriate choice in this context.

Correct Answer: C

Rationale: The correct answer is C: Increased cost of health care. When a nurse is unable to provide culturally competent care, it can lead to increased healthcare costs due to ineffective treatment, miscommunication, and potential medical errors. This can result in unnecessary tests, procedures, and hospitalizations, all of which contribute to higher healthcare expenses. Explanation of other choices: A: Enhanced communication - This is incorrect because the lack of cultural competence can actually hinder communication between the nurse and the population, leading to misunderstandings and barriers in effective healthcare delivery. B: C M - This choice seems to be incomplete or irrelevant to the question, so it is incorrect. D: Achievement of health indicators - Without culturally competent care, it is less likely that the population will achieve positive health outcomes and meet health indicators, making this choice incorrect.

Correct Answer: C

Rationale: The correct answer is C, the client herself. This is because the client is the most reliable source for information about her own health care practices. Asking the client directly ensures accurate and first-hand information. The husband (choice A) may not be fully aware of the client's health care choices. A community leader (choice B) may provide general information but not specific to the client. The religious leader (choice D) may offer insights on religious practices but not necessarily on health care choices. Therefore, direct communication with the client (choice C) is the most appropriate and effective way to obtain accurate information on her health care practices.