A 40-year-old Bosnian Muslim woman who does not speak English presents to a community health centre in obvious pain and requests a female health care provider. She indicates through gestures that the pain originates in either the pelvic or the genital region. Assuming several people are available to interpret, who would be the most appropriate choice of interpreter?

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ATI Community Health Nursing Test Bank Questions

Question 1 of 5

A 40-year-old Bosnian Muslim woman who does not speak English presents to a community health centre in obvious pain and requests a female health care provider. She indicates through gestures that the pain originates in either the pelvic or the genital region. Assuming several people are available to interpret, who would be the most appropriate choice of interpreter?

Correct Answer: B

Rationale: The correct answer is B: A female from the client's community. This choice is the most appropriate because it ensures cultural and linguistic sensitivity. Here's the rationale: 1. Cultural Sensitivity: A female from the client's community would likely understand the client's cultural nuances and beliefs, which can enhance effective communication. 2. Linguistic Competency: Being from the same community, the interpreter is more likely to speak the client's language fluently and accurately convey the client's messages. 3. Comfort and Trust: The client may feel more comfortable and trusting when communicating with someone from her own community, especially in sensitive matters like health. 4. Privacy and Dignity: Having a familiar female interpreter can help maintain the client's privacy and dignity during discussions about sensitive health issues. Summary: - Choice A: A female who does not know the client may lack cultural understanding and linguistic competency. - Choice C: A male certified as a medical interpreter may not be as culturally sensitive and might not be preferred

Question 2 of 5

The ability to access, comprehend, evaluate, and communicate information as a way to promote, maintain and improve health in a variety of settings across the life-course is defined as:

Correct Answer: B

Rationale: The correct answer is B: Health literacy. Health literacy involves the skills needed to access, understand, evaluate, and communicate health information to make informed decisions and promote health. This definition aligns with the ability to comprehend and utilize health information effectively. Health promotion (A) focuses on strategies to improve health outcomes, health advocacy (C) involves promoting health policies and practices, and health maintenance (D) refers to activities that sustain health, but these choices do not encompass the comprehensive definition provided in the question.

Question 3 of 5

After hearing the debates about an appropriate course of action for a specific client, a community health nurse (CHN) expresses a desire for a rule that would help with decision making. What criteria could the CHN apply to this rule for his or her decision making?

Correct Answer: C

Rationale: The correct answer is C. The rationale is that the CHN should apply a rule that they would recommend to anyone in a similar situation. This criteria ensures that the decision-making process is fair, ethical, and beneficial for the client. Choice A is incorrect as it focuses on avoiding trouble with the employer rather than client well-being. Choice B is incorrect as relying solely on the support of an expert may not always align with the best interests of the client. Choice D is incorrect as the supervisor's comfort level does not guarantee the rule is appropriate for the client. Ultimately, choice C prioritizes client-centered care and ethical decision-making.

Question 4 of 5

While screening for diabetes at a community clinic, a community health nurse (CHN) found out that a new client had type 2 diabetes. The CHN then provided counselling, referred the client to an endocrinologist for initial assessment and treatment, helped with arrangements for financial assistance, arranged transportation, and booked a follow-up appointment. What role does this type of service exemplify?

Correct Answer: A

Rationale: The correct answer is A: Case management. Case management involves coordinating and organizing services for individuals to ensure they receive comprehensive care. In this scenario, the CHN assessed the client's needs, referred them to an endocrinologist, assisted with financial aid, arranged transportation, and scheduled a follow-up appointment, all of which are key components of case management. This approach focuses on individualized care and continuity of services to address the client's needs effectively. Choice B: Client advocacy involves supporting and promoting the rights and interests of the client. While the CHN did advocate for the client by providing assistance, the primary focus was on coordinating services, making A a more fitting option. Choice C: Holistic care considers the physical, mental, emotional, social, and spiritual aspects of an individual's health. While the services provided were comprehensive, the focus was more on coordinating and managing the client's care rather than addressing all aspects of holistic care. Choice D: Wrap-around services involve providing a range of

Question 5 of 5

Which statement made by a parent indicates a need for more education about child abuse?

Correct Answer: B

Rationale: The correct answer is B because the parent's statement indicates emotional abuse through threats of harm and fear tactics. Yelling and using scare tactics like the boogeyman can have long-lasting negative effects on a child's emotional well-being, leading to anxiety and insecurity. Choice A shows progress in managing anger and using positive discipline techniques. Choice C demonstrates a parent trying to use a common discipline method, although the child's coping difficulties may need further support. Choice D shows a parent using distraction and removal techniques, which are generally considered appropriate strategies for managing tantrums.

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