A client at a community health outpost who describes a culturally safe encounter describes which community health nursing practices?

Correct Answer: A

Rationale: The correct answer is A: Recognizing and respecting cultural identity. This is because cultural safety in nursing involves acknowledging and valuing a person's cultural beliefs, practices, and identity. By recognizing and respecting cultural identity, the nurse creates an environment where the client feels accepted and understood. B: Mirroring and matching of cultural behaviors may not always be appropriate as it can lead to stereotyping and assumptions. C: Seeking similarities and commonalities is important, but it does not necessarily ensure cultural safety as it may overlook the uniqueness of an individual's cultural background. D: Supporting the adoption of dominant cultural behaviors may not be culturally safe as it can marginalize or suppress the client's own cultural identity.

Correct Answer: A

Rationale: The correct answer is A: Call all homeless clients 48 hours after testing to remind them to return to the clinic for follow-up. This is the most appropriate policy because it addresses the issue of clients not returning for follow-up by actively reminding them. Calling clients directly helps establish a personal connection, shows care, and emphasizes the importance of follow-up. It allows for immediate communication and clarification if needed. Choice B is incorrect because relying on homeless persons to read and mail in test results may not be reliable or effective due to potential literacy issues, lack of access to mail services, or forgetting to mail the results. Choice C is incorrect because re-administering the test is not necessary if the client returns later than scheduled. It may lead to unnecessary testing and delays in receiving appropriate care. Choice D is incorrect because routinely referring all homeless clients for chest X-rays is not justified without confirming the need based on the Mantoux test results. It may result in unnecessary radiation exposure and resource allocation.

Correct Answer: A

Rationale: Rationale for Correct Answer (A): Virulence refers to the ability of a pathogen to cause disease in a host. Choice A is correct because it specifically addresses the ability of the organism to circumvent or evade the host's immune system. This is crucial as it allows the pathogen to establish an infection and cause harm. By bypassing the immune response, the organism can replicate and spread within the host, leading to disease manifestation. Summary of Incorrect Choices: B: While invading major organ systems can contribute to virulence, it is not the defining characteristic of virulence. Many pathogens can cause disease without directly invading organs. C: While some virulent organisms produce toxins, this is not the sole defining factor of virulence. Not all virulent organisms produce toxins, and some toxins may not directly weaken the body. D: Producing severe physical reactions may be a consequence of virulence, but it is not the fundamental definition of virulence. Virulence is more about the pathogen's

Correct Answer: A

Rationale: The correct answer is A: Competing. This conflict resolution strategy is most concerned with the self or "I-ness" because it prioritizes one's own needs and goals over others. It involves assertively pursuing one's interests without considering the concerns of the other party. This approach is suitable in situations where quick decisions are needed or when one's goals are more important than maintaining relationships. Summary of other choices: B: Avoidance - This strategy involves ignoring or sidestepping the conflict, focusing on neither self nor others. C: Compromising - This strategy involves finding a middle ground where both parties give up some of their demands, sharing concerns. D: Accommodating - This strategy involves prioritizing the concerns of the other party over one's own, focusing more on "you-ness" than "I-ness."

Correct Answer: B

Rationale: The correct answer is B: The group's leadership. Effective leadership is crucial in guiding and motivating a group towards achieving its goals. Leaders provide direction, support, and organization which directly impacts the effectiveness of a group's work. General knowledge (A) is important but leadership is needed to harness and utilize this knowledge effectively. Group diversity (C) can enhance creativity but leadership is essential to manage and leverage diversity. Group health behaviors (D) are important but not as influential as leadership in determining the overall effectiveness of a group's work.