A nurse is planning a refugee outreach clinic at the neighborhood health center. Which of the following considerations should be made by the nurse to provide culturally competent care? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A because understanding one's own background, beliefs, and knowledge is crucial in providing culturally competent care. By being aware of one's own biases and cultural perspectives, the nurse can better appreciate and respect the diverse cultural backgrounds of refugee patients. This self-awareness helps in effectively communicating, building trust, and delivering care that aligns with the patients' cultural values and preferences. Choice B is incorrect as it does not provide any information related to cultural competence. Choice C is incorrect because it only mentions language barriers without addressing the broader aspect of cultural competency. Choice D is incorrect as it is incomplete and does not provide any relevant information regarding cultural considerations.

Correct Answer: A

Rationale: The correct answer is A: Policy. The nurse is getting involved in policymaking by advocating for a smoking ban in public places. Policy refers to the decisions and actions taken by organizations or governments to achieve specific goals. By advocating for legislation to ban smoking in public places, the nurse is actively participating in the creation of rules and regulations to promote public health. B: Politics is incorrect as it refers to the activities associated with governance and power dynamics, which may or may not involve specific policy decisions. C: Law is incorrect as it refers to the system of rules that a particular country or community recognizes as regulating the actions of its members. D: Health policy is incorrect as it is a more specific subset of policy that focuses on decisions, plans, and actions to achieve specific health-related goals. The nurse's involvement goes beyond health policy to address a broader public health issue.

Correct Answer: C

Rationale: The correct answer is C: A decreased ability of states to spend money on programming. Block grants provide states with a fixed amount of funding for a specific purpose, limiting their flexibility in allocating funds. This can lead to a decreased ability for states to spend money on various programs as they are restricted by the conditions of the block grant. This effect is seen as a drawback by some as it reduces the autonomy of states in decision-making. Choice A is incorrect because block grants do not necessarily lead to a reduction in federal expenditures. Choice B is incomplete and does not provide a coherent explanation. Choice D is incorrect because block grants do not guarantee the continuation of programs, especially if the effectiveness of the programs is not maintained or if funding is insufficient.

Correct Answer: C

Rationale: The correct answer is C: Judicial. The nurse would be looking at the judicial branch of government because it is responsible for interpreting and applying the law, including constitutional rights such as the right to grant abortions. The judicial branch ensures that laws are in line with the constitution and resolves legal disputes. The executive branch (A) enforces laws, the legislative branch (B) creates laws, and the term "Federal" (D) is not a branch of government but refers to the system of government in the United States.

Correct Answer: A

Rationale: The correct answer is A: Direct services. In this scenario, the health department is directly providing a service (hypertension screening) to individuals. Direct services involve the actual delivery of healthcare services to individuals or communities. B: Financing refers to how healthcare services are paid for, not directly providing the service. C: Information involves gathering and disseminating health-related data, not directly providing a service. D: Policy setting involves developing rules and regulations, not directly providing a service. In summary, the health department offering hypertension screenings falls under the category of direct services as they are directly providing a health service to individuals.