The Refugee Act of 1980 had what effect on refugees who were immigrating into the United States?

Correct Answer: D

Rationale: The Refugee Act of 1980 established a uniform procedure for admitting refugees into the US, replacing the ad hoc approach. This is the correct answer because it streamlined the process, set criteria for refugee admissions, and defined who qualified as a refugee. Choice A is incorrect because the Act was not limited to refugees from specific regions. Choice B is irrelevant. Choice C is nonsensical. The correct answer, D, is supported by historical evidence and the purpose of the Refugee Act.

Correct Answer: C

Rationale: The correct answer is C: Use of titles. When a client uses specific titles such as "Mr." or "Mrs." to address others, it reflects their cultural behavior and respect for hierarchy. This observation indicates an explicit cultural behavior as it pertains to social norms and values. Verbal communication (A) and body language (B) are more general behaviors that may not necessarily be tied to cultural norms. Perception of health and illness (D) is related to beliefs and practices rather than explicit cultural behaviors like the use of titles.

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.