When a school nurse reports suspected child abuse, there is a breach of confidentiality. Which of the following best describes why this breach is allowed?

Correct Answer: C

Rationale: The correct answer is C: Nurse practice act. The Nurse Practice Act mandates reporting of suspected child abuse to protect the child's safety, overriding confidentiality obligations. Nurses are legally obligated to report such cases to appropriate authorities to ensure the well-being of the child. Choice A (Civil immunity) and B (Sovereign immunity) pertain to legal protections against liability, which are not directly related to the breach of confidentiality in this context. Choice D (Respondeat superior) refers to the legal doctrine where an employer is responsible for the actions of an employee, which is not directly relevant to the breach of confidentiality for reporting child abuse.

Correct Answer: A

Rationale: The correct answer is A: Providing for the general welfare. This is derived from the General Welfare Clause in the US Constitution, granting Congress the authority to pass laws for the general welfare of the country. This clause has been interpreted broadly to include legislation related to health care. Choices B, C, and D are incorrect: B: Raising funds to support research - While Congress can allocate funds for research purposes, it is not the primary legal basis for actions in health care. C: Regulating commerce among the states - This refers to the Commerce Clause, which gives Congress the power to regulate interstate commerce, but it is not the primary legal basis for health care legislation. D: Providing spending power - While Congress has the power to allocate funds for various purposes, including health care, the primary legal basis for health care actions lies in the General Welfare Clause.

Correct Answer: A

Rationale: Most Americans are ambivalent about immigration, recognizing both positive and negative aspects. Because of this ambivalence, there is neither a strong negative nor a strong positive attitude toward immigrants.

Correct Answer: B

Rationale: Cultural awareness requires self-examination and in-depth exploration of one's own beliefs and values as they influence behavior. It is the first step in developing cultural competence.

Correct Answer: D

Rationale: Cultural skill is the effective integration of cultural knowledge and awareness to meet client needs in this case, ensuring nonverbal communication is respectful.