ATI RN
Community Health Verified Questions and Answers Test Bank Questions
Extract:
Question 1 of 5
A community health nurse has taken the Promoting Cultural and Linguistic Competency Self- Assessment Checklist for Personnel Providing Primary Health Care Services and is reviewing the results. Which action describes how the results of this self-assessment checklist should be utilized?
Correct Answer: A
Rationale: The correct answer is A:
To identify areas for self-improvement. The self-assessment checklist is designed to help individuals reflect on their cultural and linguistic competency skills. By reviewing the results, the nurse can pinpoint areas where they may need to enhance their knowledge or skills. This can lead to targeted professional development activities to improve their ability to provide culturally competent care.
Choices B, C, and D are incorrect because the checklist is not intended for determining job readiness, performance rating, or disciplinary actions. The primary purpose is self-reflection and improvement, making choice A the most appropriate option.
Question 2 of 5
A nurse resigns from a position in a hospital to accept a job in a community setting. After starting the new job, the nurse feels helpless and confused, wondering if this was the right
Correct Answer: D
Rationale: The correct answer is D: Culture shock. Culture shock refers to the feeling of confusion, disorientation, and anxiety experienced when a person encounters a new and unfamiliar cultural environment. In this scenario, the nurse is feeling helpless and confused after transitioning from a hospital setting to a community setting, indicating a struggle to adapt to the new cultural context. Cultural conflict (
B) refers to conflicts arising from differing cultural beliefs or values, which is not the main issue in this scenario. Cultural relativism (
C) is a concept that suggests understanding and respecting other cultures without necessarily experiencing shock.
Therefore, it is not the best term to describe the nurse's feelings.
Question 3 of 5
A nurse is administering a tuberculosis skin test to a client who has AIDS. Which of the following results should the nurse anticipate when using this screening test?
Correct Answer: C
Rationale:
Correct Answer: C - Decreased sensitivity
Rationale: In clients with AIDS, the immune system is compromised, leading to decreased sensitivity of the skin test in detecting tuberculosis. The weakened immune response can result in false-negative results, as the body may not mount a sufficient reaction to the tuberculin protein. This means the test may not accurately identify individuals who actually have tuberculosis.
Summary of Other
Choices:
A: Decreased positive predictive value - Not necessarily affected by AIDS; depends on the prevalence of the disease.
B: Decreased reliability - Reliability refers to consistency, not directly impacted by AIDS.
D: Decreased specificity - Specificity is not typically affected by AIDS; refers to the test's ability to correctly identify those without the disease.
Question 4 of 5
A nurse, concerned that unconscious bias might hinder their cultural humility in providing care to clients with backgrounds different from their own, completes the Social Identity Wheel. Which statement describes the nurse's purpose for using this assessment tool?
Correct Answer: C
Rationale:
Correct Answer: C.
To assess how the nurse's identity influences client care.
Rationale: The purpose of the Social Identity Wheel is for the nurse to reflect on their own identities such as race, gender, sexual orientation, etc., and understand how these identities may impact their interactions with clients. By recognizing their own biases and privileges, the nurse can better navigate cultural differences and provide more effective and empathetic care.
Summary of Other
Choices:
A:
To learn about the client's cultural identity - Incorrect. The tool focuses on the nurse's identity, not the client's.
B:
To learn to ignore biases and focus on client care - Incorrect. Ignoring biases is not the goal; it's about acknowledging and addressing them.
D:
To confirm that the nurse is culturally sensitive - Incorrect. The tool is for self-reflection, not confirmation of sensitivity.
Question 5 of 5
Which action is the nurse performing when they show a preference for members of their social identity group, leading to a more positive evaluation of individuals within their own group?
Correct Answer: C
Rationale: The correct answer is C: In-Group Favoritism. In this scenario, the nurse is favoring members of their social identity group, leading to a more positive evaluation of individuals within that group. This behavior is a manifestation of in-group favoritism, where individuals show preference and positive bias towards members of their own group. This can result in unfair treatment or biased decision-making. Out-Group Homogeneity (
A) refers to perceiving members of an out-group as more similar to each other than members of the in-group. Confirmation Bias (
B) is the tendency to search for, interpret, and recall information that confirms one's preexisting beliefs. Limited Interactions (
D) does not directly address the nurse's biased behavior.