Community Health Verified Questions and Answers Test Bank -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Language assistance in the client's preferred language. According to the National CLAS standards, providing language assistance in the client's preferred language is essential to ensure effective communication and quality care for individuals with Limited English Proficiency (LEP). This approach promotes cultural competency and helps avoid misunderstandings or errors that can arise from language barriers. Offering interpreter services at a minimal fee (
A) may still pose a financial burden for some clients, contradicting the goal of equitable care. Using family members (
C) may compromise confidentiality and accuracy. Trained interpretation within 48 hours of hospital admission (
D) is not immediate and could lead to delayed or inadequate care for LEP clients.

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.

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.

Correct Answer: C

Rationale: The correct answer is C. This is because individuals can indeed belong to the same racial category but have different cultural backgrounds. Race refers to physical characteristics shared by a group of people, while culture encompasses shared beliefs, customs, and traditions.
Therefore, individuals can share the same race but have diverse cultural practices. Option A is incorrect as race assignment varies and may not be solely based on the father's race. Option B is incorrect as ethnicity and race are distinct concepts. Option D is incorrect as race often carries social implications.

Correct Answer: D

Rationale: Community-oriented nursing focuses on promoting health and preventing diseases within a community. This involves addressing social determinants of health, advocating for policy changes, and collaborating with community resources.
Choice D is correct as it aligns with the primary goal of community-oriented nursing.
Choice A focuses on individual care, B on managing conditions, and C on direct care within families, which are not synonymous with community-focused approaches.

Choices E, F, and G are not provided, hence irrelevant.