Community Health Verified Questions and Answers Test Bank -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Ensure that the women did not expect the nurse to solve their problem. This is correct because as a nurse, it is important to set realistic expectations and boundaries in order to maintain a professional relationship. By reminding the women not to expect the nurse to solve their problems, it helps establish clarity and prevents any misunderstanding.


Choice B is incorrect because while it is important for the nurse to understand the concerns and needs of the women, it is not the primary focus of the reminder given in the scenario.


Choice C is incorrect because expressing empathy, support, and concern is important, but it does not directly address the issue of setting proper expectations.


Choice D is incorrect because engaging in political action is not relevant to the situation described in the scenario.

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.

Correct Answer: A

Rationale: The correct answer is A: "Which groups are at the greatest risk for problems?" This question is crucial for a public health nurse as it helps prioritize resources and interventions towards populations with the highest health risks. By identifying high-risk groups, the nurse can focus on preventive measures and targeted interventions to improve overall community health.


Choice B is incorrect because prioritizing patients based on acuity is more relevant in a clinical setting rather than a public health role.
Choice C is incorrect as collaboration with physicians is important but not as critical as understanding high-risk populations in a public health role.
Choice D is incorrect as public health nurses typically work with a variety of healthcare professionals, not just nursing assistants.

Correct Answer: A

Rationale: The correct answer is A: Cultural accommodation. The nurse is accommodating the patient's cultural beliefs by supporting the use of traditional home remedies alongside Western medicine. This demonstrates respect for the patient's cultural practices while also integrating them with modern healthcare. Cultural awareness (
B) is about recognizing and understanding different cultures, not necessarily actively supporting their practices. Cultural preservation (
C) involves efforts to maintain and protect cultural traditions, which is not directly demonstrated in this scenario. Cultural repatterning (
D) refers to changing cultural practices for health promotion, which is opposite to what the nurse is doing.

Correct Answer: B

Rationale: The correct answer is B, developing the plan of care with the client. This aligns with the ACCESS model, which emphasizes collaboration and partnership with clients to understand their cultural values, beliefs, and preferences. By involving the client in developing the plan of care, the nurse ensures cultural competence and respects the client's autonomy.


Choice A, utilizing a standardized plan of care, does not reflect the individualized approach required by the ACCESS model.
Choice C, using a plan developed for a specific cultural group, may overlook the unique needs of the individual client.
Choice D, collaborating with other nurses, is important but does not specifically address the client's involvement in care planning.