Community Health Verified Questions and Answers Test Bank -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Arrange for a medical interpreter. This is the best action because using a professional interpreter ensures accurate communication, maintains client confidentiality, and prevents misunderstandings that could lead to medical errors. Asking a family member (
B) can compromise confidentiality and accuracy. Asking a clerical staff member (
D) may not ensure accuracy or confidentiality. Other options are not provided, as they do not guarantee effective communication in this scenario.

Correct Answer: C

Rationale: The correct answer is C: Unequal treatment and compromised client autonomy. Power imbalances can lead to the nurse exerting control over the client, resulting in unequal treatment and compromised autonomy. This can impact the client's ability to make decisions about their own care and can lead to negative outcomes. Increased client autonomy and decision making (
A) would not be a potential consequence of power imbalances. Enhanced trust and rapport (
B) and improved communication (
D) are not necessarily outcomes of power imbalances, as they can exist independently. The other choices are not provided, but the correct answer highlights the negative impact of power imbalances on client autonomy and fair treatment.

Correct Answer: C

Rationale: The nurse is most likely to measure improvement in client satisfaction scores to evaluate the effectiveness of a cultural competence training program. This is because cultural competence aims to enhance the quality of care provided to diverse populations by understanding and respecting their cultural beliefs and practices. By measuring client satisfaction scores, the nurse can assess if the program has successfully improved communication, trust, and overall satisfaction levels among clients from different cultural backgrounds. This outcome directly reflects the impact of the training on enhancing cultural competence and promoting more effective and patient-centered care.

Other choices are incorrect because they do not directly relate to the specific goals of a cultural competence training program. For example, an increase in client acuity levels, reduction in healthcare costs, and decrease in client wait times are important outcomes but not directly tied to cultural competence training.

Correct Answer: A

Rationale: The correct answer is A because it aligns with the "E" in the "ASKED" mnemonic, which stands for "Examine your motives." This question prompts the nurse to reflect on their awareness of personal prejudices and biases, essential for delivering culturally competent care.
Choice B focuses on skills rather than motives, C emphasizes knowledge rather than introspection, and D relates to actions rather than examining one's motives.
Therefore, A is the most appropriate choice for self-examination in Campinha-Bacote's model.

Correct Answer: C

Rationale: The correct answer is C: Racism. Racism involves the belief that one race is superior or inferior to another, leading to discrimination and prejudice based on race. In the context of former city laws promoting segregation, it demonstrates racism as it institutionalizes the separation of people based on race, enforcing unequal treatment and opportunities. Prejudice (
A) refers to preconceived opinions that are not based on reason or actual experience, which may contribute to racism but is not the underlying cause. Cultural imposition (
B) involves imposing one's cultural beliefs or practices on others, which is not the primary issue in segregation. Stereotyping (
D) is the oversimplified belief or idea about a particular group, which can contribute to racism but is not the root cause of segregation.