A community health nurse is planning care for a group of migrant workers. The nurse should plan to engage in which of the following activities when assessing the clients' culture?

Ask for assistance from local spiritual leaders if there is a language barrier.

Collect all the data on the first visit with the workers.

Interview community leaders for a perspective of community life.

Incorporate one's implicit bias into planned delivery of care.

Answer and Explanation

The Correct Answer is C

A. Ask for assistance from local spiritual leaders if there is a language barrier:

While engaging local spiritual leaders can be beneficial for understanding cultural nuances, addressing language barriers is a separate issue. Seeking assistance from interpreters or language services would be more appropriate for overcoming language barriers.

B. Collect all the data on the first visit with the workers:

Collecting all data on the first visit may be overwhelming and may not allow for the establishment of trust and rapport with the migrant workers. A more gradual and respectful approach to data collection is often advisable in cross-cultural nursing care.

C. Interview community leaders for a perspective of community life.

Interviewing community leaders provides valuable insights into the cultural context, norms, and values of the migrant workers. Community leaders often have a deep understanding of their community's dynamics, which can guide the nurse in providing culturally competent care.

D. Incorporate one's implicit bias into planned delivery of care:

This statement is not appropriate. Implicit bias should be recognized and actively addressed, rather than incorporated into care. Culturally competent care involves recognizing and challenging one's biases to ensure fair and equitable treatment for all individuals, regardless of their cultural background.

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Correct Answer is B

Explanation

A. Provide education to the community about the manifestations of tuberculosis

While community education is important for awareness, it may not be the most immediate action needed to prevent the spread of tuberculosis. Reporting the case to the public health department allows for targeted interventions, including contact tracing and testing, which are more specific to controlling the spread of the disease.

B. Report the active case to the public health department.

Reporting the active case to the public health department is crucial for initiating appropriate public health measures, such as contact tracing and ensuring that individuals who may have been exposed to tuberculosis receive testing and, if necessary, treatment. This helps in preventing the further spread of the disease within the community.

C. Ensure client adherence to the medication regimen:

Ensuring client adherence to the medication regimen is essential for the individual's treatment but may not directly address the prevention of tuberculosis spread within the community. This action focuses on the individual's care rather than the broader public health perspective.

D. Perform tuberculosis screenings throughout the community:

While community screenings are valuable for early detection, initiating screenings for the entire community may not be the immediate and most efficient response. It's more targeted and effective to identify and test individuals who may have been in close contact with the known active case, as determined through reporting to the public health department.

A. The child has recent onset of urinary incontinence B. The child has bruises on both knees C. The child reports having a toothache D. The child receives free lunches at school

Correct Answer is A

Explanation

A. The child has recent onset of urinary incontinence.

Correct: The sudden onset of urinary incontinence may be a sign of emotional or physical abuse, and it warrants further investigation.

B. The child has bruises on both knees.

Incorrect: Bruises on the knees might be common in children due to regular activities like playing. While bruises can be a concern, they may not necessarily indicate maltreatment.

C. The child reports having a toothache.

Incorrect: A toothache, on its own, is not a typical sign of maltreatment. It may be related to dental issues or other health factors.

D. The child receives free lunches at school.

Incorrect: Receiving free lunches does not indicate maltreatment. It may be a sign of economic need, but it is not directly related to potential abuse.

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A community health nurse is planning care for a group of migrant workers. The nurse should plan to engage in which of the following activities when assessing the clients' culture?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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