A Mexican American client arrives at the emergency department. He reports abdominal pain and has been vomiting for five days. The nurse notes that he is exhibiting symptoms of dehydration, and his vital signs and labs confirm this. The nurse asks the client why he waited so long to seek medical care. He states that he is being treated by the curandero (folk healer) and wishes to continue while in the hospital.
Which concept will the nurse interpret to be exhibited in this situation?
Racism.
Cross-cultural nursing.
Ethnocentrism.
Transcultural bigotry.
The Correct Answer is C
Choice A rationale
Racism involves prejudice, discrimination, or antagonism directed against someone of a different race based on the belief that one's own race is superior. The client's choice to consult a curandero and continue this traditional healing practice is an expression of cultural health beliefs, not an instance of racial discrimination.
Choice B rationale
Cross-cultural nursing refers to providing culturally sensitive, competent care to clients from diverse backgrounds. While the nurse is practicing in this context, this term describes the professional nursing action, not the client's cultural phenomenon of using a folk healer.
Choice C rationale
Ethnocentrism is the belief that one's own cultural group or way of life is superior or correct, and judging other cultures based on this standard. The client's use of a curandero alongside or instead of Western medicine demonstrates a preference for and continued adherence to their traditional health beliefs and practices.
Choice D rationale
Transcultural bigotry is not a standard, recognized term in cultural health concepts. Bigotry implies obstinate intolerance toward those of a different opinion or group. While negative judgment can occur, the client's behavior is an example of cultural practice, not intolerance or prejudice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Disease and medication management are core functions of tertiary prevention and illness-focused care, often characteristic of acute or specialized care settings. Community-oriented nursing, however, prioritizes populations and is focused on primary prevention to maintain wellness and prevent the initial onset of disease, making this a secondary focus. The overall aim is broader than just managing existing conditions. Normal ranges for lab parameters are not relevant to this concept.
Choice B rationale
Caring for others is a fundamental ethical and professional requirement of all nursing practice, not a unique primary goal defining the specialty of community-oriented nursing. While caring is inherent, the primary goal of this specialty is directed toward maximizing the health and preventing illness within entire populations or aggregates, utilizing public health principles over individual care.
Choice C rationale
School and home nursing are specific settings or sub-specialties where community-oriented nursing principles are applied. While these are important avenues for practice, they do not represent the primary goal of the overall discipline, which is a conceptual framework focused on improving the collective health status of a designated community through proactive measures.
Choice D rationale
This is the primary goal because community-oriented nursing adopts a public health perspective, focusing on population-level interventions. These interventions include education, policy development, and environmental modifications aimed at improving general health status and reducing the incidence of disease through primary prevention strategies, thereby moving beyond individual patient care.
Correct Answer is C
Explanation
Choice A rationale
Laboratory draws (phlebotomy) are within the scope of practice for community health nurses, particularly for monitoring chronic conditions, evaluating medication effectiveness, and performing home health assessments as part of comprehensive nursing care.
Choice B rationale
Central line care, which includes dressing changes, flushing, and drawing blood, is a specialized, skilled nursing procedure. Community health nurses often provide this service in the home setting to maintain patency and prevent infection in clients requiring long-term intravenous access.
Choice C rationale
Medical diagnosis is the exclusive scope of practice for physicians, physician assistants, and advanced practice registered nurses (NPs, CNSs), not registered nurses or community health nurses. Nurses conduct a nursing diagnosis focused on the client's responses to health conditions, while the medical diagnosis identifies the underlying pathology.
Choice D rationale
Wound care, including complex dressing changes and monitoring for infection, is a core component of skilled nursing care provided by community health nurses, often in the home setting for clients recovering from surgery or managing chronic wounds like diabetic ulcers
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