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At a local hospital, the postpartum care policy requires that nurses observe the mother during infant care to assess the mother's ability to care for the new baby and to promote bonding. A new mother expresses concern that in her country, all infant care is provided by other family members so that the mother can rest and recover. Which of the following actions would be taken by a culturally competent nurse?

Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care.

Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities.

State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge.

Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion.

Answer and Explanation

The Correct Answer is D

A. Explain that the process of postpartum recovery does not require this much rest and require that she provide infant care. This disregards cultural norms and imposes a Western view of postpartum care, which is not culturally competent.

B. Reinforce the importance of bonding and that all good mothers gladly assume these responsibilities. This is judgmental and does not acknowledge that bonding can occur in different ways, including through family support.

C. State that she must abide by hospital policy because documentation of the mother's ability to give the infant care is required for discharge. This approach is rigid and does not consider the patient's cultural background or alternative ways to assess knowledge.

D. Allow family members to provide the newborn's care and assess the mother's knowledge of child care through discussion. Cultural competence involves respecting diverse traditions and practices while ensuring safe patient care. In many cultures, postpartum care emphasizes maternal rest while family members care for the newborn. The nurse should assess the mother's knowledge without forcing her into an unfamiliar practice.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Answering parents' questions about the safety and importance of vaccines today: While educating parents is essential, it relies on voluntary compliance and does not have the same large-scale impact as mandatory immunization laws.

B. Offering all immunizations to all children for a small fee: Improving vaccine access is important but does not guarantee that parents will vaccinate their children.

C. Educational campaigns to all health care providers about the importance of immunizations whenever a child is seen: While provider education is valuable, it does not enforce vaccinations on a broad population level like school-entry laws do.

D. "No shots, no school" legislation, which legally requires children be immunized before school: School immunization mandates have played a significant role in increasing vaccination rates and reducing outbreaks of preventable diseases such as measles, mumps, and pertussis. These laws ensure high vaccine compliance before children enter school, making them one of the most effective public health measures.

A. Poultry B. Water parks C. Petting zoos D. Carrots

Correct Answer is C

Explanation

A. Poultry: Poultry is more commonly associated with Salmonella and Campylobacter infections rather than E. coli 0157:H7.

B. Water parks: While waterborne outbreaks can occur, direct animal contact is a greater risk factor for E. coli 0157:H7 infection.

C. Petting zoos: Petting zoos pose a significant risk because E. coli 0157:H7 can be transmitted through contact with infected animals and their feces. Children and immunocompromised individuals are especially vulnerable.

D. Carrots: While contaminated produce has been linked to E. coli outbreaks, petting zoos pose a higher risk due to direct exposure to infected animals.

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Naxlex Comprehensive Predictor Exams

Which of the following public health actions has been particularly instrumental in reducing childhood infectious diseases in the United States?

Correct Answer is D

Explanation

The public health nurse understands the E. coli 0157:H7 is dangerous because it is hemorrhagic. The nurse knows that the greatest risk factor is which of the following?

Correct Answer is C

Explanation

A client is using a primary prevention strategy to prevent infectious disease. Which of the following actions is the client most likely taking?

A client was clearly very relieved when an HIV test came back negative. "Thank goodness. I've had sex several times without a condom, and when one of my friends said he was sick, I think I panicked." Which of the following would be most important to emphasize to the client immediately?

The public health nurse understands that which of the following is the number one cause of death worldwide?

Which of the following infectious disease interventions best represents the use of secondary prevention?

A school nurse asks a class about the ways HIV can be transmitted. Which of the following comments by a student indicates a need for additional teaching?

A public health nurse found that out of the 70 people who ate the potato salad at a school picnic, 63 developed symptoms of food poisoning. Which of the following best describes this disease spectrum?

A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?

A student comes to the college health clinic with typical cold symptoms of fever, sneezing, and coughing, but the nurse also notes a rash with small white spots on the inside of the student's cheeks. Which of the following actions should be taken by the college health nurse?