A community health nurse is caring for a client in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group?

Touching the hair of an African American client during an assessment

Offering to shake hands when meeting an Asian client of the opposite gender

Maintaining eye contact when interviewing a Native American client

Including both hot and cold food items on a Hispanic client's menu

Answer and Explanation

The Correct Answer is D

Choice A reason: Touching the hair of an African American client during an assessment does not demonstrate accurate cultural knowledge, as it may be considered disrespectful or intrusive. Hair is a sensitive and personal topic for many African Americans, who may have experienced discrimination or stigma based on their hair texture or style¹. The nurse should ask for permission before touching the client's hair and explain the purpose of the assessment.

Choice B reason: Offering to shake hands when meeting an Asian client of the opposite gender does not demonstrate accurate cultural knowledge, as it may be considered inappropriate or offensive. In some Asian cultures, physical contact between men and women who are not related or married is discouraged or prohibited². The nurse should observe the client's body language and follow the client's lead in greeting gestures.

Choice C reason: Maintaining eye contact when interviewing a Native American client does not demonstrate accurate cultural knowledge, as it may be considered rude or aggressive. In some Native American cultures, eye contact is a sign of disrespect or challenge, especially when talking to elders or authority figures³. The nurse should avoid direct eye contact and use a respectful tone of voice when interviewing the client.

Choice D reason: Including both hot and cold food items on a Hispanic client's menu demonstrates accurate cultural knowledge, as it reflects the concept of balance and harmony in Hispanic culture. Many Hispanics believe that health and illness are influenced by the balance between hot and cold forces in the body and the environment⁴. The nurse should respect the client's food preferences and beliefs and provide a variety of food options.

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Correct Answer is C

Explanation

Choice A reason: Conducting counseling for at-risk parents is not a primary prevention strategy, as it is a secondary prevention strategy. Secondary prevention aims to stop violence from recurring after it happens, by identifying and intervening with those who are at risk of being victims or perpetrators of violence. Counseling for at-risk parents may help them cope with stress, resolve conflicts, and improve their relationships, but it does not prevent violence from happening in the first place.

Choice B reason: Assessing a family for marital discord is not a primary prevention strategy, as it is a secondary prevention strategy. Secondary prevention aims to stop violence from recurring after it happens, by identifying and intervening with those who are at risk of being victims or perpetrators of violence. Assessing a family for marital discord may help the nurse detect signs of abuse, neglect, or violence, and refer the family to appropriate services, but it does not prevent violence from happening in the first place.

Choice C reason: Teaching parenting techniques to new parents is a primary prevention strategy, as it aims to prevent violence from ever happening in the first place. Primary prevention works by addressing the underlying causes of violence, such as gender inequality, social norms, and power imbalances, and promoting positive attitudes and behaviors across the whole population. Teaching parenting techniques to new parents may help them develop skills, knowledge, and confidence to raise their children in a healthy, safe, and supportive environment, and prevent child abuse and neglect.

Choice D reason: Providing treatment for a young adult who has a substance use disorder is not a primary prevention strategy, as it is a tertiary prevention strategy. Tertiary prevention aims to respond to the long-term impacts of violence, by providing care and support to those who have experienced or perpetrated violence, and reducing the consequences and recurrence of violence. Providing treatment for a young adult who has a substance use disorder may help them recover from their addiction, improve their mental and physical health, and reduce their involvement in violence, but it does not prevent violence from happening in the first place.

A. About 100 reported cases per 100,000 population. B. About 1 reported case per 10,000 population. C. About 10 reported cases per 10,000 population. D. About 1000 reported cases per 100,000 population.

Correct Answer is D

Explanation

The correct answer is D

Choice A reason:

Using the formula, we calculate the incidence rate as follows:

To determine the incidence rate, we use the formula:

Incidence rate = (Number of new cases/Population at risk} x Standard population sizeIncidencerate=(PopulationatriskNumberofnewcases)×Standardpopulationsize

Incidence rate = (3,144/314,400) x 100,000 = 1000

This means there are approximately 1000 new cases of chlamydia per 100,000 population in the state for the year.

Therefore this option is wrong.

Choice B reason:

Using the formula, we calculate the incidence rate as follows:

To determine the incidence rate, we use the formula:

Incidence rate = (Number of new cases/Population at risk} x Standard population sizeIncidencerate=(PopulationatriskNumberofnewcases)×Standardpopulationsize

Incidence rate = (3,144/314,400) x 10,000 = 100

This means there are approximately 1000 new cases of chlamydia per 10,000 population in the state for the year.

Therefore this option is wrong.

Choice C reason:

Using the formula, we calculate the incidence rate as follows:

To determine the incidence rate, we use the formula:

Incidence rate = (Number of new cases/Population at risk} x Standard population sizeIncidencerate=(PopulationatriskNumberofnewcases)×Standardpopulationsize

Incidence rate = (3,144/314,400) x 10,000 = 100

This means there are approximately 100 new cases of chlamydia per 10,000 population in the state for the year.

Therefore this option is wrong.

Choice D reason:

Using the formula, we calculate the incidence rate as follows:

To determine the incidence rate, we use the formula:

Incidence rate = (Number of new cases/Population at risk} x Standard population sizeIncidencerate=(PopulationatriskNumberofnewcases)×Standardpopulationsize

Incidence rate = (3,144/314,400) x 100,000 = 1000

This means there are approximately 1000 new cases of chlamydia per 100,000 population in the state for the year.

Therefore this option is correct.

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A community health nurse is caring for a client in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal?

Correct Answer is C

Explanation

A community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year, 3,144 new cases were reported and the population was estimated at 325,986. Which of the following is the incidence rate in the state for the year?

Correct Answer is D

Explanation

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