[community Public Health] Chapter 10: Relevance Of Culture And Values For Community/Public Health Nursing
![[community Public Health] Chapter 10: Relevance Of Culture And Values For Community/Public Health Nursing - Quiz](https://media.proprofs.com/images/QM/user_images/1826446/1671102145.jpg "[community Public Health] Chapter 10: Relevance Of Culture And Values For Community/Public Health Nursing - Quiz")
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- 1.
Which of the following statistics related to diversity in the United States is accurate?
- A.
One per five people belongs to an ethnic or racial minority.
- B.
One per three people identifies with an ethnic or racial minority.
- C.
The percentage of people identifying with a minority group is decreasing.
- D.
The percentage of people identifying with a minority culture has become the majority.
Correct Answer
B. One per three people identifies with an ethnic or racial minority.Explanation
The correct answer is "One per three people identifies with an ethnic or racial minority." This means that out of every three people in the United States, one identifies with an ethnic or racial minority. This statistic accurately reflects the diversity in the country and indicates that a significant portion of the population belongs to a minority group.Rate this question:
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- 2.
Which of the following groups is the largest ethnic minority in the United States?
- A.
African Americans
- B.
Asian immigrants
- C.
Hispanics
- D.
American Indians/Alaskan natives
Correct Answer
C. HispanicsExplanation
Hispanics are the largest ethnic minority in the United States. This is because Hispanics make up a significant portion of the population, with a diverse range of ethnic backgrounds including Mexican, Puerto Rican, Cuban, and more. The Hispanic population has been steadily growing in the United States, contributing to their status as the largest ethnic minority group.Rate this question:
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- 3.
Which of the following is the best definition of culture?
- A.
An appropriate way to behave within a group
- B.
A choice of lifestyle behaviors by a group
- C.
Learned and shared beliefs, values, and lifeways of a group
- D.
Unconscious behaviors of a group
Correct Answer
C. Learned and shared beliefs, values, and lifeways of a groupExplanation
The best definition of culture is learned and shared beliefs, values, and lifeways of a group. This definition encompasses the idea that culture is not just about behavior or lifestyle choices, but also includes the underlying beliefs and values that shape a group's way of life. It emphasizes the social aspect of culture, highlighting that it is learned and shared among members of a group.Rate this question:
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- 4.
A nurse went to a convention in a large city with which the nurse was unfamiliar. The nurse was somewhat anxious about finding the convention center, but once there, the nurse relaxed and eagerly entered into interaction with other attendees. Which of the following would have been the most likely reason the nurse became comfortable?
- A.
Enjoyment in learning more about topics that were relevant to current practice
- B.
Understanding the perspective of most nurses
- C.
Eagerness about hearing the keynote speaker
- D.
Being an extrovert who loved interacting with people
Correct Answer
B. Understanding the perspective of most nursesExplanation
The most likely reason the nurse became comfortable at the convention was understanding the perspective of most nurses. This suggests that the nurse was able to relate to and connect with other attendees, possibly because they shared similar experiences, challenges, and interests in nursing. This understanding likely helped the nurse feel more at ease and confident in engaging with others at the convention.Rate this question:
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- 5.
A nurse was so angry at a family for not being home when the nurse arrived for their appointment that the nurse wanted to drop the family from the agency caseload. What would the agency supervisor need to point out to the nurse?
- A.
Clients can have emergencies that interfere with plans.
- B.
Communication about the time of the appointment may not have been clear.
- C.
Nurses expect promptness and compliance, but not all clients feel the same way.
- D.
Perhaps the nurse made an error in writing down the appointment date and time.
Correct Answer
C. Nurses expect promptness and compliance, but not all clients feel the same way.Explanation
The agency supervisor would need to point out to the nurse that not all clients feel the same way about promptness and compliance. It is important for the nurse to understand that clients can have emergencies or other circumstances that may interfere with their plans, and that communication about the appointment time may not have been clear. It is also possible that the nurse made an error in writing down the appointment date and time. Therefore, it is not appropriate to drop the family from the agency caseload solely based on their absence during the nurse's arrival.Rate this question:
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- 6.
A nurse was proud of having completed a professional education program on cultural care of Hispanics. It was surprising when the Hispanic client for whom the nurse had been caring did not seem to act very Hispanic. Which of the following considerations is the nurse not taking?
- A.
The client may have been trying to demonstrate behaviors to please the nurse.
- B.
The client may have customs that are not identical with the Hispanic culture.
- C.
The client may be in too much pain to demonstrate cultural behaviors
- D.
The client may not have been truthful when claiming to be Hispanic.
Correct Answer
B. The client may have customs that are not identical with the Hispanic culture.Explanation
The nurse is not considering that the client may have customs that are not identical with the Hispanic culture. This means that the client may have different cultural practices or beliefs that do not align with what the nurse has learned about Hispanic culture. It is important for the nurse to recognize and respect the individuality of each client and not make assumptions based on cultural stereotypes.Rate this question:
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- 7.
Which of the following is a reason why each person is asked to report his or her race during the U.S. census?
- A.
Race is a biologic reality defining persons with common biologic features.
- B.
Race is a crucial variable, which explains the differences among different groups of people.
- C.
Race is a historical tradition that must be upheld.
- D.
Race is a way in which people identify themselves.
Correct Answer
D. Race is a way in which people identify themselves.Explanation
The reason why each person is asked to report his or her race during the U.S. census is because race is a way in which people identify themselves. This information is collected to better understand the demographics of the population and to track disparities and inequalities among different racial groups. It helps in analyzing and addressing social, economic, and health disparities, and making informed policy decisions to promote equality and inclusivity.Rate this question:
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- 8.
Why will the concept of ethnicity decrease in value to health professionals in the future?
- A.
Assessment and treatment will become more accurate according to a persons race.
- B.
Ethnicity as a concept mainly helps clients have a sense of belonging and loyalty.
- C.
Persons from different ethnic groups are intermarrying, and their children are multiracial.
- D.
The concept of ethnicity is less informative than the term race.
Correct Answer
C. Persons from different ethnic groups are intermarrying, and their children are multiracial.Explanation
In the future, the concept of ethnicity will decrease in value to health professionals because persons from different ethnic groups are intermarrying, and their children are multiracial. This implies that the traditional boundaries and distinctions between ethnic groups will become blurred, making it more difficult to categorize individuals solely based on their ethnicity. As a result, health professionals will need to rely on more accurate and comprehensive factors, such as genetic information or individual health profiles, to assess and treat patients effectively.Rate this question:
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- 9.
What is the relationship between race and ethnicity?
- A.
Race is biologic, whereas ethnicity is psychologic.
- B.
Race is skin color, whereas ethnicity is shared beliefs.
- C.
Both race and ethnicity mean visible subgroup.
- D.
Race means common physiology, and ethnicity means common culture.
Correct Answer
D. Race means common physiology, and ethnicity means common culture.Explanation
The correct answer explains that race refers to common physiology, such as physical characteristics and genetic traits, while ethnicity refers to common culture, including shared traditions, language, and customs. This distinction highlights that race is more closely related to biological factors, while ethnicity is more closely related to social and cultural factors.Rate this question:
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- 10.
Which of the following is the best way for a nurse to determine a clients ethnicity?
- A.
Analyzing the clients actions and communication patterns
- B.
Closely observing behaviors and customs
- C.
Discussing with anthropologists how to recognize the various ethnic groups
- D.
Querying How do you identify yourself?
Correct Answer
D. Querying How do you identify yourself?Explanation
The best way for a nurse to determine a client's ethnicity is by directly asking the client how they identify themselves. This approach allows the client to self-identify and express their own ethnicity, which is important as ethnicity is a personal and subjective aspect of one's identity. Analyzing actions and communication patterns or observing behaviors and customs may provide some clues, but they can also be influenced by various factors and may not accurately reflect a person's ethnicity. Consulting with anthropologists may provide some general knowledge, but it is not as reliable as directly asking the client themselves.Rate this question:
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- 11.
What is the primary reason why there are differences in health outcomes among the various ethnic groups?
- A.
There is decreased access to health care and few care providers from their ethnic group.
- B.
Members of ethnic groups rarely have life insurance, so they cannot afford to obtain care.
- C.
Professionals engage in discrimination, stereotyping, and uncertainty.
- D.
Minorities are less educated, so they do not take care of themselves appropriately.
Correct Answer
C. Professionals engage in discrimination, stereotyping, and uncertainty.Explanation
The primary reason for differences in health outcomes among various ethnic groups is professionals engaging in discrimination, stereotyping, and uncertainty. This implies that healthcare providers may have biases and preconceived notions about certain ethnic groups, leading to unequal treatment and access to healthcare services. These discriminatory practices can result in disparities in health outcomes, as individuals from marginalized ethnic groups may receive substandard care or face barriers in accessing necessary healthcare resources.Rate this question:
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- 12.
Which of the following is the most significant barrier to Americans seeking appropriate health care?
- A.
Culture
- B.
Ethnicity
- C.
Lack of insurance
- D.
Race
Correct Answer
C. Lack of insuranceExplanation
Lack of insurance is the most significant barrier to Americans seeking appropriate health care because without insurance, individuals often struggle to afford necessary medical services and treatments. This financial barrier can prevent people from accessing timely and quality healthcare, leading to delayed or inadequate treatment, poorer health outcomes, and increased healthcare disparities. Insurance coverage plays a crucial role in ensuring that individuals have access to the necessary resources and services to maintain their health and well-being.Rate this question:
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- 13.
A nurse stressed to an oncology patient the importance of returning to the outpatient clinic promptly at 8 AM for the next treatment, but the client arrived at 3 PM. Which of the following would be the most likely explanation for the clients tardiness?
- A.
The client needed the appointment written down so the client could remember the exact time.
- B.
The clients employment had to come first, so the clinic visit was second in priority.
- C.
The clients perception of time was not linear or future oriented.
- D.
The client was having too much discomfort from the treatment to have another treatment so soon.
Correct Answer
C. The clients perception of time was not linear or future oriented.Explanation
The most likely explanation for the client's tardiness is that their perception of time was not linear or future-oriented. This means that they may have difficulty understanding and keeping track of time, leading to them arriving late for the appointment. This could be a result of cognitive or neurological factors that affect their ability to perceive and comprehend time accurately.Rate this question:
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- 14.
A nurse was teaching a client how to plan his diabetic diet. The client explained that he was on the road a lot and ate in truck stops where they did not serve that kind of food. Furthermore, both his mother and father had died of diabetic complications, and he knew he would probably have the same fate. Which of the following would be the most appropriate action for the nurse?
- A.
Explaining why the client might have to change careers and be more optimistic
- B.
Recognizing that the client has a present time orientation and stop wasting effort on teaching him about a diet he will not follow
- C.
Reviewing the clients priorities and see what compromises in nutrition might be possible in his job
- D.
Trying to help the client see the importance of planning for the future
Correct Answer
C. Reviewing the clients priorities and see what compromises in nutrition might be possible in his jobExplanation
The most appropriate action for the nurse would be to review the client's priorities and see what compromises in nutrition might be possible in his job. This is because the client has expressed concerns about his job and the type of food available to him while on the road. By understanding his priorities and exploring possible compromises, the nurse can work with the client to develop a more realistic and achievable diabetic diet plan that fits his lifestyle.Rate this question:
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- 15.
A nurse saw a man from an Arab country asking a physician how his wife was doing. As the physician responded to the question, the physician backed away. The man again moved up close to the physician to ask another question, which the physician answered while again backing up. Which of the following conclusions can be drawn by the nurse?
- A.
Both were trying to arrange the space between them to be comfortable.
- B.
The man had poor personal hygiene, so the physician was distancing himself from the client.
- C.
The physician did not want to stand that close to an Arab.
- D.
These things happen; there is no particular meaning to this event.
Correct Answer
A. Both were trying to arrange the space between them to be comfortable.Explanation
Both the nurse and the physician were trying to arrange the space between them to be comfortable. This can be inferred from the fact that both the physician and the man moved closer and backed away multiple times during their conversation. It suggests that they were adjusting their proximity to find a comfortable distance while communicating.Rate this question:
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- 16.
A nurse was assigned to care for a client who was speaking with his young daughter in an Asian language. Because the nurse spoke only English, which of the following actions should be taken by the nurse?
- A.
Ask the young daughter whether she knew English and could translate.
- B.
Ask the young daughter whether the clients wife was available to translate.
- C.
Call the nursing office to see whether any nurse in the hospital spoke the clients language.
- D.
Check the hospital resource manual for the telephone number of a translator who spoke an Asian language.
Correct Answer
C. Call the nursing office to see whether any nurse in the hospital spoke the clients language.Explanation
The nurse should call the nursing office to see if there is any nurse in the hospital who speaks the client's language. This is the most appropriate action because it would allow for effective communication between the nurse and the client, ensuring that the client's needs and concerns are properly understood and addressed. Asking the daughter to translate or asking about the availability of the client's wife may not guarantee accurate communication, as their language proficiency is unknown. Checking the hospital resource manual for a translator's contact information may be time-consuming and may not provide an immediate solution.Rate this question:
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- 17.
The nurse was determined to become more culturally competent with at least one cultural group besides the nurses own. Which of the following actions would be most useful for professional practice?
- A.
Buying groceries from a small ethnic grocery store in the neighborhood
- B.
Buying only items made outside the United States
- C.
Learning conversational Spanish
- D.
Moving into an apartment house owned by a member of another ethnic group
Correct Answer
C. Learning conversational SpanishExplanation
Learning conversational Spanish would be most useful for professional practice because it would enable the nurse to communicate effectively with Spanish-speaking patients and understand their cultural needs and preferences. This would enhance the nurse's ability to provide culturally competent care and improve patient outcomes. Buying groceries from a small ethnic grocery store or moving into an apartment owned by a member of another ethnic group may provide some exposure to a different culture, but it may not necessarily enhance the nurse's ability to provide culturally competent care. Buying only items made outside the United States does not directly contribute to cultural competence.Rate this question:
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- 18.
The administrative team at a home care agency is discussing how they meet the Culturally and Linguistically Appropriate Services (CLAS) standards. Which of the following actions demonstrates the incorporation of these standards in practice?
- A.
Requiring a small fee so that all patients will have a translator immediately available
- B.
Using hand motions, pantomime, and touch to convey information
- C.
Requiring all staff nurses employed in the hospital to be bilingual
- D.
Using a computer to print index cards with essential phrases both in English and in the patients language
Correct Answer
D. Using a computer to print index cards with essential phrases both in English and in the patients languageExplanation
Using a computer to print index cards with essential phrases in both English and the patient's language demonstrates the incorporation of CLAS standards in practice. This action shows a commitment to providing culturally and linguistically appropriate services by ensuring effective communication between staff and patients who may have limited English proficiency. The index cards serve as a practical tool for staff to communicate essential information and meet the needs of diverse patients.Rate this question:
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- 19.
Which of the following is the best definition of a family for a nurse to use when planning nursing care?
- A.
Related legally or by blood
- B.
Considered family by the legal system
- C.
Living in the same household
- D.
Any person the client reports as being family
Correct Answer
D. Any person the client reports as being familyExplanation
The best definition of a family for a nurse to use when planning nursing care is "Any person the client reports as being family." This definition acknowledges that family is not solely defined by legal or blood relationships, but rather by the individual's own perception and identification of who they consider to be their family. By recognizing and including the client's self-identified family members in the care plan, the nurse can provide holistic and patient-centered care that respects the client's unique support system and social connections.Rate this question:
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- 20.
A male nurse was admitting a woman from Italy who spoke perfect English. The nurse had no idea what would be considered appropriate behavior for a male nurse with a female client from outside the United States. Which of the following statements should be made by the nurse?
- A.
Can you tell me about Italy? I've always wanted to go there.
- B.
I dont know much about care in your country. Could you tell me what you expect from a nurse in a hospital?
- C.
I understand you have national health care in your country, but you do understand that here you will have to pay for all your care?
- D.
Youll probably prefer a female nurse. Ill have a female colleague come in shortly.
Correct Answer
B. I dont know much about care in your country. Could you tell me what you expect from a nurse in a hospital?Explanation
The correct answer is "I don't know much about care in your country. Could you tell me what you expect from a nurse in a hospital?" This response shows cultural sensitivity and a willingness to learn from the patient about her expectations and preferences. It acknowledges the nurse's lack of knowledge about the patient's background and seeks to understand her needs better. This approach promotes effective communication and patient-centered care.Rate this question:
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- 21.
The community/public health nurse was conducting a blood pressure clinic. The nurse noted that a Chinese clients blood pressure was 80/50. The client stated that he was taking propranolol for hypertension. Which of the following would be the most probable reason for this low blood pressure?
- A.
The client may be more sensitive to the effects of beta-blockers.
- B.
The client may never really have had hypertension.
- C.
The client may have taken too much of the medication each day.
- D.
The client may not have told the physician all the other medications he was taking.
Correct Answer
A. The client may be more sensitive to the effects of beta-blockers.Explanation
The most probable reason for the client's low blood pressure is that they may be more sensitive to the effects of beta-blockers. Beta-blockers are a type of medication commonly used to treat hypertension, but they can also cause a decrease in blood pressure. Some individuals may be more sensitive to the effects of these medications, leading to a greater decrease in blood pressure. This could explain the client's low blood pressure despite taking propranolol for hypertension.Rate this question:
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- 22.
A man was badly hurt in a car accident caused by a drunk driver and was having a large amount of pain. The man cried, What did I do to deserve this? I wasnt the one drinking. Which of the following would be the most appropriate response by the nurse?
- A.
There is always a reason behind any accident and injury.
- B.
The pain will start to improve. You just need to give it some time.
- C.
Im sorry you have so much pain. How have you been dealing with it?
- D.
Can I get you more pain medication?
Correct Answer
C. Im sorry you have so much pain. How have you been dealing with it?Explanation
The most appropriate response by the nurse would be to express empathy towards the patient's pain and inquire about their coping mechanisms. This response acknowledges the patient's suffering and shows a willingness to understand and support them in dealing with their pain.Rate this question:
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- 23.
A nurse is completing a cultural assessment. Which of the following actions would the nurse take first?
- A.
Assessing the clients religious beliefs
- B.
Asking the client with which culture he or she identifies
- C.
Establishing rapport and a trusting relationship with the client
- D.
Evaluating appropriate data collection tools
Correct Answer
C. Establishing rapport and a trusting relationship with the clientExplanation
In a cultural assessment, establishing rapport and a trusting relationship with the client would be the first action the nurse would take. This is important because it creates a foundation of trust and respect, allowing the nurse to gather accurate and meaningful information about the client's cultural background, beliefs, and practices. Without a trusting relationship, the client may not feel comfortable sharing personal and sensitive information, which could hinder the accuracy and effectiveness of the cultural assessment.Rate this question:
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- 24.
Which of the following criteria would be useful for a nurse in choosing a good informant who can explain what is and what is not appropriate behavior in a group?
- A.
Being in a position of power and authority and having an appropriate title
- B.
Being careful to describe reality as the nurse wants to hear it
- C.
Being a member of the culture who has been actively involved for a long time
- D.
Being willing to explain as long as his or her knowledge is financially recognized
Correct Answer
C. Being a member of the culture who has been actively involved for a long timeExplanation
Being a member of the culture who has been actively involved for a long time would be useful for a nurse in choosing a good informant who can explain what is and what is not appropriate behavior in a group. This is because someone who has been actively involved in the culture for a long time would have a deep understanding of the cultural norms and values, and would be able to provide accurate and reliable information about appropriate behavior in a group.Rate this question:
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- 25.
A nurse was very excited at being given the opportunity to spend a year working in Botswana. After 2 months, however, the nurse was feeling both depressed and angry. Knowing the agreement was to stay a calendar year made the nurse feel panic-stricken. Which of the following problems is the nurse most likely experiencing?
- A.
Culture shock from being in a culture very different from that at home
- B.
Fatigue from having to constantly ask a translator to explain what clients are saying
- C.
Frustration because high-technology equipment is not available in this developing country
- D.
Tiredness from learning all the differences in nursing techniques in this clinical setting
Correct Answer
A. Culture shock from being in a culture very different from that at homeExplanation
The nurse is most likely experiencing culture shock from being in a culture very different from that at home. This is evident from the nurse feeling both depressed and angry after being in Botswana for 2 months and feeling panic-stricken about staying for a calendar year. Culture shock is a common reaction to the unfamiliarity and challenges of adapting to a new culture, and it often includes feelings of depression, anger, and anxiety.Rate this question:
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- 26.
The difference between an immigrant and a refugee is that the immigrant
- A.
Has legal permission to receive government benefits, whereas the refugee does not.
- B.
Is a legal member of society, whereas refugees have come into the country illegally.
- C.
Is a member of a group that America wishes to welcome, whereas a refugee is not.
- D.
Wants permanent residence, whereas refugees wish to escape persecution.
Correct Answer
D. Wants permanent residence, whereas refugees wish to escape persecution.Explanation
The correct answer is "Wants permanent residence, whereas refugees wish to escape persecution." This answer accurately distinguishes between immigrants and refugees based on their motivations. Immigrants generally seek permanent residence in a new country for various reasons, such as better economic opportunities or a desire for a new life. On the other hand, refugees flee their home countries due to persecution, violence, or other forms of danger. Their primary goal is to find safety and protection rather than seeking permanent residency.Rate this question:
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- 27.
A nurse has been assigned to care for a bisexual client. Which of the following would be important for the nurse to recognize about this client?
- A.
The client may have experienced disparities in health status and care.
- B.
The client has received care similar to that of all other U.S. citizens.
- C.
The client may be resistant to education by the nurse.
- D.
The client has resisted mainstream lifestyles and behaviors.
Correct Answer
A. The client may have experienced disparities in health status and care.Explanation
The correct answer is that the client may have experienced disparities in health status and care. This is important for the nurse to recognize because bisexual individuals often face health disparities due to discrimination, stigma, and lack of understanding. They may be at higher risk for mental health issues, substance abuse, and certain physical health conditions. By recognizing this, the nurse can provide appropriate and sensitive care to address the client's unique needs.Rate this question:
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- 28.
Why would a nurse attend a professional development program about personal beliefs, values, and ethnic heritage?
- A.
It will be worth sharing with other staff at the agency.
- B.
It will decrease the nurses racism.
- C.
It will help the nurse recognize her own ethnic perspective.
- D.
It will help the nurse work better with others.
Correct Answer
C. It will help the nurse recognize her own ethnic perspective.Explanation
Attending a professional development program about personal beliefs, values, and ethnic heritage would help the nurse recognize her own ethnic perspective. By gaining a deeper understanding of her own cultural background and values, the nurse will be better equipped to provide culturally sensitive care to patients from diverse backgrounds. This knowledge will enable her to be more empathetic, respectful, and inclusive in her interactions with patients and colleagues, ultimately improving her ability to work effectively with others.Rate this question:
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May 06, 2020Quiz Created by
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