A cultural assessment provides information to the healthcare provider about the effect of culture on which of the following? (Select all that apply)
Environmental control factors
Space and physical contact
Time orientation
Political affiliation
Communication
Correct Answer : A,B,C,E
Rationale:
A. Environmental control factors such as how a culture interacts with and manages its environment, including health practices and beliefs about health and illness, are crucial in a cultural assessment.
B. Space and physical contact concerns how different cultures perceive personal space and physical interaction, which affects comfort and communication.
C. Time orientation refers to how different cultures view time, which can impact scheduling, punctuality, and planning in healthcare interactions.
D. Political affiliation is generally not a focus of cultural assessments in healthcare contexts. Cultural assessments are more concerned with direct aspects of health and interpersonal interactions rather than political views.
E. Communication includes language, non-verbal cues, and cultural norms around communication, all of which are essential for effective healthcare delivery.
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Correct Answer is A
Explanation
Rationale:
A. Offering spiritual counseling and emotional support aligns with the parish nurse's role in providing holistic care that integrates physical, emotional, and spiritual support within the faith community.
B. Conducting health screenings and providing immunizations are more aligned with public health nurses or community health nurses rather than parish nurses.
C. Administering medications and performing advanced medical procedures fall outside the typical scope of parish nursing, which focuses more on support and counseling rather than clinical procedures.
D. Developing public health policy is beyond the individual role of a parish nurse and is typically handled by public health officials and policymakers.
Correct Answer is A
Explanation
Rationale:
A. The presence of a gun in the home is associated with a higher risk of severe injury or death in cases of domestic violence.
B. While trying to leave can be risky, it does not directly indicate a higher risk of mortality compared to other factors.
C. Repeated hospitalizations indicate ongoing abuse but are not as directly related to immediate risk of mortality as the presence of a gun.
D. Having a plan could indicate awareness and preparation, which may not directly correlate with immediate risk of mortality.