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 C
Explanation
Rationale:
A. Evacuating the workspace may be premature without understanding the cause and extent of exposure. Immediate treatment is essential, but a comprehensive approach is needed.
B. Contacting management and cleaning the area are important but do not address the immediate need to treat the worker or investigate exposure.
C. Treating the client and obtaining a comprehensive exposure history is crucial for identifying the cause and planning further actions. Assessing other potentially exposed workers ensures broader safety.
D. Contacting OSHA is important for regulatory issues, but immediate patient care and investigation should take precedence to address the worker's current health needs.
Correct Answer is B
Explanation
Rationale:
A. Increasing outreach efforts without understanding specific needs may lead to ineffective or misaligned interventions.
B. Conducting a comprehensive community assessment allows the nurse to identify and prioritize key health issues and resource gaps, leading to more targeted and effective interventions based on actual community needs.
C. Immediate emergency care addresses urgent issues but does not address the broader, long-term needs of the community.
D. Health education programs are beneficial but should be based on a thorough assessment of community needs to ensure they are relevant and effective.