ACI EXAM 1 PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS |LATEST
UPLOAD |A+
A nurse, while preparing to interview for employment in a rural hospital, identifies which chronic
illnesses as more prevalent in rural areas than in urban areas of the United States?
a.) Cancer and heart disease
b.) Sexually transmitted infections
c.) Alzheimer's disease and dementia
d.) Chronic obstructive pulmonary disease - correct answer-a
The nurse is caring for a Spanish-speaking patient that speaks no English. What action should the
nurse take when using an interpreter for communication with this patient?
a.) Ask a family member to interpret.
b.) Maintain eye contact with the patient.
c.) Ask fewer questions to prevent fatigue.
d.) Use as many medical terms as possible. - correct answer-b
A Muslim patient is hospitalized during the period of Ramadan and refuses his morning oral
medications. What is the priority action by the nurse?
a.) Place the medication in food.
b.) Offer the medication to the patient after sundown.
c.) Tell the patient that if he does not take the medication now, he will not get better.
d.) Inform the patient that if he does not take his medication, he will have to leave the hospital. -
correct answer-b
A patient being prepared for a major cardiac surgical procedure tells the nurse she is not religious
but has spiritual beliefs. How would the nurse best base her response to the patient?
a.) Beliefs about life, death, good, and evil
b.) The use of prayer for intercession and thanksgiving
c.) A person's effort to find purpose and meaning in life
d.) A formal system of beliefs, including worship of God or gods - correct answer-c
A nurse is explaining differences in the incidence, prevalence, mortality rate, and burden of
diseases among specific population groups to community volunteers. The nurse is describing what
concept?
a.) Stereotyping
,b.) Ethnocentrism
c.) Health disparities
d.) Cultural competence - correct answer-c
The nurse is performing an assessment of a Chinese American patient wearing a jade bracelet on
her left wrist. The nurse asks the patient about the significance of the bracelet and whether it can
be removed before the scheduled diagnostic procedure. What behavior has the nurse
demonstrated?
a.) Diversity
b.) Stereotyping
c.) Ethnocentrism
d.) Cultural competence - correct answer-d
The nurse identifies a patient at high risk for health care disparities. What should be included as
important nursing actions to reduce health care disparities? (Select all that apply.)
a.) Active listening
b.) Relationship building
c.) Taking foreign language classes
d.) Participating in cross-cultural education
e.) Using standardized evidence-based guidelines - correct answer-a, b, d, e
The adult children of a patient who is Hindu have requested a vegetarian diet for the patient. What
is the nurse's most appropriate response?
a.) Order a vegetarian diet for the patient.
b.) Assess the family's rationale for choosing this particular diet.
c.) Teach the family about the relationship between protein intake and wound healing.
d.) Explore the benefits of a low-meat, high-protein diet with the family and the dietitian. - correct
answer-a
An older adult from Nigeria is visiting an adult child. The child tries to encourage the patient to have
the testing and treatment for a chronic productive cough. What behavior has occurred since the
child now believes in American medical treatment?
a.) Acculturation
b.) Ethnocentrism
c.) Race awareness
d.) Cultural imposition - correct answer-a
,The nurse is developing a community outreach program for patients with limited health care
access. Which patient would be most likely to benefit from this program?
a.) A 65-yr-old upper class Hispanic man living in the city
b.) A 78-yr-old Native American man living on a reservation
c.) A 72-yr-old black retired attorney living in a condominium
d.) A 50-yr-old middle-class white woman living in a rural area - correct answer-b
What are the four components of cultural competence that nurses can demonstrate in providing
nursing care in any care delivery setting?
a.) Awareness, knowledge, skill, and encounter
b.) Patience, sensitivity, openness, and listening
c.) Immersion, transcendence, imposition, and attitude
d.) Ability, understanding, communication, and empathy - correct answer-a
The nurse is interested in developing her cultural competence. What behaviors can be adopted to
do so?
a.) Develop an understanding of all ethnic groups.
b.) Identify the one culture about which she is interested in being competent.
c.) Have extended contact with a cultural group to enhance understanding of its values and beliefs.
d.) Understand the specific information about the patient's culture so the understanding can be
applied to caring for the patient. - correct answer-c
What are the leading determinants of a patient's health? (select all that apply)
a.) genetics
b.) health behaviors
c.) family history of disease
d.) social and physical environment
e.) type and quality of medical care received - correct answer-a, b, d
In identifying patients at the greatest risk for health disparities, the nurse would note that:
a.) patients who live in urban areas have readily available access to health care services
b.) cultural differences exist in patients' ability to communicate with their health care provider
c.) a patient receiving care form a health care provider of a different culture will have decreased
quality of care
d.) men are more likely than women to have their cardiovascular disease symptoms ignored by a
health care provider - correct answer-b
, Focusing one's own cultural beliefs and practices on another person is an example of:
a.) stereotyping
b.) ethnocentrism
c.) cultural relativity
d.) cultural imposition - correct answer-d
Which statement most accurately describes cultural factors that may affect health?
a.) diabetes and cancer rates differ by cultural/ethnic groups
b.) there are limited ethnic variations in physiologic responses to drugs
c.) most patients find that religious rituals help them during times of illness
d.) silence during a nurse-patient interaction means the patient understands the instructions -
correct answer-a
As part of the nursing process, cultural assessment is best accomplished by:
a.) judging the patient's cultural values based on observations.
b.) using a cultural assessment guide as part of the nursing process.
c.) seeking guidance from a nurse from the patient's cultural background.
d.) relying on the nurse's previous experience with patients from that cultural group. - correct
answer-b
Nurses play a key role in promoting health equality. An important mechanism is to do this is to:
a.) discourage use of EBP guidelines
b.) insist that patients adhere to established clinical guidelines
c.) teach patients to use the internet to find resources related to their health
d.) engage in active listening and establish relationships with patients and families - correct
answer-d
What is the first step in developing cultural competence?
a.) create opportunities to interact with a variety of cultural groups
b.) examine the nurses' own cultural background, values, and beliefs about health and health care
c.) learn about a multitude of folk medicines and herbal substances that different cultures use for
self-care
d.) learn assessment skills for different cultural groups, including cultural beliefs and practices and
physical assessments - correct answer-b
UPLOAD |A+
A nurse, while preparing to interview for employment in a rural hospital, identifies which chronic
illnesses as more prevalent in rural areas than in urban areas of the United States?
a.) Cancer and heart disease
b.) Sexually transmitted infections
c.) Alzheimer's disease and dementia
d.) Chronic obstructive pulmonary disease - correct answer-a
The nurse is caring for a Spanish-speaking patient that speaks no English. What action should the
nurse take when using an interpreter for communication with this patient?
a.) Ask a family member to interpret.
b.) Maintain eye contact with the patient.
c.) Ask fewer questions to prevent fatigue.
d.) Use as many medical terms as possible. - correct answer-b
A Muslim patient is hospitalized during the period of Ramadan and refuses his morning oral
medications. What is the priority action by the nurse?
a.) Place the medication in food.
b.) Offer the medication to the patient after sundown.
c.) Tell the patient that if he does not take the medication now, he will not get better.
d.) Inform the patient that if he does not take his medication, he will have to leave the hospital. -
correct answer-b
A patient being prepared for a major cardiac surgical procedure tells the nurse she is not religious
but has spiritual beliefs. How would the nurse best base her response to the patient?
a.) Beliefs about life, death, good, and evil
b.) The use of prayer for intercession and thanksgiving
c.) A person's effort to find purpose and meaning in life
d.) A formal system of beliefs, including worship of God or gods - correct answer-c
A nurse is explaining differences in the incidence, prevalence, mortality rate, and burden of
diseases among specific population groups to community volunteers. The nurse is describing what
concept?
a.) Stereotyping
,b.) Ethnocentrism
c.) Health disparities
d.) Cultural competence - correct answer-c
The nurse is performing an assessment of a Chinese American patient wearing a jade bracelet on
her left wrist. The nurse asks the patient about the significance of the bracelet and whether it can
be removed before the scheduled diagnostic procedure. What behavior has the nurse
demonstrated?
a.) Diversity
b.) Stereotyping
c.) Ethnocentrism
d.) Cultural competence - correct answer-d
The nurse identifies a patient at high risk for health care disparities. What should be included as
important nursing actions to reduce health care disparities? (Select all that apply.)
a.) Active listening
b.) Relationship building
c.) Taking foreign language classes
d.) Participating in cross-cultural education
e.) Using standardized evidence-based guidelines - correct answer-a, b, d, e
The adult children of a patient who is Hindu have requested a vegetarian diet for the patient. What
is the nurse's most appropriate response?
a.) Order a vegetarian diet for the patient.
b.) Assess the family's rationale for choosing this particular diet.
c.) Teach the family about the relationship between protein intake and wound healing.
d.) Explore the benefits of a low-meat, high-protein diet with the family and the dietitian. - correct
answer-a
An older adult from Nigeria is visiting an adult child. The child tries to encourage the patient to have
the testing and treatment for a chronic productive cough. What behavior has occurred since the
child now believes in American medical treatment?
a.) Acculturation
b.) Ethnocentrism
c.) Race awareness
d.) Cultural imposition - correct answer-a
,The nurse is developing a community outreach program for patients with limited health care
access. Which patient would be most likely to benefit from this program?
a.) A 65-yr-old upper class Hispanic man living in the city
b.) A 78-yr-old Native American man living on a reservation
c.) A 72-yr-old black retired attorney living in a condominium
d.) A 50-yr-old middle-class white woman living in a rural area - correct answer-b
What are the four components of cultural competence that nurses can demonstrate in providing
nursing care in any care delivery setting?
a.) Awareness, knowledge, skill, and encounter
b.) Patience, sensitivity, openness, and listening
c.) Immersion, transcendence, imposition, and attitude
d.) Ability, understanding, communication, and empathy - correct answer-a
The nurse is interested in developing her cultural competence. What behaviors can be adopted to
do so?
a.) Develop an understanding of all ethnic groups.
b.) Identify the one culture about which she is interested in being competent.
c.) Have extended contact with a cultural group to enhance understanding of its values and beliefs.
d.) Understand the specific information about the patient's culture so the understanding can be
applied to caring for the patient. - correct answer-c
What are the leading determinants of a patient's health? (select all that apply)
a.) genetics
b.) health behaviors
c.) family history of disease
d.) social and physical environment
e.) type and quality of medical care received - correct answer-a, b, d
In identifying patients at the greatest risk for health disparities, the nurse would note that:
a.) patients who live in urban areas have readily available access to health care services
b.) cultural differences exist in patients' ability to communicate with their health care provider
c.) a patient receiving care form a health care provider of a different culture will have decreased
quality of care
d.) men are more likely than women to have their cardiovascular disease symptoms ignored by a
health care provider - correct answer-b
, Focusing one's own cultural beliefs and practices on another person is an example of:
a.) stereotyping
b.) ethnocentrism
c.) cultural relativity
d.) cultural imposition - correct answer-d
Which statement most accurately describes cultural factors that may affect health?
a.) diabetes and cancer rates differ by cultural/ethnic groups
b.) there are limited ethnic variations in physiologic responses to drugs
c.) most patients find that religious rituals help them during times of illness
d.) silence during a nurse-patient interaction means the patient understands the instructions -
correct answer-a
As part of the nursing process, cultural assessment is best accomplished by:
a.) judging the patient's cultural values based on observations.
b.) using a cultural assessment guide as part of the nursing process.
c.) seeking guidance from a nurse from the patient's cultural background.
d.) relying on the nurse's previous experience with patients from that cultural group. - correct
answer-b
Nurses play a key role in promoting health equality. An important mechanism is to do this is to:
a.) discourage use of EBP guidelines
b.) insist that patients adhere to established clinical guidelines
c.) teach patients to use the internet to find resources related to their health
d.) engage in active listening and establish relationships with patients and families - correct
answer-d
What is the first step in developing cultural competence?
a.) create opportunities to interact with a variety of cultural groups
b.) examine the nurses' own cultural background, values, and beliefs about health and health care
c.) learn about a multitude of folk medicines and herbal substances that different cultures use for
self-care
d.) learn assessment skills for different cultural groups, including cultural beliefs and practices and
physical assessments - correct answer-b
