EXAM PRACTICE QUESTIONS AND
CORRECT ANSWERS
When providing culturally competent care, nurses must incorporate cultural
assessments into their health assessments. Which statement is most
appropriate to use when initiating an assessment of cultural beliefs with an
elderly American Indian patient?
A) "Are you of the Christian faith?"
B) "Do you want to see a medicine man?"
C) "How often do you seek help from medical providers?"
D) "What cultural or spiritual beliefs are important to you?"
D) "What cultural or spiritual beliefs are important to you?"
Page: 17. The nurse needs to assess the cultural beliefs and practices of the
patient. American Indians may seek assistance from a medicine man or
shaman, but the nurse should not assume this. An open-ended question
regarding cultural and spiritual beliefs is best used initially when performing
a cultural assessment.
When planning a cultural assessment, the nurse should include which
component?
A) Family history
B) Chief complaint
,C) Medical history
D) Health-related beliefs
D) Health-related beliefs
Pages: 19-20. Health-related beliefs and practices are one component of a
cultural assessment. The other items reflect other aspects of the patient's
history.
The nurse is obtaining a family health history when the client reports that a
grandparent has type 1 diabetes. Where can the nurse document this
information?
A) Present health/ illness
B) Family Genogram
C) Past Medical History
D) Health Belief Model
B) Family Genogram
The Nurse is interviewing a patient with acute pain. Which of the following
actions by the nurse should be preformed first?
A) Attempt to reduce the pain and complete the interview later
B) Interview the family to get the information needed
C) Document why the interview could not be completed at this time
D) Proceed very quickly with the interview
A) Attempt to reduce the pain and complete the interview later
,The nurse is interviewing her patient. The nurse says to the client "It sounds
like you do not like your new job because it is more stressful than you
anticipated." Which of the following types of communication is the nurse
utilizing?
A) Questioning
B) Paraphrasing
C) Attending
D) Listening
B) Paraphrasing
In an interview, the nurse may find it necessary to take notes to aid his or
her memory later. Which statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's
nonverbal behaviors.
B) Note-taking allows the patient to continue at his or her own pace as the
nurse records what is said.
C) Note-taking allows the nurse to shift attention away from the patient,
resulting in an increased comfort level.
D) Note-taking allows the nurse to break eye contact with the patient, which
may increase his or her level of comfort.
A) Note-taking may impede the nurse's observation of the patient's
nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable. But
be aware that note-taking during the interview has disadvantages. It breaks
eye contact too often, and it shifts attention away from the patient, which
diminishes his or her sense of importance. It also may interrupt the patient's
narrative flow, and it impedes the observation of the patient's nonverbal
behavior.
, The Nurse is interviewing their patient. The nurse states "Can you tell me
exactly what you feel when you are having difficulty catching your breath?"
Which of the following communication techniques is the nurse utilizing?
A) Attending to cues
B) Paraphrasing
C) Focusing
D) Summarazing
C) Focusing
During an interview, the nurse states, "You mentioned shortness of breath.
Tell me more about that." Which verbal skill is used with this statement?
A) Reflection
B) Facilitation
C) Direct question
D) Open-ended question
D) Open-ended question
Page: 32 The open-ended question asks for narrative information. It states
the topic to be discussed but only in general terms. The nurse should use it
to begin the interview, to introduce a new section of questions, and
whenever the person introduces a new topic.
A nurse is taking complete health histories on all of the patients attending a
wellness workshop. On the history form, one of the written questions asks,