NR 222 HEALTH ASSESSMENT EXAM 2 (PDF) | 2026
QUESTIONS AND ANSWERS + RATIONALES | STUDY GUIDE |
100% CORRECT
1. A 6-month-old child from Guatemala was adopted by an American family in Indiana.
The child's socialization into the American midwestern culture is best described as:
A) Assimilation
B) Acculturation
C) Biculturalism
D) Enculturation
Correct Answer: Enculturation
Rationale: Enculturation is the process of socializing a person into a primary culture as a child.
The adopted child is learning a new culture from early childhood, which is a distinct process
from assimilation or acculturation, which typically occur later in life or involve adapting to a
new culture while retaining some original cultural practices.
2. The nurse incorporates cultural considerations into the health teaching plan by:
A) Assessing a person's beliefs
B) Using medical terminology
C) Presenting evidence-based information
D) Explaining that universal health practices are the best
Correct Answer: Assessing a person's beliefs
Rationale: Assessing a person's beliefs is the cornerstone of culturally competent care. Without
understanding the patient's cultural beliefs and practices, the nurse cannot effectively tailor
health teaching. Using medical terminology or assuming universal practices are best disregards
the patient's unique cultural perspective.
3. Which of the following best describes the concept of health disparities?
A) The accomplishment of the highest level of health for all people
B) The fair distribution of healthcare resources
C) An "umbrella term" that includes differences in health and in healthcare
D) The ability to access healthcare services
Correct Answer: An "umbrella term" that includes differences in health and in healthcare
Rationale: Health disparities refer to preventable differences in the burden of disease, injury,
violence, or opportunities to achieve optimal health that are experienced by socially
disadvantaged populations. Health equity is the accomplishment of the highest level of health for
all people, which is a different concept.
4. The communication of health information in a manner which is clear and understandable
to the client is known as:
A) Empowerment
, B) Health literacy
C) Health disparities
D) Health education
Correct Answer: Health literacy
Rationale: Health literacy is the degree to which individuals have the capacity to obtain, process,
and understand basic health information and services needed to make appropriate health
decisions. It is not health education, which is the process of imparting information, or
empowerment, which refers to enabling individuals to take control of their health.
5. Nurses have a responsibility to ensure health literacy when providing health education.
Which strategies can nurses use to promote health literacy? (Select all that apply)
A) Speak clearly and distinctly
B) Speak louder than usual
C) Use medical terminology
D) Face the person when speaking
E) Conclude with a summary of key points
Correct Answer: Speak clearly and distinctly; Face the person when speaking; Conclude with a
summary of key points
Rationale: Clear speech, facing the person to allow lip-reading, and summarizing key points all
enhance understanding. Speaking louder is not generally helpful unless the patient has a hearing
impairment, and using medical terminology can create barriers to understanding.
6. The nurse utilizes strategies associated with client-centered communication by doing
which of the following? (Select all that apply)
A) Not being "too busy" to talk
B) Focusing on the nurse's views
C) Developing mutual understanding
Correct Answer: Not being "too busy" to talk; Developing mutual understanding
Rationale: Client-centered communication prioritizes the client's needs and perspective. Being
present and available, and working to achieve mutual understanding are key strategies. Focusing
on the nurse's views is a barrier to this type of communication.
7. A patient needs to learn to use a walker. Which domain is required for learning this skill?
A) Affective domain
B) Cognitive domain
C) Attentional domain
D) Psychomotor domain
Correct Answer: Psychomotor domain
Rationale: The psychomotor domain involves learning and demonstrating physical skills, such as
using a walker. The affective domain deals with attitudes and values, and the cognitive domain
QUESTIONS AND ANSWERS + RATIONALES | STUDY GUIDE |
100% CORRECT
1. A 6-month-old child from Guatemala was adopted by an American family in Indiana.
The child's socialization into the American midwestern culture is best described as:
A) Assimilation
B) Acculturation
C) Biculturalism
D) Enculturation
Correct Answer: Enculturation
Rationale: Enculturation is the process of socializing a person into a primary culture as a child.
The adopted child is learning a new culture from early childhood, which is a distinct process
from assimilation or acculturation, which typically occur later in life or involve adapting to a
new culture while retaining some original cultural practices.
2. The nurse incorporates cultural considerations into the health teaching plan by:
A) Assessing a person's beliefs
B) Using medical terminology
C) Presenting evidence-based information
D) Explaining that universal health practices are the best
Correct Answer: Assessing a person's beliefs
Rationale: Assessing a person's beliefs is the cornerstone of culturally competent care. Without
understanding the patient's cultural beliefs and practices, the nurse cannot effectively tailor
health teaching. Using medical terminology or assuming universal practices are best disregards
the patient's unique cultural perspective.
3. Which of the following best describes the concept of health disparities?
A) The accomplishment of the highest level of health for all people
B) The fair distribution of healthcare resources
C) An "umbrella term" that includes differences in health and in healthcare
D) The ability to access healthcare services
Correct Answer: An "umbrella term" that includes differences in health and in healthcare
Rationale: Health disparities refer to preventable differences in the burden of disease, injury,
violence, or opportunities to achieve optimal health that are experienced by socially
disadvantaged populations. Health equity is the accomplishment of the highest level of health for
all people, which is a different concept.
4. The communication of health information in a manner which is clear and understandable
to the client is known as:
A) Empowerment
, B) Health literacy
C) Health disparities
D) Health education
Correct Answer: Health literacy
Rationale: Health literacy is the degree to which individuals have the capacity to obtain, process,
and understand basic health information and services needed to make appropriate health
decisions. It is not health education, which is the process of imparting information, or
empowerment, which refers to enabling individuals to take control of their health.
5. Nurses have a responsibility to ensure health literacy when providing health education.
Which strategies can nurses use to promote health literacy? (Select all that apply)
A) Speak clearly and distinctly
B) Speak louder than usual
C) Use medical terminology
D) Face the person when speaking
E) Conclude with a summary of key points
Correct Answer: Speak clearly and distinctly; Face the person when speaking; Conclude with a
summary of key points
Rationale: Clear speech, facing the person to allow lip-reading, and summarizing key points all
enhance understanding. Speaking louder is not generally helpful unless the patient has a hearing
impairment, and using medical terminology can create barriers to understanding.
6. The nurse utilizes strategies associated with client-centered communication by doing
which of the following? (Select all that apply)
A) Not being "too busy" to talk
B) Focusing on the nurse's views
C) Developing mutual understanding
Correct Answer: Not being "too busy" to talk; Developing mutual understanding
Rationale: Client-centered communication prioritizes the client's needs and perspective. Being
present and available, and working to achieve mutual understanding are key strategies. Focusing
on the nurse's views is a barrier to this type of communication.
7. A patient needs to learn to use a walker. Which domain is required for learning this skill?
A) Affective domain
B) Cognitive domain
C) Attentional domain
D) Psychomotor domain
Correct Answer: Psychomotor domain
Rationale: The psychomotor domain involves learning and demonstrating physical skills, such as
using a walker. The affective domain deals with attitudes and values, and the cognitive domain
