2026/2027 QUESTIONS AND CORRECT
ANSWERS
1. A nurse is caring for an immigrant with low income. Which
information should the nurse consider when planning care for this
patient?
a. There is a decreased frequency of morbidity.
b. There is an increased incidence of disease.
c. There is an increased level of health.
d. There is a decreased mortality rate.
ANS: B
Populations with health disparities (immigrant with low income) have a
significantly increased incidence of disease or increased morbidity and
mortality when compared with the general population. Although Americans’
health overall has improved during the past few decades, the health of
members of marginalized groups has actually declined.
2. A nurse is assessing the health care disparities among
population groups. Which area is the nurse monitoring?
a. Accessibility of health care services
b. Outcomes of health conditions
c. Prevalence of complications
d. Incidence of diseases
ANS: A
While health disparities are the differences among populations in the incidence,
prevalence, and outcomes of health conditions, diseases and related
complications, health care disparities are differences among populations in the
availability, accessibility, and quality of health care services (e.g. screening,
diagnostic, treatment, management, and rehabilitation) aimed at prevention,
treatment, and management of diseases and their complications.
3. A nurse is providing care to a patient from a different culture. Which
action by the nurse indicates cultural competence?
a. Communicates effectively in a multicultural context
,
, b. Functions effectively in a multicultural context
c. Visits a foreign country
d. Speaks a different language
ANS: B
Cultural competence refers to a developmental process that evolves over time
that impacts ability to effectively function in the multicultural context.
Communicates effectively and speaking a different language indicates
linguistic competence. Visiting a foreign country does not indicate cultural
competence.
4. The nurse learns about cultural issues involved in the patient’s health
care belief system and enables patients and families to achieve meaningful
and supportive care. Which concept is the nurse demonstrating?
a. Marginalized groups
b. Health care disparity
c. Transcultural nursing
d. Culturally congruent care
ANS: D
The nurse is demonstrating culturally congruent care. Culturally congruent
care, or care that fits a person’s life patterns, values, and system of meaning,
provides meaningful and beneficial nursing care. Marginalized groups are
populations left out or excluded. Health care disparities are differences among
populations in the availability, accessibility, and quality of health care services
(e.g. screening, diagnostic, treatment, management, and rehabilitation) aimed
at prevention, treatment, and management of diseases and their complications.
Transcultural nursing is a comparative study of cultures in order to understand
their similarities (culture that is universal) and the differences among them
(culture that is specific to particular groups).
5. A nurse is beginning to use patient-centered care and cultural
competence to improve nursing care. Which step should the nurse take
first?
a. Assessing own biases and attitude
b. Learning about the world view of others
c. Understanding organizational forces
d. Developing cultural skills