PRNU 114 FINAL EXAM QUESTIONS
WITH COMPLETE ANSWERS
A nurse working in a primary care facility assesses patients who are experiencing
various levels of health and illness. Which statements define these two concepts?
Select all that apply.
a. Health and illness are the same for all people.
b. Health and illness are individually defined by each person.
c. People with acute illnesses are actually healthy.
d. People with chronic illnesses have poor health beliefs.
e. Health is more than the absence of illness.
f. Illness is the response of a person to a disease. - Answer b, e, f
A nurse working in a hospital setting cares for patients with acute and chronic
conditions. Which disease states are chronic illnesses? Select all that apply.
a. Diabetes mellitus
b. Bronchial pneumonia
c. Rheumatoid arthritis
d. Cystic fibrosis
e. Fractured hip
f. Otitis media - Answer a, c, d
Despite a national focus on health promotion, nurses working with patients in inner-city
clinics continue to see disparities in health care for vulnerable populations. Which
patients are considered vulnerable populations? Select all that apply.
a. A White male diagnosed with HIV
b. An African American teenager who is 6 months pregnant
c. A Hispanic male who has type II diabetes
d. A low-income family living in rural America
e. A middle-class teacher living in a large city
f. A White baby who was born with cerebral palsy - Answer b, c, d, f
A nurse has volunteered to give influenza immunizations at a local clinic. What level of
care is the nurse demonstrating?
a. Tertiary
b. Secondary
c. Primary
d. Promotive - Answer c
,A patient in a community health clinic tells the nurse, "I have a high temperature, feel
awful, and I am not going to work." What stage of illness behavior is the patient
exhibiting?
a. Stage 1: Experiencing symptoms
b. Stage 2: Assuming the sick role
c. Stage 3: Assuming a dependent role
d. Stage 4: Achieving recovery and rehabilitation - Answer b
Based on the components of the physical human dimension, the nurse would expect
which clinic patient to be most likely to have annual breast examinations and
mammograms?
a. Jane, whose best friend had a benign breast lump removed
b. Sarah, who lives in a low-income neighborhood
c. Tricia, who has a family history of breast cancer
d. Nancy, whose family encourages regular physical examinations - Answer c
Nurses perform health promotion activities at a primary, secondary, or tertiary level.
Which nursing actions are considered tertiary health promotion? Select all that apply.
a. A nurse runs an immunization clinic in the inner city.
b. A nurse teaches a patient with an amputation how to care for the residual limb.
c. A nurse provides range-of-motion exercises for a paralyzed patient.
d. A nurse teaches parents of toddlers how to childproof their homes.
e. A school nurse provides screening for scoliosis for the students.
f. A nurse teaches new parents how to choose and use an infant car seat. - Answer b, c
The nurse uses the agent-host-environment model of health and illness to assess
diseases in patients. This model is based on what concept?
a. Risk factors
b. Demographic variables
c. Behaviors to promote health
d. Stages of illness - Answer a
A nurse incorporates concepts from current models of health when providing health
promotion classes for patients. What is a key concept of both the health-illness
continuum and the high-level wellness models?
a. Illness as a fixed point in time
b. The importance of family
c. Wellness as a passive state
d. Health as a constantly changing state - Answer d
A nurse working in a long-term care facility personally follows accepted guidelines for a
healthy lifestyle. How does this nurse promote health in the residents of this facility?
a. By being a role model for healthy behaviors
b. By not requiring sick days from work
c. By never exposing others to any type of illness
d. By budgeting time and resources efficiently - Answer a
,A nurse is caring for patients of diverse cultures in a community health care facility.
Which characteristics of cultural diversity that exist in the United States should the nurse
consider when planning culturally competent care? Select all that apply.
a. The United States has become less inclusive of same-sex couples.
b. Cultural diversity is limited to people of varying cultures and races.
c. Cultural diversity is separate and distinct from health and illness.
d. People may be members of multiple cultural groups at one time.
e. Culture guides what is acceptable behavior for people in a specific group.
f. Cultural practices may evolve over time but mainly remain constant. - Answer d, e, f
In order to provide culturally competent care, nurses must be alert to factors inhibiting
sensitivity to diversity in the health care system. Which nursing actions are examples of
cultural imposition? Select all that apply.
a. A hospital nurse tells a nurse's aide that patients should not be given a choice
whether or not to shower or bathe daily.
b. A nurse treats all patients the same whether or not they come from a different culture.
c. A nurse tells another nurse that Jewish diet restrictions are just a way for them to get
a special tray of their favorite foods.
d. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the
chaplain in residence.
e. A nurse directs interview questions to an older adult's daughter even though the
patient is capable of answering them.
f. A nurse refuses to care for a married gay man who is HIV positive because she is
against same-sex marriage. - Answer a, d
A nurse caring for culturally diverse patients in a health care provider's office is aware
that patients of certain cultures are more prone to specific disease states than the
general population. Which patients would the nurse screen for diabetes mellitus based
on the patient's race? Select all that apply.
a. A Native American patient
b. An African-American patient
c. An Alaska Native
d. An Asian patient
e. A White patient
f. A Hispanic patient - Answer a, c, e, f
A nurse is using the ESFT model to understand a patient's conception of a diagnosis of
chronic obstructive pulmonary disease (COPD). Which interview question would be
MOST appropriate to assess the E aspect of this model—Explanatory model of health
and illness?
a. How do you get your medications?
b. How does having COPD affect your lifestyle?
c. Are you concerned about the side effects of your medications?
d. Can you describe how you will take your medications? - Answer b
, The nurse practitioner sees patients in a community clinic that is located in a
predominately White neighborhood. After performing assessments on the majority of the
patients visiting the clinic, the nurse notes that many of the minority groups living within
the neighborhood have lost the cultural characteristics that made them different. What is
the term for this process?
a. Cultural assimilation
b. Cultural imposition
c. Culture shock
d. Ethnocentrism - Answer a
A nurse states, "That patient is 78 years old—too old to learn how to change a
dressing." What is the nurse demonstrating?
a. Cultural imposition
b. Clustering
c. Cultural competency
d. Stereotyping - Answer d
A young Hispanic mother comes to the local clinic because her baby is sick. She
speaks only Spanish and the nurse speaks only English. What is the appropriate
nursing intervention?
a. Use short words and talk more loudly.
b. Ask an interpreter for help.
c. Explain why care can't be provided.
d. Provide instructions in writing. - Answer b
A nurse is interviewing a newly admitted patient. Which question is considered culturally
sensitive?
a. "Do you think you will be able to eat the food we have here?"
b. "Do you understand that we can't prepare special meals?"
c. "What types of food do you eat for meals?"
d. "Why can't you just eat our food while you are here?" - Answer c
A nurse is telling a new mother from Africa that she shouldn't carry her baby in a sling
created from a large rectangular cloth. The African woman tells the nurse that everyone
in Mozambique carries babies this way. The nurse believes that bassinets are safer for
infants. This nurse is displaying what cultural bias?
a. Cultural imposition
b. Clustering
c. Cultural competency
d. Stereotyping - Answer a
A nurse is teaching a novice nurse how to provide care for patients in a culturally
diverse community health clinic. Although all these actions are recommended, which
one is MOST basic to providing culturally competent care?
a. Learning the predominant language of the community
b. Obtaining significant information about the community
WITH COMPLETE ANSWERS
A nurse working in a primary care facility assesses patients who are experiencing
various levels of health and illness. Which statements define these two concepts?
Select all that apply.
a. Health and illness are the same for all people.
b. Health and illness are individually defined by each person.
c. People with acute illnesses are actually healthy.
d. People with chronic illnesses have poor health beliefs.
e. Health is more than the absence of illness.
f. Illness is the response of a person to a disease. - Answer b, e, f
A nurse working in a hospital setting cares for patients with acute and chronic
conditions. Which disease states are chronic illnesses? Select all that apply.
a. Diabetes mellitus
b. Bronchial pneumonia
c. Rheumatoid arthritis
d. Cystic fibrosis
e. Fractured hip
f. Otitis media - Answer a, c, d
Despite a national focus on health promotion, nurses working with patients in inner-city
clinics continue to see disparities in health care for vulnerable populations. Which
patients are considered vulnerable populations? Select all that apply.
a. A White male diagnosed with HIV
b. An African American teenager who is 6 months pregnant
c. A Hispanic male who has type II diabetes
d. A low-income family living in rural America
e. A middle-class teacher living in a large city
f. A White baby who was born with cerebral palsy - Answer b, c, d, f
A nurse has volunteered to give influenza immunizations at a local clinic. What level of
care is the nurse demonstrating?
a. Tertiary
b. Secondary
c. Primary
d. Promotive - Answer c
,A patient in a community health clinic tells the nurse, "I have a high temperature, feel
awful, and I am not going to work." What stage of illness behavior is the patient
exhibiting?
a. Stage 1: Experiencing symptoms
b. Stage 2: Assuming the sick role
c. Stage 3: Assuming a dependent role
d. Stage 4: Achieving recovery and rehabilitation - Answer b
Based on the components of the physical human dimension, the nurse would expect
which clinic patient to be most likely to have annual breast examinations and
mammograms?
a. Jane, whose best friend had a benign breast lump removed
b. Sarah, who lives in a low-income neighborhood
c. Tricia, who has a family history of breast cancer
d. Nancy, whose family encourages regular physical examinations - Answer c
Nurses perform health promotion activities at a primary, secondary, or tertiary level.
Which nursing actions are considered tertiary health promotion? Select all that apply.
a. A nurse runs an immunization clinic in the inner city.
b. A nurse teaches a patient with an amputation how to care for the residual limb.
c. A nurse provides range-of-motion exercises for a paralyzed patient.
d. A nurse teaches parents of toddlers how to childproof their homes.
e. A school nurse provides screening for scoliosis for the students.
f. A nurse teaches new parents how to choose and use an infant car seat. - Answer b, c
The nurse uses the agent-host-environment model of health and illness to assess
diseases in patients. This model is based on what concept?
a. Risk factors
b. Demographic variables
c. Behaviors to promote health
d. Stages of illness - Answer a
A nurse incorporates concepts from current models of health when providing health
promotion classes for patients. What is a key concept of both the health-illness
continuum and the high-level wellness models?
a. Illness as a fixed point in time
b. The importance of family
c. Wellness as a passive state
d. Health as a constantly changing state - Answer d
A nurse working in a long-term care facility personally follows accepted guidelines for a
healthy lifestyle. How does this nurse promote health in the residents of this facility?
a. By being a role model for healthy behaviors
b. By not requiring sick days from work
c. By never exposing others to any type of illness
d. By budgeting time and resources efficiently - Answer a
,A nurse is caring for patients of diverse cultures in a community health care facility.
Which characteristics of cultural diversity that exist in the United States should the nurse
consider when planning culturally competent care? Select all that apply.
a. The United States has become less inclusive of same-sex couples.
b. Cultural diversity is limited to people of varying cultures and races.
c. Cultural diversity is separate and distinct from health and illness.
d. People may be members of multiple cultural groups at one time.
e. Culture guides what is acceptable behavior for people in a specific group.
f. Cultural practices may evolve over time but mainly remain constant. - Answer d, e, f
In order to provide culturally competent care, nurses must be alert to factors inhibiting
sensitivity to diversity in the health care system. Which nursing actions are examples of
cultural imposition? Select all that apply.
a. A hospital nurse tells a nurse's aide that patients should not be given a choice
whether or not to shower or bathe daily.
b. A nurse treats all patients the same whether or not they come from a different culture.
c. A nurse tells another nurse that Jewish diet restrictions are just a way for them to get
a special tray of their favorite foods.
d. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the
chaplain in residence.
e. A nurse directs interview questions to an older adult's daughter even though the
patient is capable of answering them.
f. A nurse refuses to care for a married gay man who is HIV positive because she is
against same-sex marriage. - Answer a, d
A nurse caring for culturally diverse patients in a health care provider's office is aware
that patients of certain cultures are more prone to specific disease states than the
general population. Which patients would the nurse screen for diabetes mellitus based
on the patient's race? Select all that apply.
a. A Native American patient
b. An African-American patient
c. An Alaska Native
d. An Asian patient
e. A White patient
f. A Hispanic patient - Answer a, c, e, f
A nurse is using the ESFT model to understand a patient's conception of a diagnosis of
chronic obstructive pulmonary disease (COPD). Which interview question would be
MOST appropriate to assess the E aspect of this model—Explanatory model of health
and illness?
a. How do you get your medications?
b. How does having COPD affect your lifestyle?
c. Are you concerned about the side effects of your medications?
d. Can you describe how you will take your medications? - Answer b
, The nurse practitioner sees patients in a community clinic that is located in a
predominately White neighborhood. After performing assessments on the majority of the
patients visiting the clinic, the nurse notes that many of the minority groups living within
the neighborhood have lost the cultural characteristics that made them different. What is
the term for this process?
a. Cultural assimilation
b. Cultural imposition
c. Culture shock
d. Ethnocentrism - Answer a
A nurse states, "That patient is 78 years old—too old to learn how to change a
dressing." What is the nurse demonstrating?
a. Cultural imposition
b. Clustering
c. Cultural competency
d. Stereotyping - Answer d
A young Hispanic mother comes to the local clinic because her baby is sick. She
speaks only Spanish and the nurse speaks only English. What is the appropriate
nursing intervention?
a. Use short words and talk more loudly.
b. Ask an interpreter for help.
c. Explain why care can't be provided.
d. Provide instructions in writing. - Answer b
A nurse is interviewing a newly admitted patient. Which question is considered culturally
sensitive?
a. "Do you think you will be able to eat the food we have here?"
b. "Do you understand that we can't prepare special meals?"
c. "What types of food do you eat for meals?"
d. "Why can't you just eat our food while you are here?" - Answer c
A nurse is telling a new mother from Africa that she shouldn't carry her baby in a sling
created from a large rectangular cloth. The African woman tells the nurse that everyone
in Mozambique carries babies this way. The nurse believes that bassinets are safer for
infants. This nurse is displaying what cultural bias?
a. Cultural imposition
b. Clustering
c. Cultural competency
d. Stereotyping - Answer a
A nurse is teaching a novice nurse how to provide care for patients in a culturally
diverse community health clinic. Although all these actions are recommended, which
one is MOST basic to providing culturally competent care?
a. Learning the predominant language of the community
b. Obtaining significant information about the community
