Nature of Nursing Final Exam And
Correct Answers.
A priority action for the nurse who works with culturally diverse clients to complete initially is
completion of additional form of support?
a. A sign language course
b. Cultural self-assessment
c. Cultural client assessment
d. A conversational Spanish course - Answer b. Cultural self-assessment
Reason: Cultural self-assessment is its purpose is to help you consider your own skills,
knowledge, and awareness in your interactions with others, and recognize what you can do to
become more effective working and living in diverse environments
A nurse is caring for a recent Asian immigrant client and is over-heard making the following
comment, "These rituals you believe in are false. You live in America now and must believe in
realistic health practices, like Americans do." The nurse is exhibiting behavior associated with
what belief?
a. Stereotyping
b. Ethnocentrism
c. Cultural accommodation
d. Empathy - Answer b. Ethnocentrism
Reason: Ethnocentrism is evaluation of other cultures according to preconceptions originating in
the standards and custom's of one's own culture.
A nurse is submitting a grant application to improve access to health care and mortality for
minority groups. the grant focuses on the six causes of death that are identified as priorities for
minorities, which include what medical diagnosis?
a. Chronic obstructive pulmonary disease (COPD)
b. Malnutrition
c. Cirrhosis of the liver
d. Breast Cancer - Answer d. Breast Cancer
,A nurse is given a referral to make a home visit to a Russian immigrant. The nurse knows very
little about the health beliefs of this ethnic group. To research this group, she can use an
Internet search engine and enter the term "Russian cultures" or "Russian health beliefs." To
obtain more generalized information, she could also search under:
a. Federally recognized minorities.
b. Marginalized populations.
c. Asian/Pacific Islander cultures.
d. Latino cultures. - Answer b. Marginalized populations
Reason: Marginalized populations are groups and communities which are discriminated against
and excluded from mainstream social, economic, cultural, or political life based on a cultural
identity or difference
Which statement is true regarding health care for minorities?
a. Federal legislation that provides free health insurance for minorities has resulted in fewer
minorities than members of the general population who lack health insurance.
b. Higher costs of health care coupled with lower wages for minorities have prevented most
minorities from seeking health care.
c. Because many Mexican Americans are highly skilled workers with comparable wages, they
have the lowest uninsured rate.
d. Asians, because of their quiet demeanor and unwillingness to challenge the health care
system, have the highest rate of uninsured people. - Answer b. Higher costs of health care
coupled with wages for minorities have prevented most minorities from seeking health care.
While completing a masters nursing degree in Virginia, a nurse who is interested in teaching in
Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-
Americans live there. This nurse is demonstrating what social value?
a. Cultural competence
b. Ethnocentrism
c. Prejudice
d. Stereotyping - Answer a. Cultural Competence
Reason: Cultural competence in health care describes the ability of systems to provide care to
patients with diverse values, beliefs and behaviors, including the tailoring of health care delivery
to meet patients' social, cultural and linguistic needs.
,b. Becoming immersed in nursing literature about culturally diverse clients
c. Participating in continuing education that focuses on health assessment variations among
cultural groups
d. Conducting a cultural self-assessment to identify biases or prejudices - Answer d.
Conducting a cultural self-assessment to identify biases or prejudices
Reason: Cultural self-assessment is to help you consider your own skills, knowledge, and
awareness in your interactions with others, and recognize what you can do to become more
effective working and living in diverse environments
An Asian teenager is admitted with an eating disorder which she contributes to not meeting the
academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all
Asians are really smart." This nurse is demonstrating which cultural biases?
a. Cultural humility
b. Stereotyping
c. Cultural assimilation
d. Acculturation - Answer b. Stereotyping
Reason: Stereotyping is making a judgment about an individual that is influenced by a mental
state associating members of a group, to which that individual is perceived as belonging, more
strongly than members of other groups with particular traits
Six cultural phenomena that vary among cultural groups are known to affect health care. The
influence of the consequences of these phenomena can be seen in which of the following?
(Select all that apply.)
a. Asians and American Indians tend to be nonadherent with medications because they believe
that the environment has no control over their fate.
b. Some cancers such as stomach cancer occur less frequently among blacks.
c. Blacks and American Indians often resist direct eye contact.
d. Mexican Americans are more likely to stand close and touch health care providers.
e. Whites are often late for health care appointments. - Answer c. Blacks and American Indians
often resist direct eye contact
d. Mexican Americans are ore likely to stand close and touch health care providers
Although communication varies among members of different cultures, the greatest obstacle to
, a. The Emergency Medical Treatment and Active Labor Law
b. Health Insurance Portability and Accountability Act
c. Patient Self-Determination Act
d. The Patient Safety and Quality Improvement Act - Answer a. The Emergency Medical
Treatment and Active Labor Law
Reason: The Emergency Medical Treatment and Active Labor Law is to provide all patients with
a medical screening examination (MSE). Stabilize any patients with an emergency medical
condition. Transfer or accept appropriate patients as needed
A nurse is caring for a client with malignant hypertension whose blood pressure has increased
by 40 mm Hg during the past hour. The nurse goes to lunch and fails to report the change to the
physician. The nurse is at risk for being charged with which legal claim?
a. Negligence
b. Assault
c. Defamation of character
d. Tort - Answer a. Negligence
Reason: Negligence is when a medical or healthcare professional deviates from the care
standards of their profession and causes injury to a patient
A nurse is caring for a client who just suffered a stroke and is medicated for pain. The nurse
completes the following interventions: places the client on the examining table, completes a
thorough history and physical, covers the client with a sheet, places the call button within reach,
and goes out in the hall to speak with the client's primary care provider. The client tries to get
up to speak with his family and falls, sustaining a hematoma on the head and a broken hip. The
nurse's actions reflect which legal claim?
a. Invasion of privacy
b. Libel
c. Slander
d. Negligence - Answer d. Negligence
Reason: Negligence is when a medical or healthcare professional deviates from the care
standards of their profession and causes injury to a patient
Correct Answers.
A priority action for the nurse who works with culturally diverse clients to complete initially is
completion of additional form of support?
a. A sign language course
b. Cultural self-assessment
c. Cultural client assessment
d. A conversational Spanish course - Answer b. Cultural self-assessment
Reason: Cultural self-assessment is its purpose is to help you consider your own skills,
knowledge, and awareness in your interactions with others, and recognize what you can do to
become more effective working and living in diverse environments
A nurse is caring for a recent Asian immigrant client and is over-heard making the following
comment, "These rituals you believe in are false. You live in America now and must believe in
realistic health practices, like Americans do." The nurse is exhibiting behavior associated with
what belief?
a. Stereotyping
b. Ethnocentrism
c. Cultural accommodation
d. Empathy - Answer b. Ethnocentrism
Reason: Ethnocentrism is evaluation of other cultures according to preconceptions originating in
the standards and custom's of one's own culture.
A nurse is submitting a grant application to improve access to health care and mortality for
minority groups. the grant focuses on the six causes of death that are identified as priorities for
minorities, which include what medical diagnosis?
a. Chronic obstructive pulmonary disease (COPD)
b. Malnutrition
c. Cirrhosis of the liver
d. Breast Cancer - Answer d. Breast Cancer
,A nurse is given a referral to make a home visit to a Russian immigrant. The nurse knows very
little about the health beliefs of this ethnic group. To research this group, she can use an
Internet search engine and enter the term "Russian cultures" or "Russian health beliefs." To
obtain more generalized information, she could also search under:
a. Federally recognized minorities.
b. Marginalized populations.
c. Asian/Pacific Islander cultures.
d. Latino cultures. - Answer b. Marginalized populations
Reason: Marginalized populations are groups and communities which are discriminated against
and excluded from mainstream social, economic, cultural, or political life based on a cultural
identity or difference
Which statement is true regarding health care for minorities?
a. Federal legislation that provides free health insurance for minorities has resulted in fewer
minorities than members of the general population who lack health insurance.
b. Higher costs of health care coupled with lower wages for minorities have prevented most
minorities from seeking health care.
c. Because many Mexican Americans are highly skilled workers with comparable wages, they
have the lowest uninsured rate.
d. Asians, because of their quiet demeanor and unwillingness to challenge the health care
system, have the highest rate of uninsured people. - Answer b. Higher costs of health care
coupled with wages for minorities have prevented most minorities from seeking health care.
While completing a masters nursing degree in Virginia, a nurse who is interested in teaching in
Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-
Americans live there. This nurse is demonstrating what social value?
a. Cultural competence
b. Ethnocentrism
c. Prejudice
d. Stereotyping - Answer a. Cultural Competence
Reason: Cultural competence in health care describes the ability of systems to provide care to
patients with diverse values, beliefs and behaviors, including the tailoring of health care delivery
to meet patients' social, cultural and linguistic needs.
,b. Becoming immersed in nursing literature about culturally diverse clients
c. Participating in continuing education that focuses on health assessment variations among
cultural groups
d. Conducting a cultural self-assessment to identify biases or prejudices - Answer d.
Conducting a cultural self-assessment to identify biases or prejudices
Reason: Cultural self-assessment is to help you consider your own skills, knowledge, and
awareness in your interactions with others, and recognize what you can do to become more
effective working and living in diverse environments
An Asian teenager is admitted with an eating disorder which she contributes to not meeting the
academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all
Asians are really smart." This nurse is demonstrating which cultural biases?
a. Cultural humility
b. Stereotyping
c. Cultural assimilation
d. Acculturation - Answer b. Stereotyping
Reason: Stereotyping is making a judgment about an individual that is influenced by a mental
state associating members of a group, to which that individual is perceived as belonging, more
strongly than members of other groups with particular traits
Six cultural phenomena that vary among cultural groups are known to affect health care. The
influence of the consequences of these phenomena can be seen in which of the following?
(Select all that apply.)
a. Asians and American Indians tend to be nonadherent with medications because they believe
that the environment has no control over their fate.
b. Some cancers such as stomach cancer occur less frequently among blacks.
c. Blacks and American Indians often resist direct eye contact.
d. Mexican Americans are more likely to stand close and touch health care providers.
e. Whites are often late for health care appointments. - Answer c. Blacks and American Indians
often resist direct eye contact
d. Mexican Americans are ore likely to stand close and touch health care providers
Although communication varies among members of different cultures, the greatest obstacle to
, a. The Emergency Medical Treatment and Active Labor Law
b. Health Insurance Portability and Accountability Act
c. Patient Self-Determination Act
d. The Patient Safety and Quality Improvement Act - Answer a. The Emergency Medical
Treatment and Active Labor Law
Reason: The Emergency Medical Treatment and Active Labor Law is to provide all patients with
a medical screening examination (MSE). Stabilize any patients with an emergency medical
condition. Transfer or accept appropriate patients as needed
A nurse is caring for a client with malignant hypertension whose blood pressure has increased
by 40 mm Hg during the past hour. The nurse goes to lunch and fails to report the change to the
physician. The nurse is at risk for being charged with which legal claim?
a. Negligence
b. Assault
c. Defamation of character
d. Tort - Answer a. Negligence
Reason: Negligence is when a medical or healthcare professional deviates from the care
standards of their profession and causes injury to a patient
A nurse is caring for a client who just suffered a stroke and is medicated for pain. The nurse
completes the following interventions: places the client on the examining table, completes a
thorough history and physical, covers the client with a sheet, places the call button within reach,
and goes out in the hall to speak with the client's primary care provider. The client tries to get
up to speak with his family and falls, sustaining a hematoma on the head and a broken hip. The
nurse's actions reflect which legal claim?
a. Invasion of privacy
b. Libel
c. Slander
d. Negligence - Answer d. Negligence
Reason: Negligence is when a medical or healthcare professional deviates from the care
standards of their profession and causes injury to a patient
