N444 FINAL EXAM | 2026 UPDATE | QUESTIONS AND
ANSWERS | WITH COMPLETE SOLUTION!!
What is the leading determinant of a patient's health?
a. Behavior
b. Family history of disease
c. Home and work environment
d. Type and quality of medical care received Answer - A
In identifying patients at the greatest risk for health disparities, the nurse
would note that:
a. patients who live in urban areas have readily available access to health care
services.
b. cultural differences exist in patients' ability to communicate with their health
care provider.
c. a patient receiving care from a health care provider of a different culture
would have decreased quality of care.
d. men are more likely than women to have their cardiovascular disease
symptoms ignored by their health care provider. Answer - B
Forcing one's own cultural beliefs and practices on another person is an
example of:
a. stereotyping.
b. ethnocentrism.
c. cultural relativity.
,d. cultural imposition. Answer - D
Which statement most accurately describes cultural factors that may affect
health?
a. Diabetes and cancer rates differ by cultural/ethnic groups.
b. Most patients find that religious rituals help them during times of illness.
c. There are limited ethnic variations in physiologic responses to medications.
d. Silence during a nurse-patient interaction usually means that the patient
understands the instructions. Answer - A
When communicating with a patient who speaks a language that the nurse
does not understand, it is important to first attempt to
a. have a family member translate.
b. use a trained medical interpreter.
c. use specific medical terminology so there will be no mistakes.
d. focus on the translation rather than nonverbal communication. Answer - B
As part of the nursing process, cultural assessment is best accomplished by
a. judging the patient's cultural values based on observations.
b. using a cultural assessment guide as part of the nursing process.
c. seeking guidance from a nurse from the patient's cultural background.
d. relying on the nurse's previous experience with patients from that cultural
group. Answer - B
Nurses play an important role in reducing health disparities. One important
mechanism to do this is to
a. discourage use of evidence-based practice guidelines.
b. insist that patients adhere to the Healthy People 2020 guidelines.
, c. teach patients to use the Internet to find resources related to their health.
d. engage in active listening and establish relationships with patients and
families. Answer - D
What is the first step in developing cultural competence?
a. Create opportunities to interact with a variety of cultural groups.
b. Examine the nurse's own cultural background, values, and beliefs about
health and health care.
c. Learn about a multitude of folk medicines and herbal substances that
different cultures use for self-care.
d. Learn assessment skills for different cultural groups, including cultural beliefs
and practices and physical assessments. Answer - B
Which individual is most likely to experience health care disparities?
A. A 65-year-old upper class Hispanic male living in the city
B. A 78-year-old Native American male living on a reservation
C. A 50-year-old middle-class white female living in a rural area
D. A 72-year-old African American retired attorney living in a condo Answer - B
Being older, being a minority, living in a rural area, and being of male gender
are risk factors for experiencing health care disparities.
The nurse identifies a patient at high risk for health care disparities. What
should be included as important nursing interventions to reduce health care
disparities? (Select all that apply.)
A. Passive listening
B. Relationship building
C. Taking foreign language classes
ANSWERS | WITH COMPLETE SOLUTION!!
What is the leading determinant of a patient's health?
a. Behavior
b. Family history of disease
c. Home and work environment
d. Type and quality of medical care received Answer - A
In identifying patients at the greatest risk for health disparities, the nurse
would note that:
a. patients who live in urban areas have readily available access to health care
services.
b. cultural differences exist in patients' ability to communicate with their health
care provider.
c. a patient receiving care from a health care provider of a different culture
would have decreased quality of care.
d. men are more likely than women to have their cardiovascular disease
symptoms ignored by their health care provider. Answer - B
Forcing one's own cultural beliefs and practices on another person is an
example of:
a. stereotyping.
b. ethnocentrism.
c. cultural relativity.
,d. cultural imposition. Answer - D
Which statement most accurately describes cultural factors that may affect
health?
a. Diabetes and cancer rates differ by cultural/ethnic groups.
b. Most patients find that religious rituals help them during times of illness.
c. There are limited ethnic variations in physiologic responses to medications.
d. Silence during a nurse-patient interaction usually means that the patient
understands the instructions. Answer - A
When communicating with a patient who speaks a language that the nurse
does not understand, it is important to first attempt to
a. have a family member translate.
b. use a trained medical interpreter.
c. use specific medical terminology so there will be no mistakes.
d. focus on the translation rather than nonverbal communication. Answer - B
As part of the nursing process, cultural assessment is best accomplished by
a. judging the patient's cultural values based on observations.
b. using a cultural assessment guide as part of the nursing process.
c. seeking guidance from a nurse from the patient's cultural background.
d. relying on the nurse's previous experience with patients from that cultural
group. Answer - B
Nurses play an important role in reducing health disparities. One important
mechanism to do this is to
a. discourage use of evidence-based practice guidelines.
b. insist that patients adhere to the Healthy People 2020 guidelines.
, c. teach patients to use the Internet to find resources related to their health.
d. engage in active listening and establish relationships with patients and
families. Answer - D
What is the first step in developing cultural competence?
a. Create opportunities to interact with a variety of cultural groups.
b. Examine the nurse's own cultural background, values, and beliefs about
health and health care.
c. Learn about a multitude of folk medicines and herbal substances that
different cultures use for self-care.
d. Learn assessment skills for different cultural groups, including cultural beliefs
and practices and physical assessments. Answer - B
Which individual is most likely to experience health care disparities?
A. A 65-year-old upper class Hispanic male living in the city
B. A 78-year-old Native American male living on a reservation
C. A 50-year-old middle-class white female living in a rural area
D. A 72-year-old African American retired attorney living in a condo Answer - B
Being older, being a minority, living in a rural area, and being of male gender
are risk factors for experiencing health care disparities.
The nurse identifies a patient at high risk for health care disparities. What
should be included as important nursing interventions to reduce health care
disparities? (Select all that apply.)
A. Passive listening
B. Relationship building
C. Taking foreign language classes
