N2261 -Final Practice Questions Exam
With Complete Answers
Which of the following is an example of forcing one's own cultural beliefs and
practices on another person?
a) Stereotyping
b) Ethnocentrism
c) Cultural relativity
d) Cultural imposition - ANSWER d) Cultural imposition
Which of the following is true about health inequity?
a) Health inequities are caused largely by cultural factors compounded by social
disadvantage
b) Health inequities are largely caused by different beliefs, practices, and
lifestyles associated with the cultural communities
c) Health inequities can be reduced by improving services to enhance access
and reduce exclusion
d) In a country in which access to health care is universal, health inequities are
largely issues of health care quality - ANSWER c) Health inequities can be
reduced by improving services to enhance access and reduce exclusion
Which of the following most accurately describes cultural factors that may affect
health?
a) Diabetes and cancer rates differ by cultural and ethnic groups
b) Most clients find that religious rituals help them during times of illness
c) There is limited ethnic variation in physiological responses to medications
d) Silence during a nurse-client interaction usually means that the client
understands the instructions - ANSWER a) Diabetes and cancer rates differ by
cultural and ethnic groups
In communications with a client who speaks a language different from the
nurse's, which of the following interventions is important?
a) Have a family member translate
b) Use a trained medical interpreter
c) Use specific medical terminology so that there will be no mistakes in the
information communicated
d) Focus on the translation rather than the nonverbal communication - ANSWER
b) Use a trained medical interpreter
,Why is it important for the nurse to develop cultural self-awareness? (Select all
that apply)
a) This enables the nurse to clearly articulate the nurse's own values to the
client
b) This enables the nurse to prevent ethnocentrism
c) This enables the nurse to prevent cultural imposition
d) This enables the nurse to challenge his or her own assumptions and
stereotypes - ANSWER c) This enables the nurse to prevent cultural imposition
d) This enables the nurse to challenge his or her own assumptions and
stereotypes
Which of the following strategies are appropriate for demonstrating cultural
competence in clinical care? (Select all that apply)
a) Explaining to the client and family how the Canadian health care system
works
b) Exploring economic and social factors affecting the client and family
c) Pairing the client with a provider from the client's own cultural community
d) Exploring the client's explanatory model of illness - ANSWER b) Exploring
economic and social factors affecting the client and family
d) Exploring the client's explanatory model of illness
How does a diverse workforce influence a nurse's ability to provide care?
a) It facilitates matching clients with health care providers of the same ethnicity
b) It exposes the nurse to different values, beliefs, and world views
c) It leads to greater creativity and innovation and to the development of
appropriate interventions for diverse clients
d) It meets mandated objectives of the federal and provincial governments -
ANSWER b) It exposes the nurse to different values, beliefs, and world views
Which of the following nursing interventions would promote a sense of self-
worth for an older adult member of an ethnic minority?
a) Informing the person about ethnic support services
b) Allowing the person to rely on ethnic health beliefs and practices
c) Using an interpreter to provide explanations and teaching
d) Emphasizing that a therapeutic diet does not allow ethnic foods - ANSWER a)
Informing the person about ethnic support services
Which of the following nursing actions would be helpful to a chronically ill older
adult? (Select all that apply)
,a) Discussing future lifestyle changes
b) Informing the patient that the condition is stable
c) Treating the patient as a competent manager of the disease
d) Encouraging the patient to "fight" the disease as long as possible - ANSWER
a) Discussing future lifestyle changes
c) Treating the patient as a competent manager of the disease
When older adults become ill, which of the following are they more likely to do
than younger adults?
a) Complain about the symptoms of their problems
b) Refuse to carry out lifestyle changes to promote recovery
c) Seek medical attention because of limitations on their lifestyle
d) Alter their daily living activities to accommodate new symptoms - ANSWER d)
Alter their daily living activities to accommodate new symptoms
In promotion of health for older adults, what is the primary focus of nursing
interventions?
a) Disease management
b) Controlling symptoms of illness
c) Teaching positive health behaviours
d) Teaching the role of nutrition in enhancing longevity - ANSWER c) Teaching
positive health behaviours
During a teaching session for a patient receiving an immunosuppressant drug,
the nurse will include which statement?
a) It is better to use oral forms of these drugs to prevent the occurrence of
thrush
b) You will remain on antibiotics to prevent infections
c) It is important to use some form of contraception during treatment and for up
to 12 weeks after the end of therapy
d) Be sure to take your medications with grapefruit juice to increase absorption -
ANSWER c) It is important to use some form of contraception during treatment
and for up to 12 weeks after the end of therapy
When assessing a patient who is to begin therapy with an immunosuppressant
drug, the nurse recalls that such drugs should be used cautiously in patients
with which condition(s)? (Select all that apply)
a) Pregnancy
b) Glaucoma
c) Anemia
, d) Myalgia
e) Kidney dysfunction
f) Liver dysfunction - ANSWER a) Pregnancy
d) Myalgia
f) Liver dysfunction
Polydipsia and polyuria related to diabetes mellitus are primarily caused by
which of the following?
a) The release of ketones from cells during fat metabolism
b) Fluid shifts resulting from the osmotic effect of hyperglycemia
c) Damage to the kidneys from exposure to high levels of glucose
d) Changes in red blood cells resulting from attachment of excessive glucose to
hemoglobin - ANSWER b) Fluid shifts resulting from the osmotic effect of
hyperglycemia
Which statement would be correct for a client with type 2 diabetes mellitus who
is admitted to the hospital with pneumonia?
a) The client must receive insulin therapy to prevent the development of
ketoacidosis
b) The client has islet-cell antibodies that have destroyed the ability of the
pancreas to produce insulin
c) The client has minimal or absent endogenous insulin secretion and requires
daily insulin injections
d) The client may have sufficient endogenous insulin to prevent ketosis but is at
risk for development of hyperosmolar hyperglycemic state - ANSWER d) The
client may have sufficient endogenous insulin to prevent ketosis but is at risk for
development of hyperosmolar hyperglycemic state
Analyze the following diagnostic findings for a client with type 2 diabetes. Which
of the following results will need further assessment?
a) A1c 9.0%
b) FBG 7.2 mmol/L
c) BP 126/80
d) LDL cholesterol of 2.1 mmol/L - ANSWER a) A1c 9.0%
Which statement by the client with type 2 diabetes is accurate?
a) I am supposed to have a meal or snack if I drink alcohol
b) I am not allowed to eat any sweets because of my diabetes
c) I do not need to watch what I eat because my diabetes is not the bad kind
With Complete Answers
Which of the following is an example of forcing one's own cultural beliefs and
practices on another person?
a) Stereotyping
b) Ethnocentrism
c) Cultural relativity
d) Cultural imposition - ANSWER d) Cultural imposition
Which of the following is true about health inequity?
a) Health inequities are caused largely by cultural factors compounded by social
disadvantage
b) Health inequities are largely caused by different beliefs, practices, and
lifestyles associated with the cultural communities
c) Health inequities can be reduced by improving services to enhance access
and reduce exclusion
d) In a country in which access to health care is universal, health inequities are
largely issues of health care quality - ANSWER c) Health inequities can be
reduced by improving services to enhance access and reduce exclusion
Which of the following most accurately describes cultural factors that may affect
health?
a) Diabetes and cancer rates differ by cultural and ethnic groups
b) Most clients find that religious rituals help them during times of illness
c) There is limited ethnic variation in physiological responses to medications
d) Silence during a nurse-client interaction usually means that the client
understands the instructions - ANSWER a) Diabetes and cancer rates differ by
cultural and ethnic groups
In communications with a client who speaks a language different from the
nurse's, which of the following interventions is important?
a) Have a family member translate
b) Use a trained medical interpreter
c) Use specific medical terminology so that there will be no mistakes in the
information communicated
d) Focus on the translation rather than the nonverbal communication - ANSWER
b) Use a trained medical interpreter
,Why is it important for the nurse to develop cultural self-awareness? (Select all
that apply)
a) This enables the nurse to clearly articulate the nurse's own values to the
client
b) This enables the nurse to prevent ethnocentrism
c) This enables the nurse to prevent cultural imposition
d) This enables the nurse to challenge his or her own assumptions and
stereotypes - ANSWER c) This enables the nurse to prevent cultural imposition
d) This enables the nurse to challenge his or her own assumptions and
stereotypes
Which of the following strategies are appropriate for demonstrating cultural
competence in clinical care? (Select all that apply)
a) Explaining to the client and family how the Canadian health care system
works
b) Exploring economic and social factors affecting the client and family
c) Pairing the client with a provider from the client's own cultural community
d) Exploring the client's explanatory model of illness - ANSWER b) Exploring
economic and social factors affecting the client and family
d) Exploring the client's explanatory model of illness
How does a diverse workforce influence a nurse's ability to provide care?
a) It facilitates matching clients with health care providers of the same ethnicity
b) It exposes the nurse to different values, beliefs, and world views
c) It leads to greater creativity and innovation and to the development of
appropriate interventions for diverse clients
d) It meets mandated objectives of the federal and provincial governments -
ANSWER b) It exposes the nurse to different values, beliefs, and world views
Which of the following nursing interventions would promote a sense of self-
worth for an older adult member of an ethnic minority?
a) Informing the person about ethnic support services
b) Allowing the person to rely on ethnic health beliefs and practices
c) Using an interpreter to provide explanations and teaching
d) Emphasizing that a therapeutic diet does not allow ethnic foods - ANSWER a)
Informing the person about ethnic support services
Which of the following nursing actions would be helpful to a chronically ill older
adult? (Select all that apply)
,a) Discussing future lifestyle changes
b) Informing the patient that the condition is stable
c) Treating the patient as a competent manager of the disease
d) Encouraging the patient to "fight" the disease as long as possible - ANSWER
a) Discussing future lifestyle changes
c) Treating the patient as a competent manager of the disease
When older adults become ill, which of the following are they more likely to do
than younger adults?
a) Complain about the symptoms of their problems
b) Refuse to carry out lifestyle changes to promote recovery
c) Seek medical attention because of limitations on their lifestyle
d) Alter their daily living activities to accommodate new symptoms - ANSWER d)
Alter their daily living activities to accommodate new symptoms
In promotion of health for older adults, what is the primary focus of nursing
interventions?
a) Disease management
b) Controlling symptoms of illness
c) Teaching positive health behaviours
d) Teaching the role of nutrition in enhancing longevity - ANSWER c) Teaching
positive health behaviours
During a teaching session for a patient receiving an immunosuppressant drug,
the nurse will include which statement?
a) It is better to use oral forms of these drugs to prevent the occurrence of
thrush
b) You will remain on antibiotics to prevent infections
c) It is important to use some form of contraception during treatment and for up
to 12 weeks after the end of therapy
d) Be sure to take your medications with grapefruit juice to increase absorption -
ANSWER c) It is important to use some form of contraception during treatment
and for up to 12 weeks after the end of therapy
When assessing a patient who is to begin therapy with an immunosuppressant
drug, the nurse recalls that such drugs should be used cautiously in patients
with which condition(s)? (Select all that apply)
a) Pregnancy
b) Glaucoma
c) Anemia
, d) Myalgia
e) Kidney dysfunction
f) Liver dysfunction - ANSWER a) Pregnancy
d) Myalgia
f) Liver dysfunction
Polydipsia and polyuria related to diabetes mellitus are primarily caused by
which of the following?
a) The release of ketones from cells during fat metabolism
b) Fluid shifts resulting from the osmotic effect of hyperglycemia
c) Damage to the kidneys from exposure to high levels of glucose
d) Changes in red blood cells resulting from attachment of excessive glucose to
hemoglobin - ANSWER b) Fluid shifts resulting from the osmotic effect of
hyperglycemia
Which statement would be correct for a client with type 2 diabetes mellitus who
is admitted to the hospital with pneumonia?
a) The client must receive insulin therapy to prevent the development of
ketoacidosis
b) The client has islet-cell antibodies that have destroyed the ability of the
pancreas to produce insulin
c) The client has minimal or absent endogenous insulin secretion and requires
daily insulin injections
d) The client may have sufficient endogenous insulin to prevent ketosis but is at
risk for development of hyperosmolar hyperglycemic state - ANSWER d) The
client may have sufficient endogenous insulin to prevent ketosis but is at risk for
development of hyperosmolar hyperglycemic state
Analyze the following diagnostic findings for a client with type 2 diabetes. Which
of the following results will need further assessment?
a) A1c 9.0%
b) FBG 7.2 mmol/L
c) BP 126/80
d) LDL cholesterol of 2.1 mmol/L - ANSWER a) A1c 9.0%
Which statement by the client with type 2 diabetes is accurate?
a) I am supposed to have a meal or snack if I drink alcohol
b) I am not allowed to eat any sweets because of my diabetes
c) I do not need to watch what I eat because my diabetes is not the bad kind
