University | Q & A | 2026/2027 Edition (PDF)
1. The nurse incorporates cultural considerations into a health teaching plan by performing which action
first?
A) Using medical terminology to ensure accuracy
B) Presenting evidence-based information
C) Assessing a person's health beliefs and practices
D) Explaining that universal health practices are the best
Correct Answer: Assessing a person's health beliefs and practices
Rationale: Cultural competence begins with assessing the patient's own health beliefs, values, and
practices. This allows the nurse to tailor education to the patient's cultural context rather than imposing
a one-size-fits-all approach. Using medical jargon, presenting evidence without cultural context, or
assuming universality can create barriers to understanding and trust.
2. The communication of health information in a manner that is clear and understandable to the client is
known as:
A) Empowerment
B) Health literacy
C) Health disparities
D) Health education
Correct Answer: Health literacy
Rationale: Health literacy is the degree to which individuals have the capacity to obtain, process, and
understand basic health information needed to make appropriate health decisions. When health
information is communicated clearly, it promotes health literacy. Empowerment involves enabling
patients to take control of their health, and health disparities refer to differences in health outcomes
among populations.
,3. A patient needs to learn to use a walker. Which learning domain is required for mastering this skill?
A) Affective domain
B) Cognitive domain
C) Attentional domain
D) Psychomotor domain
Correct Answer: Psychomotor domain
Rationale: The psychomotor domain involves the learning and demonstration of physical skills, such as
using a walker. The cognitive domain involves knowledge and intellectual skills, and the affective domain
involves attitudes, values, and feelings. Mastering a physical skill requires practice and coordination,
which are hallmarks of psychomotor learning.
4. A nurse is teaching a patient about the importance of exercise. When is the best time for teaching to
occur? (Select all that apply)
A) When the patient is pain-free
B) When the patient is well-rested
C) When the patient is anxious about their diagnosis
D) When the patient is comfortable and alert
Correct Answer: A, B, and D
Rationale: The best time for patient teaching is when the patient is comfortable, alert, well-rested, and
free from pain or acute distress. Anxiety, pain, and fatigue impair concentration and retention of new
information. Teaching during times of stress is less effective and may need to be postponed.
5. A child's immunization may cause temporary discomfort, but the benefits of protection from disease
outweigh the temporary discomforts. Which ethical principle is involved in this situation?
A) Fidelity
B) Beneficence
C) Nonmaleficence
, D) Respect for autonomy
Correct Answer: Beneficence
Rationale: Beneficence is the ethical principle of doing good and promoting the well-being of others.
Immunizations provide significant benefit to both the individual and society, outweighing the temporary
discomfort. Fidelity refers to keeping promises, nonmaleficence is avoiding harm, and autonomy
respects the patient's right to make decisions.
6. The point of the ethical principle to "do no harm" is an agreement to reassure the public that the
healthcare team works to heal patients in the least painful and harmful way possible. Which principle
describes this agreement?
A) Beneficence
B) Accountability
C) Nonmaleficence
D) Respect for autonomy
Correct Answer: Nonmaleficence
Rationale: Nonmaleficence is the ethical principle of "do no harm" or preventing harm. Beneficence
refers to doing good, accountability is being responsible for one's actions, and autonomy respects the
patient's right to make decisions. Nonmaleficence is foundational in healthcare and guides providers to
avoid causing unnecessary harm.
7. A patient who needs a liver transplant has been out of work for months and doesn't have health
insurance. Which ethical principle is most pertinent in determining how to distribute this scarce
resource?
A) Accountability
B) Respect for autonomy
C) Ethics of care
D) Justice