NURS106 EXAM 2 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
||UPDATED 2026
Population Group to Monitor Most Closely for Liver Cancer
Answer: b. Asian Americans ✔✔
Clinical Rationale While Asian Americans generally have lower overall cancer
rates compared to non-Hispanic Caucasians, they experience the highest incidence
and mortality rates of primary liver cancer (hepatocellular carcinoma) among all
major racial and ethnic groups in the United States.
Primary Contributing Factors: Higher rates of chronic Hepatitis B Virus
(HBV) infection, often acquired endemically or perinatally prior to
immigration.
Nursing Action: Prioritize HBV screening, early liver ultrasound
monitoring, and education on vaccination/antiviral management in this
demographic.
Caring for Low-Income Immigrant Patients
Answer: b. There is an increased incidence of disease. ✔✔
Clinical Rationale Low socioeconomic status combined with immigrant status
creates significant health disparities due to social determinants of health.
Key Contributing Factors: Limited access to preventive healthcare,
language barriers, financial constraints, potential environmental exposures,
nutritional deficits, and lower rates of routine screening.
Clinical Impact: These factors lead to delayed diagnoses, an increased
incidence of acute and chronic diseases, and higher overall rates of
morbidity and mortality.
Populations with health disparities (immigrant with low income) have a
significantly increased incidence of disease or increased morbidity and mortality
when compared with the general population. Although Americans' health overall
,has improved during the past few decades, the health of members of marginalized
groups has actually declined.
A nurse is assessing the health care disparities among population groups. Which
area is the nurse monitoring?
a. Accessibility of health care services
b. Outcomes of health conditions
c. Prevalence of complications
d. Incidence of diseases
ANS: A
While health disparities are the differences among populations in the incidence,
prevalence, and outcomes of health conditions, diseases and related complications,
health care disparities are differences among populations in the availability,
accessibility, and quality of health care services (e.g. screening, diagnostic,
treatment, management, and rehabilitation) aimed at prevention, treatment, and
management of diseases and their complications.
A nurse is providing care to a patient from a different culture. Which action by the
nurse indicates cultural competence?
a. Communicates effectively in a multicultural context
b. Functions effectively in a multicultural context
c. Visits a foreign country
d. Speaks a different language
ANS: B
,Cultural competence refers to a developmental process that evolves over time that
impacts ability to effectively function in the multicultural context. Communicates
effectively and speaking a different language indicates linguistic competence.
Visiting a foreign country does not indicate cultural competence.
The nurse learns about cultural issues involved in the patient's health care belief
system and enables patients and families to achieve meaningful and supportive
care. Which concept is the nurse demonstrating?
a. Marginalized groups
b. Health care disparity
c. Transcultural nursing
d. Culturally congruent care
ANS: D
The nurse is demonstrating culturally congruent care. Culturally congruent care, or
care that fits a person's life patterns, values, and system of meaning, provides
meaningful and beneficial nursing care. Marginalized groups are populations left
out or excluded. Health care disparities are differences among populations in the
availability, accessibility, and quality of health care services (e.g. screening,
diagnostic, treatment, management, and rehabilitation) aimed at prevention,
treatment, and management of diseases and their complications. Transcultural
nursing is a comparative study of cultures in order to understand their similarities
(culture that is universal) and the differences among them (culture that is specific
to particular groups).
A nurse is beginning to use patient-centered care and cultural competence to
improve nursing care. Which step should the nurse take first?
, a. Assessing own biases and attitude
b. Learning about the world view of others
c. Understanding organizational forces
d.Developing cultural skills
ANS: A
Becoming more aware of your biases and attitudes about human behavior is the
first step in providing patient-centered care, leading to culturally competent care. It
is helpful to think about cultural competence as a lifelong process of learning about
others and also about yourself. Learning about the world view, developing cultural
skills, and understanding organizational forces are not the first steps.
A nurse is performing a cultural assessment using the ETHNIC mnemonic for
communication. Which area will the nurse assess for the "H"?
a. Health
b. Healers
c. History
d. Homeland
ANS: B
The "H" in ETHNIC stands for healers: Has the patient sought advice from
alternative health practitioners? While health, history, and homeland are important,
they are not components of "H."
The nurse is caring for a patient of Hispanic descent who speaks no English. The
nurse is working with an interpreter. Which action should the nurse take?
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
||UPDATED 2026
Population Group to Monitor Most Closely for Liver Cancer
Answer: b. Asian Americans ✔✔
Clinical Rationale While Asian Americans generally have lower overall cancer
rates compared to non-Hispanic Caucasians, they experience the highest incidence
and mortality rates of primary liver cancer (hepatocellular carcinoma) among all
major racial and ethnic groups in the United States.
Primary Contributing Factors: Higher rates of chronic Hepatitis B Virus
(HBV) infection, often acquired endemically or perinatally prior to
immigration.
Nursing Action: Prioritize HBV screening, early liver ultrasound
monitoring, and education on vaccination/antiviral management in this
demographic.
Caring for Low-Income Immigrant Patients
Answer: b. There is an increased incidence of disease. ✔✔
Clinical Rationale Low socioeconomic status combined with immigrant status
creates significant health disparities due to social determinants of health.
Key Contributing Factors: Limited access to preventive healthcare,
language barriers, financial constraints, potential environmental exposures,
nutritional deficits, and lower rates of routine screening.
Clinical Impact: These factors lead to delayed diagnoses, an increased
incidence of acute and chronic diseases, and higher overall rates of
morbidity and mortality.
Populations with health disparities (immigrant with low income) have a
significantly increased incidence of disease or increased morbidity and mortality
when compared with the general population. Although Americans' health overall
,has improved during the past few decades, the health of members of marginalized
groups has actually declined.
A nurse is assessing the health care disparities among population groups. Which
area is the nurse monitoring?
a. Accessibility of health care services
b. Outcomes of health conditions
c. Prevalence of complications
d. Incidence of diseases
ANS: A
While health disparities are the differences among populations in the incidence,
prevalence, and outcomes of health conditions, diseases and related complications,
health care disparities are differences among populations in the availability,
accessibility, and quality of health care services (e.g. screening, diagnostic,
treatment, management, and rehabilitation) aimed at prevention, treatment, and
management of diseases and their complications.
A nurse is providing care to a patient from a different culture. Which action by the
nurse indicates cultural competence?
a. Communicates effectively in a multicultural context
b. Functions effectively in a multicultural context
c. Visits a foreign country
d. Speaks a different language
ANS: B
,Cultural competence refers to a developmental process that evolves over time that
impacts ability to effectively function in the multicultural context. Communicates
effectively and speaking a different language indicates linguistic competence.
Visiting a foreign country does not indicate cultural competence.
The nurse learns about cultural issues involved in the patient's health care belief
system and enables patients and families to achieve meaningful and supportive
care. Which concept is the nurse demonstrating?
a. Marginalized groups
b. Health care disparity
c. Transcultural nursing
d. Culturally congruent care
ANS: D
The nurse is demonstrating culturally congruent care. Culturally congruent care, or
care that fits a person's life patterns, values, and system of meaning, provides
meaningful and beneficial nursing care. Marginalized groups are populations left
out or excluded. Health care disparities are differences among populations in the
availability, accessibility, and quality of health care services (e.g. screening,
diagnostic, treatment, management, and rehabilitation) aimed at prevention,
treatment, and management of diseases and their complications. Transcultural
nursing is a comparative study of cultures in order to understand their similarities
(culture that is universal) and the differences among them (culture that is specific
to particular groups).
A nurse is beginning to use patient-centered care and cultural competence to
improve nursing care. Which step should the nurse take first?
, a. Assessing own biases and attitude
b. Learning about the world view of others
c. Understanding organizational forces
d.Developing cultural skills
ANS: A
Becoming more aware of your biases and attitudes about human behavior is the
first step in providing patient-centered care, leading to culturally competent care. It
is helpful to think about cultural competence as a lifelong process of learning about
others and also about yourself. Learning about the world view, developing cultural
skills, and understanding organizational forces are not the first steps.
A nurse is performing a cultural assessment using the ETHNIC mnemonic for
communication. Which area will the nurse assess for the "H"?
a. Health
b. Healers
c. History
d. Homeland
ANS: B
The "H" in ETHNIC stands for healers: Has the patient sought advice from
alternative health practitioners? While health, history, and homeland are important,
they are not components of "H."
The nurse is caring for a patient of Hispanic descent who speaks no English. The
nurse is working with an interpreter. Which action should the nurse take?
