RN 402 FINAL EXAM LEADERSHIP QUESTIONS 2026/2027 | NURSING
LEADERSHIP STUDY GUIDE, PRACTICE QUESTIONS & EXAM REVIEW
According to Leininger, "cultural imposition" is a major concern in nursing because nurses have a
tendency to impose their values, beliefs, and practices on patients of other cultures. The discussion topic
most likely to be without cultural imposition would be:
a. Abortion.
b. Wound management.
c. Blood transfusion.
d. Advance directives. - correct answer ✔✔b. Wound management
Cultural diversity is the term used to describe a vast range of cultural differences. Events have symbolic
meanings for the nurse manager and the staff. The event that would be most likely to provide symbolic
meaning to a nurse manager and staff is a:
a. Task force formed to commemorate a New Year's celebration in the Western tradition.
b. Project to provide Christmas gifts to the children in a daycare program.
c. Celebration of National Nurses Week with the focus on cultural care.
d. Task force to develop a poster for the unit depicting religions of the world. - correct answer ✔✔c.
Celebration of National Nurses Week with the focus on cultural care.
One of the staff nurses on your unit makes the comment, "All this time I thought Mary was black. She
says she is Jamaican." The best response would be to say:
a. "Who cares what she is?"
b. "What did you think when you learned she was Jamaican?"
c. "Why did you assume she was black?"
d. "We have never had a Jamaican on this unit." - correct answer ✔✔b. "What did you think when you
learned she was Jamaican?"
As a nurse manager, you notice that Maria, a Hispanic nurse aide, is visibly upset. When you ask her if
something is wrong, she becomes tearful and says, "Why is it that when John and I work together in
giving patients care, he jokes about my being "a little fat Mexican"? The nurse manager's best response
is, "Do you think he:
a. Is sensitive to your culture?"
b. Wants to learn more about you?"
c. Has been hurt and wants to hurt others?"
d. Is stereotyping you without thinking?" - correct answer ✔✔d. Is stereotyping you without thinking?"
The nurse manager of a unit is asked by a family member of a dying Native American patient if it is
possible to have the patient's eight-member family recite the rosary by the bedside. The manager
responds affirmatively. The nurse manager is most likely exhibiting behavior related to:
a. Acculturation.
b. Ethnocentricity.
c. Cultural diversity.
d. Cultural sensitivity. - correct answer ✔✔d. Cultural sensitivity.
,A 66-year-old native Chinese patient, hospitalized for a myocardial infarction, asks the nurse manager
about seeing his "acupuncture doctor" for treatment of his migraine headache. The best response to this
patient would be:
a. "How long have you been using acupuncture treatment?"
b. "Do you think acupuncture relieves your pain satisfactorily?"
c. "What have you told your heart specialist about your migraines and treatment?"
d. "Have you tried nonprescription pain medication or been given a prescription drug for your
headaches?" - correct answer ✔✔a. "How long have you been using acupuncture treatment?"
Maintaining a culturally diverse staff and working with a culturally diverse patient population is an
important function of a nurse manager who works in the hospital of a large medical center. On your
palliative care unit, you have recently received complaints from families about ineffective pain
management for their family members and you determine this occurs primarily when certain nurses are
working. What approach might you take to resolve the concerns of the families, patients, and potentially,
the staff?
a. Reinforce to staff that practice guidelines support as-needed analgesia for the terminally ill.
b. Ask staff input on the development of stricter guidelines to ensure that all terminally patients are
given sufficient analgesia.
c. Encourage conversation with patients and among staff that facilitates learning about cultural beliefs
and priorities in dying.
d. Advise families that the administration of analgesi - correct answer ✔✔c. Encourage conversation with
patients and among staff that facilitates learning about cultural beliefs and priorities in dying.
Because an increasing number of Hispanic patients are being admitted, a nurse manager designs a staff-
development program to help her staff understand the Hispanic culture. A nurse should understand that
culture is determined by which of the following?
a. Behavior
b. Love for people
c. Shared vision
d. Genetic predisposition - correct answer ✔✔a. Behavior
The nurse manager for a unit's culturally diverse staff creates a staff-development program so the
professional nursing staff members can enhance their understanding of cultures on the basis of
published literature. The literature reveals that the following characteristic is inherent in a culture. It:
a. Develops over time.
b. Maintains a strong work ethic.
c. Changes easily.
d. Develops quickly. - correct answer ✔✔a. Develops over time.
In designing programs through your institution to address the health needs of Hispanics in your
community, you most likely would develop programs related to:
a. Diabetes.
b. Cardiovascular disease.
c. Cancer.
d. Asthma. - correct answer ✔✔a. Diabetes.
Within the deaf culture, there is considerable disagreement about the use of SEE (Signed Exact English)
and ASL (American Sign Language). This is indicative of:
, a. Dominant versus nondominant behaviors.
b. The need to recognize diversity within groups.
c. The impact of cross-culturalism.
d. How language separates subgroups. - correct answer ✔✔b. The need to recognize diversity within
groups.
When interviewing a candidate for a nursing position who has an Aboriginal background, you recognize
that the candidate's lack of eye contact reflects the candidate's:
a. Lack of confidence.
b. Professional behavior.
c. Cultural sensitivity.
d. Ethnicity. - correct answer ✔✔d. Ethnicity
When interviewing a candidate for a nursing position who has an Aboriginal background, you recognize
that the candidate's lack of eye contact reflects the candidate's cultural sensitivity. You are exhibiting:
a. Acculturation.
b. Cultural sensitivity.
c. Ethnocentrism.
d. Transculturalism. - correct answer ✔✔b. Cultural sensitivity.
Mary joins 5W nursing unit. Mary is a new graduate who is anxious to fit in. She soon learns that some of
her "book learning" is being criticized by her colleagues, so she adapts her practice to what others on the
unit are doing. She is demonstrating:
a. Cultural awareness.
b. Cultural sensitivity.
c. Acculturation.
d. Cultural marginality. - correct answer ✔✔c. Acculturation.
At Health Center XYZ, staff members on the rehab unit have a head nurse who is intolerant of error and
publicly chides anyone who makes a mistake. Over time, the rules on the unit dictate that mistakes are
hidden and that areas of concern related to the functioning of the unit are discussed in tub rooms and
are never openly discussed during periodic meetings. New staff members are quickly made to realize
that silence is expected. The situation described is an example of:
a. Ethnicity.
b. Work environment.
c. Work culture.
d. Marginalization. - correct answer ✔✔c. Work culture
As a nurse manager, you have hired two new staff members who have recently come to the United
States from other countries. Which of the following strategies might indicate your efforts to assist these
staff members with acculturation to your unit?
a. Analyze a recent situation with them in which an order with a physician was not clarified and explore
their beliefs about nurse-physician relationships.
b. Expect them to behave in ways that are expected of staff who have grown up and been educated in
the United States.
c. Stress to these new staff that your unit is a "family" and that staff members take pride in saying that
they are from Unit 4.
LEADERSHIP STUDY GUIDE, PRACTICE QUESTIONS & EXAM REVIEW
According to Leininger, "cultural imposition" is a major concern in nursing because nurses have a
tendency to impose their values, beliefs, and practices on patients of other cultures. The discussion topic
most likely to be without cultural imposition would be:
a. Abortion.
b. Wound management.
c. Blood transfusion.
d. Advance directives. - correct answer ✔✔b. Wound management
Cultural diversity is the term used to describe a vast range of cultural differences. Events have symbolic
meanings for the nurse manager and the staff. The event that would be most likely to provide symbolic
meaning to a nurse manager and staff is a:
a. Task force formed to commemorate a New Year's celebration in the Western tradition.
b. Project to provide Christmas gifts to the children in a daycare program.
c. Celebration of National Nurses Week with the focus on cultural care.
d. Task force to develop a poster for the unit depicting religions of the world. - correct answer ✔✔c.
Celebration of National Nurses Week with the focus on cultural care.
One of the staff nurses on your unit makes the comment, "All this time I thought Mary was black. She
says she is Jamaican." The best response would be to say:
a. "Who cares what she is?"
b. "What did you think when you learned she was Jamaican?"
c. "Why did you assume she was black?"
d. "We have never had a Jamaican on this unit." - correct answer ✔✔b. "What did you think when you
learned she was Jamaican?"
As a nurse manager, you notice that Maria, a Hispanic nurse aide, is visibly upset. When you ask her if
something is wrong, she becomes tearful and says, "Why is it that when John and I work together in
giving patients care, he jokes about my being "a little fat Mexican"? The nurse manager's best response
is, "Do you think he:
a. Is sensitive to your culture?"
b. Wants to learn more about you?"
c. Has been hurt and wants to hurt others?"
d. Is stereotyping you without thinking?" - correct answer ✔✔d. Is stereotyping you without thinking?"
The nurse manager of a unit is asked by a family member of a dying Native American patient if it is
possible to have the patient's eight-member family recite the rosary by the bedside. The manager
responds affirmatively. The nurse manager is most likely exhibiting behavior related to:
a. Acculturation.
b. Ethnocentricity.
c. Cultural diversity.
d. Cultural sensitivity. - correct answer ✔✔d. Cultural sensitivity.
,A 66-year-old native Chinese patient, hospitalized for a myocardial infarction, asks the nurse manager
about seeing his "acupuncture doctor" for treatment of his migraine headache. The best response to this
patient would be:
a. "How long have you been using acupuncture treatment?"
b. "Do you think acupuncture relieves your pain satisfactorily?"
c. "What have you told your heart specialist about your migraines and treatment?"
d. "Have you tried nonprescription pain medication or been given a prescription drug for your
headaches?" - correct answer ✔✔a. "How long have you been using acupuncture treatment?"
Maintaining a culturally diverse staff and working with a culturally diverse patient population is an
important function of a nurse manager who works in the hospital of a large medical center. On your
palliative care unit, you have recently received complaints from families about ineffective pain
management for their family members and you determine this occurs primarily when certain nurses are
working. What approach might you take to resolve the concerns of the families, patients, and potentially,
the staff?
a. Reinforce to staff that practice guidelines support as-needed analgesia for the terminally ill.
b. Ask staff input on the development of stricter guidelines to ensure that all terminally patients are
given sufficient analgesia.
c. Encourage conversation with patients and among staff that facilitates learning about cultural beliefs
and priorities in dying.
d. Advise families that the administration of analgesi - correct answer ✔✔c. Encourage conversation with
patients and among staff that facilitates learning about cultural beliefs and priorities in dying.
Because an increasing number of Hispanic patients are being admitted, a nurse manager designs a staff-
development program to help her staff understand the Hispanic culture. A nurse should understand that
culture is determined by which of the following?
a. Behavior
b. Love for people
c. Shared vision
d. Genetic predisposition - correct answer ✔✔a. Behavior
The nurse manager for a unit's culturally diverse staff creates a staff-development program so the
professional nursing staff members can enhance their understanding of cultures on the basis of
published literature. The literature reveals that the following characteristic is inherent in a culture. It:
a. Develops over time.
b. Maintains a strong work ethic.
c. Changes easily.
d. Develops quickly. - correct answer ✔✔a. Develops over time.
In designing programs through your institution to address the health needs of Hispanics in your
community, you most likely would develop programs related to:
a. Diabetes.
b. Cardiovascular disease.
c. Cancer.
d. Asthma. - correct answer ✔✔a. Diabetes.
Within the deaf culture, there is considerable disagreement about the use of SEE (Signed Exact English)
and ASL (American Sign Language). This is indicative of:
, a. Dominant versus nondominant behaviors.
b. The need to recognize diversity within groups.
c. The impact of cross-culturalism.
d. How language separates subgroups. - correct answer ✔✔b. The need to recognize diversity within
groups.
When interviewing a candidate for a nursing position who has an Aboriginal background, you recognize
that the candidate's lack of eye contact reflects the candidate's:
a. Lack of confidence.
b. Professional behavior.
c. Cultural sensitivity.
d. Ethnicity. - correct answer ✔✔d. Ethnicity
When interviewing a candidate for a nursing position who has an Aboriginal background, you recognize
that the candidate's lack of eye contact reflects the candidate's cultural sensitivity. You are exhibiting:
a. Acculturation.
b. Cultural sensitivity.
c. Ethnocentrism.
d. Transculturalism. - correct answer ✔✔b. Cultural sensitivity.
Mary joins 5W nursing unit. Mary is a new graduate who is anxious to fit in. She soon learns that some of
her "book learning" is being criticized by her colleagues, so she adapts her practice to what others on the
unit are doing. She is demonstrating:
a. Cultural awareness.
b. Cultural sensitivity.
c. Acculturation.
d. Cultural marginality. - correct answer ✔✔c. Acculturation.
At Health Center XYZ, staff members on the rehab unit have a head nurse who is intolerant of error and
publicly chides anyone who makes a mistake. Over time, the rules on the unit dictate that mistakes are
hidden and that areas of concern related to the functioning of the unit are discussed in tub rooms and
are never openly discussed during periodic meetings. New staff members are quickly made to realize
that silence is expected. The situation described is an example of:
a. Ethnicity.
b. Work environment.
c. Work culture.
d. Marginalization. - correct answer ✔✔c. Work culture
As a nurse manager, you have hired two new staff members who have recently come to the United
States from other countries. Which of the following strategies might indicate your efforts to assist these
staff members with acculturation to your unit?
a. Analyze a recent situation with them in which an order with a physician was not clarified and explore
their beliefs about nurse-physician relationships.
b. Expect them to behave in ways that are expected of staff who have grown up and been educated in
the United States.
c. Stress to these new staff that your unit is a "family" and that staff members take pride in saying that
they are from Unit 4.
