NR 442 Community Health Exam 2 – 80 Multiple-
Choice Questions with Rationales- Chamberlain
CULTURAL ASSESSMENT & COMPETENCE (~5 questions)
1. A nurse is planning a cultural assessment for a newly arrived immigrant family.
Which component should the nurse include?
A. Family history
B. Chief complaint
C. Health-related beliefs
D. Medical history
Answer: C
Rationale: A cultural assessment must include health-related beliefs, values, practices,
and language to provide culturally competent care.
2. While providing care in a remote village, a nurse encounters a cultural practice
that conflicts with standard care. What should the nurse do first?
A. Educate the community about the correct practice
B. Respect the cultural practice and adapt care accordingly
C. Explain why the cultural practice should be avoided
D. Request assistance from a local healthcare authority
Answer: B
Rationale: The nurse should first respect the cultural practice and adapt care to build
trust. Education and collaboration can follow.
3. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. Which action demonstrates cultural competence?
A. Explain the medical risks of refusal
B. Respect the client’s decision and explore alternative treatments
C. Notify the provider to override the refusal
D. Ask the client to sign a waiver and leave
Answer: B
Rationale: Culturally competent care respects the client’s beliefs and seeks
alternatives within the standard of care.
,4. Which question is most appropriate for assessing a client’s cultural health
practices?
A. “Do you take any herbal remedies?”
B. “Why don’t you trust modern medicine?”
C. “What treatments have you used for this illness in the past?”
D. “Who in your family makes healthcare decisions?”
Answer: C
Rationale: Open-ended questions about past treatments respect cultural practices
without judgment.
5. A nurse is teaching a class on cultural sensitivity. Which statement by a
participant indicates a need for further teaching?
A. “I should ask about the client’s preferred language.”
B. “All clients from the same culture have identical beliefs.”
C. “I need to be aware of my own cultural biases.”
D. “I should use an interpreter when needed.”
Answer: B
Rationale: Assuming all individuals from a culture share identical beliefs is stereotyping,
not cultural competence.
COMMUNITY HEALTH PROGRAMS (~5 questions)
6. A nurse is planning a community diabetes management program. Which goal
should be included?
A. Educate the community about blood glucose monitoring every 3–4 months
B. Spread awareness about proper nutrition and increasing activity levels
C. Provide handouts about recommended immunization schedules
D. Educate the community about annual hearing screenings
Answer: B
Rationale: Diabetes management focuses on nutrition, activity, and self-management.
Immunizations and hearing screenings are unrelated.
7. Which outcome indicates effective health promotion in a community?
A. New surgery centers have high infection rates
B. Telemedicine has improved access to healthcare services
C. Wellness centers have improved access to fast food
D. Infectious disease increases despite immunization programs
, Answer: B
Rationale: Improved access to care (telemedicine) is a positive health promotion
outcome.
8. A nurse is evaluating a community hypertension screening program. Which
indicator shows success?
A. Number of participants who received a prescription
B. Percentage of participants with improved blood pressure control at follow-up
C. Number of pamphlets distributed
D. Number of media advertisements
Answer: B
Rationale: Improved clinical outcomes (blood pressure control) demonstrate program
effectiveness.
9. A community health nurse is planning a childhood immunization campaign. Which
factor is most important to address?
A. Cost of vaccines
B. Transportation barriers
C. Provider availability
D. All of the above
Answer: D
Rationale: Access barriers include cost, transportation, and provider availability. All
must be addressed.
10. Which strategy is most effective for increasing physical activity in a sedentary
community?
A. Distribute flyers about exercise benefits
B. Create safe walking trails and community exercise groups
C. Require gym memberships for all residents
D. Offer one-time health fair
Answer: B
Rationale: Environmental and social supports (walking trails, groups) are more effective
than passive education.
DISASTER TRIAGE – START SYSTEM (~8 questions)
Choice Questions with Rationales- Chamberlain
CULTURAL ASSESSMENT & COMPETENCE (~5 questions)
1. A nurse is planning a cultural assessment for a newly arrived immigrant family.
Which component should the nurse include?
A. Family history
B. Chief complaint
C. Health-related beliefs
D. Medical history
Answer: C
Rationale: A cultural assessment must include health-related beliefs, values, practices,
and language to provide culturally competent care.
2. While providing care in a remote village, a nurse encounters a cultural practice
that conflicts with standard care. What should the nurse do first?
A. Educate the community about the correct practice
B. Respect the cultural practice and adapt care accordingly
C. Explain why the cultural practice should be avoided
D. Request assistance from a local healthcare authority
Answer: B
Rationale: The nurse should first respect the cultural practice and adapt care to build
trust. Education and collaboration can follow.
3. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. Which action demonstrates cultural competence?
A. Explain the medical risks of refusal
B. Respect the client’s decision and explore alternative treatments
C. Notify the provider to override the refusal
D. Ask the client to sign a waiver and leave
Answer: B
Rationale: Culturally competent care respects the client’s beliefs and seeks
alternatives within the standard of care.
,4. Which question is most appropriate for assessing a client’s cultural health
practices?
A. “Do you take any herbal remedies?”
B. “Why don’t you trust modern medicine?”
C. “What treatments have you used for this illness in the past?”
D. “Who in your family makes healthcare decisions?”
Answer: C
Rationale: Open-ended questions about past treatments respect cultural practices
without judgment.
5. A nurse is teaching a class on cultural sensitivity. Which statement by a
participant indicates a need for further teaching?
A. “I should ask about the client’s preferred language.”
B. “All clients from the same culture have identical beliefs.”
C. “I need to be aware of my own cultural biases.”
D. “I should use an interpreter when needed.”
Answer: B
Rationale: Assuming all individuals from a culture share identical beliefs is stereotyping,
not cultural competence.
COMMUNITY HEALTH PROGRAMS (~5 questions)
6. A nurse is planning a community diabetes management program. Which goal
should be included?
A. Educate the community about blood glucose monitoring every 3–4 months
B. Spread awareness about proper nutrition and increasing activity levels
C. Provide handouts about recommended immunization schedules
D. Educate the community about annual hearing screenings
Answer: B
Rationale: Diabetes management focuses on nutrition, activity, and self-management.
Immunizations and hearing screenings are unrelated.
7. Which outcome indicates effective health promotion in a community?
A. New surgery centers have high infection rates
B. Telemedicine has improved access to healthcare services
C. Wellness centers have improved access to fast food
D. Infectious disease increases despite immunization programs
, Answer: B
Rationale: Improved access to care (telemedicine) is a positive health promotion
outcome.
8. A nurse is evaluating a community hypertension screening program. Which
indicator shows success?
A. Number of participants who received a prescription
B. Percentage of participants with improved blood pressure control at follow-up
C. Number of pamphlets distributed
D. Number of media advertisements
Answer: B
Rationale: Improved clinical outcomes (blood pressure control) demonstrate program
effectiveness.
9. A community health nurse is planning a childhood immunization campaign. Which
factor is most important to address?
A. Cost of vaccines
B. Transportation barriers
C. Provider availability
D. All of the above
Answer: D
Rationale: Access barriers include cost, transportation, and provider availability. All
must be addressed.
10. Which strategy is most effective for increasing physical activity in a sedentary
community?
A. Distribute flyers about exercise benefits
B. Create safe walking trails and community exercise groups
C. Require gym memberships for all residents
D. Offer one-time health fair
Answer: B
Rationale: Environmental and social supports (walking trails, groups) are more effective
than passive education.
DISASTER TRIAGE – START SYSTEM (~8 questions)
