FUNDS 2 EXAM 1 MCCASKIE UPDATED EXAM WITH MOST
TESTED QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. A Japanese American client continually smiles and nods while the nurse explains
preoperative instructions. The nurse should interpret this behavior as:
A. Agreement with every point made
B. Confusion about the instructions
C. Reflecting a cultural value (politeness and nonconfrontation)
D. Cognitive impairment
Rationale: In some cultures, smiling and nodding indicate politeness or deference rather
than explicit agreement; always clarify understanding.
2. The most important aspect of culturally competent care is:
A. Following hospital policy for all patients equally
B. Seeking to understand individual patient customs, beliefs, and values
C. Providing printed materials in English only
D. Assuming all members of an ethnic group share identical beliefs
Rationale: Cultural competence centers on individualized understanding, not
stereotypes.
3. Which action best demonstrates enculturation?
A. Learning a new language as an adult
B. Sharing cultural expectations and practices with younger family members
C. Converting to a different religion
D. Studying another culture in school
Rationale: Enculturation is transmitting cultural norms to the next generation.
4. A principle common to all health/wellness/illness theories is:
A. Health is solely the absence of disease
B. Genetics are everything
C. Many variables influence a person’s perception of health
D. Illness is always stigmatizing
Rationale: Health perception is multifactorial (social, cultural, psychological, biological).
5. A client says, “I’ll never quit smoking — I tried and failed.” According to the
Transtheoretical Model (TTM), the client is in:
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A. Preparation stage
B. Action stage
C. Precontemplation stage
D. Maintenance stage
Rationale: Precontemplation = not considering change, may have tried before but not
ready now.
6. For a patient with scarlet fever, the nurse should implement which precautions?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard only
Rationale: Scarlet fever spreads by respiratory droplets; use droplet precautions (mask
within 3 feet).
7. For a patient with diphtheria, the appropriate precaution is:
A. Contact precautions only
B. Droplet precautions
C. Airborne precautions only
D. No special precautions
Rationale: Diphtheria transmits via droplets; mask and droplet precautions are
indicated.
8. Using Maslow’s hierarchy, which problem should be addressed first?
A. Low self-esteem about appearance
B. Feeling lonely and isolated
C. Lack of sleep (physiological need)
D. Desire for personal growth
Rationale: Physiological needs (sleep) have highest priority before higher-level needs.
9. According to Dunn’s wellness grid, a patient who follows preventive care, uses inhaler
daily, and avoids poor air days would be classified as:
A. High level of health in favorable environment
B. Protected poor health in favorable environment
C. Unprotected poor health in unfavorable environment
D. Emergent high health in poor environment
Rationale: “Protected poor health in favorable environment” = chronic disease
managed in supportive setting.
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10. A patient currently in ICU for sepsis falls under which level of healthcare delivery?
A. Primary care
B. Secondary (acute) care
C. Tertiary prevention only
D. Health promotion
Rationale: ICU/acute hospital care is secondary (diagnosis/treatment of acute
conditions).
11. Example of primary prevention for someone with family history of colon cancer:
A. Colonoscopy for early detection
B. Avoiding a high-fat, red-meat diet
C. Surgical removal of polyps (tertiary)
D. Chemotherapy if cancer is found
Rationale: Primary prevention prevents disease occurrence (lifestyle modifications).
12. The emotional component of wellness is best exemplified by:
A. Daily exercise schedule
B. Expressing frustration about a partner’s substance abuse
C. Blood pressure control
D. Attending a nutrition class
Rationale: Emotional wellness involves acknowledging and expressing feelings.
13. Who has “taken on” the sick role?
A. A teenager skipping school to hang out
B. A mother who is ill and tells children “I won’t be able to make your lunch today”
C. Someone who ignores symptoms
D. A person who continues normal activities despite illness
Rationale: Sick role implies altered responsibilities and social behavior due to illness.
14. A client believes diet/exercise can control diabetes and seeks education — this aligns
with which model?
A. Transtheoretical Model
B. Health Belief Model
C. Medical Model
D. Biopsychosocial Model
Rationale: Health Belief Model focuses on beliefs about susceptibility, benefits, and self-
efficacy motivating health actions.
15. A nurse asks how chemotherapy will affect a client’s family responsibilities and job —
this action best represents: