NUR 225 TCCH Questions with 100%
Correct Answers
Belief (definition) Correct Answer: Mental representation of reality; what a
person thinks is true/real or expects to happen; includes religious trust in a higher
power.
Zero-order beliefs Correct Answer: Unconscious beliefs (e.g., object
permanence).
First-order beliefs Correct Answer: Conscious, formed from direct
experience/authority; foundation of belief system.
Higher-order beliefs Correct Answer: Generalizations/ideas derived from first-
order beliefs via reasoning.
Values (definition) Correct Answer: Enduring ideas of what's good/right vs
bad/wrong; determine worth and guide decisions/behavior.
Personal values influence Correct Answer: Self-concept, relationships,
professional choices, social causes.
Generalization Correct Answer: Broad statement used to organize ideas; not
true in all cases.
Stereotype Correct Answer: Generalization treated as always true about a
category of people/things.
Prejudice Correct Answer: Pre-formed, usually unfavorable opinion of a group
based on insufficient knowledge/irrational feelings.
, Values system Correct Answer: Hierarchy of values that helps resolve conflicts
and make decisions.
Sources of first-order beliefs Correct Answer: Life experience, family/authority,
culture/ethnicity, religion/spirituality, education.
Examples: first-order Correct Answer: "Most nurses are female." / "Anyone can
become a nurse."
Examples: higher-order Correct Answer: Generalization: "All nurses wear white."
Stereotype: "Nurses are more caring." Prejudice: "Women are better nurses."
Values conflict (definition) Correct Answer: Actual/perceived difference
between belief systems (patient vs EBP; nurse's duties vs personal feelings).
Values clarification (definition) Correct Answer: Therapeutic process to identify,
clarify, prioritize personal values to aid decisions.
Nurse's role in clarification Correct Answer: Help patients clarify their values;
avoid persuasion; provide information for informed decisions.
When to use Correct Answer: End-of-life decisions, culturally incongruent
treatments, any incongruent stated values/actions.
Pregnancy/substance use communication (Ackley) Correct Answer: Listen for
denial; avoid confrontation; matter-of-factly explain consequences; provide
clear info.
Beliefs shape care Correct Answer: Patient & provider beliefs influence trust,
adherence, use of services, and outcomes.
Disparities insight Correct Answer: Diagnostic/treatment differences across
gender/race; discharge patterns influenced by family beliefs about facilities.
Correct Answers
Belief (definition) Correct Answer: Mental representation of reality; what a
person thinks is true/real or expects to happen; includes religious trust in a higher
power.
Zero-order beliefs Correct Answer: Unconscious beliefs (e.g., object
permanence).
First-order beliefs Correct Answer: Conscious, formed from direct
experience/authority; foundation of belief system.
Higher-order beliefs Correct Answer: Generalizations/ideas derived from first-
order beliefs via reasoning.
Values (definition) Correct Answer: Enduring ideas of what's good/right vs
bad/wrong; determine worth and guide decisions/behavior.
Personal values influence Correct Answer: Self-concept, relationships,
professional choices, social causes.
Generalization Correct Answer: Broad statement used to organize ideas; not
true in all cases.
Stereotype Correct Answer: Generalization treated as always true about a
category of people/things.
Prejudice Correct Answer: Pre-formed, usually unfavorable opinion of a group
based on insufficient knowledge/irrational feelings.
, Values system Correct Answer: Hierarchy of values that helps resolve conflicts
and make decisions.
Sources of first-order beliefs Correct Answer: Life experience, family/authority,
culture/ethnicity, religion/spirituality, education.
Examples: first-order Correct Answer: "Most nurses are female." / "Anyone can
become a nurse."
Examples: higher-order Correct Answer: Generalization: "All nurses wear white."
Stereotype: "Nurses are more caring." Prejudice: "Women are better nurses."
Values conflict (definition) Correct Answer: Actual/perceived difference
between belief systems (patient vs EBP; nurse's duties vs personal feelings).
Values clarification (definition) Correct Answer: Therapeutic process to identify,
clarify, prioritize personal values to aid decisions.
Nurse's role in clarification Correct Answer: Help patients clarify their values;
avoid persuasion; provide information for informed decisions.
When to use Correct Answer: End-of-life decisions, culturally incongruent
treatments, any incongruent stated values/actions.
Pregnancy/substance use communication (Ackley) Correct Answer: Listen for
denial; avoid confrontation; matter-of-factly explain consequences; provide
clear info.
Beliefs shape care Correct Answer: Patient & provider beliefs influence trust,
adherence, use of services, and outcomes.
Disparities insight Correct Answer: Diagnostic/treatment differences across
gender/race; discharge patterns influenced by family beliefs about facilities.
