NUR 150 FINAL EXAM STUDY GUIDE
QUESTIONS AND ANSWERS
While conducting a community assessment, the nurse seeks data on the average
household income and the number of residents on public assistance. In doing so, the
nurse is evaluating which component of a community assessment?
a. Structure
b. Population
c. Social system
d. Welfare system - Answer-a
A nurse is assessing a community. Match each community element the nurse will
assess with the correct example.
a. Education Level
b. Housing
c .Government
1. Structure
2. Population
3. Social system - Answer-1. b
2. a
3. c
The nurse is working in a clinic that is designed to provide health education and
immunizations. Which type of preventive care is the nurse providing?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Risk factor prevention - Answer-a
The patient is admitted to the emergency department of the local hospital from home
with reports of chest discomfort and shortness of breath. The patient is placed on
oxygen, has labs and blood gases drawn, and is given an electrocardiogram and
breathing treatments. Which level of preventive care is this patient receiving?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion - Answer-a
A patient is admitted to a rehabilitation facility following a stroke. The patient has right-
sided paralysis and is unable to speak. The patient will be receiving physical therapy
and speech therapy. Which level of preventive care is the patient receiving?
,a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion - Answer-c
The patient had a colostomy placed 1 week ago. When approached by the nurse, the
patient and spouse refuse to talk about it and refuse to be taught about how to care for
it. How will the nurse evaluate this couple's stage of adjustment?
a. Shock
b. Withdrawal
c. Acceptance
d. Rehabilitation - Answer-b
The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time
the patient is being admitted in the last 6 months for high blood sugars. During the
admission process, the nurse asks the patient about employment status and displays a
nonjudgmental attitude. What is the rationale for the nurse's actions?
a. External variables have little effect on compliance.
b. A person's compliance is affected by economic status.
c. Employment status is an internal variable that impacts compliance.
d. Noncompliant patients thrive on the disapproval of authority figures. - Answer-b
The nurse is working on a committee to evaluate the need for increasing the levels of
fluoride in the drinking water of the community. Which concept is the nurse fostering?
a. Illness prevention
b. Wellness education
c. Active health promotion
d. Passive health promotion - Answer-d
A nurse is working at a health fair screening people for liver cancer. Which population
group should the nurse monitor most closely for liver cancer?
a. Hispanic
b. Asian Americans
c. Non-Hispanic Caucasians
d. Non-Hispanic African-Americans - Answer-b
A nurse is caring for an immigrant with low income. Which information should the nurse
consider when planning care for this patient?
a. There is a decreased frequency of morbidity.
b. There is an increased incidence of disease.
,c. There is an increased level of health.
d. There is a decreased mortality rate. - Answer-b
A nurse is teaching patients about health care information. Which patient will the nurse
assess closely for health literacy?
a. A patient 35 years old
b. A patient 68 years old
c. A patient with a college degree
d. A patient with a high-school diploma - Answer-b
A nurse works at a hospital that uses equity-focused quality improvement. Which
strategy is the hospital using?
a. Document staff satisfaction.
b. Focus on the family.
c. Implement change on a grand scale.
d. Reduce disparities. - Answer-d
A nurse is providing care to a culturally diverse population. Which action indicates the
nurse is successful in the role of providing culturally congruent care?
a. Provides care that fits the patient's valued life patterns and set of meanings
b. Provides care that is based on meanings generated by predetermined criteria
c. Provides care that makes the nurse the leader in determining what is needed
d. Provides care that is the same as the values of the professional health care system -
Answer-a
A nurse is assessing the patient's meaning of illness. Which area of focus by the nurse
is priority?
a. On the way a patient reacts to disease
b. On the malfunctioning of biological processes
c. On the malfunctioning of psychological processes
d. On the way a patient reacts to family/social interactions - Answer-a
A nurse is designing a form for lesbian, gay, bisexual, and transgender (LGBT) patients.
Which design should the nurse use?
a. Use partnered rather than married.
b. Use mother rather than father.
c. Use parents rather than guardian.
d. Use wife/husband rather than significant other. - Answer-a
A nurse is assessing population groups for the risk of suicide requiring medical
attention. Which group should the nurse monitor most closely?
, a. Young bisexuals
b. Young caucasians
c. Asian Americans
d. African-Americans - Answer-a
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 - Answer-d
A nurse is using the RESPECT mnemonic to establish rapport, the "R" in RESPECT.
Which actions should the nurse take? (Select all that apply.)
a. Connect on a social level.
b. Help the patient overcome barriers.
c. Consciously attempt to suspend judgment.
d. Stress that they will be working together to address problems.
e. Know limitations in addressing medical issues across cultures. - Answer-a,c
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 - Answer-b
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?
a. Use long sentences when talking.
b. Look at the patient when talking.
c. Use breaks in sentences when talking.
d. Look at only nonverbal behaviors when talking. - Answer-b
A nurse is assessing a patient's ethnohistory. Which question should the nurse ask?
a. What language do you speak at home?
b. How different is your life here from back home?
c. Which caregivers do you seek when you are sick?
d. How different is what we do from what your family does when you are sick? - Answer-
b
QUESTIONS AND ANSWERS
While conducting a community assessment, the nurse seeks data on the average
household income and the number of residents on public assistance. In doing so, the
nurse is evaluating which component of a community assessment?
a. Structure
b. Population
c. Social system
d. Welfare system - Answer-a
A nurse is assessing a community. Match each community element the nurse will
assess with the correct example.
a. Education Level
b. Housing
c .Government
1. Structure
2. Population
3. Social system - Answer-1. b
2. a
3. c
The nurse is working in a clinic that is designed to provide health education and
immunizations. Which type of preventive care is the nurse providing?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Risk factor prevention - Answer-a
The patient is admitted to the emergency department of the local hospital from home
with reports of chest discomfort and shortness of breath. The patient is placed on
oxygen, has labs and blood gases drawn, and is given an electrocardiogram and
breathing treatments. Which level of preventive care is this patient receiving?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion - Answer-a
A patient is admitted to a rehabilitation facility following a stroke. The patient has right-
sided paralysis and is unable to speak. The patient will be receiving physical therapy
and speech therapy. Which level of preventive care is the patient receiving?
,a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion - Answer-c
The patient had a colostomy placed 1 week ago. When approached by the nurse, the
patient and spouse refuse to talk about it and refuse to be taught about how to care for
it. How will the nurse evaluate this couple's stage of adjustment?
a. Shock
b. Withdrawal
c. Acceptance
d. Rehabilitation - Answer-b
The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time
the patient is being admitted in the last 6 months for high blood sugars. During the
admission process, the nurse asks the patient about employment status and displays a
nonjudgmental attitude. What is the rationale for the nurse's actions?
a. External variables have little effect on compliance.
b. A person's compliance is affected by economic status.
c. Employment status is an internal variable that impacts compliance.
d. Noncompliant patients thrive on the disapproval of authority figures. - Answer-b
The nurse is working on a committee to evaluate the need for increasing the levels of
fluoride in the drinking water of the community. Which concept is the nurse fostering?
a. Illness prevention
b. Wellness education
c. Active health promotion
d. Passive health promotion - Answer-d
A nurse is working at a health fair screening people for liver cancer. Which population
group should the nurse monitor most closely for liver cancer?
a. Hispanic
b. Asian Americans
c. Non-Hispanic Caucasians
d. Non-Hispanic African-Americans - Answer-b
A nurse is caring for an immigrant with low income. Which information should the nurse
consider when planning care for this patient?
a. There is a decreased frequency of morbidity.
b. There is an increased incidence of disease.
,c. There is an increased level of health.
d. There is a decreased mortality rate. - Answer-b
A nurse is teaching patients about health care information. Which patient will the nurse
assess closely for health literacy?
a. A patient 35 years old
b. A patient 68 years old
c. A patient with a college degree
d. A patient with a high-school diploma - Answer-b
A nurse works at a hospital that uses equity-focused quality improvement. Which
strategy is the hospital using?
a. Document staff satisfaction.
b. Focus on the family.
c. Implement change on a grand scale.
d. Reduce disparities. - Answer-d
A nurse is providing care to a culturally diverse population. Which action indicates the
nurse is successful in the role of providing culturally congruent care?
a. Provides care that fits the patient's valued life patterns and set of meanings
b. Provides care that is based on meanings generated by predetermined criteria
c. Provides care that makes the nurse the leader in determining what is needed
d. Provides care that is the same as the values of the professional health care system -
Answer-a
A nurse is assessing the patient's meaning of illness. Which area of focus by the nurse
is priority?
a. On the way a patient reacts to disease
b. On the malfunctioning of biological processes
c. On the malfunctioning of psychological processes
d. On the way a patient reacts to family/social interactions - Answer-a
A nurse is designing a form for lesbian, gay, bisexual, and transgender (LGBT) patients.
Which design should the nurse use?
a. Use partnered rather than married.
b. Use mother rather than father.
c. Use parents rather than guardian.
d. Use wife/husband rather than significant other. - Answer-a
A nurse is assessing population groups for the risk of suicide requiring medical
attention. Which group should the nurse monitor most closely?
, a. Young bisexuals
b. Young caucasians
c. Asian Americans
d. African-Americans - Answer-a
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 - Answer-d
A nurse is using the RESPECT mnemonic to establish rapport, the "R" in RESPECT.
Which actions should the nurse take? (Select all that apply.)
a. Connect on a social level.
b. Help the patient overcome barriers.
c. Consciously attempt to suspend judgment.
d. Stress that they will be working together to address problems.
e. Know limitations in addressing medical issues across cultures. - Answer-a,c
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 - Answer-b
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?
a. Use long sentences when talking.
b. Look at the patient when talking.
c. Use breaks in sentences when talking.
d. Look at only nonverbal behaviors when talking. - Answer-b
A nurse is assessing a patient's ethnohistory. Which question should the nurse ask?
a. What language do you speak at home?
b. How different is your life here from back home?
c. Which caregivers do you seek when you are sick?
d. How different is what we do from what your family does when you are sick? - Answer-
b
