CONCEPTS OF NURSING EXAM SCRIPT 2025/2026
QUESTIONS WITH ANSWERS GRADED A+
✔✔Multidimensional Care Concepts: Knowing the Patient - ✔✔• Develops over time
• The core process of clinical decision making
• Aspects of knowing include:
- Responses to therapy, routines, and habits
- Coping resources
- Physical capacities and endurance
✔✔Multidimensional Care Concepts: Spiritual Care - ✔✔• Spiritual health is achieved
when a person can find a balance between their life values, goals and belief symptoms
and those of others.
• Spirituality offers a sense of interpersonal and transpersonal connectedness.
✔✔Multidimensional Care Concepts: Family Care - ✔✔• People experience life through
relationship with others.
• Caring does not occur in isolation from a client's family.
• Family is an integral resource.
✔✔Ethnic Heritage - ✔✔• Ask the history of the origins of the patients' culture
• Country of birth
• Years in this country
• Age when they came to this country
• What diseases are endemic to the country of origin?
✔✔Biocultural History - ✔✔• Note skin color, body structure
• Nutritional preferences and deficiencies
• Family history of disease
• Know key genetic diseases for specific groups
✔✔Social Organization - ✔✔• Identify lines of hierarchy (who is the decision-maker?),
patient, family, spiritual leader?
• Who are the major support people
• Observe patient interactions with significant others
✔✔Religious and Spiritual Beliefs - ✔✔• Ask the importance of religion
• Religious affiliation/restrictions or practices
• Observe religious icons of the person or in the room
• Determine the spiritual support person
✔✔Communications Patterns - ✔✔• Identify communication patterns and forms (verbal,
non-verbal, including eye contact, space and touch)
• Identify meaning of gestures
• Ask how the patient would like to be addressed
, • What is the Primary and/or secondary language?
• Is it appropriate to share thoughts and feelings?
• Use of Interpreters
✔✔Time Orientation - ✔✔• Ask about plans for the future
• Are they from a culture that is past or future oriented
✔✔Caring Beliefs and Cultural Healers - ✔✔• Ask what types of healing practices the
patient engages in (patients may be hesitant to share)
• Ask if there are care providers used that are culturally specific
• What customs and beliefs surround transitions in life
• How much does the patient and family want to know about their disease
• What are beliefs about pain and suffering
✔✔Experience with Professional Health Care Systems - ✔✔• Ask about previous
encounters with professional caregivers
✔✔Culture and Life Transitions: Pregnancy - ✔✔• Vulnerable time in all cultures
• Embedded in cultural context
• Illicit cultural responses from future parents and surrounding persons
• Wish for health pregnancy is universal
• Special diets/practices based on culture
• Traditional fears may involve: bad luck, spirits, witchcraft
• Cravings and PICA may be accepted and encouraged
✔✔Culture and Life Transitions: Childbirth - ✔✔• Experiences of birth have cultural
implications (technology)
• Participation of men in the experience is culturally prescribed
• Traditional care givers
✔✔Culture and Life Transitions: Newborn - ✔✔• Breastfeeding
• Traditional care givers
• Naming
• Considered vulnerable in all cultures
✔✔Culture and Life Transitions: Postpartum - ✔✔• All cultures consider this a
vulnerable time for women
• Special foods may be consumed based on return of balance
• Culture will determine return of sexual relations
✔✔Culture and Life Transitions: Grief and Loss - ✔✔• Traditions are meaningful in all
cultures
• Emotional distress over the loss of a child may be less devastating in some cultures
with high infant mortalities
• Time of great spiritual and religious expression
QUESTIONS WITH ANSWERS GRADED A+
✔✔Multidimensional Care Concepts: Knowing the Patient - ✔✔• Develops over time
• The core process of clinical decision making
• Aspects of knowing include:
- Responses to therapy, routines, and habits
- Coping resources
- Physical capacities and endurance
✔✔Multidimensional Care Concepts: Spiritual Care - ✔✔• Spiritual health is achieved
when a person can find a balance between their life values, goals and belief symptoms
and those of others.
• Spirituality offers a sense of interpersonal and transpersonal connectedness.
✔✔Multidimensional Care Concepts: Family Care - ✔✔• People experience life through
relationship with others.
• Caring does not occur in isolation from a client's family.
• Family is an integral resource.
✔✔Ethnic Heritage - ✔✔• Ask the history of the origins of the patients' culture
• Country of birth
• Years in this country
• Age when they came to this country
• What diseases are endemic to the country of origin?
✔✔Biocultural History - ✔✔• Note skin color, body structure
• Nutritional preferences and deficiencies
• Family history of disease
• Know key genetic diseases for specific groups
✔✔Social Organization - ✔✔• Identify lines of hierarchy (who is the decision-maker?),
patient, family, spiritual leader?
• Who are the major support people
• Observe patient interactions with significant others
✔✔Religious and Spiritual Beliefs - ✔✔• Ask the importance of religion
• Religious affiliation/restrictions or practices
• Observe religious icons of the person or in the room
• Determine the spiritual support person
✔✔Communications Patterns - ✔✔• Identify communication patterns and forms (verbal,
non-verbal, including eye contact, space and touch)
• Identify meaning of gestures
• Ask how the patient would like to be addressed
, • What is the Primary and/or secondary language?
• Is it appropriate to share thoughts and feelings?
• Use of Interpreters
✔✔Time Orientation - ✔✔• Ask about plans for the future
• Are they from a culture that is past or future oriented
✔✔Caring Beliefs and Cultural Healers - ✔✔• Ask what types of healing practices the
patient engages in (patients may be hesitant to share)
• Ask if there are care providers used that are culturally specific
• What customs and beliefs surround transitions in life
• How much does the patient and family want to know about their disease
• What are beliefs about pain and suffering
✔✔Experience with Professional Health Care Systems - ✔✔• Ask about previous
encounters with professional caregivers
✔✔Culture and Life Transitions: Pregnancy - ✔✔• Vulnerable time in all cultures
• Embedded in cultural context
• Illicit cultural responses from future parents and surrounding persons
• Wish for health pregnancy is universal
• Special diets/practices based on culture
• Traditional fears may involve: bad luck, spirits, witchcraft
• Cravings and PICA may be accepted and encouraged
✔✔Culture and Life Transitions: Childbirth - ✔✔• Experiences of birth have cultural
implications (technology)
• Participation of men in the experience is culturally prescribed
• Traditional care givers
✔✔Culture and Life Transitions: Newborn - ✔✔• Breastfeeding
• Traditional care givers
• Naming
• Considered vulnerable in all cultures
✔✔Culture and Life Transitions: Postpartum - ✔✔• All cultures consider this a
vulnerable time for women
• Special foods may be consumed based on return of balance
• Culture will determine return of sexual relations
✔✔Culture and Life Transitions: Grief and Loss - ✔✔• Traditions are meaningful in all
cultures
• Emotional distress over the loss of a child may be less devastating in some cultures
with high infant mortalities
• Time of great spiritual and religious expression
