HSC4030
Women & Minority Health Issues
Midterm Exam Review
(With Solutions)
2026
1
,1. A 45‑year‑old African American woman presents with uncontrolled
hypertension despite therapy. Which factor contributes most to
disparities in outcomes?
A. Genetic predisposition only
B. Social determinants of health and access barriers
C. Lack of patient education only
D. Poor adherence alone
Answer: B. Rationale: Disparities often stem from systemic access and
socioeconomic factors.
2. A Latina patient reports limited English proficiency and difficulty
understanding discharge instructions. Which intervention best addresses
this?
A. Written instructions only
B. Professional medical interpreter services
C. Family translation
D. Simplified English handouts
Answer: B. Rationale: Interpreter services ensure accurate
communication and informed consent.
3. A Native American community reports high rates of type 2 diabetes.
Which culturally appropriate intervention is most effective?
A. Generic diet counseling
B. Community‑based programs incorporating traditional foods and
practices
C. Restrictive diets only
D. Pharmacologic therapy alone
Answer: B. Rationale: Culturally tailored interventions improve
adherence and outcomes.
4. A 32‑year‑old woman presents with recurrent intimate partner
violence. Which nursing priority applies?
A. Encourage reconciliation
2
, B. Ensure safety planning and referral to support services
C. Document only
D. Provide sedatives
Answer: B. Rationale: Safety and referral are primary in IPV
management.
5. A transgender woman reports discrimination in accessing preventive
care. Which principle is violated?
A. Confidentiality
B. Equity and nondiscrimination in health care
C. Infection control
D. CQI
Answer: B. Rationale: Standards mandate equitable care regardless of
identity.
6. A migrant farmworker presents with pesticide exposure. Which health
issue is most relevant?
A. Osteoporosis
B. Occupational health disparities
C. COPD
D. Stroke
Answer: B. Rationale: Migrant workers face occupational hazards and
limited access.
7. A 60‑year‑old African American man presents with prostate cancer at
advanced stage. Which disparity is evident?
A. Overdiagnosis
B. Delayed diagnosis due to limited screening access
C. Excessive screening
D. Genetic immunity
Answer: B. Rationale: Minority men often face delayed detection.
8. A 25‑year‑old woman from a refugee camp presents with PTSD. Which
intervention is most appropriate?
A. Ignore trauma history
3
Women & Minority Health Issues
Midterm Exam Review
(With Solutions)
2026
1
,1. A 45‑year‑old African American woman presents with uncontrolled
hypertension despite therapy. Which factor contributes most to
disparities in outcomes?
A. Genetic predisposition only
B. Social determinants of health and access barriers
C. Lack of patient education only
D. Poor adherence alone
Answer: B. Rationale: Disparities often stem from systemic access and
socioeconomic factors.
2. A Latina patient reports limited English proficiency and difficulty
understanding discharge instructions. Which intervention best addresses
this?
A. Written instructions only
B. Professional medical interpreter services
C. Family translation
D. Simplified English handouts
Answer: B. Rationale: Interpreter services ensure accurate
communication and informed consent.
3. A Native American community reports high rates of type 2 diabetes.
Which culturally appropriate intervention is most effective?
A. Generic diet counseling
B. Community‑based programs incorporating traditional foods and
practices
C. Restrictive diets only
D. Pharmacologic therapy alone
Answer: B. Rationale: Culturally tailored interventions improve
adherence and outcomes.
4. A 32‑year‑old woman presents with recurrent intimate partner
violence. Which nursing priority applies?
A. Encourage reconciliation
2
, B. Ensure safety planning and referral to support services
C. Document only
D. Provide sedatives
Answer: B. Rationale: Safety and referral are primary in IPV
management.
5. A transgender woman reports discrimination in accessing preventive
care. Which principle is violated?
A. Confidentiality
B. Equity and nondiscrimination in health care
C. Infection control
D. CQI
Answer: B. Rationale: Standards mandate equitable care regardless of
identity.
6. A migrant farmworker presents with pesticide exposure. Which health
issue is most relevant?
A. Osteoporosis
B. Occupational health disparities
C. COPD
D. Stroke
Answer: B. Rationale: Migrant workers face occupational hazards and
limited access.
7. A 60‑year‑old African American man presents with prostate cancer at
advanced stage. Which disparity is evident?
A. Overdiagnosis
B. Delayed diagnosis due to limited screening access
C. Excessive screening
D. Genetic immunity
Answer: B. Rationale: Minority men often face delayed detection.
8. A 25‑year‑old woman from a refugee camp presents with PTSD. Which
intervention is most appropriate?
A. Ignore trauma history
3
