N170

Community Health Nursing

Practice Questions (Weeks 5-6)
Stanhope Textbook


Stanhope Chapter 2 – Public Health Nursing Practice (Refresher Material)

21. A public health agency is planning to implement the electronic health record. Which of the following is a benefit
of this choice?
A. Facilitation of interprofessional care
B. Improved client compliance with medical regimens
C. Cost savings to the agency
D. Compliance with JCAHO standards

22. Which of the following best describes the cost of health care in the United States?
A. Health care costs are kept low, and the indicators of health are among the best worldwide.
B. Health care costs are low which has resulted in poor health outcomes.
C. Health care costs are the highest in the world, but the indicators of health are not the best worldwide.
D. Health care costs and indicators of health are the highest in the world.

23. A nurse is explaining the health care system in the United States to a group of physicians visiting from South
America. How would the nurse best describe the current health care system?
A. “It is a logical, rational approach to meeting expressed needs while still trying to control costs.”
B. “It is a centralized system that provides care in hospitals.”
C. “It is divided primarily into two components: private health care and public health care.”
D. “It is the best in the world with outstanding research and high-technology care available to all.”

24. Which of the following best describes ideal primary health care?
A. Based on a multidisciplinary group of health care providers that work as a team
B. Essential care available to all community members, which encourages self-management
C. Focused on health promotion and disease prevention for everyone enrolled in the health center
D. Local efforts to meet the Declaration of Alma Ata principles

25. How does managed care attempt to control costs of care?

A. By encouraging families to use the point of service list of individual practice associates
B. By requiring families to choose a care provider from the MC network and not allowing access to other
services without their provider’s permission
C. By moving Medicaid-eligible families onto state Medicare enrollment
D. By refusing permission for families to use urgent care or emergency department services

26. An 80-year-old woman comes to the community health care facility with a large bag of medications. She tells
the nurse she can no longer afford these medications because her only income is Social Security. Which
statement is the best response by the nurse?
A. “Let’s go through these medications and see which ones we can delete.”
B. “You can get these medicines at this clinic for free.”
C. “Let’s see if we can get some help from Medicare to help you pay for these medications.”
D. “These medications are important. Do your best to pay for them.”
27. A nurse is determining which health care services must be offered at a local public health clinic. Which of the
following factors is most important for the nurse to consider?
A. Data available from the most recent community assessment
B. Suggestions from community members about what is needed
C. Recommendations from Healthy People 2020
D. Services mandated by the state government

28. A public health nurse is working with a low-income population in Massachusetts. Which of the following
assumptions can the nurse make about this population?
A. They have difficulty accessing health care due to a shortage of primary-care providers.
B. They most likely receive health insurance through Medicare.
C. They are unable to access health care due to the implementation of the Affordable Care Act.
D. They have access to affordable health care insurance.

29. A public health nurse is working with a client who does not have health insurance. Where will the nurse most
likely direct the client to in order to receive care?
A. Managed care
B. Community health center
C. Emergency department
D. Physician office

30. Which of the following best describes why local, state, and federal governmental agencies have started to
cooperate and collaborate more closely in the last few years?
A. Increased administrative pressures to demonstrate outcomes
B. Increased focus on emergency preparedness and response
C. Increased taxpayers’ complaints and general unhappiness
D. Increased pressure to decrease overlap in services


Chapter 3 - US Healthcare System

31. A nurse is considering applying for a position as a public health nurse. Which of the following would be a reason this
position would be appealing?
A. Its autonomy and independence
B. Its focus on acute care and immediately visible outcomes
C. Its collaboration with other health care professionals
D. Its flexibility and higher wages

32. How did the Industrial Revolution result in previous caregiving approaches, such as care by families, friends, and
neighbors, becoming inadequate?
A. Economic and political wars resulted in frequent death and injuries.
B. Incredible plagues consistently and constantly swept the European continent.
C. Migration and urbanization resulted in increased demand for care.
D. Caregivers could easily find other employment, so they demanded to be paid.

33. A colonist is working in the public health sector in early colonial America. Which of the following activities would
have likely been completed?
A. Establishing schools of nursing
 B. Developing vaccines to administer to large numbers of people
C. Collecting vital statistics and improving sanitation
D. Developing public housing and almshouses

34. What was the outcome of the Shattuck Report?
A. Efforts to control alcohol and drug abuse, as well as tobacco use, were initiated.
B. Environmental sanitation efforts became an immediate priority.
C. Guidelines for modern public health organizations were eventually developed.
D. Local and state governments established boards of health after its publication.

35. Which of the following nurses is famous for creating public health nursing in the United States?
A. Florence Nightingale
B. Frances Root
C. Lillian Wald
D. Mrs. Solomon Loeb

36. Which of the following would have been the focus of a school nurse in the early 20th century?
A. Investigating causes of absenteeism
B. Teaching school as well as being a nurse
C. Promoting nursing as an autonomous practice
D. Providing medical treatment to enable children to return to school

37. A nurse is reviewing the original work of the National Organization for Public Health Nursing. Which of the following
accomplishments of today was started within this organization?
A. Requiring that public health nurses have a baccalaureate degree in nursing
B. Standardizing public health nursing education
C. Developing public health nursing competencies
D. Opening the Henry Street Settlement

38. Why were nurses so unprepared for public health nursing in the early 20th century?
A. Public health nursing had not yet been created as a field.
B. No one would teach the nurses how to engage in public health activities.
C. Nightingale’s textbook did not include content on public health nursing.
D. Nurses were educated in diploma schools, which focused on care of hospitalized clients.

39. A nurse is considering joining the American Public Health Association (APHA). What information about this
organization should be considered when making this decision?
A. APHA focuses on the public health concerns of the medical profession.
B. APHA represents concerns of nursing specialty practices.
C. APHA provides a national forum for nurses to discuss their public health concerns.
D. APHA focuses on providing health promotion education to the public.

40. Why did the Metropolitan Life Insurance Company establish and retain for several years the first community nursing
health program for policyholders?
A. Creating such a service was the morally correct thing to do.
B. Employing nurses directly was less expensive than paying taxes to the city for the same purpose.
C. Having the company’s nurses make home visits increased worker morale.
 D. Having public health nurses visit policyholders and their families led to a decline in policyholder deaths, thus
lowering costs for the insurance company.


Chapter 8 – US Healthcare Economics
41. A nurse is discussing how health care rationing occurs in the United States. Which of the following would most
likely be discussed as the criterion that is used to ration health care?
A. Clinic operating hours
B. Ability to pay for services
C. Availability of local provider services
D. Transportation availability

42. Which of the following must a nurse be knowledgeable about to make decisions regarding the most cost-
effective way to allocate health care resources?
i. Insurance resources
ii. Health care rationing
iii. Health economics
iv. Medical technology

43. Which of the following individuals would most likely experience a barrier when accessing health care?
i. A 40-year-old female who speaks English
ii. A 25-year-old female with health insurance
iii. A 50-year-old male with hypertension
iv. A 30-year-old male who is unemployed

44. Which person is most likely to be uninsured?

i. An 82-year-old woman with chronic medical problems
ii. A 2-year-old whose mother is on welfare
iii. A 50-year-old business man who works for a large corporation
iv. A 24-year-old man who works part-time at a small business

45. Which of the following is most closely correlated with poor health?
i. Age and gender (i.e., older males)
ii. Low socioeconomic status
iii. Minority race status
iv. High-risk lifestyle behaviors

46. A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and
her unborn child. Which of the following statements would be most appropriate for the nurse to make?
i. “Don’t drop out of school.”
ii. “Sign up for childbirth classes.”
iii. “Sign up for the WIC program.”
iv. “Take your prenatal vitamins daily.”

47. A nurse is providing care to a child whose parents do not receive health insurance as an employee benefit and
who do not have the financial resources to pay for health care out of pocket. Which of the following resources
should the nurse recommend to the family?
i. A managed care organization
 ii. An emergency department
iii. Medicaid
iv. Medicare

48. Which of the following best explains how the government unintentionally encourages low-income persons to
use emergency departments as their primary-care provider?
i. A huge amount of paperwork is required when Medicaid clients go to a physician’s office.
ii. Government regulations require Medicaid clients to use emergency departments when their primary
health care provider is unavailable.
iii. Legally, emergency departments must see clients even if clients can’t pay.
iv. Physicians’ limited office hours make them unavailable during evenings and weekends.

49. Of the four main factors that affect health, which is the least important?
i. Environment
ii. Human biology
iii. Lifestyle choices
iv. Health care system

50. A client expresses concern that health care coverage based on capitation may have negative side effects.
Which of the following would most likely be a consequence of capitation?
i. Coercing clients to attend health promotion education classes
ii. Encouraging clients to seek care elsewhere
iii. Increasing the number of interventions to maximize payment
iv. Neglecting to order certain tests or treatment to minimize cost to the provider

51. A public health nurse is counseling a client who is trying to determine if a health maintenance organization
(HMO) or preferred provider organization (PPO) will provide the better health care coverage. Which of the
following best describes one main difference between these two types of coverage?
i. HMOs provide comprehensive care to members for a fixed fee.
ii. PPOs designate providers that members can choose.
iii. PPOs provide one model of care delivery.
iv. HMOs provide financial incentives to encourage members to select HMO providers.


Chapter 5 – Culturally Influences in Community Health

52. Which of the following best describes most Americans’ attitude toward immigrants?
A. Ambivalence because there are no clear solutions about how to address their needs
B. Strongly negative because immigrants take jobs that native-born Americans could have instead
C. Strongly positive because immigrants bring useful job skills and often join previous family members
already in the United States
D. Strong opposition to further immigration because of the increasing population in the United States

53. A nurse is about to despair. Earlier in the week, she carefully taught a patient from a different culture exactly
how much medication to take and emphasized the importance of taking the correct amount. However, the
patient is back in the hospital today with symptoms of an overdose although the patient denies taking more
than the label indicated. Which of the following is the most likely explanation?
A. The patient was taking more mediation in the hope of getting well faster.
 B. The patient was also taking folk medicines that had many of the same effects and perhaps some of the
same ingredients as the prescribed medication.
C. The patient truly did not understand and thought the dose being taken was correct.
D. The patient had a unique response to the medication and should have a smaller dose ordered.

54. A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first?
A. Complete a survey of all the various ethnicities represented in the nurse’s community.
B. Consider how the nurse’s own personal beliefs and decisions are reflective of his or her culture.
C. Invite a family from another culture to join the nurse for an event.
D. Study the beliefs and traditions of persons living in other cultures.

55. A nurse is caring for a client of another culture. Which of the following actions would be most appropriate for
the nurse to take?
A. Alter personal nonverbal behaviors to reflect the cultural norms of the client.
B. Keep all behaviors culturally neutral to avoid misinterpretation.
C. Rely on friendly gestures to communicate caring for the client.
D. Avoid any pretense of prejudice by treating the client in the same way as any other client.

56. A male nurse had a habit of sitting with the lower part of one leg resting over the knee of his opposite leg when
collecting a client’s history. He stopped doing this around Muslim clients after being told that Muslims were
offended when he exposed the sole of his foot (shoe) to their face. Which of the following was exhibited by the
nurse when he changed his behavior?
A. Cultural accommodation
B. Cultural imposition
C. Cultural repatterning
D. Cultural skill

57. The nurse practitioner (NP) discovered that an immigrant client is not taking the penicillin prescribed because
his illness is “hot” and he believes that penicillin, a “hot” medicine, will not provide balance. Which of the
following terms best describes the action taken by the NP when the client’s prescription is changed to a
different yet equally effective antibiotic?
A. Cultural awareness
B. Cultural brokering
C. Cultural knowledge
D. Cultural skill

58. Mexican immigrants who take metamizole (“Mexican aspirin”) for pain may experience life-threatening
agranulocytosis. Which of the following actions would be taken by a nurse who employs cultural repatterning?
A. Complete a cultural assessment to identify any other dangerous medications that the client may be
taking.
B. Put this into perspective by considering that many drugs used in the United States cause
agranulocytosis.
C. Explain the harmful effects of metamizole and recommend an alternative medication for pain.
D. Recognize that taking metamizole is common among persons living in Mexico and accept this as a
cultural tradition.
59. A health care worker tells a nurse, “It does no good to try to teach those Medicaid clients about nutrition
because they will just eat what they want to no matter how much we teach them.” Which of the following is
being demonstrated by this statement?
A. Cultural imposition
B. Ethnocentrism
C. Racism
D. Stereotyping

60. An American nurse says, “I’m not going to change the way I practice nursing based on where the client is from
because research shows that Western health care technology and research is best.” Which of the following is
being demonstrated by the nurse’s statement?
A. Ethnocentrism
B. Prejudice
C. Racism
D. Stereotyping

61. A nurse states, “The best way to treat a client from another country is to care for them the same way we would
want to be cared for. After all, we are all humans with the same wants and needs.” What does this statement
reflect in relation to culture?
A. Awareness
B. Blindness
C. Knowledge
D. Preservation

62. A family from Mexico comes to the public health department. No one in the family speaks English, and nobody
at the health department speaks Spanish. Which of the following actions should be taken by the nurse?
A. Attempt communication using an English–Spanish phrase book.
B. Call the local hospital and arrange a referral.
C. Emphatically state, “No hablo Español” (I don’t speak Spanish).
D. Obtain an interpreter to translate.

 Practice Questions - Answer Key

Stanhope Chapter 2 – Public Health Nursing Practice (Refresher Material)

1. A public health agency is planning to implement the electronic health record. Which of the following is a benefit
of this choice?
A. Facilitation of interprofessional care Correct
B. Improved client compliance with medical regimens
C. Cost savings to the agency
D. Compliance with JCAHO standards

2. Which of the following best describes the cost of health care in the United States?
A. Health care costs are kept low, and the indicators of health are among the best worldwide.
B. Health care costs are low which has resulted in poor health outcomes.
C. Health care costs are the highest in the world, but the indicators of health are not the best
worldwide. Correct
D. Health care costs and indicators of health are the highest in the world.

3. A nurse is explaining the health care system in the United States to a group of physicians visiting from South
America. How would the nurse best describe the current health care system?
A. “It is a logical, rational approach to meeting expressed needs while still trying to control costs.”
B. “It is a centralized system that provides care in hospitals.”
C. “It is divided primarily into two components: private health care and public health care.” Correct
D. “It is the best in the world with outstanding research and high-technology care available to all.”

4. Which of the following best describes ideal primary health care?

A. Based on a multidisciplinary group of health care providers that work as a team
B. Essential care available to all community members, which encourages self-management Correct
C. Focused on health promotion and disease prevention for everyone enrolled in the health center
D. Local efforts to meet the Declaration of Alma Ata principles

5. How does managed care attempt to control costs of care?

A. By encouraging families to use the point of service list of individual practice associates
B. By requiring families to choose a care provider from the MC network and not allowing access to other
services without their provider’s permissionCorrect
C. By moving Medicaid-eligible families onto state Medicare enrollment
D. By refusing permission for families to use urgent care or emergency department services

6. An 80-year-old woman comes to the community health care facility with a large bag of medications. She tells
the nurse she can no longer afford these medications because her only income is Social Security. Which
statement is the best response by the nurse?
A. “Let’s go through these medications and see which ones we can delete.”
B. “You can get these medicines at this clinic for free.”
C. “Let’s see if we can get some help from Medicare to help you pay for these medications.” Correct
D. “These medications are important. Do your best to pay for them.”

7. A nurse is determining which health care services must be offered at a local public health clinic. Which of the
following factors is most important for the nurse to consider?
 A. Data available from the most recent community assessment
B. Suggestions from community members about what is needed
C. Recommendations from Healthy People 2020
D. Services mandated by the state government Correct

8. A public health nurse is working with a low-income population in Massachusetts. Which of the following
assumptions can the nurse make about this population?
A. They have difficulty accessing health care due to a shortage of primary-care providers.
B. They most likely receive health insurance through Medicare.
C. They are unable to access health care due to the implementation of the Affordable Care Act.
D. They have access to affordable health care insurance. Correct

9. A public health nurse is working with a client who does not have health insurance. Where will the nurse most
likely direct the client to in order to receive care?
A. Managed care
B. Community health center Correct
C. Emergency department
D. Physician office

10. Which of the following best describes why local, state, and federal governmental agencies have started to
cooperate and collaborate more closely in the last few years?
A. Increased administrative pressures to demonstrate outcomes
B. Increased focus on emergency preparedness and response Correct
C. Increased taxpayers’ complaints and general unhappiness
D. Increased pressure to decrease overlap in services


Chapter 3 - US Healthcare System

11. A nurse is considering applying for a position as a public health nurse. Which of the following would be a reason this
position would be appealing?
A. Its autonomy and independence Correct
B. Its focus on acute care and immediately visible outcomes
C. Its collaboration with other health care professionals
D. Its flexibility and higher wages

12. How did the Industrial Revolution result in previous caregiving approaches, such as care by families, friends, and
neighbors, becoming inadequate?
A. Economic and political wars resulted in frequent death and injuries.
B. Incredible plagues consistently and constantly swept the European continent.
C. Migration and urbanization resulted in increased demand for care. Correct
D. Caregivers could easily find other employment, so they demanded to be paid.

13. A colonist is working in the public health sector in early colonial America. Which of the following activities would
have likely been completed?
A. Establishing schools of nursing
B. Developing vaccines to administer to large numbers of people
C. Collecting vital statistics and improving sanitation Correct
 D. Developing public housing and almshouses

14. What was the outcome of the Shattuck Report?
A. Efforts to control alcohol and drug abuse, as well as tobacco use, were initiated.
B. Environmental sanitation efforts became an immediate priority.
C. Guidelines for modern public health organizations were eventually developed. Correct
D. Local and state governments established boards of health after its publication.

15. Which of the following nurses is famous for creating public health nursing in the United States?
A. Florence Nightingale
B. Frances Root
C. Lillian Wald Correct
D. Mrs. Solomon Loeb

16. Which of the following would have been the focus of a school nurse in the early 20th century?
A. Investigating causes of absenteeism Correct
B. Teaching school as well as being a nurse
C. Promoting nursing as an autonomous practice
D. Providing medical treatment to enable children to return to school

17. A nurse is reviewing the original work of the National Organization for Public Health Nursing. Which of the following
accomplishments of today was started within this organization?
A. Requiring that public health nurses have a baccalaureate degree in nursing
B. Standardizing public health nursing education Correct
C. Developing public health nursing competencies
D. Opening the Henry Street Settlement

18. Why were nurses so unprepared for public health nursing in the early 20th century?
A. Public health nursing had not yet been created as a field.
B. No one would teach the nurses how to engage in public health activities.
C. Nightingale’s textbook did not include content on public health nursing.
D. Nurses were educated in diploma schools, which focused on care of hospitalized clients. Correct

19. A nurse is considering joining the American Public Health Association (APHA). What information about this
organization should be considered when making this decision?
A. APHA focuses on the public health concerns of the medical profession.
B. APHA represents concerns of nursing specialty practices.
C. APHA provides a national forum for nurses to discuss their public health concerns. Correct
D. APHA focuses on providing health promotion education to the public.

20. Why did the Metropolitan Life Insurance Company establish and retain for several years the first community nursing
health program for policyholders?
A. Creating such a service was the morally correct thing to do.
B. Employing nurses directly was less expensive than paying taxes to the city for the same purpose.
C. Having the company’s nurses make home visits increased worker morale.
D. Having public health nurses visit policyholders and their families led to a decline in policyholder deaths, thus
lowering costs for the insurance company.Correct


Chapter 8 – US Healthcare Economics
21. A nurse is discussing how health care rationing occurs in the United States. Which of the following would most
likely be discussed as the criterion that is used to ration health care?
A. Clinic operating hours
B. Ability to pay for services Correct
C. Availability of local provider services
D. Transportation availability

22. Which of the following must a nurse be knowledgeable about to make decisions regarding the most cost-
effective way to allocate health care resources?
A. Insurance resources
B. Health care rationing
C. Health economics Correct
D. Medical technology

23. Which of the following individuals would most likely experience a barrier when accessing health care?
A. A 40-year-old female who speaks English
B. A 25-year-old female with health insurance
C. A 50-year-old male with hypertension
D. A 30-year-old male who is unemployed Correct

24. Which person is most likely to be uninsured?

A. An 82-year-old woman with chronic medical problems
B. A 2-year-old whose mother is on welfare
C. A 50-year-old business man who works for a large corporation
D. A 24-year-old man who works part-time at a small business Correct

25. Which of the following is most closely correlated with poor health?
A. Age and gender (i.e., older males)
B. Low socioeconomic status Correct
C. Minority race status
D. High-risk lifestyle behaviors

26. A pregnant teenager has approached a nurse asking about ways to improve the health outcomes for her and
her unborn child. Which of the following statements would be most appropriate for the nurse to make?
A. “Don’t drop out of school.” Correct
B. “Sign up for childbirth classes.”
C. “Sign up for the WIC program.”
D. “Take your prenatal vitamins daily.”

27. A nurse is providing care to a child whose parents do not receive health insurance as an employee benefit and
who do not have the financial resources to pay for health care out of pocket. Which of the following resources
should the nurse recommend to the family?
A. A managed care organization
B. An emergency department
C. Medicaid Correct
D. Medicare
28. Which of the following best explains how the government unintentionally encourages low-income persons to
use emergency departments as their primary-care provider?
A. A huge amount of paperwork is required when Medicaid clients go to a physician’s office.
B. Government regulations require Medicaid clients to use emergency departments when their primary
health care provider is unavailable.
C. Legally, emergency departments must see clients even if clients can’t pay. Correct
D. Physicians’ limited office hours make them unavailable during evenings and weekends.

29. Of the four main factors that affect health, which is the least important?
A. Environment
B. Human biology
C. Lifestyle choices
D. Health care system Correct

30. A client expresses concern that health care coverage based on capitation may have negative side effects.
Which of the following would most likely be a consequence of capitation?
A. Coercing clients to attend health promotion education classes
B. Encouraging clients to seek care elsewhere
C. Increasing the number of interventions to maximize payment
D. Neglecting to order certain tests or treatment to minimize cost to the provider Correct

31. A public health nurse is counseling a client who is trying to determine if a health maintenance organization
(HMO) or preferred provider organization (PPO) will provide the better health care coverage. Which of the
following best describes one main difference between these two types of coverage?
A. HMOs provide comprehensive care to members for a fixed fee. Correct
B. PPOs designate providers that members can choose.
C. PPOs provide one model of care delivery.
D. HMOs provide financial incentives to encourage members to select HMO providers.


Chapter 5 – Culturally Influences in Community Health

32. Which of the following best describes most Americans’ attitude toward immigrants?
A. Ambivalence because there are no clear solutions about how to address their needs Correct
B. Strongly negative because immigrants take jobs that native-born Americans could have instead
C. Strongly positive because immigrants bring useful job skills and often join previous family members
already in the United States
D. Strong opposition to further immigration because of the increasing population in the United States

33. A nurse is about to despair. Earlier in the week, she carefully taught a patient from a different culture exactly
how much medication to take and emphasized the importance of taking the correct amount. However, the
patient is back in the hospital today with symptoms of an overdose although the patient denies taking more
than the label indicated. Which of the following is the most likely explanation?
A. The patient was taking more mediation in the hope of getting well faster.
B. The patient was also taking folk medicines that had many of the same effects and perhaps some of the
same ingredients as the prescribed medication.Correct
C. The patient truly did not understand and thought the dose being taken was correct.
 D. The patient had a unique response to the medication and should have a smaller dose ordered.

34. A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first?
A. Complete a survey of all the various ethnicities represented in the nurse’s community.
B. Consider how the nurse’s own personal beliefs and decisions are reflective of his or her culture. Correct
C. Invite a family from another culture to join the nurse for an event.
D. Study the beliefs and traditions of persons living in other cultures.

35. A nurse is caring for a client of another culture. Which of the following actions would be most appropriate for
the nurse to take?
A. Alter personal nonverbal behaviors to reflect the cultural norms of the client. Correct
B. Keep all behaviors culturally neutral to avoid misinterpretation.
C. Rely on friendly gestures to communicate caring for the client.
D. Avoid any pretense of prejudice by treating the client in the same way as any other client.

36. A male nurse had a habit of sitting with the lower part of one leg resting over the knee of his opposite leg when
collecting a client’s history. He stopped doing this around Muslim clients after being told that Muslims were
offended when he exposed the sole of his foot (shoe) to their face. Which of the following was exhibited by the
nurse when he changed his behavior?
A. Cultural accommodation
B. Cultural imposition
C. Cultural repatterning
D. Cultural skill Correct

37. The nurse practitioner (NP) discovered that an immigrant client is not taking the penicillin prescribed because
his illness is “hot” and he believes that penicillin, a “hot” medicine, will not provide balance. Which of the
following terms best describes the action taken by the NP when the client’s prescription is changed to a
different yet equally effective antibiotic?
A. Cultural awareness
B. Cultural brokering
C. Cultural knowledge
D. Cultural skill Correct

38. Mexican immigrants who take metamizole (“Mexican aspirin”) for pain may experience life-threatening
agranulocytosis. Which of the following actions would be taken by a nurse who employs cultural repatterning?
A. Complete a cultural assessment to identify any other dangerous medications that the client may be
taking.
B. Put this into perspective by considering that many drugs used in the United States cause
agranulocytosis.
C. Explain the harmful effects of metamizole and recommend an alternative medication for pain. Correct
D. Recognize that taking metamizole is common among persons living in Mexico and accept this as a
cultural tradition.

39. A health care worker tells a nurse, “It does no good to try to teach those Medicaid clients about nutrition
because they will just eat what they want to no matter how much we teach them.” Which of the following is
being demonstrated by this statement?
A. Cultural imposition
B. Ethnocentrism
 C. Racism
D. Stereotyping Correct

40. An American nurse says, “I’m not going to change the way I practice nursing based on where the client is from
because research shows that Western health care technology and research is best.” Which of the following is
being demonstrated by the nurse’s statement?
A. Ethnocentrism Correct
B. Prejudice
C. Racism
D. Stereotyping

41. A nurse states, “The best way to treat a client from another country is to care for them the same way we would
want to be cared for. After all, we are all humans with the same wants and needs.” What does this statement
reflect in relation to culture?
A. Awareness
B. Blindness Correct
C. Knowledge
D. Preservation

42. A family from Mexico comes to the public health department. No one in the family speaks English, and nobody
at the health department speaks Spanish. Which of the following actions should be taken by the nurse?
A. Attempt communication using an English–Spanish phrase book.
B. Call the local hospital and arrange a referral.
C. Emphatically state, “No hablo Español” (I don’t speak Spanish).
D. Obtain an interpreter to translate. Correct