300 Exam 4
Foundations of Nursing - GCU
Actual Questions and
Answers
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Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Foundations of Nursing at Grand Canyon
University
,1. Which of the following is an example of a patient with a health
disparity? (Select all that apply)
A. A patient who has a homosexual sexual preference
B. A patient unable to access primary care services
C. A patient living with a chronic disease
D. A family who relies on public transportation
E. A patient who has had a history of smoking for 10 years
Correct Answers:: B, C, & E
Expert Rationale:
Health disparities refer to differences in health outcomes and access to
healthcare across different populations. Patients unable to access primary
care (B) face systemic barriers, which is a classic example of health
disparities. Those living with chronic disease (C), often more prevalent in
underserved populations, may experience disparities in disease
management. A history of smoking (E) is linked to higher morbidity and
mortality, often disproportionately affecting socioeconomically
disadvantaged groups. While sexual preference and reliance on public
transportation impact social determinants of health, they are not direct
health disparity examples.
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2. A 35-year-old woman has Medicaid coverage for herself and two
young children. She missed an appointment at the local health clinic
to get an annual mammogram because she has no transportation.
She gets the annual screening because her mother had breast
cancer. Which of the following are social determinants of this
woman's health? (Select all that apply)
, A. Medicaid insurance
B. Annual screening
C. Mother's history of breast cancer
D. Lack of transportation
E. Woman's age
Correct Answers:: A, D, & E
Expert Rationale:
Social determinants of health (SDOH) include conditions that influence health
outcomes. Medicaid insurance (A) affects healthcare access. Lack of
transportation (D) is a critical barrier to obtaining health services. The
woman’s age (E) influences risk and eligibility for screening. Annual
screening (B) is a health behavior, and mother's history of breast cancer (C)
is a genetic risk factor rather than an SDOH.
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3. During a nursing assessment, a patient displayed several
behaviors. Which behavior suggests the patient may have a health
literacy problem?
A. Patient has difficulty completing a registration form at a medical office
B. Patient asks for written information about a health topic
C. Patient speaks Spanish as primary language
D. Patient states unfamiliarity with a newly ordered medicine
Correct Answer: A