NSE 411 EXAM STUDY SHEET 2026 QUESTIONS
WITH SOLUTIONS GUARANTEED TO PASS
�Marginalization . Answer: Major cause of vulnerability referring to
exposure to a range of possible harms
�Variables at risk for marginalization . Answer: high risk health literacy,
cultural barriers, low english proficiency
�Cultural competence . Answer: a dynamic, fluid, continuous process
whereby an individual, system or health care agency find meaningful and
useful care delivery strategies based on knowledge of the cultural heritage,
beliefs, attitudes, and behavior of those whom they render care
�Norms & values . Answer: soecific practices that guide the actions and
decisions of each person in a group based on their culture. Can be learned
or shared.
�Kleinman Explanatory Model . Answer: A set of questions that the APN
can use in order to assess the culture of a patient.
�Socioeconomic status . Answer: A measure that takes into account three
interrelated dimensions: a person's income level, education level, and typ
of occupation.
�Disparities . Answer: a higher burden of illness, injury, disability, or
mortality experiences by one grup relative to another
�Minorities . Answer: a group of people who because of their physical or
cultural characteristics, are singled out from the other in society
�Food desert . Answer: neighborhoods and communities that have limited
access to affordable and nutritious foods
�Social determinants of health . Answer: poverty, education level, raciam,
income, and poor housisng that effect access to healthcare
,�Social justice theory . Answer: the goal that all people will have equal
opportunity to healthcare access and quality of healthcare will be the same
�Data sources utilized to access determinants of health . Answer: Healthy
People 2020, US Census, US Department of Health and Human Services,
Office of Minority Health and Health Disparities
�Accommodation . Answer: To create an environment that accomodates
health practice and ritual from other cultures within a plan of care
�Acculturation . Answer: degree to which an individual from one culture
has given up the traits of that culture and adopted the traits of the dominant
culture in which they now reside
�Assimilation . Answer: the social, economic, and political integration of a
cultural group into mainstream society to which it may have emigrated
�Genetics . Answer: place patients at higher risk for certain disease and if
family history reveals this a screening tool could be used to determine the
likelihood of a person developing the disease
�Genetic risk assessment . Answer: when a patient is determined to have
a gene that places them at a higher risk of having a disease such as
cancer, diabetes, or cardiovascular disease
�Genomics . Answer: study of all genes in the human genome as well as
their interaction with other genes, the individuals environment, and the
influence of cultural and psychosocial factors
�Pharmacogenomics . Answer: medication efficacy, toxicity, and drug
interaction based on genetic variations
�Components of genetic risk assessment . Answer: Accurate family history
for 3 generations or genetic blood testing to reveal genes
�Relationship between genetics and environment . Answer: a patient may
have a gene increasing risks of disease while also being exposed to
environmental factors that also increase risk for disease. i.e. lung cancer
and radon gas
, �Cultural competence . Answer: A dynamic, fluid, continuous process
whereby an individual, system or healthcare agency find meaningful and
useful care delivery strategies based in knowledge of the cultural heritage,
beliefs, attitudes, and behavior of those to whom they tender care
�Norms and values . Answer: Specific practices that guide their actions
and decisions of each person in a group based on their culture. Can be
either learned or shared.
�Kleinman Explanatory Model . Answer: A set of questions the advanced
practice nurse can use in order to assess the culture of a patient
�Socio economic status . Answer: A measure that takes into account three
interrelated dimensions: a persons income level, education level, and type
of occupation. Some measures of socioeconomic status use only one
dimension such as income.
�Disparities . Answer: A higher burden of illness, injury, disability, or
mortality experienced by one group in relation to another
�Minorities . Answer: A group of people who because of their physical or
cultural characteristics are singled out from the others in society; black,
Hispanic, Native American, Asian Pacific.
�Food desert . Answer: Neighborhoods and communities that have limited
access to affordable and nutritious food
�Social determinants of health . Answer: Things like poverty, education
level, racism, income and poor housing that affect access to healthcare
�Social justice theory . Answer: The goal that all people will have equal
opportunity to healthcare access and quality of healthcare will be the same
�Accommodation . Answer: To create an environment that accommodates
health practice and ritual from other cultures within a plan of care
�Acculturation . Answer: Degree To which an individual from one culture
has given up the traits of that culture and adopted the traits of the dominant
culture in which they now reside
WITH SOLUTIONS GUARANTEED TO PASS
�Marginalization . Answer: Major cause of vulnerability referring to
exposure to a range of possible harms
�Variables at risk for marginalization . Answer: high risk health literacy,
cultural barriers, low english proficiency
�Cultural competence . Answer: a dynamic, fluid, continuous process
whereby an individual, system or health care agency find meaningful and
useful care delivery strategies based on knowledge of the cultural heritage,
beliefs, attitudes, and behavior of those whom they render care
�Norms & values . Answer: soecific practices that guide the actions and
decisions of each person in a group based on their culture. Can be learned
or shared.
�Kleinman Explanatory Model . Answer: A set of questions that the APN
can use in order to assess the culture of a patient.
�Socioeconomic status . Answer: A measure that takes into account three
interrelated dimensions: a person's income level, education level, and typ
of occupation.
�Disparities . Answer: a higher burden of illness, injury, disability, or
mortality experiences by one grup relative to another
�Minorities . Answer: a group of people who because of their physical or
cultural characteristics, are singled out from the other in society
�Food desert . Answer: neighborhoods and communities that have limited
access to affordable and nutritious foods
�Social determinants of health . Answer: poverty, education level, raciam,
income, and poor housisng that effect access to healthcare
,�Social justice theory . Answer: the goal that all people will have equal
opportunity to healthcare access and quality of healthcare will be the same
�Data sources utilized to access determinants of health . Answer: Healthy
People 2020, US Census, US Department of Health and Human Services,
Office of Minority Health and Health Disparities
�Accommodation . Answer: To create an environment that accomodates
health practice and ritual from other cultures within a plan of care
�Acculturation . Answer: degree to which an individual from one culture
has given up the traits of that culture and adopted the traits of the dominant
culture in which they now reside
�Assimilation . Answer: the social, economic, and political integration of a
cultural group into mainstream society to which it may have emigrated
�Genetics . Answer: place patients at higher risk for certain disease and if
family history reveals this a screening tool could be used to determine the
likelihood of a person developing the disease
�Genetic risk assessment . Answer: when a patient is determined to have
a gene that places them at a higher risk of having a disease such as
cancer, diabetes, or cardiovascular disease
�Genomics . Answer: study of all genes in the human genome as well as
their interaction with other genes, the individuals environment, and the
influence of cultural and psychosocial factors
�Pharmacogenomics . Answer: medication efficacy, toxicity, and drug
interaction based on genetic variations
�Components of genetic risk assessment . Answer: Accurate family history
for 3 generations or genetic blood testing to reveal genes
�Relationship between genetics and environment . Answer: a patient may
have a gene increasing risks of disease while also being exposed to
environmental factors that also increase risk for disease. i.e. lung cancer
and radon gas
, �Cultural competence . Answer: A dynamic, fluid, continuous process
whereby an individual, system or healthcare agency find meaningful and
useful care delivery strategies based in knowledge of the cultural heritage,
beliefs, attitudes, and behavior of those to whom they tender care
�Norms and values . Answer: Specific practices that guide their actions
and decisions of each person in a group based on their culture. Can be
either learned or shared.
�Kleinman Explanatory Model . Answer: A set of questions the advanced
practice nurse can use in order to assess the culture of a patient
�Socio economic status . Answer: A measure that takes into account three
interrelated dimensions: a persons income level, education level, and type
of occupation. Some measures of socioeconomic status use only one
dimension such as income.
�Disparities . Answer: A higher burden of illness, injury, disability, or
mortality experienced by one group in relation to another
�Minorities . Answer: A group of people who because of their physical or
cultural characteristics are singled out from the others in society; black,
Hispanic, Native American, Asian Pacific.
�Food desert . Answer: Neighborhoods and communities that have limited
access to affordable and nutritious food
�Social determinants of health . Answer: Things like poverty, education
level, racism, income and poor housing that affect access to healthcare
�Social justice theory . Answer: The goal that all people will have equal
opportunity to healthcare access and quality of healthcare will be the same
�Accommodation . Answer: To create an environment that accommodates
health practice and ritual from other cultures within a plan of care
�Acculturation . Answer: Degree To which an individual from one culture
has given up the traits of that culture and adopted the traits of the dominant
culture in which they now reside
