ECPI 164 EXAM 2 ACTUAL 2025/2026
QUESTIONS AND 100% CORRECT
ANSWERS
Question 1
A nurse is caring for patients of diverse cultures in a community health clinic.
Which concepts will the nurse incorporate to guide the plan of care? Select all that
apply.
A. The United States has become less inclusive of same-sex couples.
B. Cultural diversity is limited to people of varying cultures and races.
C. Cultural diversity is separate and distinct from health and illness.
D. People may be members of multiple cultural groups at one time.
E. Culture guides what is acceptable behavior for people in a specific group.
F. Cultural practices may evolve over time but mainly remain constant.
Answer: D, E, F
Rationale: People can belong to multiple cultural groups simultaneously (D).
Culture defines acceptable behaviors (E). Cultural practices evolve but core
elements may remain constant (F). A is incorrect (US has become more inclusive),
B is incorrect (diversity includes more than race/culture), C is incorrect (culture is
intertwined with health).
Question 2
At the last staff meeting, the nurse manager discussed the organizational initiative
to improve provision of culturally competent care. During rounds, which behaviors
inconsistent with this goal require the manager to intervene? Select all that apply.
A. A staff nurse tells the AP that patients should not be given a choice, but should
shower or bathe daily.
B. A nurse asks the family of a patient who has died if they would like to wash
their loved one's body.
C. A nurse tells another nurse that Jewish dietary restrictions are just a way for
them to get special foods.
D. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer
,see the chaplain in residence.
E. A nurse obtains a translator to speak to the patient in their native language.
F. A nurse refuses to care for a married gay patient who is HIV positive because
the nurse is against same-sex marriage.
Answer: A, C, D, F
Rationale: A shows lack of respect for patient autonomy and cultural preferences.
C displays stereotyping and disrespect. D imposes the nurse's religious beliefs. F is
discriminatory and unethical. B is culturally sensitive (many cultures have death
rituals). E is appropriate culturally competent care.
Question 3
An ambulatory care nurse serving a large, culturally diverse population is planning
a free blood pressure screening clinic. Based on the nurse's understanding of racial
differences in health and illness, which groups will the nurse target for
screening? Select all that apply.
A. Native American people
B. African American people
C. Alaska Native people
D. Asian people
E. White people
F. Hispanic people
Answer: B, C, E
Rationale: African Americans have higher rates of hypertension. Alaska Natives
have increased cardiovascular risk. White populations also have significant
hypertension prevalence. Native Americans, Asians, and Hispanics also have
hypertension but the question's answer key (from image) indicates B, C, E as
correct based on specific data.
Question 4
A nurse is using the Explanatory Model of Health and Illness (ESFT) model to
assess how a patient from another culture views their diagnosis of chronic
obstructive pulmonary disease (COPD). What interview question is most
appropriate to assess the E aspect of this model?
,A. How do you get your medications?
B. How does having COPD affect your lifestyle?
C. Are you concerned about the side effects of your medications?
D. Can you describe how you will take your medications?
Answer: B
Rationale: In the ESFT model, E stands for Explanatory model of health and
illness. Asking about how the illness affects lifestyle explores the patient's
understanding and beliefs about the disease.
Question 5
A nurse tells a patient, "tonight's menu selection is pork. I understand many people
in your culture do not eat pork; may I order something else for you?" When the
patient states they no longer observe this dietary practice, the nurse understands
that the patient has experienced what transition?
A. Cultural assimilation
B. Cultural imposition
C. Culture shock
D. Ethnocentrism
Answer: A
Rationale: Cultural assimilation occurs when an individual adopts the dominant
culture's practices and abandons their own. The patient no longer follows a
traditional dietary restriction.
Question 6
The charge nurse overhears a nurse state, "That patient is 78 years old—too old to
learn how to change a dressing." How should the charge nurse respond?
A. "Age does not determine learning ability; let's discuss how to teach effectively."
B. "You're right, we should assign that task to a younger nurse."
C. "Only the wound care nurse should teach dressing changes."
D. "I'll talk to the patient's family about doing it instead."
Answer: A
Rationale: Ageism is a form of stereotyping. Older adults can learn new skills with
, appropriate teaching methods. The charge nurse should correct the misconception
and promote patient independence.
Question 7
A nurse is caring for a patient who refuses a blood transfusion due to religious
beliefs (Jehovah's Witness). Which action is most appropriate?
A. Transfuse the patient without their knowledge.
B. Respect the patient's decision and explore alternative treatments.
C. Call the hospital ethics committee to override the patient's refusal.
D. Tell the patient they will die without the transfusion.
Answer: B
Rationale: Patient autonomy and religious beliefs must be respected. Alternative
treatments should be explored in consultation with the healthcare team.
Question 8
A nurse notices that a Hispanic female patient avoids eye contact during
conversation. The nurse interprets this as:
A. The patient is lying.
B. The patient is depressed.
C. A cultural norm where direct eye contact may be seen as disrespectful.
D. The patient is angry.
Answer: C
Rationale: In many Hispanic and other cultures, avoiding direct eye contact is a
sign of respect, not dishonesty or psychological distress.
Question 9
Which of the following is an example of cultural imposition?
A. A nurse learns a few phrases in the patient's native language.
B. A nurse insists that a patient eat hospital food despite the patient's cultural
dietary restrictions.
C. A nurse asks the patient about their preferred food choices.
D. A nurse uses a certified medical interpreter.
QUESTIONS AND 100% CORRECT
ANSWERS
Question 1
A nurse is caring for patients of diverse cultures in a community health clinic.
Which concepts will the nurse incorporate to guide the plan of care? Select all that
apply.
A. The United States has become less inclusive of same-sex couples.
B. Cultural diversity is limited to people of varying cultures and races.
C. Cultural diversity is separate and distinct from health and illness.
D. People may be members of multiple cultural groups at one time.
E. Culture guides what is acceptable behavior for people in a specific group.
F. Cultural practices may evolve over time but mainly remain constant.
Answer: D, E, F
Rationale: People can belong to multiple cultural groups simultaneously (D).
Culture defines acceptable behaviors (E). Cultural practices evolve but core
elements may remain constant (F). A is incorrect (US has become more inclusive),
B is incorrect (diversity includes more than race/culture), C is incorrect (culture is
intertwined with health).
Question 2
At the last staff meeting, the nurse manager discussed the organizational initiative
to improve provision of culturally competent care. During rounds, which behaviors
inconsistent with this goal require the manager to intervene? Select all that apply.
A. A staff nurse tells the AP that patients should not be given a choice, but should
shower or bathe daily.
B. A nurse asks the family of a patient who has died if they would like to wash
their loved one's body.
C. A nurse tells another nurse that Jewish dietary restrictions are just a way for
them to get special foods.
D. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer
,see the chaplain in residence.
E. A nurse obtains a translator to speak to the patient in their native language.
F. A nurse refuses to care for a married gay patient who is HIV positive because
the nurse is against same-sex marriage.
Answer: A, C, D, F
Rationale: A shows lack of respect for patient autonomy and cultural preferences.
C displays stereotyping and disrespect. D imposes the nurse's religious beliefs. F is
discriminatory and unethical. B is culturally sensitive (many cultures have death
rituals). E is appropriate culturally competent care.
Question 3
An ambulatory care nurse serving a large, culturally diverse population is planning
a free blood pressure screening clinic. Based on the nurse's understanding of racial
differences in health and illness, which groups will the nurse target for
screening? Select all that apply.
A. Native American people
B. African American people
C. Alaska Native people
D. Asian people
E. White people
F. Hispanic people
Answer: B, C, E
Rationale: African Americans have higher rates of hypertension. Alaska Natives
have increased cardiovascular risk. White populations also have significant
hypertension prevalence. Native Americans, Asians, and Hispanics also have
hypertension but the question's answer key (from image) indicates B, C, E as
correct based on specific data.
Question 4
A nurse is using the Explanatory Model of Health and Illness (ESFT) model to
assess how a patient from another culture views their diagnosis of chronic
obstructive pulmonary disease (COPD). What interview question is most
appropriate to assess the E aspect of this model?
,A. How do you get your medications?
B. How does having COPD affect your lifestyle?
C. Are you concerned about the side effects of your medications?
D. Can you describe how you will take your medications?
Answer: B
Rationale: In the ESFT model, E stands for Explanatory model of health and
illness. Asking about how the illness affects lifestyle explores the patient's
understanding and beliefs about the disease.
Question 5
A nurse tells a patient, "tonight's menu selection is pork. I understand many people
in your culture do not eat pork; may I order something else for you?" When the
patient states they no longer observe this dietary practice, the nurse understands
that the patient has experienced what transition?
A. Cultural assimilation
B. Cultural imposition
C. Culture shock
D. Ethnocentrism
Answer: A
Rationale: Cultural assimilation occurs when an individual adopts the dominant
culture's practices and abandons their own. The patient no longer follows a
traditional dietary restriction.
Question 6
The charge nurse overhears a nurse state, "That patient is 78 years old—too old to
learn how to change a dressing." How should the charge nurse respond?
A. "Age does not determine learning ability; let's discuss how to teach effectively."
B. "You're right, we should assign that task to a younger nurse."
C. "Only the wound care nurse should teach dressing changes."
D. "I'll talk to the patient's family about doing it instead."
Answer: A
Rationale: Ageism is a form of stereotyping. Older adults can learn new skills with
, appropriate teaching methods. The charge nurse should correct the misconception
and promote patient independence.
Question 7
A nurse is caring for a patient who refuses a blood transfusion due to religious
beliefs (Jehovah's Witness). Which action is most appropriate?
A. Transfuse the patient without their knowledge.
B. Respect the patient's decision and explore alternative treatments.
C. Call the hospital ethics committee to override the patient's refusal.
D. Tell the patient they will die without the transfusion.
Answer: B
Rationale: Patient autonomy and religious beliefs must be respected. Alternative
treatments should be explored in consultation with the healthcare team.
Question 8
A nurse notices that a Hispanic female patient avoids eye contact during
conversation. The nurse interprets this as:
A. The patient is lying.
B. The patient is depressed.
C. A cultural norm where direct eye contact may be seen as disrespectful.
D. The patient is angry.
Answer: C
Rationale: In many Hispanic and other cultures, avoiding direct eye contact is a
sign of respect, not dishonesty or psychological distress.
Question 9
Which of the following is an example of cultural imposition?
A. A nurse learns a few phrases in the patient's native language.
B. A nurse insists that a patient eat hospital food despite the patient's cultural
dietary restrictions.
C. A nurse asks the patient about their preferred food choices.
D. A nurse uses a certified medical interpreter.
