NR222 CERTIFICATION PAPER 2026 FULL
SOLUTION GRADED A+
● A 46-year-old woman from Bosnia came to the United States 6 years
ago. Although she did not celebrate Christmas when she lived in Bosnia,
she celebrates Christmas with her family now. This woman has
experienced assimilation into the culture of the United States because
she:
A .Chose to be bicultural.
B. Adapted to and adopted the American culture.
C. Had an extremely negative experience with the American culture.
D. Gave up part of her ethnic identity in favor of the American culture.
Answer: B. Adapted to and adopted the American culture.
Assimilation results when an individual gradually adopts and
incorporates the characteristics of the dominant culture.
● To enhance their cultural awareness, nursing students need to make an
in-depth self-examination of their own:
A. Motivation and commitment to caring.
,B. Social, cultural, and biophysical factors.
C. Engagement in cross-cultural interactions.
D. Background, recognizing her biases and prejudices. Answer: D.
Background, recognizing her biases and prejudices.
Cultural awareness is an in-depth self-examination of one's own
background, recognizing biases and prejudices and assumptions about
other people.
● Which of the following is required in the delivery of culturally
congruent care?
A. Learning about vast cultures
B. Motivation and commitment to caring
C. Influencing treatment and care of patients
D. Acquiring specific knowledge, skills, and attitudes Answer: D.
Acquiring specific knowledge, skills, and attitudes
Specific knowledge, skills, and attitudes are required in the delivery of
culturally congruent care.
● A registered nurse is admitting a patient of French heritage to the
hospital. Which question asked by the nurse indicates that the nurse is
stereotyping the patient?
,A. "What are your dietary preferences?"
B. "What time do you typically go to bed?"
C. "Do you bathe and use deodorant more than one time a week?"
D. "Do you have any health issues that we should know about?"
Answer: C. "Do you bathe and use deodorant more than one time a
week?"
Nurses need to avoid stereotypes or unwarranted generalizations about
any particular group that prevents further assessment of the individual's
unique characteristics.
● When action is taken on one's prejudices:
A. Discrimination occurs.
B. Delivery of culturally congruent care is ensured.
C. Effective intercultural communication develops.
D. Sufficient comparative knowledge of diverse groups is obtained.
Answer: A. Discrimination occurs.
, Prejudices associate negative permanent characteristics with people who
are different from the valued group. When a person acts on these
prejudices, discrimination occurs.
● A nursing student is doing a community health rotation in an inner-city
public health department. The student investigates sociodemographic
and health data of the people served by the health department, and
detects disparities in health outcomes between the rich and poor. This is
an example of a(n):
A. Illness attributed to natural and biological forces.
B. Creation of the student's interpretation and descriptions of the data.
C. Influence of socioeconomic factors in morbidity and mortality.
D. Combination of naturalistic, religious, and supernatural modalities.
Answer: C. Influence of socioeconomic factors in morbidity and
mortality.
Health disparity populations are populations that have a significant
increased incidence or prevalence of disease or that have increased
morbidity, mortality, or survival rates compared to the health status of
the general population.
● Culture strongly influences pain expression and need for pain
medication. However, cultural pain is:
SOLUTION GRADED A+
● A 46-year-old woman from Bosnia came to the United States 6 years
ago. Although she did not celebrate Christmas when she lived in Bosnia,
she celebrates Christmas with her family now. This woman has
experienced assimilation into the culture of the United States because
she:
A .Chose to be bicultural.
B. Adapted to and adopted the American culture.
C. Had an extremely negative experience with the American culture.
D. Gave up part of her ethnic identity in favor of the American culture.
Answer: B. Adapted to and adopted the American culture.
Assimilation results when an individual gradually adopts and
incorporates the characteristics of the dominant culture.
● To enhance their cultural awareness, nursing students need to make an
in-depth self-examination of their own:
A. Motivation and commitment to caring.
,B. Social, cultural, and biophysical factors.
C. Engagement in cross-cultural interactions.
D. Background, recognizing her biases and prejudices. Answer: D.
Background, recognizing her biases and prejudices.
Cultural awareness is an in-depth self-examination of one's own
background, recognizing biases and prejudices and assumptions about
other people.
● Which of the following is required in the delivery of culturally
congruent care?
A. Learning about vast cultures
B. Motivation and commitment to caring
C. Influencing treatment and care of patients
D. Acquiring specific knowledge, skills, and attitudes Answer: D.
Acquiring specific knowledge, skills, and attitudes
Specific knowledge, skills, and attitudes are required in the delivery of
culturally congruent care.
● A registered nurse is admitting a patient of French heritage to the
hospital. Which question asked by the nurse indicates that the nurse is
stereotyping the patient?
,A. "What are your dietary preferences?"
B. "What time do you typically go to bed?"
C. "Do you bathe and use deodorant more than one time a week?"
D. "Do you have any health issues that we should know about?"
Answer: C. "Do you bathe and use deodorant more than one time a
week?"
Nurses need to avoid stereotypes or unwarranted generalizations about
any particular group that prevents further assessment of the individual's
unique characteristics.
● When action is taken on one's prejudices:
A. Discrimination occurs.
B. Delivery of culturally congruent care is ensured.
C. Effective intercultural communication develops.
D. Sufficient comparative knowledge of diverse groups is obtained.
Answer: A. Discrimination occurs.
, Prejudices associate negative permanent characteristics with people who
are different from the valued group. When a person acts on these
prejudices, discrimination occurs.
● A nursing student is doing a community health rotation in an inner-city
public health department. The student investigates sociodemographic
and health data of the people served by the health department, and
detects disparities in health outcomes between the rich and poor. This is
an example of a(n):
A. Illness attributed to natural and biological forces.
B. Creation of the student's interpretation and descriptions of the data.
C. Influence of socioeconomic factors in morbidity and mortality.
D. Combination of naturalistic, religious, and supernatural modalities.
Answer: C. Influence of socioeconomic factors in morbidity and
mortality.
Health disparity populations are populations that have a significant
increased incidence or prevalence of disease or that have increased
morbidity, mortality, or survival rates compared to the health status of
the general population.
● Culture strongly influences pain expression and need for pain
medication. However, cultural pain is:
