Fundamentals of Nursing NCLEX Practice Questions Quiz Set 8|
75 Questions
1. 1. Question
The best explanation of what Title VI of the Civil Rights Act mandates
is the freedom to:
o A. Pick any physician and insurance company despite one’s income.
o B. Receive free medical benefits as needed within the county of
residence.
o C. Have equal access to all health care regardless of race
and religion.
o D. Have basic care with a sliding scale payment plan from all
healthcare facilities.
Incorrect
Correct Answer: C. Have equal access to all health care
regardless of race and religion.
Title VI of the Civil Rights Act of 1964 states that “No person in the
United States shall, on the ground of race, color, or national origin, be
excluded from participation in, be denied the benefits of, or be
subjected to discrimination under any program or activity receiving
Federal financial assistance.”
Option A: The Affordable Care Act puts consumers back in
charge of their health care. Under the law, a new “Patient’s Bill of
Rights” gives the American people the stability and flexibility
they need to make informed choices about their health. Through
this bill, the client may choose the primary care physician he
wants from his plan’s network.
Option B: Since the Patient’s Bill of Rights was enacted, the
Affordable Care Act has provided additional rights and
protections. The health care law covers preventive care at no
cost. Clients may be eligible for recommended preventive health
services without a copayment.
Option D: Under the Patient’s Bill of Rights, a client’s premium
dollars are ensured to be spent on primary healthcare, not on
, administrative costs. Also, the bill removes insurance company
barriers to emergency services that are outside of their health
plan’s network.
2. 2. Question
Which statement would best explain the role of the nurse when
planning care for a culturally diverse population? The nurse will plan
care to:
A. Include care that is culturally congruent with the staff from
predetermined criteria.
B. Focus only on the needs of the client, ignoring the nurse’s beliefs
and practices.
C. Blend the values of the nurse that are for the good of the client
and minimize the client’s individual values and beliefs during care.
D. Provide care while aware of one’s own bias, focusing on
the client’s individual needs rather than the staff’s practices.
Incorrect
Correct Answer: D. Provide care while aware of one’s own bias,
focusing on the client’s individual needs rather than the staff’s
practices
Without understanding one’s own beliefs and values, a bias or
preconceived belief by the nurse could create an unexpected conflict
or an area of neglect in the plan of care for a client (who might be
expecting something totally different from the care). During
assessment values, beliefs, practices should be identified by the nurse
and used as a guide to identify the choices by the nurse to meet
specific needs/outcomes of that client. Therefore identification of
values, beliefs, and practices allows for planning meaningful and
beneficial care specific for this client.
Option A: As nurses strive to learn more about becoming
culturally sensitive nurses, they should also let others know what
they are doing and why. Encourage co-workers to provide more
culturally competent care. Approach sharing awareness with
openness and positivity, rather than from a critical point of view.
Option B: Cultural competency in the health care sector
supports positive patient outcomes and improves medical
research accuracy. Cultural competence is learning about how
, cultural differences may impact healthcare decisions and being
able to modify care to align with that patient’s culture.
Option C: Active listening in the healthcare community is
imperative, especially when individuals of different racial or
cultural backgrounds are involved. It’s important that patients
feel heard and validated, particularly when they are in a
vulnerable position.
3. 3. Question
Which factor is least significant during assessment when gathering
information about cultural practices?
A. Language, timing
B. Touch, eye contact
C. Biocultural needs
D. Pain perception, management expectations
Incorrect
Correct Answer: C. Biocultural needs
Cultural practices do not influence biocultural needs because they are
inborn risks that are related to a biological need and not a learned
cultural belief or practice. Culturally competent healthcare
professionals learn about different groups and the values that drive
them. They develop nonjudgmental acceptance of cultural and
noncultural differences in patients and coworkers, using diversity as a
strength that empowers them to achieve mutually acceptable
healthcare goals.
Option A: When a patient doesn’t speak English and there is no
interpreter, spend more time visiting to allay patients’ anxiety.
Learn key phrases from the family and use flashcards to enhance
communication. When all else fails, sign language does work.
Remember that making the effort shows the patient that you
care. You are using the language of the heart and building trust.
Option B: Both the clinician and the interpreter must pay
particular attention to nonverbal feedback during communication
with the patient to ensure understanding of the patient’s
concerns and desires. During the exchange, the clinician and the
interpreter must be able to convey caring and support to gain
, patients’ confidence and trust, particularly when they are
revealing sensitive information.
Option D: Culture influences patients’ perceptions of illness,
pain, and healing. These perceptions may conflict with clinicians’
views based on the medical model. Keep an open mind and listen
actively to what patients say about their illness.
4. 4. Question
Transcultural nursing implies:
A. Using a comparative study of cultures to understand
similarities and differences across human groups to provide
specific individualized care that is culturally appropriate.
B. Working in another culture to practice nursing within their
limitations.
C. Combining all cultural beliefs into a practice that is a non-
threatening approach to minimize cultural barriers for all clients’
equality of care.
D. Ignoring all cultural differences to provide the best-generalized
care to all clients.
Incorrect
Correct Answer: A. Using a comparative study of cultures to
understand similarities and differences across human groups
to provide specific individualized care that is culturally
appropriate
Transcultural care means that by understanding and learning about
specific cultural practices the nurse can integrate these practices into
the plan of care for a specific individual client who has the same beliefs
or practices to meet the client’s needs in a holistic manner of care.
Option B: Nurses should explore new ways of providing cultural
care in multicultural societies, understand how culture affects
health-illness definitions, and build a bridge for the gap between
the caring process and the individuals in different cultures.
Option C: The individuals’ beliefs about health, attitudes, and
behaviors, past experiences, treatment practices, in short, their
culture, play a vital role in improving health, preventing and
treating diseases. Health workers must collect cultural data to
75 Questions
1. 1. Question
The best explanation of what Title VI of the Civil Rights Act mandates
is the freedom to:
o A. Pick any physician and insurance company despite one’s income.
o B. Receive free medical benefits as needed within the county of
residence.
o C. Have equal access to all health care regardless of race
and religion.
o D. Have basic care with a sliding scale payment plan from all
healthcare facilities.
Incorrect
Correct Answer: C. Have equal access to all health care
regardless of race and religion.
Title VI of the Civil Rights Act of 1964 states that “No person in the
United States shall, on the ground of race, color, or national origin, be
excluded from participation in, be denied the benefits of, or be
subjected to discrimination under any program or activity receiving
Federal financial assistance.”
Option A: The Affordable Care Act puts consumers back in
charge of their health care. Under the law, a new “Patient’s Bill of
Rights” gives the American people the stability and flexibility
they need to make informed choices about their health. Through
this bill, the client may choose the primary care physician he
wants from his plan’s network.
Option B: Since the Patient’s Bill of Rights was enacted, the
Affordable Care Act has provided additional rights and
protections. The health care law covers preventive care at no
cost. Clients may be eligible for recommended preventive health
services without a copayment.
Option D: Under the Patient’s Bill of Rights, a client’s premium
dollars are ensured to be spent on primary healthcare, not on
, administrative costs. Also, the bill removes insurance company
barriers to emergency services that are outside of their health
plan’s network.
2. 2. Question
Which statement would best explain the role of the nurse when
planning care for a culturally diverse population? The nurse will plan
care to:
A. Include care that is culturally congruent with the staff from
predetermined criteria.
B. Focus only on the needs of the client, ignoring the nurse’s beliefs
and practices.
C. Blend the values of the nurse that are for the good of the client
and minimize the client’s individual values and beliefs during care.
D. Provide care while aware of one’s own bias, focusing on
the client’s individual needs rather than the staff’s practices.
Incorrect
Correct Answer: D. Provide care while aware of one’s own bias,
focusing on the client’s individual needs rather than the staff’s
practices
Without understanding one’s own beliefs and values, a bias or
preconceived belief by the nurse could create an unexpected conflict
or an area of neglect in the plan of care for a client (who might be
expecting something totally different from the care). During
assessment values, beliefs, practices should be identified by the nurse
and used as a guide to identify the choices by the nurse to meet
specific needs/outcomes of that client. Therefore identification of
values, beliefs, and practices allows for planning meaningful and
beneficial care specific for this client.
Option A: As nurses strive to learn more about becoming
culturally sensitive nurses, they should also let others know what
they are doing and why. Encourage co-workers to provide more
culturally competent care. Approach sharing awareness with
openness and positivity, rather than from a critical point of view.
Option B: Cultural competency in the health care sector
supports positive patient outcomes and improves medical
research accuracy. Cultural competence is learning about how
, cultural differences may impact healthcare decisions and being
able to modify care to align with that patient’s culture.
Option C: Active listening in the healthcare community is
imperative, especially when individuals of different racial or
cultural backgrounds are involved. It’s important that patients
feel heard and validated, particularly when they are in a
vulnerable position.
3. 3. Question
Which factor is least significant during assessment when gathering
information about cultural practices?
A. Language, timing
B. Touch, eye contact
C. Biocultural needs
D. Pain perception, management expectations
Incorrect
Correct Answer: C. Biocultural needs
Cultural practices do not influence biocultural needs because they are
inborn risks that are related to a biological need and not a learned
cultural belief or practice. Culturally competent healthcare
professionals learn about different groups and the values that drive
them. They develop nonjudgmental acceptance of cultural and
noncultural differences in patients and coworkers, using diversity as a
strength that empowers them to achieve mutually acceptable
healthcare goals.
Option A: When a patient doesn’t speak English and there is no
interpreter, spend more time visiting to allay patients’ anxiety.
Learn key phrases from the family and use flashcards to enhance
communication. When all else fails, sign language does work.
Remember that making the effort shows the patient that you
care. You are using the language of the heart and building trust.
Option B: Both the clinician and the interpreter must pay
particular attention to nonverbal feedback during communication
with the patient to ensure understanding of the patient’s
concerns and desires. During the exchange, the clinician and the
interpreter must be able to convey caring and support to gain
, patients’ confidence and trust, particularly when they are
revealing sensitive information.
Option D: Culture influences patients’ perceptions of illness,
pain, and healing. These perceptions may conflict with clinicians’
views based on the medical model. Keep an open mind and listen
actively to what patients say about their illness.
4. 4. Question
Transcultural nursing implies:
A. Using a comparative study of cultures to understand
similarities and differences across human groups to provide
specific individualized care that is culturally appropriate.
B. Working in another culture to practice nursing within their
limitations.
C. Combining all cultural beliefs into a practice that is a non-
threatening approach to minimize cultural barriers for all clients’
equality of care.
D. Ignoring all cultural differences to provide the best-generalized
care to all clients.
Incorrect
Correct Answer: A. Using a comparative study of cultures to
understand similarities and differences across human groups
to provide specific individualized care that is culturally
appropriate
Transcultural care means that by understanding and learning about
specific cultural practices the nurse can integrate these practices into
the plan of care for a specific individual client who has the same beliefs
or practices to meet the client’s needs in a holistic manner of care.
Option B: Nurses should explore new ways of providing cultural
care in multicultural societies, understand how culture affects
health-illness definitions, and build a bridge for the gap between
the caring process and the individuals in different cultures.
Option C: The individuals’ beliefs about health, attitudes, and
behaviors, past experiences, treatment practices, in short, their
culture, play a vital role in improving health, preventing and
treating diseases. Health workers must collect cultural data to
