Medical-Surgical
Nursing Assessment
and Management of
Clinical Problems
Lewis 9th Edition Test
Bank
, Chapter 2: Health Disparities and Culturally Competent Care
Test Bank
MULTIPLE CHOICE
1. The nurse is obtaining a health history from a new patient. Which data will be the focus of
patient teaching?
a. Age and gender
b. Saturated fat intake
c. Hispanic/Latino ethnicity
d. Family history of diabetes
ANS: B
Behaviors are strongly linked to many health care problems. The patient’s saturated fat intake
is a behavior that the patient can change. The other information will be useful as the nurse
develops an individualized plan for improving the patient’s health, but will not be the focus of
patient teaching.
DIF: Cognitive Level: Apply (application) REF: 31
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
2. The nurse works in a clinic located in a community with many Hispanics. Which strategy, if
implemented by the nurse, would decrease health care disparities for the Hispanic patients?
a. Improve public transportation to the clinic.
b. Update equipment and supplies at the clinic.
c. Obtain low-cost medications for clinic patients.
d. Teach clinic staff about Hispanic health beliefs.
ANS: D
Health care disparities are due to stereotyping, biases, and prejudice of health care providers.
The nurse can decrease these through staff education. The other strategies also may be
addressed by the nurse but will not directly impact health disparities.
DIF: Cognitive Level: Apply (application) REF: 24-25
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
3. What information should the nurse collect when assessing the health status of a community?
a. Air pollution levels
b. Number of health food stores
c. Most common causes of death
d. Education level of the individuals
ANS: C
Health status measures of a community include birth and death rates, life expectancy, access
to care, and morbidity and mortality rates related to disease and injury. Although air pollution,
access to health food stores, and education level are factors that affect a community’s health
status, they are not health measures.
DIF: Cognitive Level: Understand (comprehension) REF: 19
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
Nursing Assessment
and Management of
Clinical Problems
Lewis 9th Edition Test
Bank
, Chapter 2: Health Disparities and Culturally Competent Care
Test Bank
MULTIPLE CHOICE
1. The nurse is obtaining a health history from a new patient. Which data will be the focus of
patient teaching?
a. Age and gender
b. Saturated fat intake
c. Hispanic/Latino ethnicity
d. Family history of diabetes
ANS: B
Behaviors are strongly linked to many health care problems. The patient’s saturated fat intake
is a behavior that the patient can change. The other information will be useful as the nurse
develops an individualized plan for improving the patient’s health, but will not be the focus of
patient teaching.
DIF: Cognitive Level: Apply (application) REF: 31
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
2. The nurse works in a clinic located in a community with many Hispanics. Which strategy, if
implemented by the nurse, would decrease health care disparities for the Hispanic patients?
a. Improve public transportation to the clinic.
b. Update equipment and supplies at the clinic.
c. Obtain low-cost medications for clinic patients.
d. Teach clinic staff about Hispanic health beliefs.
ANS: D
Health care disparities are due to stereotyping, biases, and prejudice of health care providers.
The nurse can decrease these through staff education. The other strategies also may be
addressed by the nurse but will not directly impact health disparities.
DIF: Cognitive Level: Apply (application) REF: 24-25
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
3. What information should the nurse collect when assessing the health status of a community?
a. Air pollution levels
b. Number of health food stores
c. Most common causes of death
d. Education level of the individuals
ANS: C
Health status measures of a community include birth and death rates, life expectancy, access
to care, and morbidity and mortality rates related to disease and injury. Although air pollution,
access to health food stores, and education level are factors that affect a community’s health
status, they are not health measures.
DIF: Cognitive Level: Understand (comprehension) REF: 19
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance
