NR 222 EXAM 155 QUESTIONS & CORRECT ANSWERS
LATEST 2025
Which of the following are considered social determinants of health? (Select all
that apply.)
1. Lack of primary health care providers in a zip code
2. Poor-quality public school education that prevents a person from developing
adequate reading skills
3. Lack of affordable health insurance
4. Employment opportunities that do not provide paid vacation or sick leave
5. The number of times a person exercises during a week
6. Neighborhood safety that prevents a person from walking around the block or
socializing with neighbors outside of his or her home - ANSWER-1, 2, 3, 4, 6
Which of the following changes can help create a more inclusive environment for
lesbian, gay, bisexual, and transgender (LGBT) patients? (Select all that apply.)
1. Explicitly including sexual orientation and gender identity into
nondiscrimination policies
2. Displaying art that reflects LGBT community
3. Modifying health care forms to provide opportunities for gender identity and
sexual orientation disclosure
4. Not asking patients about their gender identity and sexual orientation to avoid
making them uncomfortable
5. Ensuring access to unisex or single-stall bathrooms - ANSWER-1, 2, 3, 5
,Which of the following are examples of problems with the health care system that
contribute to health disparities? (Select all that apply.)
1. A health care provider assumes that the patient missed two appointments
because the patient does not care about his or her health and does not inquire
about the reasons for missed visits.
2. The discharge nurse at a hospital uses Teach Back with a patient to ensure that
she has communicated the discharge instructions clearly.
3. A community hospital lacks an adequate staff of social workers who are able to
ensure patients' access to resources they need to take care of their health.
4. A hospital discharges a patient without ensuring that the patient has a primary
care provider and has made a follow-up appointment.
5. A nurse uses a family member as an interpreter to explain the patient's
medications.
6. The hospital conducts quality improvement without stratifying data by race -
ANSWER-1, 3, 4, 5, 6
1. R. ____
2. E. ____
3. S. ____
4. P. ____
5. E. ____
6. C. ____
7. T. ____
a. Ask about and try to understand barriers to care and adherence, and then offer
resources to help the patient overcome them, involving family members if
appropriate, and reassuring the patient that you are and will be available to help.
,b. Patients may have different reasons for not disclosing important information.
Earn a patient's confidence through actions and attitude that demonstrate
respect, compassion, and your interest in partnership.
c. Work closely together with the patient by being flexible with regard to issues of
control, negotiating roles when necessary, and stressing that you will be working
together to mutually address medical problems.
d. Provide explanations for the process and your action, checking often for
understanding and using verbal clarification techniques such as Teach Back.
e. Approach each encounter thinking ab - ANSWER-1g, 2f, 3a, 4c, 5d, 6e, 7b
A patient is admitted through the emergency department (ED) after a serious car
accident. The nurse assesses the patient and quickly learns that he speaks little
English. Spanish is his primary language. The nurse speaks some Spanish. Which
interventions would be appropriate at this time? (Select all that apply.)
1. The nurse requests a professional interpreter.
2. Since this is an emergent situation, the nurse will interpret and identify the
patient's priority needs.
3. The nurse determines the interpreter's qualifications and makes sure that the
interpreter can speak the patient's dialect.
4. The nurse uses short sentences to explain the treatments provided in the ED.
5. The nurse directs questions to the patient by looking at the patient instead of
at the interpreter. - ANSWER-1, 3, 4, 5
A new nurse is caring for a hospitalized obese patient who is homeless. This is the
first time the patient has been admitted to the hospital, and the patient is
scheduled for surgery. Which of the following is a universal skill that will help the
nurse work effectively with this patient?
1. The nurse shifts her focus to understanding the patient by asking her, "Describe
for me the course of your illness."
, 2. The nurse tells the patient, "Your choices of foods and unwillingness to exercise
are adding to your health problems."
3. The nurse asks the patient, "Tell me about the main problems you have had
with your health from not having a home."
4. The nurse explains, "Because you have obesity, it is important to know the
effects it has on wound healing because of reduced tissue perfusion." - ANSWER-3
Which statement made by a new graduate nurse about the teach-back technique
requires intervention and further instruction by the nurse's preceptor?
1. "After teaching a patient how to use an inhaler, I need to use the Teach Back
technique to test my patient's understanding."
2. "The Teach Back technique is an ongoing process of asking patients for
feedback."
3. "Using Teach Back will help me identify explanations and communication
strategies that my patients will most commonly understand."
4. "Using pictures, drawings, and models can enhance the effectiveness of the
Teach Back technique." - ANSWER-1
In the United States, there has never been a president of Asian or Hispanic
culture. This is an example of:
1. Social inequality
2. Marginalization
3. Under inclusion
4. Social location - ANSWER-2
A nurse has worked in a home health agency for a number of years. She goes to
visit a patient who has diabetes and who lives in a public housing facility. This is
the first time the nurse has cared for the patient. The patient has four other
LATEST 2025
Which of the following are considered social determinants of health? (Select all
that apply.)
1. Lack of primary health care providers in a zip code
2. Poor-quality public school education that prevents a person from developing
adequate reading skills
3. Lack of affordable health insurance
4. Employment opportunities that do not provide paid vacation or sick leave
5. The number of times a person exercises during a week
6. Neighborhood safety that prevents a person from walking around the block or
socializing with neighbors outside of his or her home - ANSWER-1, 2, 3, 4, 6
Which of the following changes can help create a more inclusive environment for
lesbian, gay, bisexual, and transgender (LGBT) patients? (Select all that apply.)
1. Explicitly including sexual orientation and gender identity into
nondiscrimination policies
2. Displaying art that reflects LGBT community
3. Modifying health care forms to provide opportunities for gender identity and
sexual orientation disclosure
4. Not asking patients about their gender identity and sexual orientation to avoid
making them uncomfortable
5. Ensuring access to unisex or single-stall bathrooms - ANSWER-1, 2, 3, 5
,Which of the following are examples of problems with the health care system that
contribute to health disparities? (Select all that apply.)
1. A health care provider assumes that the patient missed two appointments
because the patient does not care about his or her health and does not inquire
about the reasons for missed visits.
2. The discharge nurse at a hospital uses Teach Back with a patient to ensure that
she has communicated the discharge instructions clearly.
3. A community hospital lacks an adequate staff of social workers who are able to
ensure patients' access to resources they need to take care of their health.
4. A hospital discharges a patient without ensuring that the patient has a primary
care provider and has made a follow-up appointment.
5. A nurse uses a family member as an interpreter to explain the patient's
medications.
6. The hospital conducts quality improvement without stratifying data by race -
ANSWER-1, 3, 4, 5, 6
1. R. ____
2. E. ____
3. S. ____
4. P. ____
5. E. ____
6. C. ____
7. T. ____
a. Ask about and try to understand barriers to care and adherence, and then offer
resources to help the patient overcome them, involving family members if
appropriate, and reassuring the patient that you are and will be available to help.
,b. Patients may have different reasons for not disclosing important information.
Earn a patient's confidence through actions and attitude that demonstrate
respect, compassion, and your interest in partnership.
c. Work closely together with the patient by being flexible with regard to issues of
control, negotiating roles when necessary, and stressing that you will be working
together to mutually address medical problems.
d. Provide explanations for the process and your action, checking often for
understanding and using verbal clarification techniques such as Teach Back.
e. Approach each encounter thinking ab - ANSWER-1g, 2f, 3a, 4c, 5d, 6e, 7b
A patient is admitted through the emergency department (ED) after a serious car
accident. The nurse assesses the patient and quickly learns that he speaks little
English. Spanish is his primary language. The nurse speaks some Spanish. Which
interventions would be appropriate at this time? (Select all that apply.)
1. The nurse requests a professional interpreter.
2. Since this is an emergent situation, the nurse will interpret and identify the
patient's priority needs.
3. The nurse determines the interpreter's qualifications and makes sure that the
interpreter can speak the patient's dialect.
4. The nurse uses short sentences to explain the treatments provided in the ED.
5. The nurse directs questions to the patient by looking at the patient instead of
at the interpreter. - ANSWER-1, 3, 4, 5
A new nurse is caring for a hospitalized obese patient who is homeless. This is the
first time the patient has been admitted to the hospital, and the patient is
scheduled for surgery. Which of the following is a universal skill that will help the
nurse work effectively with this patient?
1. The nurse shifts her focus to understanding the patient by asking her, "Describe
for me the course of your illness."
, 2. The nurse tells the patient, "Your choices of foods and unwillingness to exercise
are adding to your health problems."
3. The nurse asks the patient, "Tell me about the main problems you have had
with your health from not having a home."
4. The nurse explains, "Because you have obesity, it is important to know the
effects it has on wound healing because of reduced tissue perfusion." - ANSWER-3
Which statement made by a new graduate nurse about the teach-back technique
requires intervention and further instruction by the nurse's preceptor?
1. "After teaching a patient how to use an inhaler, I need to use the Teach Back
technique to test my patient's understanding."
2. "The Teach Back technique is an ongoing process of asking patients for
feedback."
3. "Using Teach Back will help me identify explanations and communication
strategies that my patients will most commonly understand."
4. "Using pictures, drawings, and models can enhance the effectiveness of the
Teach Back technique." - ANSWER-1
In the United States, there has never been a president of Asian or Hispanic
culture. This is an example of:
1. Social inequality
2. Marginalization
3. Under inclusion
4. Social location - ANSWER-2
A nurse has worked in a home health agency for a number of years. She goes to
visit a patient who has diabetes and who lives in a public housing facility. This is
the first time the nurse has cared for the patient. The patient has four other
