Foundations of Nursing - GCU
Actual Questions and Answers
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Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Foundations of Nursing at Grand Canyon University
,1. Which of the following is an example of a patient with a health
disparity? (Select all that apply)
A. A patient who has a homosexual sexual preference
B. A patient unable to access primary care services
C. A patient living with a chronic disease
D. A family who relies on public transportation
E. A patient who has had a history of smoking for 10 years
Correct Answers:: B, C, & E
Expert Rationale:
Health disparities refer to differences in health outcomes and access to
healthcare across different populations. Patients unable to access primary
care (B) face systemic barriers, which is a classic example of health
disparities. Those living with chronic disease (C), often more prevalent in
underserved populations, may experience disparities in disease
management. A history of smoking (E) is linked to higher morbidity and
mortality, often disproportionately affecting socioeconomically
disadvantaged groups. While sexual preference and reliance on public
transportation impact social determinants of health, they are not direct
health disparity examples.
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2. A 35-year-old woman has Medicaid coverage for herself and two
young children. She missed an appointment at the local health clinic
to get an annual mammogram because she has no transportation.
,She gets the annual screening because her mother had breast cancer.
Which of the following are social determinants of this woman's
health? (Select all that apply)
A. Medicaid insurance
B. Annual screening
C. Mother's history of breast cancer
D. Lack of transportation
E. Woman's age
Correct Answers:: A, D, & E
Expert Rationale:
Social determinants of health (SDOH) include conditions that influence
health outcomes. Medicaid insurance (A) affects healthcare access. Lack
of transportation (D) is a critical barrier to obtaining health services. The
woman’s age (E) influences risk and eligibility for screening. Annual
screening (B) is a health behavior, and mother's history of breast cancer
(C) is a genetic risk factor rather than an SDOH.
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3. During a nursing assessment, a patient displayed several
behaviors. Which behavior suggests the patient may have a health
literacy problem?
A. Patient has difficulty completing a registration form at a medical office
, B. Patient asks for written information about a health topic
C. Patient speaks Spanish as primary language
D. Patient states unfamiliarity with a newly ordered medicine
Correct Answer: A
Expert Rationale:
Difficulty completing a registration form is a classic indicator of limited
health literacy. It suggests challenges understanding and processing
health-related information. Requesting written information (B) does not
necessarily indicate poor literacy. Language preference alone (C) does not
imply literacy problems. Unfamiliarity with new medication (D) is common
and may reflect need for education, not literacy deficits.
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4. A nurse desires to communicate with a young woman who is
Serbian and has limited hospital experience. The nurse has 10 years
of experience caring for Serbian women. The patient was admitted for
a serious pregnancy complication. Apply the LEARN model and
match the nurse’s behaviors with each step of the model.
1. L
2. A
3. E
4. R
5. N