ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE CHAMBERLAIN
A nurse is beginning to use patient centered care and
cultural competence to improve nursing care. Which step
should the nurse take first?
A. Assessing own biases and attitude
B. Learning about the world view of others
C. Understanding organizational forces
D. Developing cultural skills Correct Answer A. Assessing
own biases and attitude
A nurse is proving care to a patient from a different
culture. Which action by the nurse indicates cultural
competence?
A. Communicates effectively in a multicultural context
B. Functions effectively in a multicultural context
C. Visits a foreign country
D. Speaks a different language Correct Answer B.
Functions effectively in a multicultural context
The nurse learns about cultural issues involved in the
patient's health care belief system and enables patients
and families to achieve meaningful and supportive care.
Which concept is the nurse demonstrating?
,A. Marginalized groups
B. Health care disparity
C. Transcultural nursing
D. Culturally congruent care Correct Answer D. Culturally
congruent care
A nurse is working with a patient. When the nurse asks
about family members, the patient states that it include my
spouse, children, and aunt and uncle. How will the nurse
describe this type of family?
A. Nuclear
B. Blended
C. Extended
D. Alternative Correct Answer C. Extended
A nurse is assessing a family unit to determine the family's
ability to adapt to the change of a member having surgery.
Which area is the nurse monitoring?
A. Family durability
B. Family resiliency
C. Family diversity
D. Family forms Correct Answer B. Family Resiliency
A pt is aphasic, and the nurse notices that the pt's hands
shake intermittently. Which nursing action is the most
appropriate to facilitate communication?
A. Picture board
,B. Pen and paper
C. Interpreter
D. Hearing aid Correct Answer A. Picture board
A pt just received a diagnosis of cancer. Which statement
by the nurse demonstrates empathy?
A. Tomorrow will be better
B. This must be hard news to hear
C. What's your biggest fear about this diagnosis?
D. I believe you can overcome this because I've seen how
strong you are. Correct Answer B. This must be hard news
to hear
A nurse is in the process of establishing a therapeutic
relationship with a person. Which of the following
techniques should be used by the nurse? (Select all that
apply)
A. Learn about the person's interests
B. Sit close to the person
C. Show interest in the person's concerns
D. Define the parameters of the relationship with the
person Correct Answer C. Show interest in the person's
concerns
D. Define the parameters of the relationship with the
person
Which of the following scenarios best describes a nurse
using metacommunication?
, A. Using both touch and silence when counseling an
individual
B. Practicing reflection when interaction with an individual
C. Discussing with an individual how to solve a problem
D. Understanding that an individual needs a break before
proceeding Correct Answer D. Understanding that an
individual needs a break before proceeding
A nurse and her client are engaged in meaningful
conversation when suddenly there is silence between the
two. To facilitate effective client-centered communication,
the nurse should:
A. Ask the person what he is thinking, so they can
understand each other.
B. Restate what the person said before silence ensued, to
get clarification.
C. Change the subject to one that is more pleasant for the
person to discuss.
D. Wait quietly to give the person time to reflect where he
wants to lead the conversation. Correct Answer D. Wait
quietly to give the person time to reflect where he wants to
lead the conversation.
Before meeting the pt, a nurse talks to other caregivers
about the patient. Which phase of the helping relationship
is the nurse in with this pt?
A. Preinteraction
B. Orientation
C. Working