NR 442 Community Health Nursing Exam 2 Complete 200-
Question Study Guide with Verified Answers (Latest
Edition)NR 442 Exam 2 Study Set: Community Health
Nursing – 200 Practice Questions & Rationales (Graded A+)
SECTION I: CULTURAL COMPETENCE & ETHNOCENTRISM
1. Which defines the judgment of another culture solely by the values and standards of
one's own culture?
a. Egocentric
b. Ethnocentrism
c. Community
d. Cultural imposition
☑ correct answers: b. Ethnocentrism
Rationale: Ethnocentrism occurs when people view the world from the perspective of their own
cultural background and judge other cultures by their own standards. Cultural imposition is
forcing one group's beliefs on others.
2. What is the best way for the nurse to advocate for a client from a different culture?
a. Ask the client about their belief practices and cultural norms
b. Assume what they want based on cultural background
c. Google their usual preferences
d. Consult with a colleague from the same culture
☑ correct answers: a. Ask the client about their belief practices and cultural norms
Rationale: The best way to provide culturally competent care is to ask the client directly. Never
assume based on stereotypes. Each individual is unique even within cultural groups.
,3. A nurse states, "I don't understand why that patient won't eat the food we provide. In
my culture, we eat what is served." This statement reflects:
a. Cultural sensitivity
b. Cultural competence
c. Ethnocentrism
d. Cultural humility
☑ correct answers: c. Ethnocentrism
Rationale: The nurse is judging the patient's behavior by their own cultural standards rather than
seeking to understand the patient's cultural food practices.
4. Which action demonstrates cultural humility?
a. Memorizing cultural traits of specific ethnic groups
b. Assuming all patients from the same culture have identical beliefs
c. Engaging in self-reflection and acknowledging one's own cultural biases
d. Avoiding conversations about culture with patients
☑ correct answers: c. Engaging in self-reflection and acknowledging one's own
cultural biases
Rationale: Cultural humility is a lifelong process of self-reflection and self-critique. It recognizes
that cultural competence is not an endpoint but an ongoing practice.
5. A nurse is caring for a Muslim patient who prefers a same-gender provider. The nurse
should:
a. Explain that gender assignment is random
b. Respect the request and attempt to accommodate
c. Ignore the request as it is not medically necessary
d. Report the patient for discrimination
,☑ correct answers: b. Respect the request and attempt to accommodate
Rationale: Respecting religious and cultural preferences is part of patient-centered care.
Accommodating gender preference for providers when possible demonstrates cultural
competence.
SECTION II: VULNERABLE POPULATIONS
6. Which population is considered most vulnerable in community health nursing?
a. Middle-class suburban families
b. College students
c. Low-income, homeless, elderly, and disabled individuals
d. Healthcare workers
☑ correct answers: c. Low-income, homeless, elderly, and disabled individuals
Rationale: Vulnerable populations are those at greater risk for poor health outcomes due to
social, economic, or environmental factors including poverty, homelessness, age, and disability.
7. The leading cause of death among homeless individuals is:
a. Cancer
b. Heart disease
c. Trauma/injury
d. Substance abuse
☑ correct answers: c. Trauma/injury
Rationale: Trauma (including accidents, violence, and hypothermia) is the leading cause of death
among homeless individuals, followed by heart disease and suicide.
8. Which factor contributes most to health disparities in vulnerable populations?
, a. Lack of healthcare provider knowledge
b. Poverty and lack of access to care
c. Genetic predisposition
d. Personal lifestyle choices
☑ correct answers: b. Poverty and lack of access to care
Rationale: Social determinants of health, particularly poverty and lack of access to preventive
and primary care, are the primary drivers of health disparities in vulnerable populations.
9. A community health nurse working with migrant farmworkers should prioritize which
health concern?
a. Dental caries
b. Accidental injuries and pesticide exposure
c. Mental health disorders
d. Arthritis
☑ correct answers: b. Accidental injuries and pesticide exposure
Rationale: Migrant farmworkers face occupational hazards including pesticide exposure, heat
stroke, musculoskeletal injuries, and accidents related to farm equipment.
10. Which is a barrier to healthcare access for rural populations?
a. Abundant public transportation
b. High availability of specialists
c. Geographic distance and lack of transportation
d. Overcrowded but well-equipped hospitals
☑ correct answers: c. Geographic distance and lack of transportation
Rationale: Rural populations face barriers including long travel distances to healthcare facilities,
lack of public transportation, limited specialists, and healthcare provider shortages.
Question Study Guide with Verified Answers (Latest
Edition)NR 442 Exam 2 Study Set: Community Health
Nursing – 200 Practice Questions & Rationales (Graded A+)
SECTION I: CULTURAL COMPETENCE & ETHNOCENTRISM
1. Which defines the judgment of another culture solely by the values and standards of
one's own culture?
a. Egocentric
b. Ethnocentrism
c. Community
d. Cultural imposition
☑ correct answers: b. Ethnocentrism
Rationale: Ethnocentrism occurs when people view the world from the perspective of their own
cultural background and judge other cultures by their own standards. Cultural imposition is
forcing one group's beliefs on others.
2. What is the best way for the nurse to advocate for a client from a different culture?
a. Ask the client about their belief practices and cultural norms
b. Assume what they want based on cultural background
c. Google their usual preferences
d. Consult with a colleague from the same culture
☑ correct answers: a. Ask the client about their belief practices and cultural norms
Rationale: The best way to provide culturally competent care is to ask the client directly. Never
assume based on stereotypes. Each individual is unique even within cultural groups.
,3. A nurse states, "I don't understand why that patient won't eat the food we provide. In
my culture, we eat what is served." This statement reflects:
a. Cultural sensitivity
b. Cultural competence
c. Ethnocentrism
d. Cultural humility
☑ correct answers: c. Ethnocentrism
Rationale: The nurse is judging the patient's behavior by their own cultural standards rather than
seeking to understand the patient's cultural food practices.
4. Which action demonstrates cultural humility?
a. Memorizing cultural traits of specific ethnic groups
b. Assuming all patients from the same culture have identical beliefs
c. Engaging in self-reflection and acknowledging one's own cultural biases
d. Avoiding conversations about culture with patients
☑ correct answers: c. Engaging in self-reflection and acknowledging one's own
cultural biases
Rationale: Cultural humility is a lifelong process of self-reflection and self-critique. It recognizes
that cultural competence is not an endpoint but an ongoing practice.
5. A nurse is caring for a Muslim patient who prefers a same-gender provider. The nurse
should:
a. Explain that gender assignment is random
b. Respect the request and attempt to accommodate
c. Ignore the request as it is not medically necessary
d. Report the patient for discrimination
,☑ correct answers: b. Respect the request and attempt to accommodate
Rationale: Respecting religious and cultural preferences is part of patient-centered care.
Accommodating gender preference for providers when possible demonstrates cultural
competence.
SECTION II: VULNERABLE POPULATIONS
6. Which population is considered most vulnerable in community health nursing?
a. Middle-class suburban families
b. College students
c. Low-income, homeless, elderly, and disabled individuals
d. Healthcare workers
☑ correct answers: c. Low-income, homeless, elderly, and disabled individuals
Rationale: Vulnerable populations are those at greater risk for poor health outcomes due to
social, economic, or environmental factors including poverty, homelessness, age, and disability.
7. The leading cause of death among homeless individuals is:
a. Cancer
b. Heart disease
c. Trauma/injury
d. Substance abuse
☑ correct answers: c. Trauma/injury
Rationale: Trauma (including accidents, violence, and hypothermia) is the leading cause of death
among homeless individuals, followed by heart disease and suicide.
8. Which factor contributes most to health disparities in vulnerable populations?
, a. Lack of healthcare provider knowledge
b. Poverty and lack of access to care
c. Genetic predisposition
d. Personal lifestyle choices
☑ correct answers: b. Poverty and lack of access to care
Rationale: Social determinants of health, particularly poverty and lack of access to preventive
and primary care, are the primary drivers of health disparities in vulnerable populations.
9. A community health nurse working with migrant farmworkers should prioritize which
health concern?
a. Dental caries
b. Accidental injuries and pesticide exposure
c. Mental health disorders
d. Arthritis
☑ correct answers: b. Accidental injuries and pesticide exposure
Rationale: Migrant farmworkers face occupational hazards including pesticide exposure, heat
stroke, musculoskeletal injuries, and accidents related to farm equipment.
10. Which is a barrier to healthcare access for rural populations?
a. Abundant public transportation
b. High availability of specialists
c. Geographic distance and lack of transportation
d. Overcrowded but well-equipped hospitals
☑ correct answers: c. Geographic distance and lack of transportation
Rationale: Rural populations face barriers including long travel distances to healthcare facilities,
lack of public transportation, limited specialists, and healthcare provider shortages.
