NCLEX RN Exam Bank: Cultural Humility, Health
Promotion & Patient Advocacy Practice Questions
Table of Contents
Subtopic 1: Principles of Cultural Humility and Its Application in Nursing Care .................. 2
Subtopic 2: Cultural Barriers to Health Literacy and Access to Care ................................ 10
Subtopic 3: Integrating Cultural Humility into Patient-Centered Care Planning................. 19
Subtopic 4: Cultural Considerations in Chronic Disease Self-Management and Education
.................................................................................................................................. 27
Subtopic 5: Health Promotion Strategies for Diverse Cultural Communities .................... 36
Subtopic 6: Cultural Humility in Geriatric and End-of-Life Care ....................................... 45
Subtopic 7: Cultural Humility in End-of-Life Care and Advance Directives ....................... 54
Subtopic 8: Intergenerational and Cross-Cultural Health Beliefs in Nursing Practice ........ 61
Subtopic 9: Recognizing and Combating Implicit Bias in Clinical Practice (Questions 161–
180) ........................................................................................................................... 69
Subtopic 10: Interdisciplinary Collaboration and Cultural Mediation ............................... 76
,Subtopic 1: Principles of Cultural Humility and Its
Application in Nursing Care
Question 1
A nurse is caring for a patient who uses traditional herbal medicine. What is the most
appropriate nursing action?
A. Educate the patient that herbal remedies are unsafe and should be stopped.
B. Ask the patient to share which herbs they are using and document it in the care plan.
C. Report the patient to the physician for non-compliance.
D. Disregard the use of herbs since they are not evidence-based.
Correct Answer: B
Rationale: Cultural humility involves recognizing and respecting the patient's health beliefs.
Understanding herbal use helps prevent interactions and promotes collaborative care.
Question 2
Which nursing action best demonstrates cultural humility during a health assessment?
A. Giving the patient advice based on Western medical norms.
B. Making assumptions based on the patient’s ethnic background.
C. Asking open-ended questions to learn the patient’s values and beliefs.
D. Recommending standardized treatments regardless of cultural practices.
Correct Answer: C
Rationale: Cultural humility requires curiosity and lifelong learning. Open-ended questions
help nurses learn about each patient’s unique cultural perspective.
Question 3
,Cultural humility in nursing practice emphasizes:
A. Mastery of cultural knowledge about all ethnic groups.
B. Creating one-size-fits-all health interventions.
C. Ongoing self-reflection and addressing power imbalances.
D. Prioritizing hospital protocols over cultural beliefs.
Correct Answer: C
Rationale: Cultural humility focuses on continual learning and acknowledging power
dynamics in the nurse-patient relationship.
Question 4
A patient refuses a blood transfusion due to religious beliefs. The nurse should:
A. Convince the patient to accept the transfusion.
B. Respect the refusal and notify the healthcare team.
C. Provide the transfusion secretly.
D. Call security to restrain the patient.
Correct Answer: B
Rationale: Cultural humility includes respecting patients’ autonomy and religious beliefs,
even when they conflict with medical advice.
Question 5
Which of the following best illustrates cultural humility in patient advocacy?
A. Collaborating with a cultural liaison to understand a patient’s needs.
B. Assuming all patients from the same ethnicity have similar beliefs.
C. Prioritizing treatment over cultural considerations.
D. Expecting the patient to adjust to hospital norms.
, Correct Answer: A
Rationale: Cultural liaisons help bridge gaps in understanding and improve culturally
respectful care.
Question 6
A nurse feels uncomfortable discussing end-of-life care with a patient from a different
culture. What should the nurse do first?
A. Avoid the conversation.
B. Focus only on physical care.
C. Reflect on their own biases and seek cultural guidance.
D. Delegate the task to another nurse.
Correct Answer: C
Rationale: Self-awareness is essential in cultural humility. Nurses must recognize
discomfort and seek education or support.
Question 7
Which action by the nurse best promotes cultural humility when working with an
interpreter?
A. Looking only at the interpreter.
B. Maintaining eye contact and addressing the patient directly.
C. Asking the interpreter to explain everything.
D. Speaking quickly to avoid delays.
Correct Answer: B
Promotion & Patient Advocacy Practice Questions
Table of Contents
Subtopic 1: Principles of Cultural Humility and Its Application in Nursing Care .................. 2
Subtopic 2: Cultural Barriers to Health Literacy and Access to Care ................................ 10
Subtopic 3: Integrating Cultural Humility into Patient-Centered Care Planning................. 19
Subtopic 4: Cultural Considerations in Chronic Disease Self-Management and Education
.................................................................................................................................. 27
Subtopic 5: Health Promotion Strategies for Diverse Cultural Communities .................... 36
Subtopic 6: Cultural Humility in Geriatric and End-of-Life Care ....................................... 45
Subtopic 7: Cultural Humility in End-of-Life Care and Advance Directives ....................... 54
Subtopic 8: Intergenerational and Cross-Cultural Health Beliefs in Nursing Practice ........ 61
Subtopic 9: Recognizing and Combating Implicit Bias in Clinical Practice (Questions 161–
180) ........................................................................................................................... 69
Subtopic 10: Interdisciplinary Collaboration and Cultural Mediation ............................... 76
,Subtopic 1: Principles of Cultural Humility and Its
Application in Nursing Care
Question 1
A nurse is caring for a patient who uses traditional herbal medicine. What is the most
appropriate nursing action?
A. Educate the patient that herbal remedies are unsafe and should be stopped.
B. Ask the patient to share which herbs they are using and document it in the care plan.
C. Report the patient to the physician for non-compliance.
D. Disregard the use of herbs since they are not evidence-based.
Correct Answer: B
Rationale: Cultural humility involves recognizing and respecting the patient's health beliefs.
Understanding herbal use helps prevent interactions and promotes collaborative care.
Question 2
Which nursing action best demonstrates cultural humility during a health assessment?
A. Giving the patient advice based on Western medical norms.
B. Making assumptions based on the patient’s ethnic background.
C. Asking open-ended questions to learn the patient’s values and beliefs.
D. Recommending standardized treatments regardless of cultural practices.
Correct Answer: C
Rationale: Cultural humility requires curiosity and lifelong learning. Open-ended questions
help nurses learn about each patient’s unique cultural perspective.
Question 3
,Cultural humility in nursing practice emphasizes:
A. Mastery of cultural knowledge about all ethnic groups.
B. Creating one-size-fits-all health interventions.
C. Ongoing self-reflection and addressing power imbalances.
D. Prioritizing hospital protocols over cultural beliefs.
Correct Answer: C
Rationale: Cultural humility focuses on continual learning and acknowledging power
dynamics in the nurse-patient relationship.
Question 4
A patient refuses a blood transfusion due to religious beliefs. The nurse should:
A. Convince the patient to accept the transfusion.
B. Respect the refusal and notify the healthcare team.
C. Provide the transfusion secretly.
D. Call security to restrain the patient.
Correct Answer: B
Rationale: Cultural humility includes respecting patients’ autonomy and religious beliefs,
even when they conflict with medical advice.
Question 5
Which of the following best illustrates cultural humility in patient advocacy?
A. Collaborating with a cultural liaison to understand a patient’s needs.
B. Assuming all patients from the same ethnicity have similar beliefs.
C. Prioritizing treatment over cultural considerations.
D. Expecting the patient to adjust to hospital norms.
, Correct Answer: A
Rationale: Cultural liaisons help bridge gaps in understanding and improve culturally
respectful care.
Question 6
A nurse feels uncomfortable discussing end-of-life care with a patient from a different
culture. What should the nurse do first?
A. Avoid the conversation.
B. Focus only on physical care.
C. Reflect on their own biases and seek cultural guidance.
D. Delegate the task to another nurse.
Correct Answer: C
Rationale: Self-awareness is essential in cultural humility. Nurses must recognize
discomfort and seek education or support.
Question 7
Which action by the nurse best promotes cultural humility when working with an
interpreter?
A. Looking only at the interpreter.
B. Maintaining eye contact and addressing the patient directly.
C. Asking the interpreter to explain everything.
D. Speaking quickly to avoid delays.
Correct Answer: B
