Cultural Competence
Social Determinants of Health
Patient Education
100

The five elements of cultural competence include Cultural Awareness, Cultural Knowledge, Cultural Skill, Cultural Encounter, and Cultural Desire. Which element specifically involves engaging in face‑to‑face cultural interactions with clients?
A) Cultural Awareness
B) Cultural Knowledge
C) Cultural Skill
D) Cultural Encounter

D) Cultural Encounter

100

A public‑health nurse is assessing a community’s health needs. Which domain of the Social Determinants of Health includes safe housing and transportation?
A) Education Access and Quality
B) Economic Stability
C) Neighborhood and Built Environment
D) Social and Community Context

C) Neighborhood and Built Environment

100

Which of the following best defines personal health literacy?

  • A) The ability to read medical textbooks.
  • B) The degree to which individuals can find, understand, and use health information and services to make health‑related decisions.
  • C) The level of education required to become a nurse.
  • D) The number of health conditions a person has.
  • B) The degree to which individuals can find, understand, and use health information and services to make health‑related decisions.
200

During a cultural assessment, a nurse asks a client about the language spoken at home and the client’s proficiency in English. Which area of the cultural assessment does this question belong to?
A) Health Beliefs and Practices
B) Faith‑Based Influences or Special Rituals
C) Language and Communication
D) Parenting Styles and Family Roles

C) Language and Communication

200

Which of the following is NOT one of the five domains of Social Determinants of Health (SDOH) as defined in the course material?

  • A) Economic Stability
  • B) Education Access and Quality
  • C) Cultural Beliefs
  • D) Neighborhood and Built Environment
  • C) Cultural Beliefs
200

Which of the following is a component of Standard 5B for health teaching and health promotion?
A) Providing opportunities for the client to identify learning needs.
B) Ignoring the client’s values and beliefs when planning education.
C) Using a single teaching method regardless of the client’s preferences.
D) Avoiding feedback from the client to determine teaching effectiveness.

A) Providing opportunities for the client to identify learning needs.

300

You overhear a family member telling a newly arrived patient that they must speak English while in the United States. The nurse wants to demonstrate cultural humility. Which action best reflects cultural humility?
A) Tell the family member that speaking English is required for safety.
B) Encourage the patient to speak only English during the visit.
C) Reflect on personal biases and discuss with the patient how language preferences affect care.
D) Ignore the comment and continue with the planned care.

C) Reflect on personal biases and discuss with the patient how language preferences affect care.

300

A nurse is advocating for social justice in health policy. Which action aligns with this principle?
A) Ignoring community input when developing policies.
B) Promoting open and honest communication among stakeholders.
C) Limiting access to health services for underserved populations.
D) Prioritizing only physical health outcomes without considering social factors.

B) Promoting open and honest communication among stakeholders.

300

A nurse is planning discharge education for a client with limited health literacy. Which strategy best supports the client’s understanding?
A) Provide a lengthy written handout with medical terminology.
B) Use the “teach‑back” method, asking the client to repeat instructions in their own words.
C) Deliver all information in a single, rapid verbal explanation.
D) Assume the client will understand because they have received prior education.

B) Use the “teach‑back” method, asking the client to repeat instructions in their own words.

400

A nurse is caring for a client with limited English proficiency who only speaks Haitian Kreyòl. According to cultural humility and patient‑education principles, what is the most appropriate initial action?
A) Provide written materials in English only.
B) Use a professional interpreter and assess the client’s language needs.
C) Speak slowly in English without checking the client’s understanding.
D) Assume the client can understand medical jargon and proceed with standard instructions.

B) Use a professional interpreter and assess the client’s language needs.

400

A client reports that high utility bills and rent cause them to prioritize shelter over medication. Which Social Determinants of Health domain does this situation primarily reflect?

  • A) Education Access and Quality
  • B) Economic Stability
  • C) Neighborhood and Built Environment
  • D) Social and Community Context
  • B) Economic Stability
400

To improve health literacy, a nurse uses plain language and asks the client to repeat instructions in their own words. Which strategy aligns with Healthy People 2030 objectives?

  • A) Using medical jargon
  • B) Checking client understanding
  • C) Providing complex written materials
  • D) Ignoring language barriers
  • B) Checking client understanding
500

Which of the following best reflects cultural humility in nursing practice?

  • A) Assuming your own cultural norms are superior.
  • B) Reflecting on personal biases and seeking to understand the client’s cultural perspective.
  • C) Ignoring cultural differences to treat all patients the same.
  • D) Requiring patients to adopt the nurse’s cultural practices.
  • B) Reflecting on personal biases and seeking to understand the client’s cultural perspective.
500

When creating a teaching plan, which step is the nurse performing when they identify the client’s learning needs and preferred learning style?

  • A) Assessment
  • B) Planning
  • C) Implementation
  • D) Evaluation
  • A) Assessment
500

When a nurse asks a client to repeat the instructions in their own words to confirm understanding, which step of the teaching process is being performed?

  • A) Assessment
  • B) Planning
  • C) Implementation
  • D) Evaluation
  • D) Evaluation