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NR222 Unit 1 Quiz, NR222 Unit 3 Exam 1, NR222 Unit 6 Exam 2 & NR222 Unit 8 Final Exam (Latest-2021/2022): Health and Wellness: Chamberlain University |100% Correct Q & A|
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NR222 Unit 1 Quiz / NR 222 Unit 1 Quiz (Latest-2021/2022): Health and Wellness: Chamberlain University |100% Correct Q & A|
NR222 Unit 1 Quiz / NR 222 Unit 1 Quiz (Latest-2021/2022): Health and Wellness: Chamberlain University |100% Correct Q & A| NR 222 UNIT 1 QUIZ / NR222... [Show More] UNIT 1 QUIZ (Latest): HEALTH AND WELLNESS: CHAMBERLAIN Quiz 1 1. A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process? (Points : 2) Assists in predicting all of the possible consequences of future actions Facilitates gathering of the most important information to solve the problem Considers the importance of caring when solving the problem Highlights salient aspects of future actions Question 2.2. When providing preoperative teaching for a client who will be undergoing total knee arthroplasty, the nurse asks the client questions to assess his understanding of the surgery. Which type of ethics is the nurse implementing? (Points : 2) Duty-based ethics Normative ethics Metaethics Preventive ethics Question 3.3. Considering the provider and client perspective, which of the following is the most autonomous form of insurance? (Points : 2) Fee-for-service plan Health maintenance organization (HMO) Preferred provider organization (PPO) Independent practice association (IPA) Question 4.4. A Medicare client reports to the home care nurse that he is receiving care through an accountable care organization (ACO). Which of the following considerations should be made when delivering care to this individual? (Points : 2) The individual must see a primary care provider before being referred to a specialist The focus of care is prevention and management of individuals with chronic disease The individual has paid a membership fee to be part of this organization The focus of care is to conserve money in a health savings account Question 5.5. An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have? (Points : 2) High deductible health insurance plan (HDHP) Point-of-service plan (POS) Health maintenance organization (HMO) Preferred provider organization (PPO) [Show Less]
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NR222 Unit 3 Exam 1 / NR 222 Unit 3 Exam 1 (Latest-2021/2022): Health and Wellness: Chamberlain University |100% Correct Q & A|
NR222 Unit 3 Exam 1 / NR 222 Unit 3 Exam 1 (Latest-2021/2022): Health and Wellness: Chamberlain University |100% Correct Q & A| NR 222 Unit 3 Exam 1 ... [Show More] / NR222 Unit 3 Exam 1 (Latest): Health and Wellness: Chamberlain University Question 1 3 / 3 pts A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse implementing? Educator Manager Advocate Caregiver Question 2 3 / 3 pts A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, “I have no idea what is going to happen. I couldn’t ask any questions.” The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying? Manager Patient educator Patient advocate Clinical nurse specialist IncorrectQuestion 3 0 / 3 pts A nurse attends a workshop on current nursing issues provided by the American Nurses Association. Which type of education did the nurse receive? Graduate education Inservice education Continuing education Registered nurse education Question 4 3 / 3 pts A nurse is using the Healthy People 2020 to establish goals for the community. Which goal is priority? Reduce health care costs. Increase life expectancy. Provide services close to where patients live. Isolate patients to prevent the spread of disease. Question 5 3 / 3 pts A nurse is providing screening at a health fair. Which finding indicates a person may be more likely to develop health problems? One who is pregnant One who has excessive risks One who has unlimited access to health care One who uses nontraditional healing practices IncorrectQuestion 6 0 / 3 pts A nurse is using the holistic approach to care. Which goal is the priority? Integrate spiritual treatments. Join physical care with a vegan diet. Incorporate the mind-body-spirit connection. Use complementary and alternative therapies. Question 7 3 / 3 pts A nurse is teaching a patient about the use of biofeedback. Which goal should the nurse add to the care plan? Opens emotional channels Uses music to calm the mind Holds various postures with breathing Controls autonomic physiological functions IncorrectQuestion 8 0 / 3 pts Which patient will cause the nurse to question an order for acupuncture? A patient with AIDS A patient with osteoarthritis A patient with low back pain A patient with migraine headaches Question 9 3 / 3 pts The nurse questions a health care provider’s decision to not tell the patient about a cancer diagnosis. Which ethical principle is the nurse trying to uphold for the patient? Consequentialism Autonomy Fidelity Justice Question 10 3 / 3 pts The nurse has become aware of missing narcotics in the patient care area. Which ethical principle obligates the nurse to report the missing medications? Advocacy Responsibility Confidentiality Accountability IncorrectQuestion 11 0 / 3 pts A state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context is known as: growth and development health functioning high-level wellness Question 12 3 / 3 pts Which of the following represents a method of primary prevention? Informational session about healthy lifestyles Interventional cardia catheterization Rehabilation services Diagnostic cardia catheterization Question 13 3 / 3 pts A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following should be the initial action taken by the nurse to ensure the success of the program? Assess the knowledge level of the individuals Assess the motivation level of the individuals Establish teacher-learner goals with the individuals Establish multiple teaching sessions with the individuals Question 14 3 / 3 pts Which nurse is at risk of making a medical error? A nurse that works in a hospital that advocates multidisciplinary care A nurse who is caring for four clients during a twelve hour shift. A nurse who is working overtime. Attends regular continuing education programs IncorrectQuestion 15 0 / 3 pts Which person is at highest risk for being uninsured? 68-year-old retired mailman 48-year-old on renal dialysis 27-year-old who attends college and works part time in a small pizza parlor 2-year-old whose parents work but do not have benefits through their employers Question 16 3 / 3 pts Patient care emphasis on wellness, rather than illness, begins as a result of: Increased education regarding causes of illness A decrease in insurance payments. Large healthcare centers. Increased number of health care givers IncorrectQuestion 17 0 / 3 pts The nurse caring for a patient in the acute care setting assumes responsibility for a patient’s care. What is this legally binding situation? Nurse-patient relationship Accountability Advocacy Standard of care Question 18 3 / 3 pts What are the universal guidelines that define appropriate measures for all nursing interventions? Standard of care Prudent practice Scope of practice Advocacy IncorrectQuestion 19 0 / 3 pts A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of: Malpractice Negligence Harm to the patient Accountability IncorrectQuestion 20 0 / 3 pts Acupuncture is a complementary therapy that uses fine needles placed in acupoints. What is the believed purpose of these acupoints? "Close the gate” for pain transmission Align the internal organs Open meridians to release qi Stimulate the “centering” of qi Question 21 3 / 3 pts A nurse examines whether patient interventions have been appropriate and expected outcomes have been met. The nurse is demonstrating which step in the nursing process? Assessment Planning Implementation Evaluation Question 22 3 / 3 pts The patient’s son requests to view documentation in the medical record. What is the nurse’s best response to this request? “I’ll be happy to get that for you.” “You are not allowed to look at it.” “You will need your mother’s permission.” “I cannot let you see the chart without a doctor’s order.” Question 23 3 / 3 pts Which of the following represents a method of secondary prevention? Daily low-dose aspirin to prevent cardiovascular events Self breast examination education Chemotherapy for advanced breast cancer Complete mastectomy for breast cancer Question 24 3 / 3 pts When professionals work together to solve ethical dilemmas, nurses must examine their own values. What is the best rationale for this step? So fact is separated from opinion So different perspectives are respected So judgmental attitudes can be provoked So the group identifies the one correct solution Question 25 3 / 3 pts A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving? Primary prevention Secondary prevention Tertiary prevention Health promotion Question 26 3 / 3 pts The nurse is caring for a patient who has been trying to quit smoking. The patient has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning. What should the nurse anticipate? The patient does not want to and will never quit smoking. The patient must pick up the attempt right where the patient left off. The patient will return to the contemplation or precontemplation phase. The patient will need to adopt a new lifestyle for change to be effective. Question 27 3 / 3 pts The nurse is working in a drug rehabilitation clinic and is in the process of admitting a patient for “detox.” What should the nurse do next? Identify the patient’s stage of change. Realize that the patient is ready to change. Teach the patient that choices will have to change. Instruct the patient that relapses will not be tolerated. IncorrectQuestion 28 0 / 3 pts A female patient has been overweight for most of her life. She has tried dieting in the past and has lost weight, only to regain it when she stopped dieting. The patient is visiting the weight loss clinic/health club because she has decided to do it. She states that she will join right after the holidays, in 3 months. Which stage is the patient displaying? Precontemplation Contemplation Preparation Action Question 29 3 / 3 pts Upon completion of the assessment, the nurse finds that the patient has quit drinking and has been alcohol free for the past 2 years. Which stage best describes the nurse’s assessment finding? Contemplation Maintenance Preparation Action IncorrectQuestion 30 0 / 3 pts If a nurse decides to withold a medication because it might further lower the patient's blood pressure, the nurse will be practicing the principle of : Competency Responsibility Accountability Moral behavior Question 31 3 / 3 pts A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment. which of the following acitons should the nurse take first. Determine the client's perception of his current health status. Gather data about the client's cultural beliefs. Determine how the client's culture can affect the effectiveness of nursing actions. Gather information about previous client interactions with the health care system. Question 32 3 / 3 pts A nurse is assessing the family unit to determine the family’s ability to adapt to the change of a member having surgery. Which area is the nurse monitoring? Family durability Family resiliency Family diversity Family forms Question 33 3 / 3 pts A nurse reviews the current trends affecting the family. Which trend will the nurse find? Mothers are staying at home. Adolescent mothers usually live on their own. More grandparents are raising their grandchildren. Teenage fathers usually have stronger support systems. Question 34 3 / 3 pts A nurse is using the family as context approach to provide care to a patient. What should the nurse do next? Assess family patterns versus individual characteristics. Assess how much the family provides the patient’s basic needs. Use “family as patient” and “family as context” approaches simultaneously. Plan care to meet not only the patient’s needs but those of the family as well. Question 35 3 / 3 pts A nurse is caring for an immigrant with low income. Which information should the nurse consider when planning care for this patient? There is a decreased frequency of morbidity. There is an increased incidence of disease. There is an increased level of health. There is a decreased mortality rate. IncorrectQuestion 36 0 / 3 pts A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring? Accessibility of health care services Outcomes of health conditions Prevalence of complications Incidence of diseases Question 37 3 / 3 pts The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse is working with an interpreter. Which action should the nurse take? Use long sentences when talking. Look at the patient when talking. Use breaks in sentences when talking. Look at only nonverbal behaviors when talking. IncorrectQuestion 38 0 / 3 pts A nurse is assessing a patient’s ethnohistory. Which question should the nurse ask? What language do you speak at home? How different is your life here from back home? Which caregivers do you seek when you are sick? How different is what we do from what your family does when you are sick? Question 39 3 / 3 pts A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using? Code of ethics Standards of practice Standards of professional performance Quality and safety education for nurses Question 40 3 / 3 pts A nurse is teaching about the goals of Healthy People 2020. Which information should the nurse include in the teaching session? Eliminate health disparities in America. Eliminate health behaviors in America. Eliminate quality of life in America. Eliminate healthy life in America. IncorrectQuestion 41 0 / 3 pts A nurse is using Maslow’s hierarchy to prioritize care for an anxious patient that is not eating and will not see family members. Which area should the nurse address first? Anxiety Not eating Mental health Not seeing family members Question 42 3 / 3 pts A nurse is teaching about the transtheoretical model of change. In which order will the nurse place the progression of the stages from beginning to end? 1. Action 2. Preparation 3. Maintenance 4. Contemplation 5. Precontemplation 5, 4, 2, 1, 3 2, 5, 4, 3, 1 4, 5, 3, 1, 2 1, 5, 2, 3, 4 Question 43 3 / 3 pts A nurse is using the problem-oriented approach to data collection. Which action will the nurse take first? Complete the questions in chronological order. Focus on the patient’s presenting situation. Make accurate interpretations of the data. Conduct an observational overview. Question 44 3 / 3 pts The nurse is gathering data on a patient. Which data will the nurse report as objective data? States “doesn’t feel good” Reports a headache Respirations 16 Nauseated Question 45 3 / 3 pts A patient expresses fear of going home and being alone. Vital signs are stable and the incision is nearly completely healed. What can the nurse infer from the subjective data? The patient can now perform the dressing changes without help. The patient can begin retaking all of the previous medications. The patient is apprehensive about discharge. The patient’s surgery was not successful. Question 46 3 / 3 pts A nurse has already set the agenda during a patient-centered interview. What will the nurse do next? Begin with introductions. Ask about the chief concerns or problems. Explain that the interview will be over in a few minutes. Tell the patient “I will be back to administer medications in 1 hour.” IncorrectQuestion 47 0 / 3 pts A nurse is conducting a nursing health history. Which component will the nurse address? Nurse’s concerns Patient expectations Current treatment orders Nurse’s goals for the patient Question 48 3 / 3 pts The nurse is interviewing a patient with a hearing deficit. Which area should the nurse use to conduct this interview? The patient’s room with the door closed The waiting area with the television turned off The patient’s room before administration of pain medication Question 49 3 / 3 pts Which nurse most likely kept records on sanitation techniques and the effects on health? Florence Nightingale Mary Nutting Clara Barton Lillian Wald Question 50 3 / 3 pts A patient asks the nurse for a nonmedical approach for excessive worry and work stress. Which therapy should the nurse recommend? Meditation Acupuncture Ayurvedic herbs Chiropractic care [Show Less]
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NR222 Unit 6 Exam 2 / NR 222 Unit 6 Exam 2 (Latest-2021/2022): Health and Wellness: Chamberlain University |100% Correct Q & A|
NR222 Unit 6 Exam 2 / NR 222 Unit 6 Exam 2 (Latest-2021/2022): Health and Wellness: Chamberlain University |100% Correct Q & A| NR 222 Unit 6 Exam 2 / NR2... [Show More] 22 Unit 6 Exam 2 (Latest): Health and Wellness: Chamberlain University Question 1 The nurse incorporates cultural considerations into the health teaching plan by: • Assessing a person's beliefs. • Using medical terminology • Presenting evidence-based information. • Explaining that universal health practices are the best. Question 2 The communication of health information in a manner which is clear and understandable to the client is known as: • Empowerment • Health literacy • Health disparities • Health education Question 3 Nurses have a responsibility to ensure health literacy when providing health education. What are some strategies that nurses can use to promote health literacy? (select all that apply) • Speak clearly and distinctly. • Speak louder than usual. • Use medical terminology. • Face the person when speaking. • Conclude with a summary of key points Question 4 The nurse utilizes strategies associated with client-centered communication by doing which of the following? (select all that apply) • Not being "too busy" to talk • Focusing on the nurse's views • Developing mutual understanding • Emphasizing the technical aspects of care • Using a conversational interviewing style • Tuning in to the client's preferences and style Question 5 What are some ethical standards that nurses can utilize for interpersonal communications? (select all that apply) • Communicate information accurately. • Take a laissez-faire approach to minimize conflict • Change the subject when unsure of the correct answer. • Be sensitive to gender and cultural context. • Communicate verbal and nonverbal messages in a congruent manner Question 6 Which of the following scenarios best describes a nurse using metacommunication? • Using both touch and silence when counseling an individual • Practicing reflection when interaction with an individual • Discussing with an individual how to solve a problem • Understanding that an individual needs a break before proceeding Question 7 The nurse is teaching a class to students of pediatric nursing on comparing the concepts of growth and development. Which statement most accurately represents these concepts? • Growth patterns are qualitative changes. • Growth is from the head to toe or cephalocaudal. • Development reflects an increase in the number and size of cells. • Development is a gradual change that includes advances in skills. Question 8 A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content? (Select all that apply) • Can deliver anticipatory guidance to families • Have a better understanding of genetics and genomics • Can meet the requirements of Healthy People 2020 • Can provide more effective health education Question 9 The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement? • Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases. • Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy. • Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early. • Offer all teenagers free condoms when they come in for physical exams. Question 10 Which of the following is the third leading cause of death in adolescents between 10 and 24 years of age? • Accidents • Suicide • Cancer • Sport injuries Question 11 The nurse is preparing an educational activity for adolescents. The primary reason that emphasis is placed on teaching testicular self-examination is because: • adolescents are naturally interested in their developing bodies. • baseline assessment data is necessary for comparison in the future. • rapid anatomical changes are occurring in the testes • testicular cancer is the number one cancer in the adolescent male. Question 12 A nurse is planning a community health education program for young adults. Which of the following considerations should be made by the nurse? • The age span encompassing young adulthood is between 20 to 30 years of age • The number one cause of death for young adults is injury. • The number of young adults in the United States is increasing. • The maternal mortality rate is at its lowest point since 1980. Question 13 According to Healthy People 2020, the leading causes of death among children and young adults are due to injuries from which of the following? • Homicide • Suicide • Burns • Motor Vehicle Crashes Question 14 Taking into account all of the agents that affect middle-age adults, the nurse plans a health education workshop focused on developing an individualized lifestyle change program for each participant. Which of the following actions should the nurse stress that individuals take first? • Limiting unprotected exposure to sun • Starting a smoking cessation program • Exercising at least three times a week • Scheduling a complete physical and dental exam Question 15 A nurse is conducting a community education program about cognition in older adults. Which of the following information should be included? • Some form of mild dementia is a normal part of aging. • All forms of dementia have the same symptoms, but progress at different rates. • Assessment for dementia should be part of routine physical exams. • Elders who score below 27 points on the Mini-Mental State Exam (MMSE) are not likely to have a cognition problem. Question 16 A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child? • A fenced-in pool in the backyard • An entertainment center with the remote control on the top shelf • A closed window in the child’s bedroom • A toy box overflowing with toys Question 17 A nurse is determining if teaching is effective. Which finding bestindicates learning has occurred? • A nurse presents information about diabetes. • A patient demonstrates how to inject insulin. • A family member listens to a lecture on diabetes. • A primary care provider hands a diabetes pamphlet to the patient. Question 18 A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which nursing action is most appropriate for assessing this patient’s learning needs? • Assess the patient’s total health care needs. • Assess the patient’s health literacy. • Assess all sources of patient data. • Assess the goals of patient care. Question 19 A nurse is teaching an older-adult patient about strokes. Which teaching technique is most appropriate for the nurse to use? • Speak in a high tone of voice to describe strokes. • Use a pamphlet about strokes with large font in blues and greens. • Provide specific information about strokes in short, small amounts. • Begin the teaching session facing the teaching white board with stroke information. Question 20 A patient who is going to surgery has been taught how to cough and deep breathe. Which evaluation method will the nurse use? • Return demonstration • Computer instruction • Verbalization of steps • Cloze test Question 21 A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient’s ability to learn? • “What do you want to know about strokes?” • “Please read this handout and tell me what it means.” • “Do you feel strong enough to perform the tasks I will teach you?” • “On a scale from 1 to 10, tell me where you rank your desire to learn.” Question 22 The referent in the communication process is: • Information shared by the sender • The means of conveying messages • That which motivates the communication • The person who initiates the communication • Motivates one person to communicate with the other. Question 23 The nurse works with pediatric patients who have Diabetes. Which is the youngest age group to which the nurse can effectively teach psychomotor skills such as insulin administer? • Toddler • Preschool • School age • Adolescent Question 24 Demonstration of the principles of body mechanics used when transferring patients from bed to chair would be classified under which domain of learning? • social • affective • cognitive • psychomotor Question 25 According to Erikson, the developmental task of adolescence is : • Industry vs. inferiority • Identity vs. role confusion • Autonomy vs. shame and doubt • Role acceptance vs. role confusion Question 26 According to Erikson's developmental theory, the primary developmental task if the middle years us to: • Achieve intimacy • Achieve generativity • Establish a set of personal values • Establish a sense of personal identity Question 27 A nurse is measuring an infant’s head circumference and height. Which area is the nurse assessing? • Moral development • Cognitive development • Biophysical development • Psychosocial development Question 28 A nurse is caring for a young adult after surgery. Which action by the nurse will be priority? • Allow involvement of peers • Allow involvement of partner • Allow involvement of volunteer activities • Allow involvement of consistent schedule Question 29 The nurse is caring for a 14-year-old patient in the hospital. Which goal will be priority? • Maintain industry • Maintain identity • Maintain intimacy • Maintain initiative Question 30 A mother has delivered a healthy newborn. Which action is priority? • Encourage close physical contact as soon as possible after birth. • Isolate the newborn in the nursery during the first hour after delivery. • Never leave the newborn alone with the mother during the first 8 hours after delivery. • Do not allow the newborn to remain with parents until the second hour after delivery. • After immediate physical evaluation and application of identification bracelets, the nurse promotes the parents’ and newborn’s need for close physical contact. Question 31 A nurse is working in the delivery room. Which action is priority immediately after birth? • Open the airway. • Determine gestational age. • Monitor infant-parent interactions. • Promote parent-newborn physical contact. Question 32 A mother expresses concern because her 5-year-old child frequently talks about friends who don’t exist. What is the nurse’s best response to this mother’s concern? • “Have you considered a child psychological evaluation?” • “You should stop your child from playing electronic games.” • “Pretend play is a sign your child watches too much television.” • “It’s very normal for a child this age to have imaginary playmates.” Question 33 A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should the nurse include? (Select all that apply). • Store toxic agents in locked cabinets • Keep toilet seats up • Turn pot handles toward the back of the stove • Place safety gates across stairways • Make sure balloons are fully inflated Question 34 Which statement, if made by a parent, will require further instruction from the nurse? • “I should not be surprised that my teenage son has so many friends.” • “I get worried because my teenage son thinks he’s indestructible.” • “I should cover for my 10-year-old son when he makes mistakes until he learns the ropes.” • “I usually have nutritious snacks available because my 10-year-old son is always hungry right after school.” Question 35 A nurse is assessing the risk of intimate partner violence (IPV) for patients. Which population should the nurse focus on most for IPV? • White males • Pregnant females • Middle-aged adults • Nonsubstance abusers Question 36 Which information from the nurse indicates a correct understanding of emerging adulthood? • It is a type of young adulthood. • It is a type of extended adolescence. • It is a type of independent exploration. • It is a type of marriage and parenthood. Question 37 A nurse determines that a middle-aged patient is a typical example of the “sandwich generation.” What did the nurse discover the patient is caught between? • Job responsibilities or family responsibilities • Stopping old habits and starting new ones • Caring for children and aging parents • Advancing in career or retiring Question 38 A nurse is developing a plan of care for an older adult. Which information will the nurse consider? • Should be standardized because most geriatric patients have the same needs • Needs to be individualized to the patient’s unique needs • Focuses on the disabilities that all aging persons face • Must be based on chronological age alone Question 39 A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use? • Provide several topics of discussion at once to promote independence and making choices. • Avoid uncomfortable silences after questions by helping patients complete their statements. • Ask patients to recall past experiences that correspond with their interests. • Speak in a high pitch to help patients hear better. Question 40 A nurse is caring for an older adult. Which goal is priority? • Adjusting to career • Adjusting to divorce • Adjusting to retirement • Adjusting to grandchildren Question 41 A nurse is discussing sexuality with an older adult. Which action will the nurse take? • Ask closed-ended questions about specific symptoms the patient may experience. • Provide information about the prevention of sexually transmitted infections. • Discuss the issues of sexuality in a group in a private room. • Explain that sexuality is not necessary as one ages. Question 42 An older patient with dementia and confusion is admitted to the nursing unit after hip replacement surgery. Which action will the nurse include in the plan of care? • Keep a routine. • Continue to reorient. • Allow several choices. • Socially isolate patient. Question 43 A nurse is reviewing car seat safety with the parents of a 1-month-old infant. When reviewing car seat use which of the following instructions should the nurse include? • Use a car seat that has a three point harness system. • Position the car seat so that the infant is rear facing. • Secure the car seat in the front passenger seat of the vehicle • Convert to a booster seat after 12 months. Question 44 A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by the nurse is the priority? • Assess laboratory results for high cholesterol and other data. • Identify that teaching is the same as the nursing process. • Perform nursing care therapies to address hypertension. • Focus on a patient’s learning needs and objectives. Question 45 Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients? • Shows sympathy appropriately • Uses automatic responses fluently • Demonstrates passive remarks accurately • Self-examines personal communication skills Question 46 A nurse is using Jean Piaget’s developmental theory to focus on cognitive development. Which area will the nurse assess in this patient? • Latency • Formal operations • Intimacy versus isolation • The postconventional level Question 47 A nurse works on a pediatric unit and is using a psychosocial developmental approach to child care. In which order from the first to the last will the nurse place the developmental stages? 1. Initiative versus guilt 2. Trust versus mistrust 3. Industry versus inferiority 4.Identity versus role confusion 5. Autonomy versus shame and doubt • 2, 5, 3, 1, 4 • 2, 1, 3, 5, 4 • 2, 3, 1, 5, 4 • 2, 5, 1, 3, 4 Question 48 According to Piaget, the school-age child is in the third stage of cognitive development, which is characterized by: • Concrete operations • Conventional thought • Post-conventional thought • Identity versus role diffusion Question 49 According to Kohlberg, children develop moral reasoning as they mature. Which of the following is most characteristic of a preschooler' stage of moral development? • The rules of correct behavior are obeyed. • Behavior that pleased others is considered good. • Showing respect for authority is important behavior. • Actions are determined as good or bad in terms of their consequences. Question 50 The nurse is caring for an infant. Which activity is most appropriate for the nurse to offer to the infant? • Set of cards to organize and separate into groups • Set of sock puppets with movable eyes • Set of plastic stacking rings • Set of paperback book [Show Less]
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NR222 Unit 8 Final Exam (Latest-2021/2022)/ NR 222 Unit 8 Final Exam / NR222 Final Exam / NR 222 Final Exam: Health and Wellness: Chamberlain University |100% Correct Q & A|
NR222 Unit 8 Final Exam (Latest-2021/2022)/ NR 222 Unit 8 Final Exam / NR222 Final Exam / NR 222 Final Exam: Health and Wellness: Chamberlain University |1... [Show More] 00% Correct Q & A| NR222 Final Exam (Latest-2021/2022)/ NR 222 Final Exam / NR 222 Unit 8 Final Exam / NR222 Unit 8 Final Exam: Health and Wellness: Chamberlain University |100% Correct Q & A| NR 222 Unit 8 Final Exam / NR222 Unit 8 Final Exam (Latest): Health and Wellness: Chamberlain University Chamberlain NR 222 Final Exam / Chamberlain NR222 Final Exam (Latest): Health and Wellness: Chamberlain University 1.) The nurse is to instruct the client about the long- term consequences of non-compliance to prescribed medication. Which education strategy would be most appropriate for the nurse to use in order to develop the affective learning domain of the client? A. Lecture followed by a simple written test. B. Role playing and group discussion C. Video presentation and handouts D. Demonstration and practice 2.) A nurse manager is teaching a group of nurses about the levels of prevention. Which example of the tertiary level of prevention should be included in the instruction. A. Surgery to repair a hip dislocation of an older adult client. B. Teaching breastfeeding to expectant mothers in a prenatal clinic. C. Chemotherapy treatment to a client newly diagnosed with cancer. D. Physical therapy to a patient who has a right sided paralysis from a stroke. 3.) A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension and has a BMI of 26. Which of the following goals should the nurse include? A. The client will list foods that are high in calcium, which should be avoided. B. The client will walk for 30 mins a day 5 days a week. C. The client will increase calorie intake by 200 cal per day. D. The client will replace cigarettes with smokeless tobacco products. 4.) Which of the following emphasizes that an individuals belief in being personally capable of preforming the behavior is required to influence one’s own health? A. Social Cognitive Theory B. Self–Efficacy Theory C. Health Belief Model D. Theoretical Model 5.) The nurse is discussing the importance of routine preventive care with a Hispanic family who has recently immigrated to the United States. Which factor will the nurse consider as a barrier in the family’s interest to receive professional health care? Select All That Apply A. Lack of health insurance B. Concern about invasion of privacy C. Absence of transportation services D. Limited proficiency in the English Language E. Belief and accessibility to folk healers and remedies F. The availability of family members for support and help 6.) The following are true about Healthy People 2020 initiative (Select All That Apply) A. Healthy People Initiative provides science-based, 10 year national objectives for improving the health of all Americans. B. Healthy People initiative seeks to change the health practices of people who are most at risk to illness and injury thereby decreasing the cost of health care and maintenance. C. For 3 decades, Healthy People initiative has established benchmarks and monitored progress over time in order to encourage collaborations across communities and sectors. D. Healthy People initiative was developed to established health improvement priorities and measure the impact of prevention activates. E. Healthy People initiative gives protocols to each state on how conduct community health prevention education and giving nurses standards on educational programs. F. Healthy People initiative empower individuals towards making informed health decisions . 7.) True statements about the ANA Code of Ethics (Select All That Apply): A. The nurses primary commitment is to self first; then , if the situation is favorable, commitment to the patients whether the individual, family, group, community, or population. B. The nurse has authority, accountability and responsibility for nursing practices; make decisions; and takes action consistent with the obligations to provide optimal patient care. C. The profession of nursing articulates its values through individual nurses without recommendations from professional organizations; maintaining integrity and principles of social justice into nursing and healthy policy is optimal for nurses. D. The nurse owes the same duties to self as to other, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence and continue personal and professional duties. E. It is the nurses responsibility to protect human rights, promote health diplomacy, and reduce health disparities. F. Nurse advocates for, and protects the rights, health, and safety of the patient. 8.) The following are health concerns and issues of migrant workers (Select All that Apply) A. Pesticide exposure B. Iron deficiency anemia C. Constipation and Dehydration D. Tuberculosis E. Chronic Conditions F. Dental Disease 9.)Which data represents objective findings? (Select All That Apply) A. Lab values B. Pain level state by the patients C. Patients stated emotional status D. Respiratory and pulse oximetry reading. E. The nurse’s description of the patient’s gait. 10.) The steps included in the nursing process include: (Select All That Apply) A. Use a nursing diagnosis to state the problem. B. Plan care to help meet stated patient goals C. Collect data and asses the patient D. Establishes priorities, patient goals and outcomes. E. Determine appropriate nursing interventions for patient care. F. Order labs that are needed for the patient. 11.) What information is about nursing standards of care? A. Nursing standards of care guidelines for nursing practice. B. Nursing standards of care are defined in Nurse Practice Acts. C. Nursing standards of care are used to measure nursing conduct in malpractice suit. D. Nursing standards of care are specific guidelines only for unlicensed assistive personnel. E. Nursing standards of care are upheld by law and indicate what standards nurse must follow. F. Nursing standards of care are used to determine whether the nurse acted as any reasonably prudent nurse under the same or similar conditions. 12.) The nurse is discussing the importance of routine healthcare with a Hispanic family who has recently immigrated to the United States. Which factor will the nurse consider as a barrier to the family’s interest to receive professional health care? (Select All That Apply?) A. Lack of health insurance. B. Concern about invasion of privacy. C. Absence of transportation services. D. Limited proficiency in the English language E. Belief and accessibility to folk healers and remedies F. The availability of family member for support and help. 13.) Which statement by the nurse best describes values? A. Values are not constant; they change over time. B. Values learned in childhood remain the same for a lifetime. C. It is impossible for people to understand their own values. D. The clients values are not considered when care is provided. 14.) Which educational strategy would be most appropriate to use in order to provide affective learning domain of the client? A. Lecture followed by simple written test B. Video presentation and handouts C. Role playing and group discussion D. Demonstration and practice 15.) The American Nurses Association (ANA) has recommended the following competency for RNs? A. The RN’s to recognize their own values, beliefs, and cultural heritage. B. The RNs to function independently and occasionally engage in collaboration. C. The RNs to be concerned about the existence of vulnerable cultural groups. D. The RNs to provide health care opportunities to those with financial capabilities. 16.) An RN is teaching a group of patients about Diabetes Management material from a Diabetes Education Program. Which of the following should an RN prepare prior to each teaching session? A. Plan handouts on general principles that patients can understand materials at the high school level. B. Implement changes during class whenever a patient complains the material is too difficult to understand. C. Assess materials to be relevant plan changes according to the needs of patients, implement teaching according to the patients ability to understand the information. D. Assess, plan, implement, and evaluate teaching materials only according to the recommendations of the director of nursing. 17.) Which statement is true regarding secondary prevention? A. The nurse creates a care plan for the patients outpatient therapy. B. The nurse identifies individuals in an early detectable state of the disease process. C. The nurse focuses on increasing the patient’s self-care by providing prevention instructions. D. The nurse is driven by the objective to minimize the effect of the disability through rehabilitation. 18.) One Leading Health Indicator (LHI) of Healthy People 2020 is the availability of medical services to all people. Which topic does this cover A. Injury and Violence B. Environmental Quality C. Access to Health Services D. Clinical Preventative Services 19.) How would the nurse approach this ethical dilemma: Two patients are on the list for kidney transplants and they will both die without one. Which patient would get the one kidney that is immediately available for transplantation. A. Choose the patients who has the ability to fiancé the hospitalization and treatment. B. Advocate for the younger of the two clients since that client will live longer. C. Use ethical principles to guide the decision making process. D. Select a client who is most productive in society. 20.) The leading health indicators found in Healthy People 2020 are the following: (Select all that apply) A. Access to health services B. Holistic and CAM strategies C. Oral Health D. Issues related to legal and illegal immigration E. Environmental health F. Holistic Care 21.) Which statement best describes Erikson’s Theory of Development. A. The premise of the theory is that individuals are interdependent beings. B. Developmental stages result in an attempt to make sense of the world. C. A healthy personality will achieve the pre-conventional stage by 15. D. An individuals achievements of identity is through sequential psychosocial stages. 22.)A patient with chest pain is being admitted to the ER. When asked about the next of kin the patients states, “Don’t bother calling my daughter; she is always too busy.” Which is best response by the nurse? A. “She might be upset if you don’t call her.” B. “ What does your daughter do that makes her so busy?” C. “Is there someone else that you would like me to call for you?” D. “I cant imagine that your daughter wouldn’t want to know that you are sick.” 23.) A patient states, “Do you think I could have cancer?” The nurse responds, “What did the doctor tell you?” Which interviewing approach did the nurse use? A. Paraphrasing B. Confrontation C. Reflective Technique D. Open-ended question 24.)A patient is admitted to the hospital with cirrhosis of the liver causes by long-term alcohol abuse. Which is the best response by the nurse when the patient says “I really don’t believe that my drinking a couple of beers a day has anything to do with my liver problem?” A. “You find it hard to believe that beer can hurt the liver” B. “How long is it that you have been drinking several beers a day?” C. “ Each beer is equivalent to one shot of liquor so its just as damaging to the liver as hard liquor.” D. “ Do you believe that beer is not harmful even though research shows that it is just as bad for you as hard liquor?” 25.) A patient is extremely upset and mentions something about work-related issues that the nurse cannot understand. Which is the nurses best response? A. “Its natural to worry about your job.” B. “ Your job must be very important to you.” C. “Calm down so I can understand what you are saying.” D. “ I’m not quite sure I heard what you were saying about your work.” 26.) A nurse must conduct a focused interview to complete an admission history. Which interviewing technique should the nurse use? A. Probing B. Clarification C. Direct questions D. Paraphrasing statements 27.) The home care nurse is visiting an older client whose spouse died 6 months ago. Which behaviors by the client indicates effective coping? • A. Neglecting personal grooming B. Looking as old snapshots of family. C. Participating in a senior citizens program D. Visiting spouses grave once a month E. Decorating a wall with the spouses pictures and awards received. 28.) A nurse is planning to provide personal health care information to several patients. Which patients should the nurse anticipate will be more motivational to learn? A. 55 y/o F who has a mastectomy and is very anxious about her body image. B. 56 y/o M who has a heart attack last week and is requesting information about exercise C. 18 y/o M who smokes two packs per day and is in denial about the dangers or smoking. D. 47 y/o F who has a long leg cast after sustaining a broken leg and is still experience severe pain. 29.) The nurse asses a patient and collects a variety of data. Identify the human response that are subjective data. Select all that apply: A. Nausea B. Jaundice C. Dizziness D. Diaphoresis E. Hypotension. 30.) A nurse is collecting information to prepare a teaching plan for a patient with type 1 diabetes. Which question asked by the nurse is associated with collecting information in the cognitive domain of leaning? A. “ How do you inspect your feet each day?” B. “Can you measure a serum glucose levels?” C. “ What do you know about diabetes mellitus?” D. “Are you able to preform a subcutaneous injection? 31.) Which of the following emphasizes an individuals belief and being personably capable of preforming the behavior is required to influence ones own health. A. Social cognitive theory B. Self efficiency theory C. Health Belief Model D. Transtheoretical Model 32) The nurse evaluates which laboratory values to assess a patient’s potential for wound healing? A. Fluid status B. Potassium C. Lipids D. Nitrogen balance 33) The nurse is caring for a patient with dysphagia and is feeding her a pureed chicken diet when she begins to choke. What is the priority nursing intervention? A. Suction her mouth and throat B. Turn her on their side C. Put on oxygen at 2-L nasal cannula D. Stop feeding her and place on NPO 34) A patient who is receiving parenteral nutrition (PN) through a central venous catheter (CVC) has an air embolus. What would the nurse do first? A. Have the patient perform a Valsalva procedure B. Clamp the intravenous (IV) tubing to prevent more air from entering the line C. Have the patient take a deep breath and hold it D. Notify the health care provider immediately 35) A patient is receiving both parenteral (PN) and enteral nutrition (EN). When would the nurse collaborate with the health care provider and request discontinuing parenteral nutrition? A. When 25% of the patient’s nutritional needs are met by the tube feedings B. When bowel sounds return C. When central line has been in for 10 days D. When 75% of the patient’s nutritional needs are met by the tube feedings 36) A patient’s gastric residual volume was 250 mL at 0800 and 350 mL at 1200. What is the appropriate nursing action? A. Assess bowel sounds B. Raise the head of the bed to at least 45 degrees C. Position the patient on his or her right side to promote stomach emptying D. Do not reinstall aspirate and hold the feeding until you talk to the primary care provider 37) The patient’s blood glucose level is 330 mg/dL. What is the priority nursing intervention? A. Recheck by performing another blood glucose test. B. Call the primary health care provider. C. Check the medical record to see if there is a medication order for abnormal glucose levels. D. Monitor and recheck in 2 hours. 38) Which statement made by a patient of a 2-month-old infant requires further education? A. I’ll continue to use formula for the baby until he is a least a year old. B. I’ll make sure that I purchase iron-fortified formula. C. I’ll start feeding the baby cereal at 4 months. D. I’m going to alternate formula with whole milk starting next month. 39) The nurse sees the nursing assistive personnel (NAP) perform the following intervention for a patient receiving continuous enteral feedings. Which action would require immediate attention? A. Fastening tube to the gown with new tape B. Placing patient supine while giving a bath C. Hanging a new container of enteral feeding D. Ambulating patient with enteral feedings still infusing 40) When planning patient education, it is important to remember that patients with which of the following illnesses often find relief in complementary therapies? A. Lupus and diabetes B. Ulcers and hepatitis C. Heart disease and pancreatitis D. Chronic back pain and arthritis 41) Which statement best describes the evidence associated with complementary therapies as a whole? A. Many clinical trials in complementary therapies support their effectiveness in a wide range of clinical problems. B. It is difficult to find funding for studies about complementary therapies. Therefore we should not expect to find evidence supporting its use. C. The science supporting the effectiveness of complementary therapies is early in its development. D. Most of the research examining complementary and alternative therapies has found little evidence, suggesting that, although people like them, they are not effective. 42) While planning care for a patient, a nurse understands that providing integrative care includes treating which of the following? A. Disease, spirit, and family interactions B. Desires and emotions of the patient C. Mind-body-spirit of patients and their families D. Muscles, nerves, and spine disorders 43) In addition to an adequate patient assessment, when a nurse uses one of the nursing-accessible complementary therapies, he or she must ensure that which of the following has occurred? A. The family has provided permission. B. The patient has provided permission and consent. C. The health care provider has given approval or provided orders for the therapy. D. He or she has documented that the patient has a complete understanding of complementary and alternative medicine. 44) A patient who has been using relaxation wants a better response. The nurse recommends the addition of biofeedback. What is the expected outcome related to using this additional modality? A. To eat less food B. To control diabetes C. To live longer with acquired immunodeficiency syndrome (AIDS) D. To learn how to control some autonomic nervous system responses 45) Which of the following statements best explains the actions of therapeutic touch (TT)? A. Intentionally mobilizes energy to balance, harmonize, and repattern the recipient’s biofield B. Intentionally heals specific diseases or corrects certain symptoms C. Is overwhelmingly effective in many conditions D. Is completely safe and does not warrant any special precautions 46) A nurse is planning care for a group of patients who have requested the use of complementary health modalities. Which patient is not a good candidate for guided imagery? A. Pregnant patient B. Hypertensive patient C. Patient with posttraumatic stress disorder (PTSD) D. A pediatric patient 47) A nursing professor is teaching a nursing student about caring patients who use herbal preparations in addition to prescribed medications. Which of the following statements made by the student indicates that the student understands herbal preparations? A. “Herbal preparations are regulated by the Food and Drug Administration (FDA); therefore I need to tell patients that they are completely safe.” B. “They are natural products and therefore are safe as long as you use them for the conditions that are indicated.” C. “These preparations are covered by insurance, including Medicare, Medicaid, and private payers.” D. “We need to treat herbal preparations as though they are “drugs” because many have active ingredients that can interact with other medications and change physiological responses.” 48) Which complementary therapies are most easily learned and applied by a nurse? (Select all that apply.) A. Massage therapy B. Traditional Chinese medicine C. Progressive relaxation D. Breathwork and guided imagery E. Therapeutic touch 49) The nurse manager of a community clinic arranges for staff in-services about various complementary therapies available in the community. What is the purpose of this training? (Select all that apply.) A. Nurses have a long history of providing some of these therapies and need to be knowledgeable about their positive outcomes. B. Nurses are often asked for recommendations and strategies that promote well-being and quality of life. C. Nurses play an essential role in patient education to provide information about the safe use of these healing strategies. D. Nurses appreciate the cultural aspects of care and recognize that many of these complementary strategies are part of a patient’s life. E. Nurses play an essential role in the safe use of complementary therapies. F. Nurses learn how to provide all of the complementary modalities during their basic 50) Several nurses on a busy unit are using relaxation strategies while at work. What is the desired workplace outcome from this intervention? (Select all that apply.) A. Improved health among the staff B. Increased patient safety C. Improved staff satisfaction D. Improved staff relationships E. Fewer overtime assignments [Show Less]
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