Final Exam: NR222 / NR 222 Health & Wellness | Complete Guide with Questions and Verified Answers| 100% Correct (New 2024/ 2025 Update)
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QUESTION
Identify the eight dimensions of wellness
Answer:
1, Physical
2. Intellectual
3. Emotional
4. Social
5. Spiritual
6. Environmental
7. Occupational
8. Financial
QUESTION
List the five stages of the transtheoretical model of change
Answer:
Precontemplation
Contemplation
Preparation
Action
Maintenance
QUESTION
Common models of health used in nursing
Answer:
Health belief model
Health promotion model
Holistic health model
Transtheoretical model of change
QUESTION
Maslow's Hierarchy of Needs
Answer:
Physiological
Safety and security
Love and belonging
Self-esteem
Self-actualization
QUESTION
Pertaining to Maslow's hierarchy of needs, independence is an example of ___________ and personal growth is an example of ____________.
Answer:
Self-esteem; self-actualization
QUESTION
A client presents to an immunization clinic to receive influenza and tetanus (Td) vaccines. Which need, according to Maslow's hierarchy, is being met?
Answer:
Safety and security
QUESTION
How does Maslow's theory provide structure for client care?
Answer:
Establishes priorities of care
QUESTION
A blood transfusion for anemia is considered ______ prevention
Answer:
secondary
QUESTION
Examples of secondary prevention
Answer:
(Preventing short term illness from getting worse and detecting diseases early)
Urgent care for sore throat
Blood transfusion for anemia
Crutches for a broken leg
Screening by mammogram
QUESTION
Examples of primordial prevention
Answer:
Preventing legalization of marijuana
A mother getting genetic testing before getting pregnant
QUESTION
Activities that help individuals maintain or enhance their present level of health
Answer:
Health promotion
QUESTION
Interventions that teach people how to care for themselves in a healthy way
Answer:
Wellness education
QUESTION
Activities that protect people from actual or potential threats to health
Answer:
Illness prevention
QUESTION
At which point does a nurse assess health risks?
Answer:
During each client encounter
QUESTION
By leading health promotion activities, in which areas do nurses improve healthcare outcomes?
Answer:
Bioterrorism
Emerging infections
Aging population
Natural disasters
QUESTION
A nurse recommends iron-fortified infant formula to a new mother. This is an example of _______ health promotion
Answer:
passive
QUESTION
A client attends toga daily that ends with a meditation session. This is an example of __________ health promotion.
Answer:
Active
QUESTION
Active vs passive health promotion
Answer:
Individuals are personally involved in active
Individuals benefit from others without acting themselves in passive
QUESTION
A nurse is caring for a client with several risk factors for developing cardiovascular disease, including obesity and family history. How should the nurse interpret the results?
Answer:
The chances of having a myocardial infarction are increased
QUESTION
Advocacy
Answer:
The act or process of supporting a cause or proposal. Nurses instinctively advocate for their patients in their workplace, and in their communities
QUESTION
Responsibility
Answer:
An obligation to perform required professional activities at a level commensurate with one's education and in compliance with applicable laws and standards
QUESTION
Accountability
Answer:
To be answerable to oneself and others for one's own choices, decisions, and actions measured against a standard such as that established by ANA ethics
QUESTION
The nurse agrees to provide the client with pain medication in 15 minutes. The nurse returns in 15 minutes with the medication
Answer:
Responsibility
QUESTION
The nurse arrives for the shift to discover that two nurses are out sick and have not been replaced. The nurse contacts the supervisor for additional help caring for clients.
Answer:
Accountability
QUESTION
Which ANA ethics provision?
The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.
Answer:
Provision 1
QUESTION
Which provision?
The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy.
Answer:
9
QUESTION
Which provision?
The nurse in all roles and settings advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy.
Answer:
7
QUESTION
Which provision?
The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conductive to safe, quality healthcare.
Answer:
6
QUESTION
Which provision?
The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.
Answer:
8
QUESTION
Which provision?
The nurse's primary commitment is to the patient, whether an individual, family, group, community, or population.
Answer:
2
QUESTION
Which provision?
The nurse owes the same duties to self as to others, including the responsibilityto promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth.
Answer:
5
QUESTION
Which provision?
The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.
Answer:
3
QUESTION
Which provision?
The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to provide optimal patient care.
Answer:
4
QUESTION
The nursing code of ethics began with
Answer:
nightingale pledge
QUESTION
Primary focus of provisions 1-3?
Answer:
Direct client care and commitments of the nurse
QUESTION
Which part of provision 1 addresses lateral violence, nurse bullying, and incivility?
Answer:
Relationships with colleagues and others
QUESTION
A nurse reports suspicious co-worker behavior to the nurse manager. What ethical principle is the nurse demonstrating?
Answer:
Nonmaleficence
QUESTION
Beneficence
Answer:
taking positive actions to help others
QUESTION
Veracity
Answer:
truthfulness
QUESTION
Mr. Martin is at risk of falling after surgery. The nurse puts fall prevention protocols into place to avoid injury. This is an example of which ethical principle?
Answer:
Nonmaleficence
QUESTION
A nurse is caring for a client with a terminal diagnosis that is from a culture that frowns upon speaking of death. The family requests the nurse not to tell the patient, but the nurse believes that lying is a violation of the client's autonomy and a betrayal of trust. Which ethical principle is the nurse upholding?
Answer:
Veracity
QUESTION
What is the primary cause of ethical dilemmas?
Answer:
Presence of conflicting values
QUESTION
7 steps to solving ethical dilemmas
Answer:
1. ask the question, is this an ethical dilemma?
2. Gather information
3. Examine and determine personal values
4. Verbalize the problem
5. Consider possible courses of action
6. Negotiate the outcome
7. Evaluate the action
QUESTION
Scope of practice standard 15
Answer:
The RN contributes to quality nursing practice by ensuring person-centered care
QUESTION
Scope of practice standard 16
Answer:
The nurse evaluates their own and others' nursing practices
QUESTION
Scope of practice standard 17
Answer:
The RN utilizes appropriate resources to plan, provide, and sustain evidence-based nursing services that are safe, effective, financially responsible, and used judicially
QUESTION
How many standards are in the scope and standards of practice?
Answer:
18
QUESTION
What is standards of practice and how many standards are there?
Answer:
competent level of nursing practice demonstrated by the critical thinking model known as the nursing process - 6 standards
QUESTION
What is standards of professional performance and how many standards are there?
Answer:
Competent level of behavior in the professional role - 12 standards
QUESTION
standard 8
Answer:
Advocacy
QUESTION
Standard 12
Answer:
Leadership
QUESTION
Standard 13
Answer:
Education
QUESTION
Standard 14
Answer:
Scholarly inquiry
QUESTION
Which part of provision 7 encourages professional collaboration to promote change?
Answer:
Contributions through nursing and health policy development
QUESTION
What establishes and provides authority to the state board of nursing
Answer:
State government
QUESTION
What information is found in any given nurse practice act?
Answer:
Program requirements for accreditation
Composition of the board of nursing
Scope of nursing practice
Possible consequences of practice violations
Ground for disciplinary action
QUESTION
What is the purpose of the national council of state boards of nursing?
Answer:
Collaboration of all state boards of nursing
Develop and administer the nursing licensure exam
Support nursing regulators in protection of the public
QUESTION
What are the major responsibilities of the state board of nursing (BON)?
Answer:
Evaluate new grad licensure applications
Issue license's
Take disciplinary action
Renew RN licenses
QUESTION
What is the purpose of the nursing process?
Answer:
A systematic universal approach to critical thinking in the nursing profession
QUESTION
Which statements describe the evaluation phase of the nursing process?
Answer:
Evaluation requires the collection of objective and subjective data
Evaluation involves the use of assessment skills
Evaluation is a continuous process
QUESTION
What is the purpose of the clinical judgement process?
Answer:
Measures the nurse's ability to problem solve and make decisions
QUESTION
What are the steps in order for the clinical judgement process?
Answer:
Recognize clues
Analyze clues
Prioritize hypotheses
Generate solutions
Take action
Evaluate outcomes
QUESTION
The nurse uses findings and determines that the client's primary need is readiness for enhances health management in what phase of the clinical judgement trial?
Answer:
Analyze cues
Prioritize hypothesis
QUESTION
A healthcare professional is providing care for a culturally diverse population. Which action indicates the professional is successful in the role of providing culturally competent care?
Answer:
Provides care that fits the client's valued life patterns and set of meanings
QUESTION
Which actions should a nurse use when communicating with a client through an interpreter?
Answer:
Avoid medical terminology and jargon
After the encounter, thank both
Use short sentences and pause for clarification
Speak to the client
QUESTION
Which essential nutrients in adolescence should be identified by the ado- lescent after teaching?
Answer:
Increased protein, iron, and calcium
QUESTION
Lisa is a senior in high school preparing to head to college out of state. Lisa acknowledges high academic achievement and denies sexual activity. Height and weight are healthy. Vital signs and physical examination are normal for age. Which of the following should be part of routine screenings for adolescent health?
Answer:
suicidal ideation
QUESTION
The healthcare professional prepares to discuss sexuality with Lisa. How should the professional approach this conversation?
Answer:
display openness to lis- tening and be honest with information provided
Encourage discussion with caregiver about sexual behaviors and contraception
Be nonjudgemental and ensure confidentiality as appropriate
QUESTION
young adults
Answer:
Young adulthood lasts from 20 to 35 years. Adaptation to chang- ing life experiences is necessary and may be challenged by social determinants of health.
QUESTION
What are health risks for young adults?
Answer:
Health risks for young adults include:
substance use disorder unplanned pregnancy
sexually transmitted infections job-related stress
work-related injuries or exposures
QUESTION
What is the primary role for the young adult?
Answer:
Intamacy
QUESTION
Which recommendations will promote health in young adults?
Answer:
wear a helmet when snowboarding
install carbon monoixde detector secure firearms
QUESTION
Which are important strategies to prevent obesity?
Answer:
Increase physical activ-
ity
Reduce stress
Choose low-sugar beverages
Improve sleep
Eat a healthy diet
QUESTION
A pregnant young adult presents at the clinic for immunizations. Assuming all previous recommended vaccines have been administered to this client, which immunizations should the healthcare professional prepare to admin- ister now?
Answer:
Tdap
seasonal flu vaccine
QUESTION
Jose Lopez is a healthcare professional working at a community health fair for young adults. Various topics are being discussed throughout the fair. Which teaching topics for young adults should be included in the education?-
Answer:
recommended immunizations strategies to reduce and manage stress suggestions for healthy meals recommendations for preventing injury
QUESTION
What are health risks for a young adult?
Answer:
overexposure to sun accidental death or injury
interpersonal violence
QUESTION
Jose explains the developmental crisis of young adulthood and how to successfully master the core task. Which example would meet the develop- mental task of the young adult?
Answer:
the young adult devotes significant time to establishing a career
QUESTION
After instruction, which important aspects of healthcare should a young adult identify at this age?
Answer:
routine screening of height/weight/bmi
performing monthly breast/testicular exams preventing STI
establishing a relationship with primary healthcare
eating health foods daily
QUESTION
Middle adulthood
Answer:
Middle adulthood lasts from 35 to 65 years. Adaptation to physiologic changes is best met with a positive attitude, high self-esteem, and a favorable body image.
QUESTION
what are health risks for middle adult?
Answer:
Diabetes 2 obesity
cardiovascular disease psychosocial stressors
QUESTION
Eriksons stage of middle adult
Answer:
Erikson's stage of psychosocial development for the middle adult is generativity versus stagnation.
QUESTION
Which recommendations will promote health in middle adults?
Answer:
Participate in recommended health screenings .
Obtain recommended vaccinations . Continue to exercise and eat healthy foods .
Avoid substance use, including alcohol and tobacco .
QUESTION
BMI
Answer:
Under = 18.4 less
Healthy = 18.5-24.9
Over = 25-29.9
Obese = over 30
QUESTION
Which teaching topics should be included that apply to all middle adults?-
Answer:
Stress management techniques Recommended immunizations Participating in routine screenings Suggestions for healthy meals
QUESTION
Which are health risks for the middle adult?
Answer:
cancer heart attack
obesity
QUESTION
Kiara explains the developmental crisis of middle adulthood and how to successfully master the core task. Which examples would meet the develop- mental task of the middle adult?
Answer:
mentors younger colleagues at work
find themselves caring for young children and aging parents
QUESTION
After instruction, the middle adult should identify which important aspects of healthcare at this age?
Answer:
mammogram annually beginning at 45
annual skin assessment beginning at 40 pysical exam every 1-2 years
prostate specific antigen testing beginning at 50
QUESTION
older adults
Answer:
Older adulthood is the period starting in the mid-sixties through the end of life. Wide variations in physiological, cognitive, and psychosocial health exist in this age group, posing challenges for healthcare professionals. Most older adults remain active and involved in their community, while some have lost self-care abilities. A reduced ability to respond to stress, experiencing loss, and the physical
changes associated with aging increase the risk for acute and chronic illness and functional deterioration.
QUESTION
Eriksons stage for older adult
Answer:
Erikson's stage of psychosocial development for the older adult is integrity versus despair.
QUESTION
S.P.I.C.E.S. for older adults
Answer:
QUESTION
Which recommendations will promote health in the older adult?
Answer:
Health promotion recommendations for the older adult include:
Continue with regular primary care visits and screenings . Exercise regularly .
Maintain a healthy body mass index . Socialize frequently .
Obtain recommended vaccinations .
QUESTION
Which are health risks for the older adult?
Answer:
cancer heart attack
depression dementia declining hearing
QUESTION
Cognitive domain
Answer:
The domain involved in the learning and storage of basic knowledge. It is the thinking portion of the learning process and incorporates an individual's previous experiences and perceptions; the learning/thinking domain.
QUESTION
Affective domain
Answer:
The most intangible domain of the learning process. It involves affective behavior, which is conduct that expresses feelings, needs, beliefs, values, and opinions; the feeling domain.
QUESTION
Psychomotor domain
Answer:
The domain involved in the learning of a new procedure or skill; often called the doing domain. Demonstration
QUESTION
A nurse is caring for a client who is concerned about being discharged to home with a new colostomy because of being an avid swimmer. Which statements should the nurse make?
Answer:
"Your daily routines will be different when you get home"
"Tell me about the support system you'll have after you leave the hospital"
"It sounds like you aren't sure how having a colostomy will affect swimming"
QUESTION
A nurse is caring for a client who tells the nurse that based on religious values and mandates, a blood transfusion is not an acceptable tx option. How should the nurse respond?
Answer:
"Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution"
QUESTION
A patient needs to learn to use a walker. Which domain is required when learning this skill?
Answer:
Psychomotor > doing
QUESTION
A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse sets a goal of care that incorporates the patient's desire to make tx decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship?
Answer:
Working
QUESTION
A nurse demonstrates empathy toward a crying mother whose baby was stillborn by stating:
Answer:
"Loss of a baby is truly a sad experience"
QUESTION
State of complete physical, mental, and social well-being, not merely the absence of disease or illness
Answer:
Health
QUESTION
Positive state of health that is continually changing
Answer:
Wellness
QUESTION
Functional or structural disturbance
Answer:
Illness
QUESTION
Physical indicators and subjective experience
Answer:
Disease
QUESTION
An individual can have _______ in the presence of illness
Answer:
wellness
QUESTION
Social determinants of health represent
Answer:
External factors that impact health
QUESTION
Health disparities are
Answer:
Preventable differences that impact a person's ability to achieve health
QUESTION
Example of economic stability
Answer:
Food insecurity
QUESTION
Example of education access
Answer:
Language and literacy
QUESTION
Example of social and community context
Answer:
discrimination
QUESTION
Example of healthcare access and quality
Answer:
Health literacy
QUESTION
Example of neighborhood and built environment
Answer:
Crime and violence
QUESTION
What part of provision 9 addresses our need as nurses to have a united voice in our shared values?
Answer:
Articulation and assertion of values
QUESTION
Which are important nutritional screenings for adolescents?
Answer:
attitude to- wards food
body image self esteem eating habits diet history
QUESTION
A caregiver presents to the clinic with a 16-year-old for immunizations. As- suming all previous recommended vaccines have been administered, which immunizations should the healthcare professional prepare to administer?
Answer:
- Annual influenza
Meningococcal conjugate (Men B)
QUESTION
HPV Vaccine
Answer:
The human papillomavirus (HPV) vaccine is recommended as a two-dose series between 11-12 years. Starting at age 15 years, HPV requires a three-dose series. HPV vaccinations cannot be given after age 26.
QUESTION
Which factors increase the risk of tobacco use in adolescents?
Answer:
highly stressful situations
diagnosed with bipolar belong to minority group
QUESTION
Thomas and Jacinda are healthcare professionals working at a community health department. Today, they are planning to provide a health education class for a group of middle and older adolescents. Which topics should be included in the teaching?
Answer:
development of secondary sex characteristics
use of contraception to prevent infections and pregnancy recognizing signs of depression in peers
motor vehicle safety
healthy eating and adequate nutrition
QUESTION
What could be signs of depression you may notice in a friend?
Answer:
talking about self harm
negative comments about self weight loss
QUESTION
What are the common causes of motor vehicle accidents in adolescents?-
Answer:
inexperience alcohol use
exceeding the speed limit distractions by passengers
QUESTION
Several immunizations are recommended during adolescence. which ones?
Answer:
QUESTION
The adolescent is attempting to navigate increasing independence and sep- aration from family to achieve . When adolescents successfully master psychosocial development, they achieve
Answer:
Identity, fidelity
QUESTION
provision 5 of the ANA Code of Ethics
Answer:
1. Duties to self and others
2. Promotions of personal health, safety, and well-being
3. Preservation of wholeness of character
4. Preservation of integrity
5. Maintenance of competence and continuation of professional growth
QUESTION
5 Things to know about stress
Answer:
1. Not all stress is bad
2. There are ways to manage stress
3. If you feel overwhelmed by stress, seek professional help
4. Stress affects everyone
5. Long-term stress can harm your health
QUESTION
Place the steps in order for a nurse safely reposition a client from lying to sitting on the edge of the bed
Answer:
- Roll the client onto the side closest to where they will be sitting
- Place one arm under the client's shoulders and one arm behind the knees
- Bend your knees
- Use momentum to assist the client into sitting position
- Move the client to the edge of the bed
- Lower the bed so the client's feet are close to or touching the ground
QUESTION
A 55 yo nurse is slightly overweight and reports walking about 2X a week on days off. The nurse has poor muscle strength but good coordination and a normal gait. What are recommendations?
Answer:
Move more during work shift
Walk vigorously at least 50 minutes 3x a week
Perform muscle-strengthening exercises twice weekly
QUESTION
A nurse is planning to use healing intention with a client who is recovering from a lengthy illness. What is the priority action to take before attempting this particular mind-body intervention?
Answer:
Ask whether the client is comfortable with using prayer. This is assessing and collecting data from the client
QUESTION
A charge nurse is explaining the various stages of lifespan to a group of newly licensed nurses. Which of the following examples should the nurse include as a development task for middle adulthood?
Answer:
The client expresses concerns about the next generation, generevity vs stagnation
QUESTION
A nurse is collecting data to evaluate a middle adult's psychosocial development. The nurse should expect middle adults to demonstrate which of developmental task?
Answer:
Spend time focusing on improving job performance
Welcome opportunities to be creative and productive
Become involved with community issues and activities
QUESTION
A nurse is collecting history and physical examination data from a middle adult. The nurse should expect to find decreases in what?
Answer:
Metabolism
Gastric secretions
Glomerular filtration
QUESTION
A nurse is talking with an adolescent who is having difficulty dealing with several issues. What is a priority issue?
Answer:
Body image, suicidal idea, threats to health
QUESTION
A nurse is talking with an OA client about improving nutritional status. What are interventions the nurse should recommend?
Answer:
Increase protein
Increase calcium
Limit sodium
Increase fiber
QUESTION
A nurse is collecting data from an OA client as part of a comprehensive physical examination. What findings should the nurse expect as associated with aging?
Answer:
Loss in height
Thickening of the nails
Reduced bladder capacity
QUESTION
ADPIE
Answer:
Assessment
Diagnosis
Planning
Implementation
Evaluation
QUESTION
SMART goal
Answer:
Specific, Measurable, Attainable, Realistic, Timely
QUESTION
A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation and procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the newly licensed nurses should understand that this aspect of care deliver is an example of which ethical principle?
Answer:
Justice
QUESTION
Fidelity
Answer:
Faithfulness or the agreement to keep promises
QUESTION
Autonomy
Answer:
Freedom for external control, respecting the client's decisions
QUESTION
Nonmaleficence
Answer:
do no harm
QUESTION
A charge nurse is reviewing the steps of the nursing process with a group of nurses. What are examples of objective data?
Answer:
Measurable data
Vital signs
Skin appearance
Information of others (family and staff)
QUESTION
A nurse is presenting a program to workers in a factory covering safety topics, including the wearing of hearing protectors when workers are in the factory. Which level of prevention is this?
Answer:
Primary
QUESTION
A nurse is discussing the nursing process with a newly licensed nurse. What is a statement made by the new nurse would be considered the planning step of the nursing process?
Answer:
"I will determine the most important client problems that we should address"
Prioritizing the client's problems
QUESTION
The nurse spends time with a patient and family reviewing a dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting on which professional role?
Answer:
Educator
QUESTION
A nurse is explaining mammography screening to a client. Which level of health-care delivery does this diagnostic test reflect?
Answer:
Secondary
QUESTION
A nurse makes a home-care visit for a client who had a total hip replacement surgery 1 week ago. During which of the five steps in the nursing process does the nurse determine whether outcomes of care are achieved?
Answer:
Evaluation [Show Less]