Chamberlain College of Nursing : NR 222 Unit 3 Exam 1 / NR222 Unit 3 Exam 1 : Health and Wellness
NR 222 Unit 3 Exam 1 / NR222 Unit 3 Exam 1 : Health and
... [Show More] Wellness: Chamberlain College of Nursing
Chamberlain NR 222 Unit 3 Exam 1 / NR222 Unit 3 Exam 1 : Health and Wellness
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]