NR 222 Unit 6 Exam2 - NR 222 Unit 6 Exam 2 2023/2024
An infant who lacks a regular feeding schedule, has diapers that are not changed promptly, or who
... [Show More] cries for long periods of time before he is attended to may - CORRECT ANSWER-Have difficulty forming relationships in the future
A 2-year-old Asian boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. After examining the child, the nurse should: - CORRECT ANSWER-Ask the mother about the bruises
According to Piaget's formal operations level, a 13-year-old adolescent will likely
a. Hit other students to deal with environmental change.
b. Use play to understand her surroundings.
c. Question her parents about an upcoming presidential election.
d. Question where the ice is hiding when ice has melted in her drink. - CORRECT ANSWER-c. Question her parents about an upcoming presidential election
A nurse is discussing holistic health care with an individual. Which of the following explanations should the nurse include in this discussion?
a. Empirical research has consistently demonstrated the value of alternative/complementary therapy.
b. Self-reports of stress relief related to alternative/complementary therapy are numerous.
c. The majority of research related to alternative/complementary therapy has utilized the scientific method.
d. Research has, to date, been unable to verify the effectiveness of alternative/complementary therapy on health and well-being. - CORRECT ANSWER-b. Self-reports of stress relief related to
alternative/complementary therapy are numerous.
The nurse is working in a clinic that is designed to provide health education and immunizations. Which type of preventive care is the nurse providing?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Risk factor prevention - CORRECT ANSWER-a. Primary prevention
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?
a. Precontemplation
b. Contemplation
c. Preparation
d. Action - CORRECT ANSWER-b. Contemplation
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
a. 5, 4, 2, 1, 3
b. 2, 5, 4, 3, 1
c. 4, 5, 3, 1, 2
d. 1, 5, 2, 3, 4 - CORRECT ANSWER-a. 5, 4, 2, 1, 3
A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse's suspicions?
a. Flea bites and lice infestation
b. Left at a grocery store
c. Refuses to take a bath
d. Cuts and bruises - CORRECT ANSWER-a. Flea bites and lice infestation
A nurse is conducting a staff development program about human sexuality for nurses who work in a long-term care facility. Which of the following statements would most likely be made by the nurse?
a. "The desire for sexual intimacy declines rapidly with age."
b. "Older adults are very well-informed about sexuality."
c. "Older adults need to practice safe sex."
d. "The danger of contracting STDs during sexual intimacy is extremely low in older adults." - CORRECT ANSWER-c. "Older adults need to practice safe sex."
Which of the following adults has transitioned to Erikson's intimacy versus isolation and loneliness stage of development?
a. A 21-year-old man who has a part-time job, spends most of his leisure time with his buddies, and has numerous short-term intimate relationships
b. A 25-year-old woman who is very concerned with how she is perceived by her coworkers and friends
c. A 30-year-old man who just graduated with a PhD and is looking for his first full-time job
d. A 26-year-old woman who has a long-term relationship with a female companion - CORRECT ANSWER-d. A 26-year-old woman who has a long-term relationship with a female companion
Which of the following statements best defines the concept of holistic nursing care?
a. Holistic nursing care is a family-centered approach to care.
b. Holistic nursing care relies primarily on alternative medicine.
c. Holistic nursing care takes into consideration all aspects of a person's life.
d. Holistic nursing care focuses on wellness rather than illness. - CORRECT ANSWER-c. Holistic nursing care takes into consideration all aspects of a person's life.
An occupational health nurse is trying to promote regular activity at her institution. Which of the following interventions would most likely be the most successful?
a. Educate all employees regarding the benefits of exercise.
b. Initiate a lunchtime walking group that employees can join.
c. Provide all employees with an exercise prescription.
d. Recommend that employees who do not exercise be terminated from their positions. - CORRECT ANSWER-b. Initiate a lunchtime walking group that employees can join.
A nurse is working in the community to prevent bicycle and motorcycle fatalities. Which of the following measures would be most effective for the nurse to promote?
a. Use of helmets
b. Increasing the minimum age for motorcycle licensure
c. Construction of bike paths along busy roads
d. Right-of-way laws for bicyclists - CORRECT ANSWER-a. Use of helmets
An elderly woman who speaks only Spanish is being admitted to the hospital. Her daughter assures the staff that she can interpret
for her mother. What is the most appropriate response by the nurse?
A) "We do not allow family members to act as interpreters."
B) "In that case, I will not request our staff interpreter."
C) "We must provide a trained interpreter for some conversations."
D) "You will need to stay here around the clock to interpret for her." - CORRECT ANSWER-C) "We must provide a trained interpreter for some conversations."
The unlicensed assistive personnel (UAP) is assigned to care for a client who is of Asian heritage. The UAP tells the nurse, "I think that my assignment needs to be changed. Every time I try to talk, the client turns away." Which statement is the most appropriate teaching response from the nurse? - CORRECT ANSWER-"If the client turns away, continue with the discussion."
A charge nurse, following hospital policy, reports an incident of suspected child abuse. The parent of the child becomes upset and demands to know the reason for the nurse's action. The appropriate nursing response to the parent should be which of the following? - CORRECT ANSWER-"As a nurse, I am required by law to report suspected child abuse.
A nurse is assessing a client in an emergency department who was admitted for suspected abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take to promote client communication? - CORRECT ANSWER-Be direct and honest when speaking with the client.
A nurse is caring for a client who states, "There is no one in the world who cares about me." Which of the following responses
should the nurse make? - CORRECT ANSWER-c. "You are feeling totally alone and without support?"
A nurse is completing an admission assessment on an adolescent client who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide the nutrients most likely to be lacking in his diet?
A. Peanut butter and jelly sandwich
B. Baked potato topped with sour cream
C. Bagel with cream cheese
D. Fruit salad - CORRECT ANSWER-A.Peanut butter and jelly sandwich
A nurse is instructing a group of clients about nutrition. The nurse should include that which of the following is a trigger for the formation of vitamin D in the body?
A. Calcium
B. Vitamin A depletion
C. Exposure to sunlight
D. Weight-bearing exercise - CORRECT ANSWER-C. Exposure to sunlight
6. A nurse is caring for a young adult client who says he is experiencing increasing anxiety and the inability to concentrate. Which of the following is an appropriate response by the nurse? - CORRECT ANSWER-A. "It sounds like you're having a difficult time"
7. A nurse is caring for a 4-year-old child who has been newly diagnosed with diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize as therapeutic in helping the child deal with the injection? - CORRECT ANSWER-A. A needleless syringe and a doll
13. A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." The therapeutic nursing response is - CORRECT ANSWER-D. "I care about you, and I am concerned that you feel so sad."
A public health nurse is visiting an older adult client who lives with a family member. The nurse assesses the client and identifies several bruises in various stages of healing. The client explains that the bruises are a result of "clumsiness," and the client's family member agrees. However, based on the location and distribution of the bruises, the nurse suspects the client may be abused.
Which of the following actions should the nurse should take first?
- CORRECT ANSWER-B. Follow the agency's guidelines for reporting suspected abuse.
A nurse is caring for an antepartum client who has iron-deficiency anemia. When teaching the client about nutrition, the nurse should emphasize the need for an increased intake of which of the following foods?
A. Milk and cheese
B. Red meat and organ meat
C. Fresh fruits
D. Whole grain breads - CORRECT ANSWER-B. Red meat and organ meat
The interrelationship of poverty and health care dollars spent by Blacks and other minorites is affected greatly by:
a. lack of access to preventive health care services
b. low numbers of minority helath care providers
c. use of emergency rooms for care
d. increased infant mortality rates in African American populations
- CORRECT ANSWER-a. lack of access to preventive health care services
A nurse is asked about the goal of patient education. What is the nurse's best response? The goal of educating others is to help people
a. Meet standards of the Nurse Practice Act.
b. Achieve optimal levels of health.
c. Become dependent on the health care team.
d. Provide self-care only in the hospital. - CORRECT ANSWER-b. Achieve optimal levels of health.
As a nurse is speaking to the nurse manager about a schedule request, the nurse manager puts an arm around the nurse and says, "I bet you are a great lover." Which of the following responses by the nurse is appropriate? - CORRECT ANSWER- "Speaking to me like that makes me uncomfortable."
According to Erikson's theory of development, which of the following older adults has successfully navigated the stage of ego integrity versus despair?
a. 72-year-old man who is reluctant to retire because "work is everything to me"
b. 78-year-old woman who has scheduled her third face lift
c. 80-year-old man who has informed his children that he has made his funeral arrangements
d. 67-year-old woman who is depressed because she has not been promoted at work for the past 10 years - CORRECT ANSWER-c. 80-year-old man who has informed his children that he has made his funeral arrangements
Which of the following middle-age adults has successfully transitioned to Erikson's generativity-versus-stagnation stage of development?
a. A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week
b. A 63-year-old man who regrets his career choice and feels he cannot change careers
c. A 45-year-old woman who resents having to care for her aging mother-in-law
d. A 50-year-old man who has not saved for retirement but spends his discretionary income on vacations he takes by himself
- CORRECT ANSWER-a. A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week
A patient experienced a myocardial infarction 4 weeks ago and is currently participating in the daily cardiac rehabilitation sessions at the local fitness center. In what level of prevention is the patient participating?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention - CORRECT ANSWER-C) Tertiary prevention
The patient states she joined a fitness club and attends the aerobics class three nights a week. The patient is in what stage of behavioral change?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action - CORRECT ANSWER-D) Action
The nurse teaches parents how to have their children learn impulse control and cooperative behaviors. This would be during which of Erikson's stages of development?
A) Trust versus mistrust
B) Initiative versus guilt
C) Industry versus inferiority
D) Autonomy versus sense of shame and doubt - CORRECT ANSWER-B) Initiative versus guilt
Nine-year-old Brian has a difficult time making friends at school and being chosen to play on the team. He also has trouble completing his homework and, as a result, receives little positive feedback from his parents or teacher. According to Erikson's theory, failure at this stage of development results in:
A) A sense of guilt.
B) A poor sense of self.
C) Feelings of inferiority.
D) Mistrust. - CORRECT ANSWER-C) Feelings of inferiority.
According to Piaget's cognitive theory, a 12-year-old child is most likely to engage in which of the following activities?
A) Using building blocks to determine how houses are constructed
B) Writing a story about a clown who wants to leave the circus
C) Drawing pictures of a family using stick figures
D) Writing an essay about patriotism - CORRECT ANSWER-B) Writing a story about a clown who wants to leave the circus
A nurse manger is reviewing the Good Samaritan laws with a group of newly licensed nurses. Which of the following statements by the nurse manger is appropriate?
A. " Federal Laws require a licensed nurse to render aid in an emergency"
B. "Good Samaritan laws prohibit the victim from filing a lawsuit against the nurse"
C. " If you render aid in an accident, do not leave the scene until another competent person can take over"
D "A nurse who volunteer at a summer camp for children is covered by Good Samaritan laws." - CORRECT ANSWER-C. " If
you render aid in an accident, do not leave the scene until another competent person can take over"
A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasy. Which of the following responses by the nurse demonstrates assertiveness?
A. " I feel as though I met the standard of care. Would you tell me more about your concerns?"
B. " What do you have against me? It must be something or you wounldn't be criticizing my care"
C. "You shouldn't make accusations. your nursing care doesn't always set a good example"
D. "I am at a loss for words. I always do my best to give good care to my clients." - CORRECT ANSWER-A." I feel as though I met the standard of care. Would you tell me more about your concerns?"
A nurse overhears two assistive personnel (AP) from the medical- surgical unit discussing a hospitalized client while in the cafeteria. which of the following is the priority nursing action?
A. Quietly tell the AP's that this is not appropriate
B. Document the occurrence in a personal log
C. Complete an incident report
D. Ask the nurse manger to provide an inservice program about confidentiality to the staff on the unit - CORRECT ANSWER-A. Quietly tell the AP's that this is not appropriate
A nurse is preparing a health promotion program for teenagers focusing on lifestyle choices. Which of the following methods used by the nurse will best ensure the success of the program?
a) Disclosing and explaining personal lifestyle choices
b) Reviewing data about common teenage lifestyle choices
c) Creating a safe environment for sharing information
d) Validating the current lifestyle choices of the teenagers - CORRECT ANSWER-c) Creating a safe environment for sharing information
Parents of a terminally ill child have decided to remove their child from life support, a decision that has met with little positive support. Which nursing action demonstrates autonomy regarding the parents' decision?
1. Showing respect for the family
2. Respecting the parents' decision
3. Referring the parents to social services
4. Asking to be assigned to a different client - CORRECT ANSWER-2. Respecting the parents' decision [Show Less]