Chamberlain College of Nursing NR222 Final Exam 1.Questions & Answers Chamberlain College, Exams of Nursing

Download Chamberlain College of Nursing NR222 Final Exam 1.Questions & Answers Chamberlain College and more Exams Nursing in PDF only on Docsity! Chamberlain College of Nursing NR222 Final Exam 1. Questions & Answers Question 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? • Lecture followed by a simple written test. • Role playing and group discussion • Video presentation and handouts • Demonstration and practice Question 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. • Surgery to repair a hip dislocation of an older adult client. • Teaching breastfeeding to expectant mothers in a prenatal clinic. • Chemotherapy treatment to a client newly diagnosed with cancer. • Physical therapy to a patient who has a right sided paralysis from a stroke. Question 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? • The client will list foods that are high in calcium, which should be avoided. • The client will walk for 30 mins a day 5 days a week. • The client will increase calorie intake by 200 cal per day. • The client will replace cigarettes with smokeless tobacco products. Question 4 Which of the following emphasizes that an individual’s belief in being personally capable of preforming the behavior is required to influence one’s own health? • Social Cognitive Theory • Self–Efficacy Theory • Health Belief Model • Theoretical Model Question 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 • Lack of health insurance • Concern about invasion of privacy • Absence of transportation services • Limited proficiency in the English Language • Belief and accessibility to folk healers and remedies • The availability of family members for support and help Question 6 The following are true about Healthy People 2020 initiative (Select All That Apply) • Healthy People Initiative provides science-based, 10 year national objectives for improving the health of all Americans. • 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. • For 3 decades, Healthy People initiative has established benchmarks and monitored progress over time in order to encourage collaborations across communities and sectors. • Healthy People initiative was developed to established health improvement priorities and measure the impact of prevention activates. • Healthy People initiative gives protocols to each state on how conduct community health prevention education and giving nurses standards on educational programs. • Healthy People initiative empower individuals towards making informed health decisions. Question 7 True statements about the ANA Code of Ethics (Select All That Apply): • 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. • The nurse has authority, accountability and responsibility for nursing practices; make decisions; and takes action consistent with the obligations to provide optimal • Video presentation and handouts • Role playing and group discussion • Demonstration and practice Question 15 The American Nurses Association (ANA) has recommended the following competency for RNs? • The RN’s to recognize their own values, beliefs, and cultural heritage. • The RNs to function independently and occasionally engage in collaboration. • The RNs to be concerned about the existence of vulnerable cultural groups. • The RNs to provide health care opportunities to those with financial capabilities. Question 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? • Plan handouts on general principles that patients can understand materials at the high school level. • Implement changes during class whenever a patient complains the material is too difficult to understand. • Assess materials to be relevant plan changes according to the needs of patients, implement teaching according to the patients ability to understand the information. • Assess, plan, implement, and evaluate teaching materials only according to the recommendations of the director of nursing. Question 17 Which statement is true regarding secondary prevention? • The nurse creates a care plan for the patient’s outpatient therapy. • The nurse identifies individuals in an early detectable state of the disease process. • The nurse focuses on increasing the patient’s self-care by providing prevention instructions. • The nurse is driven by the objective to minimize the effect of the disability through rehabilitation. Question 18 One Leading Health Indicator (LHI) of Healthy People 2020 is the availability of medical services to all people. Which topic does this cover? • Injury and Violence • Environmental Quality • Access to Health Services • Clinical Preventative Services Question 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. • Choose the patients who has the ability to fiancé the hospitalization and treatment. • Advocate for the younger of the two clients since that client will live longer. • Use ethical principles to guide the decision making process. • Select a client who is most productive in society. Question 20 The leading health indicators found in Healthy People 2020 are the following: (Select all that apply) • Access to health services • Holistic and CAM strategies • Oral Health • Issues related to legal and illegal immigration • Environmental health • Holistic Care Question 21 Which statement best describes Erikson’s Theory of Development. • The premise of the theory is that individuals are interdependent beings. • Developmental stages result in an attempt to make sense of the world. • A healthy personality will achieve the pre-conventional stage by 15. • An individual’s achievements of identity is through sequential psychosocial stages. Question 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? • “She might be upset if you don’t call her.” • “ What does your daughter do that makes her so busy?” • “Is there someone else that you would like me to call for you?” • “I cant imagine that your daughter wouldn’t want to know that you are sick.” Question 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? • Paraphrasing • Confrontation • Reflective Technique • Open-ended question 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?” • “You find it hard to believe that beer can hurt the liver” • “How long is it that you have been drinking several beers a day?” • “ Each beer is equivalent to one shot of liquor so its just as damaging to the liver as hard liquor.” • “ Do you believe that beer is not harmful even though research shows that it is just as bad for you as hard liquor?” Question 25 A patient is extremely upset and mentions something about work-related issues that the nurse cannot understand. Which is the nurse’s best response? • “It’s natural to worry about your job.” • “Your job must be very important to you.” • “Calm down so I can understand what you are saying.” • “I’m not quite sure I heard what you were saying about your work.” Question 26 A nurse must conduct a focused interview to complete an admission history. Which interviewing