H&H Final Exam Questions with Complete Solutions, Exams of Nursing

Download H&H Final Exam Questions with Complete Solutions and more Exams Nursing in PDF only on Docsity! H&H final exam Questions With Complete Solutions A clinical nursing instructor asks the nursing students to describe a critical thinker. Which of the following represents the best response? a. Someone with the educational background to solve problems. b. Someone who does not use scientific methods to solve problems. c. Someone who finds the problem and does what is best to solve it. d. Someone who uses the same system to work through all nursing problems. Correct Answer c. Someone who finds the problem and does what is best to solve it. A nurse is caring for a client who will be discharged from the hospital with a wound that requires dressing changes. The nurse plans a teaching session with the client. She will teach the client how, why, and when to change the dressing and what signs to report to the physician. Which domain of learning has the nurse omitted? a. Cognitive domain. b. Affective domain. c. Humanist domain. d. Psychomotor domain. Correct Answer b. Affective domain. A nurse observes that a new graduate nurse is having trouble relating to a client from a different culture. What instruction can the nurse offer this new graduate to enhance cultural competency? a. Learn at least three foreign languages. b. Obtain in-depth knowledge about medical concepts and nursing care. c. Obtain sufficient knowledge about a client's culture and beliefs. d. Learn about various dialects prevalent in the country. Correct Answer c. Obtain sufficient knowledge about a client's culture and beliefs. A nurse uses the institution's procedure manual to confirm how to insert a Foley catheter. Which level of critical thinking is the nurse using? a. Commitment. b. Scientific method. c. Complex critical thinking. d. Basic critical thinking. Correct Answer d. Basic critical thinking. A nursing student overhears a 72-year-old patient reflecting on whether his or her life was meaningful. The nursing student acknowledges that the patient is in which stage of Erikson's eight stages of life? a. Integrity versus despair. b. Intimacy versus isolation. c. Industry versus inferiority. d. Initiative versus guilt. Correct Answer a. Integrity versus despair. Acute care settings pose an increased risk for adverse events in older adults. Which of the following are older adults at an increased risk for? a. Development of pelvic ulcer. a. Nurse staffing. b. Confidentiality. c. Safety. d. Adequate pain relief. Correct Answer c. Safety. How should the nurse communicate with adolescents? a. By being alert to clues to the adolescent's emotional state. b. By not discussing sensitive issues, such as asking questions about sex and drugs. c. By asking closed-ended questions to get straight answers. d. By not trying to look for meaning being the adolescent's words or actions. Correct Answer a. By being alert to clues to the adolescent's emotional state. Jean Piaget's cognitive developmental theory focuses on four stages of development, including which of the following? a. Intimacy versus isolation. b. The postconventional level. c. Latency. d. Formal operations. Correct Answer d. Formal operations. Nurses are not required to document the provision of health teaching, since it is an informal process and does not involve specific assessments. a. TRUE b. FLASE Correct Answer FALSE Older adults experience major psychosocial adjustments. Which adjustment is not commonly seen in this age group? a. Concerns related to career choice. b. Potential relocation due to declining abilities. c. Retirement. d. Loss of partner. Correct Answer a. Concerns related to career choice. Physical development is affected at each stage of growth and development. Which of the following statements refer to the development of young adults? a. Physical functioning declines. b. Physical development continues at a brisk pace. c. The musculoskeletal system continues to increase in coordination. d. Physical change is minimal. The emphasis is on psychosocial development. Correct Answer d. Physical change is minimal. The emphasis is on psychosocial development. Reflective journal writing is a tool used by the nurse. What is the purpose of this tool? a. To help the nurse identify how previously learned knowledge can be applied in the future. b. To create a document for liability purposes. c. To describe the activities of a nursing shift. d. To make the nurse more aware of his or her own values. Correct Answer a. To help the nurse identify how previously learned knowledge can be applied in the future. The long-term goal on a care plan states: The client will be able to wash himself after four weeks of therapy. When should the nurse evaluate the client's ability to wash himself? a. On an on-going basis. b. After four weeks. c. At least weekly. d. At the time of discharge. Correct Answer a. On an on-going basis. The nurse decides to administer acetaminophen (Tylenol) tablets to a patient who just had knee surgery in accordance with the physician's order. Which step of the nursing process does this represent? a. Nursing diagnosis b. Planning c. Implementation d. Assessment Correct Answer c. Implementation The nurse is explaining to another nurse the concept of being culturally competent. What are the components of cultural competence? Select all that apply. a. Cultural awareness. b. Cultural knowledge. c. Cultural difference. d. Cultural encounters. e. Cultural desires. f. Cultural skills. Correct Answer A, B, D, E, F The nurse is teaching a parenting class for a group of pregnant adolescents and will model how to bathe a baby. This is an example of which of the following? a. Role playing. b. A comparison. c. A demonstration. d. A return demonstration. Correct Answer c. A demonstration d. How to toilet train a toddler. Correct Answer a. At the beginning. What is the best first step toward achieving cultural safety in nursing practice? a. Beginning the process of self-exploration of the impact on others. b. Allowing safe service to be defined by those who receive the service. c. Acknowledging the legitimacy of difference. d. Understanding that there is difference. Correct Answer d. Understanding that there is difference. What is the chief illness in childhood? a. ear infection b. common cold c. flu d. measles Correct Answer b. common cold What should the nurse recognize when comparing the physical changes in young and middle adulthood? a. Fertility issues do not occur in young adulthood. b. Exercise is less important in young adulthood than in middle adulthood. c. Young adults are quite active but are at risk for illness in later years. d. Young adults tend to suffer more from severe illness. Correct Answer c. Young adults are quite active but are at risk for illness in later years. What should the nurse remember when providing health teaching? a. Include as much information as possible in each teaching session. b. Repeating information will bore the client and cause loss of interest. c. Medical terminology will help clarify information for the client. d. Assess what the client already knows and wants to learn. Correct Answer d. Assess what the client already knows and wants to learn. When performing a thorough psychosocial assessment on a young adult, what must the nurse realize? a. Change is inevitable and is not a factor in stress-related illness. b. Although psychologically disturbing, stress does not lead to physical illness. c. Psychosocial health is often related to job and family stress. d. Having a job is the best way to relieve stress. Correct Answer c. Psychosocial health is often related to job and family stress. Which action focuses on promoting international health? a. Focus on issues that affect the health of a community's population. b. Encouragement of a multidisciplinary approach within the social sciences and health sciences. c. Development of solutions that require cooperation from multiple nations. d. Environmental scan of national health concerns. Correct Answer c. Development of solutions that require cooperation from multiple nations. Which are examples of neglected tropical diseases? Select all that apply. a. Zika virus. b. Cancer. c. Dengue. d. Leprosy. Correct Answer A, C, D Which are health differences linked with social, economic, and/or environmental disadvantages that adversely affect groups of persons who have systematically experienced greater obstacles to health based on characteristics historically linked to discrimination? a. Stereotypes. b. Cultural impositions. c. Health inequities. d. Health disparities. Correct Answer d. Health disparities. Which of the following defines a nursing diagnosis? a. A clinical judgement about individual, family, or community responses to actual and potential health problems or life processes. b. The identification of a disease condition on the basis of a specific evaluation of physical signs, symptoms, the patient's medical history, and the results of diagnostic tests. c. The advancement of the development, testing, and refinement of a common nursing language. d. Continued rapid physical growth and spiritual development. Correct Answer a. A slowing of physical growth and an expansion of social contacts. Which of the following physical development changes occur when a child is at the toddler stage? a. Improved visual acuity b. Weight increase at a slower rate than during infancy. c. Improved fine and gross motor development. d. Minimal height increase. Correct Answer b. Weight increase at a slower rate than during infancy. Which of the following should be considered when using digital technology to teach clients? a. Should be based on the nurses assessment of the client. b. Use of technology is best practice. c. It is always appropriate. d. It is economical. Correct Answer a. Should be based on the nurses assessment of the client. Which of the following should the nurse consider when providing health teaching to a client with language barriers? a. Use humour frequently to get through the awkwardness of the situation. b. Speak loudly and clearly so the client can read lips. c. Recognize that the client understands when she is nodding. d. Utilize the available language translation services. Correct Answer d. Utilize the available language translation services. Which of these statements would be most appropriate for a nurse to state when assessing an adult patient for growth and developmental delays? a. "How many hours a day do you spend watching television or sitting in front of a computer?" b. "How many times per week do you exercise?" c. "Would you please describe your usual activities during the day?" d. "Are you able to stand on one foot for 5 seconds?" Correct Answer c. "Would you please describe your usual activities during the day?" Which reflect an unfair distribution of the underlying social determinants of health? a. Health disparities. b. Stereotypes. c. Cultural impositions. d. Health inequities. Correct Answer d. Health inequities.