NR 222 Unit 8 Final Exam(New, 2024) : Health and Wellness: Chamberlain College, Exams of Nursing

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NR 222 Final Exam

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? A. Lecture followed by a simple written test. B. Role playing and group discussion C. Video presentation and handouts D. Demonstration and practice 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. A. Surgery to repair a hip dislocation of an older adult client. B. Teaching breastfeeding to expectant mothers in a prenatal clinic. C. Chemotherapy treatment to a client newly diagnosed with cancer. D. Physical therapy to a patient who has a right sided paralysis from a stroke. 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? A. The client will list foods that are high in calcium, which should be avoided. B. The client will walk for 30 mins a day 5 days a week. C. The client will increase calorie intake by 200 cal per day. D. The client will replace cigarettes with smokeless tobacco products.

4.) Which of the following emphasizes that an individuals belief in being personally capable of preforming the behavior is required to influence one’s own health? A. Social Cognitive Theory B. Self–Efficacy Theory C. Health Belief Model D. Theoretical Model 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 A. Lack of health insurance B. Concern about invasion of privacy C. Absence of transportation services D. Limited proficiency in the English Language E. Belief and accessibility to folk healers and remedies F. The availability of family members for support and help 6.) The following are true about Healthy People 2020 initiative (Select All That Apply) A. Healthy People Initiative provides science-based, 10 year national objectives for improving the health of all Americans. B. 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. C. For 3 decades, Healthy People initiative has established benchmarks and monitored progress over time in order to encourage collaborations across communities and sectors.

D. Healthy People initiative was developed to established health improvement priorities and measure the impact of prevention activates. E. Healthy People initiative gives protocols to each state on how conduct community health prevention education and giving nurses standards on educational programs. F. Healthy People initiative empower individuals towards making informed health decisions. 7.) True statements about the ANA Code of Ethics (Select All That Apply): A. 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. B. The nurse has authority, accountability and responsibility for nursing practices; make decisions; and takes action consistent with the obligations to provide optimal patient care. C. The profession of nursing articulates its values through individual nurses without recommendations from professional organizations; maintaining integrity and principles of social justice into nursing and healthy policy is optimal for nurses. D. The nurse owes the same duties to self as to other, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence and continue personal and professional duties. E. It is the nurses responsibility to protect human rights, promote health diplomacy, and reduce health disparities. F. Nurse advocates for, and protects the rights, health, and safety of the patient. 8.) The following are health concerns and issues of migrant workers (Select All that Apply) A. Pesticide exposure

B. Iron deficiency anemia C. Constipation and Dehydration D. Tuberculosis E. Chronic Conditions F. Dental Disease 9.)Which data represents objective findings? (Select All That Apply) A. Lab values B. Pain level state by the patients C. Patients stated emotional status D. Respiratory and pulse oximetry reading. E. The nurse’s description of the patient’s gait. 10.) The steps included in the nursing process include: (Select All That Apply) A. Use a nursing diagnosis to state the problem. B. Plan care to help meet stated patient goals C. Collect data and asses the patient D. Establishes priorities, patient goals and outcomes. E. Determine appropriate nursing interventions for patient care. F. Order labs that are needed for the patient. 11.) What information is about nursing standards of care? A. Nursing standards of care guidelines for nursing practice. B. Nursing standards of care are defined in Nurse Practice Acts. C. Nursing standards of care are used to measure nursing conduct in malpractice suit.

D. Nursing standards of care are specific guidelines only for unlicensed assistive personnel. E. Nursing standards of care are upheld by law and indicate what standards nurse must follow. F. Nursing standards of care are used to determine whether the nurse acted as any reasonably prudent nurse under the same or similar conditions. 12.) The nurse is discussing the importance of routine healthcare with a Hispanic family who has recently immigrated to the United States. Which factor will the nurse consider as a barrier to the family’s interest to receive professional health care? (Select All That Apply?) A. Lack of health insurance. B. Concern about invasion of privacy. C. Absence of transportation services. D. Limited proficiency in the English language E. Belief and accessibility to folk healers and remedies F. The availability of family member for support and help. 13.) Which statement by the nurse best describes values? A. Values are not constant; they change over time. B. Values learned in childhood remain the same for a lifetime. C. It is impossible for people to understand their own values. D. The clients values are not considered when care is provided. 14.) Which educational strategy would be most appropriate to use in order to provide affective learning domain of the client?

A. Lecture followed by simple written test B. Video presentation and handouts C. Role playing and group discussion D. Demonstration and practice 15.) The American Nurses Association (ANA) has recommended the following competency for RNs? A. The RN’s to recognize their own values, beliefs, and cultural heritage. B. The RNs to function independently and occasionally engage in collaboration. C. The RNs to be concerned about the existence of vulnerable cultural groups. D. The RNs to provide health care opportunities to those with financial capabilities. 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? A. Plan handouts on general principles that patients can understand materials at the high school level. B. Implement changes during class whenever a patient complains the material is too difficult to understand. C. Assess materials to be relevant plan changes according to the needs of patients, implement teaching according to the patients ability to understand the information. D. Assess, plan, implement, and evaluate teaching materials only according to the recommendations of the director of nursing. 17.) Which statement is true regarding secondary prevention?

A. The nurse creates a care plan for the patients outpatient therapy. B. The nurse identifies individuals in an early detectable state of the disease process. C. The nurse focuses on increasing the patient’s self-care by providing prevention instructions. D. The nurse is driven by the objective to minimize the effect of the disability through rehabilitation. 18.) One Leading Health Indicator (LHI) of Healthy People 2020 is the availability of medical services to all people. Which topic does this cover A. Injury and Violence B. Environmental Quality C. Access to Health Services D. Clinical Preventative Services 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. A. Choose the patients who has the ability to fiancé the hospitalization and treatment. B. Advocate for the younger of the two clients since that client will live longer. C. Use ethical principles to guide the decision making process. D. Select a client who is most productive in society. 20.) The leading health indicators found in Healthy People 2020 are the following: (Select all that apply) A. Access to health services

B. Holistic and CAM strategies C. Oral Health D. Issues related to legal and illegal immigration E. Environmental health F. Holistic Care 21.) Which statement best describes Erikson’s Theory of Development. A. The premise of the theory is that individuals are interdependent beings. B. Developmental stages result in an attempt to make sense of the world. C. A healthy personality will achieve the pre-conventional stage by 15. D. An individuals achievements of identity is through sequential psychosocial stages. 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? A. “She might be upset if you don’t call her.” B. “ What does your daughter do that makes her so busy?” C. “Is there someone else that you would like me to call for you?” D. “I cant imagine that your daughter wouldn’t want to know that you are sick.” 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? A. Paraphrasing B. Confrontation C. Reflective Technique D. Open-ended 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?” A. “You find it hard to believe that beer can hurt the liver” B. “How long is it that you have been drinking several beers a day?” C. “ Each beer is equivalent to one shot of liquor so its just as damaging to the liver as hard liquor.” D. “ Do you believe that beer is not harmful even though research shows that it is just as bad for you as hard liquor?” 25.) A patient is extremely upset and mentions something about work-related issues that the nurse cannot understand. Which is the nurses best response? A. “Its natural to worry about your job.” B. “ Your job must be very important to you.” C. “Calm down so I can understand what you are saying.” D. “ I’m not quite sure I heard what you were saying about your work.” 26.) A nurse must conduct a focused interview to complete an admission history. Which interviewing technique should the nurse use? A. Probing B. Clarification C. Direct questions D. Paraphrasing statements

27.) The home care nurse is visiting an older client whose spouse died 6 months ago. Which behaviors by the client indicates effective coping?  A. Neglecting personal grooming B. Looking as old snapshots of family. C. Participating in a senior citizens program D. Visiting spouses grave once a month E. Decorating a wall with the spouses pictures and awards received. 28.) A nurse is planning to provide personal health care information to several patients. Which patients should the nurse anticipate will be more motivational to learn? A. 55 y/o F who has a mastectomy and is very anxious about her body image. B. 56 y/o M who has a heart attack last week and is requesting information about exercise C. 18 y/o M who smokes two packs per day and is in denial about the dangers or smoking. D. 47 y/o F who has a long leg cast after sustaining a broken leg and is still experience severe pain. 29.) The nurse asses a patient and collects a variety of data. Identify the human response that are subjective data. Select all that apply: A. Nausea B. Jaundice C. Dizziness D. Diaphoresis E. Hypotension.

30.) A nurse is collecting information to prepare a teaching plan for a patient with type 1 diabetes. Which question asked by the nurse is associated with collecting information in the cognitive domain of leaning? A. “ How do you inspect your feet each day?” B. “Can you measure a serum glucose levels?” C. “ What do you know about diabetes mellitus?” D. “Are you able to preform a subcutaneous injection? 31.) Which of the following emphasizes an individuals belief and being personably capable of preforming the behavior is required to influence ones own health. A. Social cognitive theory B. Self efficiency theory C. Health Belief Model D. Transtheoretical Model

32. The nurse evaluates which laboratory values to assess a patient’s potential for wound healing? A. Fluid status B. Potassium C. Lipids D. Nitrogen balance
33. The nurse is caring for a patient with dysphagia and is feeding her a pureed chicken diet when she begins to choke. What is the priority nursing intervention? A. Suction her mouth and throat

B. Turn her on their side C. Put on oxygen at 2-L nasal cannula D. Stop feeding her and place on NPO

34. A patient who is receiving parenteral nutrition (PN) through a central venous catheter (CVC) has an air embolus. What would the nurse do first? A. Have the patient perform a Valsalva procedure B. Clamp the intravenous (IV) tubing to prevent more air from entering the line C. Have the patient take a deep breath and hold it D. Notify the health care provider immediately
35. A patient is receiving both parenteral (PN) and enteral nutrition (EN). When would the nurse collaborate with the health care provider and request discontinuing parenteral nutrition? A. When 25% of the patient’s nutritional needs are met by the tube feedings B. When bowel sounds return C. When central line has been in for 10 days D. When 75% of the patient’s nutritional needs are met by the tube feedings 36) A patient’s gastric residual volume was 250 mL at 0800 and 350 mL at 1200. What is the appropriate nursing action? A. Assess bowel sounds B. Raise the head of the bed to at least 45 degrees C. Position the patient on his or her right side to promote stomach emptying D. Do not reinstall aspirate and hold the feeding until you talk to the primary care provider

37) The patient’s blood glucose level is 330 mg/dL. What is the priority nursing intervention? A. Recheck by performing another blood glucose test. B. Call the primary health care provider. C. Check the medical record to see if there is a medication order for abnormal glucose levels. D. Monitor and recheck in 2 hours.

38. Which statement made by a patient of a 2-month-old infant requires further education? A. I’ll continue to use formula for the baby until he is a least a year old. B. I’ll make sure that I purchase iron-fortified formula. C. I’ll start feeding the baby cereal at 4 months. D. I’m going to alternate formula with whole milk starting next month. 39) The nurse sees the nursing assistive personnel (NAP) perform the following intervention for a patient receiving continuous enteral feedings. Which action would require immediate attention? A. Fastening tube to the gown with new tape B. Placing patient supine while giving a bath C. Hanging a new container of enteral feeding D. Ambulating patient with enteral feedings still infusing
39. When planning patient education, it is important to remember that patients with which of the following illnesses often find relief in complementary therapies? A. Lupus and diabetes

B. Ulcers and hepatitis C. Heart disease and pancreatitis D. Chronic back pain and arthritis

41. Which statement best describes the evidence associated with complementary therapies as a whole? A. Many clinical trials in complementary therapies support their effectiveness in a wide range of clinical problems. B. It is difficult to find funding for studies about complementary therapies. Therefore we should not expect to find evidence supporting its use. C. The science supporting the effectiveness of complementary therapies is early in its development. D. Most of the research examining complementary and alternative therapies has found little evidence, suggesting that, although people like them, they are not effective.

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42. While planning care for a patient, a nurse understands that providing integrative care includes treating which of the following? A. Disease, spirit, and family interactions B. Desires and emotions of the patient C. Mind-body-spirit of patients and their families D. Muscles, nerves, and spine disorders
43. In addition to an adequate patient assessment, when a nurse uses one of the nursing-accessible complementary therapies, he or she must ensure that which of the following has occurred? A. The family has provided permission. B. The patient has provided permission and consent. C. The health care provider has given approval or provided orders for the therapy. D. He or she has documented that the patient has a complete understanding of complementary and alternative medicine.
44. A patient who has been using relaxation wants a better response. The nurse recommends the addition of biofeedback. What is the expected outcome related to using this additional modality? A. To eat less food B. To control diabetes C. To live longer with acquired immunodeficiency syndrome (AIDS) D. To learn how to control some autonomic nervous system responses
45. Which of the following statements best explains the actions of therapeutic touch (TT)?

A. Intentionally mobilizes energy to balance, harmonize, and repattern the recipient’s biofield B. Intentionally heals specific diseases or corrects certain symptoms C. Is overwhelmingly effective in many conditions D. Is completely safe and does not warrant any special precautions

46. A nurse is planning care for a group of patients who have requested the use of complementary health modalities. Which patient is not a good candidate for guided imagery? A. Pregnant patient B. Hypertensive patient C. Patient with posttraumatic stress disorder (PTSD) D. A pediatric patient
47. A nursing professor is teaching a nursing student about caring patients who use herbal preparations in addition to prescribed medications. Which of the following statements made by the student indicates that the student understands herbal preparations? A. “Herbal preparations are regulated by the Food and Drug Administration (FDA); therefore I need to tell patients that they are completely safe.” B. “They are natural products and therefore are safe as long as you use them for the conditions that are indicated.” C. “These preparations are covered by insurance, including Medicare, Medicaid, and private payers.” D. “We need to treat herbal preparations as though they are “drugs” because many have active ingredients that can interact with other

medications and change physiological responses.”

48. Which complementary therapies are most easily learned and applied by a nurse? (Select all that apply.) A. Massage therapy B. Traditional Chinese medicine C. Progressive relaxation D. Breathwork and guided imagery E. Therapeutic touch
49. The nurse manager of a community clinic arranges for staff in-services about various complementary therapies available in the community. What is the purpose of this training? (Select all that apply.) A. Nurses have a long history of providing some of these therapies and need to be knowledgeable about their positive outcomes. B. Nurses are often asked for recommendations and strategies that promote well-being and quality of life. C. Nurses play an essential role in patient education to provide information about the safe use of these healing strategies. D. Nurses appreciate the cultural aspects of care and recognize that many of these complementary strategies are part of a patient’s life. E. Nurses play an essential role in the safe use of complementary therapies. F. Nurses learn how to provide all of the complementary modalities during

their basic

50. Several nurses on a busy unit are using relaxation strategies while at work. What is the desired workplace outcome from this intervention? (Select all that apply.) A. Improved health among the staff B. Increased patient safety C. Improved staff satisfaction D. Improved staff relationships E. Fewer overtime assignments